1. OA ;~ TIJ.;E GROUP ~. N UMBER OF OBJECT S LENGTH OF OBSERVATION 6. TYPE OF OBSERVATION Ground Visual 9. PHYSICAL E V IDENCE PROJECT 10073 ReCORD L OCA TION 1 ow v r ove n"i tne sse 5 CONCLUSION Aircraft(po8sib1e) l\RIJ;F 51JMMI\RY 1\NP 1\H ALV"Ii Observers \;;,tchl"d ~ ..;hite colored obje c t tr<~ve1 to~i;rd the l\1i and disappe~r, but the object camo back :tnd t ruvelec! to the e~t. Th: ooj ~ct di~appeared by JOin& out of 3iht arr;ong the st:trs . Cne ,,,itness s:tid th~ t he had never :;een anything like this oeforo. He has seen a i r craft , f~lling st~us, but this object did not look like ny oft hese . FTO U! P 63 0329 (TOE) PH>\'Inu dltiCfla o f lhl e t orm tr.oy b e u oed 8 . IF you sow tl1e object a t NIGHT, what d id you notice concerning the ~TARS und MOOt~? 8.1 STARS (Circle One): 8.2 MOON (Circle One): o. Brigh t moonlight b. Du II moon I i gh t c . No moonlight -pi tch dark '(_ Do~.remember j 9. What were the weather conditions of the t ime you sow the obje c t ? CLOUDS (Circle One): t'IEATHER (Crrcle One): a. Clear sky b. Fog, mist, o r light rain c. Scattered clouds c . ,v\oderote or heavy rain Thick or heavy clouds e. Don't re me mbe r 10. The object appeared: (Circle One): a. Solid d . As a light b. T ransporent e. Don't remember 11. If it appeared as a light, was it brighter than the brightest s tars? (Circle One): a. Brighter c. About the some d. Don't know 12. The edges of the object were: (Circle One): a. Fuzzy or blurred b. Like o briyht star c. Sharply outlined Don t remember -.> 13. Did the object: (Circle One for eoch question) Appear to stand still ot any time? b. Sudden ly speed up and rush away at any time? c . Break up into po~ts or explode? d. Give off smoke? Don't know Don't know l_g:n't kno w e. Change brightness? f . Change shape? g. Flash or fl icker? h. Disappear and reappear? U.S. AIR FORCE TECfiNICAL INFORMATION This questionnaire has been prepared so that you con give the U.S. Air Forc e as much information os possible concerning the unidentified aerial phenomenon that you hove observed. Please try t o answer as many questions as you possibly con. The information that you give will be used for researc h purposes. Your name will not be used in connect ion with any stalements, conclusions, or publications without your permission. We request this personal informat ion s o that if it is deemed necessary, we may contact you for further deta i ls . 1. When did you see the object? 2. Time o f day: Day Month Yeor 3. T ime Zone: (Circle One): ...-d. t ostern '-b. Centrd( c . Mountain d. Pacific (Circle One): ( Circle On e): o. Day I ight Sov ing b. Standard 4. Where were you when you sow the object? Nearest Postal Address State o r C ounty 5. How long was object in sight? (Total Dura tion) Hours Minutes Seconds (..c. Not very sure_;. a. Certain b. Fair ly certain d. Just a guess 5.1 How was time in sight determined? ------------------- 5.2 Was abject in sight continuously? 6. What was the condition of the sky? ....-NIGHl: 7 . IF you sow the object during DAYLIGHT, where was the SUN located as you looked at the object? (Circle One): a. In front o f you b. In boc k of you c. T o your right d . To your left e. Overheocf f. Don't remember FTD OCT 62 164 Thla fnrm aupenedeo FT'O 164, Jul 61, which Ia oba olete 20. Do you think you can est imate the speed of the object? (Circle One) 6~C No IF you answered YES, then what speed would you estimate? 21. Do you think you can estimate how far away fr om you the object was? (Circle One) Yes (~J IF you answered YES, then how for away would you say it was? ----------- 22. Where were you located when you saw the object? (Circle One): 23. Were you ( Circle One) a. In the business sect ion of a city? a . Inside a building b. In the resid ential sect ion of a city? b. In a car c. In open countryside? 0. O utdoors ..J ( - cor an oiriiei~.I--~i"-'--- e. Flying over a city? d . In an airp lane (type) e . At sea f. Flying over open country? 24. IF you were MOVING IN AN AUTOMOBIL E or other vehicle at the time, then comple te the following questions: 24.1 What direction were you moving? (Circle One) East e. South g . West d. Southeast f. Southwest h . Northwest 24.2 How fast were you moving?