PI{OJECT 100/J Kt:L.UKLJ f'l. DA l ft. TIME CROIJ;: 2. LOCATION 3. :;i)tJP.CE 10. CONCLUSION Cth~r(Conflicting data) :L NliH8C R OF OBJ.:: C TS !i. LENGTH OF Oo5?:RVATION 11. BRIEF SUMM.\RY AND ANALYSIS 6. TT'PE OF 08S~RVATION Observers Hatched a bluc-Hhite colored object with a rota tint red li::sht in the ~a~> t ern sky. Another part of the report th~. witne~s said that the object came frcrn the s;~. The light ; follo.,-~::. the same course during the observation. It disappe;: c. cd an:! ,:~uld reappear. At one point it ap enred a5 two Hhit:., lights ;.;~ich fused into one larg~ ball of li~ht t hnh stood ; still. Th~ initia l report said tha t the object came from t~l..! $1 a :: ... ::. s r;oing toire.rd: the NE. In anothe r part of the report, she fiaid that the obj c ct \/.:\~; r.1ovinr, to the S'tl. Also : The ii i :.:-.~ s s drev: th;! t th~ object came b::tcU to aJr..o s t the orip,i:-:al position tha t it was fir!:it ~cen. f TD SC P 6 3 0-32:t {TOE) Provloua odltloru oC l~ form m.,y be u11od, DEPARTMENT OF THE AIR FORCE HEADQUARTERS FOREIGN TECHNOLOGY DIVISION ( AFSC) WRIGHT-PATTERSON AlA F'O"CE BASE. OHIO 4e433 2 March 1967 UFO oJservation I 27 Feb 67 Se':l~ol of ~sins l~.nia Hospital Ph!.l3delphia Ref-=:-~nce your unidentified observation. The informati on which we ve received is not sufficient for a scientific evaluation. Req'le>St you complete the attached FTD Form 164 and return it in t~e =nvelope provide d . Thank you for reporting your observation t o ~je Air Force. ~;~:::: 3 C. MANATI', Colo~e 1, USAF ::::i:-.:=:tor of Technoloc;;y e.r.2 3ubsystems FTD Form 164 w/envelope U.S. AIR FORCE TECHNICAl. IHFORMATIOI~ Thia questionnaire ha1 been prepared to thot you con yivo the U.S. Air force 01 much informoti~n as possible concerning the unidentified oorial phenonf'non that you hravu oLnel"'llti. Please t~ to onwer a1 many questions 01 you possibly con. Tho information that y~u give wit! be used for research purposes. Your no111e will not be used in c~.>nnec:tion wJth any st~tm'tn . con: h:: ions, or publications without your permissior.. We request this porsonol lnformotion t~c thor if it is deemed necessary, we may contact you for further details. 1. When did yO'J see the object? a. Eastern - b. enfiol ( C lrcle One): c. Mountain ( C i rei<' L1ne): ~!.-D~Y-J_i g~ t So.' ino 4. ~-~, wa" ~ ... !)V when you saw the object? osto I Addrea a City or Town 5. How bl"~ -... ~bject in sight? (T~r.:: Dvratlon) o. Certo in c. Not very sure b. F::irly certain d. Justo guess 5.2 los eS''t: ' "'! Si:hf contlr.uoJ~iv? a. Br !gh t 7. IF you saw th& oSjact during DAYLIGHT, wh~ra was tho SUN locotad as you lot~k~d at tho o~;e~t? (Circlo One): FTO OCT 6l 164 a, In front of you b. In bock of yOJ c. To your ridlt . - d. To your l~ft e. Overhood f. Don't remambor Thle form eupe,..d Ptn 164, jul 61, whlc:h l obenlete. 8. IF ynll suw tho obtoc.t ot NIGtil, whut did you notece concerning the STARS and MOON? 8.1 Sl AF<:.. (Crrcle One): 8.2 MOON (C..ircle 0,.): a. Bri~t moonleght , .' . d. o~n't remember c. No moon iwr,t -pitc ora L ~-~ d. Don't remember -' ... r ' 9. Whot ~ere t;, .-other cond1ticns ot the tim you saw the obioct? CLOUDS ' C ,,, le One): WEATHER (Circle One): -b .... f'og, m.st, or lt~t roi u c. S~:ofte:,..o elov"'~ c. Moderate cr heavy rain d. Tht<: ~ '~ "l eo.ny c:bud d. Snow e. Don't remember 10. Th~ objft('t c~pe\lred~ b. T:.ll)i~}i~i':T (Circle One). 11. If it cpp&or,d a light, wot it bri;~ter than the brightat stars? (Circle One}: c. About th aame d. oont know 11. 1 Compor bri~htnes to aom eommon obteet: or blurr ; a bright stcr Don't rom,mber 13. Did the ob1ec r . Appear t o ston d &ti II at any tirne? Suddenly apeed up and rush away at any time? Break up mto part a or explod? G1ve off smoke? Chang-e brig,t"esa? Change shape? Floah or fliclcer? Oiaoppear and reappear? (Circle One for oach quaatlon) Dcn't know Don't know Don't know No) Don't lcnow ocnt lcnow No:; oont bow 14. Did the obiect disappear while you wr.rc -latching at? H so, how? 15. Did the obje-c:! I'T)Ove behind somttthmg at any timo, porticul\lrly a cloud'? (Circlo On~): it mov~d b.e!-1 ind: Don't Know, IF yc,u .:mswered YE~,, them '"II '"hot 16. Did th~ ob l~t move in front of (iJ)merh tn g at any ttme, port icu larly a cloud? (C ire le 0n~ ): Pon't Know. IF you answered YES. th~.-. tf1~1 wi1'.lf ' No \ 17. Toil in a fe w words the following things obout the obiect: 18. W& w ish to ~ ... ;;.,., tho angular size. h:>l d o match stick at arm~s length in lin~ with a known ~biott onclt~':-' ' j~t much of t h e : l ~ct is covered by th o ~ec~ of the match, If you had performed this experiment at the, tit:" ; sig!-t~in~, h ~w much of the ob;ect wou!~ hove been covered by the match hood? 19. Draw o ple;~.;r~ ~o~ w ill show the ,:.,~;,e of tha object or objects. Label and include in yout sketch any det()il~ of the o~jd !!-ct r'u sow such os "P.-'ir.~s