---------' i les per hour. 24.3 Did you s top at any time while you were looking a t the object ? (Circle One) Yes No Did you observe the object through any of the following? Eyeglasses Yes No e. Binoculars Yes b. Sun glasses Yes No f. Telescope Yes Windshield g. Theodolite d . Window g l order thot you con give as clear a picture as possible of what you sow, describe in your own words a common object or objtcts which, when placed up in the sky, would give the same appearance as the object which you sow. Did the object disopceor whi lc you were watching it ? If s o, how? 1 jGr~ t d 15. Did the object move behind something ot any t ime, particularly a cloud? (C irclc One): Don't Know. IF you answered YES, then tell what it moved behind: _ 16 . Did the objec t move in front of something ot any time, particularly a cloud? (Circle One): Yes ~ Don't Know. IF you answered YES, then tell what 17. Tell in a few words the fo ll owing things about the object: 18. We wish to know tho angular size. Hold o match stick o t arm's length in l ine with a known object and note how of the object is covered by the head of the match. If you hod performed this experiment at the time of the sighting, how much of the object would hove been covered by the motch head? 19. Draw a picture that will s how the shape of the object or objects. Lobel and include in your sketch any details o f the object that you sow such os wings, protrusions, etc., and especially exhaust trails or vapor trails. Place on arrow beside th e drawing to show the direction the object was moving, 30. Hove you ever seen this, oro similar object before. If so give dote o r dotes and locat ion. 31. Was anyone else with you at the ti me y ou sow the object ? (Circle One) 3 1.1 IF you answered YES, did they see the object too? (Circle One) No 31.2 Please lis t their names and addresses: 32. Please give the following information about yourself: FirST Name Middle Nome TELEPHONE NUMBER-------- Indicate any additional information about yourself, including any special experience, which migh t be pertinent. When and t o whon: did you report that you h7 seen t e obj~ct? .- Month Yeor 27. In the following sketch, imagine that you are at the point shown. Place on "A" on 1he curve d line to s how how high the object was above the horizon (skyline) when you first saw it. Ploc o o "B" on the s ome curved line t o show how high the object was a bove the h orizon (skyline) when you lost sow it. Place o n "A" on the compass when you first sow it. Place a "B" on the compass where you lost sow the o b je ct. 28. Orow a picture that will show the mot ion tha t the object or objects mode. Place on "A" at the beginning o f the path, a "B" at the end of the path, and s hu..., ~ny changes in d irecfion during the course, 29. IF there was MORE THAN ONE object, then how many were there?----------- Draw a picture of how they were arranged, and put on arrow to show th e direction that they were traveling. J.C. Date you completed this questionnaire: Month Y eor 35. Information which you feel pertinent and which is not adequately covered in the specific points of the questionnaire or a narrative explanation of your sighting. 14 December 1966 UFO Sighting, 18 October 1966 Collingsvood, New Jersey Dea r !l..r. Reference your unidentified observation of 18 October 1966. The ini'ormati on '\."hich we have received is not sufficient for evaluation. Request you complete the attached F'l'D Form 164 and return it in the envelope provided. We \Tish to thank you f'or reporting your observation to the Air Sincerely, :&TOR (;JJIRr ANILLA thief, Project Blue Jr, Major, USAIP Jr1'D Form 164 8. IF you suw tho ob1ec:t ot NIGiiT, what d id yoo noltee c oncerning the STARS and MOON? 8.2 MOON (C.,c/e One): a. Bri~t moonltght b. Dull moonlight No moonli t -pitch dark 9. What ,..ere ,;,o .... eother condttiona at the tlmo you 10w tho object? CLOUDS (C,de Ono): WEATHER (Circle One): Fog, m1st, ex l. yht rain c. Scotte: .,tJ cfc>V, j ~ c. Moderate Of hoavy rain e. Don't remember 10. The nblttCt appeared; (Circle Ono). o. $ o lrd ti. As o ll_iht b. T ranapm eot f "' Oon't romem~r 11. If it appeared 01 a light, was it brighter than the brightest stars? (Circlo One): [o. Bright~ c. About the aame b. Dimmer d. Don't know Compare brlghtneu to lome comFt object: 12. The edge of the object were: ((,,d'> t, :.,) a. Fuuy or blurred h. Like a brl~t stor /c., ~or ply out l~(b d. D~remember 13. Did rite ob1ec t : (Circle One fot each queatlon) o. Appear to stand atill at any time? Don't ~now b. SvddMiy tpeed up and ruah oway at any time? Yes Do.,'t know .. c. Break vp into porta Of explode? Yes Don't know d. Gve off smoke? Yel Don't know e. Change brid'ttneaa? Yel Don't lcnow f. Change ahopo? Yes Don't know g . fla&h Of flicke.::...:.r-"? Don't lmow No Don't lcnow U.S. AIR FORCE TECHNICAl. IHFORMATIO~ Thia questionnaire haa been prepared ao that you can yive the U.S. Air Force as much information as possible concerning the unidentified aerial ph6nomenon that you hnvu oLIIetv~tti. Please try to answer as many questions aa you pouibly can. The inforn:tatlon that yc:u v ivo will be uud for reuarch purposes. Your name will not bo used in connec.tion with any st-.:Jterr~n5:~, conclusions, or publications without your permission. We request this personal in!orm~tlon ~;c thot if it is deemed necenary, we may contact you for further detai Ia. 1. When did you 'ee the object? ( Crc/o One): 3. Time Zone: (Circle One): (~-Ialjer~) '1;:-i entra c. Mountain (CirciCI L)neJ:(i. DayJii)hf L'tr'O) b. Star;daid A. Where were y~ when you sow the object? Hlareat Poatol Acldreu S. How long was object in alght? (Total Duration) a. Certain b. Fairly certain How was time In sight determined? 5.2 Was object In sight continuously? 6. What was the condition of the aky? Not very su~ llidT tL~ '-~- tfi:) Bright 7. IF you aaw the object during DAYLIGHT, where woe the SUN located os you lor.k~d at the ol:i-=t1 (Circle One): a. In front of you In bode of you c. To your ri~t d. To your left e. Overhead f. Don't remember FTO OCT 62 16~ Thle tcwm IUper .. ct .. PTD 164, Jul 6l, ..,hlch Ia obeolete. I d oiOt .c 20. Do you think y o u can estimate the speed of the object? (Circle One} IF you answered YES, then what speed would you estirr.ate'( ------.. - 21. Do you think you can estimate how far away from you tho o b ject wos? (Circle One) IF you answered YES, then how far away would you soy it was?----------- 22. Where were you locat.,d when you saw tho oblect? (C irclo One}: o. Inside a building b. In a car d. In on oirplano (type) 23. Were you (Cirdu One) a. lr: the businus section of a ctty? 1:.. Jr, rh~ residential suc t ;c.u -.i o city? 'c. In op~n country~ide? <:._d. Near an oirfie . e. t"l)'tng over a city? f. Fly;n~ over opero country'f 24. IF you were MOVING IN AN AUTOMOBILE or other vehicltt at tho t1me, the, complete t htt followi9 qvcationl: 24.1 What direction were you tnoving? (Circle One) a. North c. Eaat e. South b. Ncwtheast d. Southeast f. Southwest h. Northwest 24.2 How fast were you moving? .miles per hour. 24.3 Did you atop at any time while you were looking at the object? (Circle One) Yel No 25. Did you obcerve the obfect through any of the following? Blnoculara b. Sun glauea f. Telescope Yea Windshield g. Theodolite~ Yu { u ) d. Window glou 26. In order that you con g ive 01 clear a picture 0 1 possible of what you 1aw, describe in your own wcwcb o COf'lllnOf' object or objects which, when placed up In the 1ky, would g ive the same appearance 01 the objec:t .mlch ) 'OU 10' 14. Did the objec t d isappear whilo you were totching at? If so, ltow? 15. Did tho object move behind somethang o t any time, porticuhuly a cloud'! (Circle Ontt): it moved behind: e ' No Don't Know. . IF yc.u Jnswerec.l yr;~ thM htll .... hat 16. Did tho objod move in front o f aumething a t ony tame, porticulorl~ a cloud? Tell in a few word a the following thing' about tho obj~ct: 18. We wish to know tho angular size. Hold a match stick at orm''l length in lintt with o known vbje.:t ani! a:-: . . JN much of the object is covered by tho head of the match. If you hod pttrformod this experiment a t th~ t ir.l.: ,; .: , sighting, how muc h of tho ob;ect would hove been covered by the match hood? 19. Draw a picture that will show the shope of the object or olijecta. Label ond include In your s ketch any deto i la of the object that you saw 'luch oa w ings, protrusions, etc., ond especially exhaust trolls or vapor trolls. Ploc o on arrow beside the drawing to show tho d irection the object was moving. 30. Have yeu ever seen this, or a aimilar object before. If ao give dot ot datu and location 31. Was anyone else with you at ftle t ime you saw the object? ( Circle One) 31.1 IF you answered YES, dld they e the object too? (Circle One) 31.2 Plene II nam,ts end addreues: JN,\i~ STfl~5 32. Pleaae give the fellowlng lnfmotlon about younelf: ADDRESS .---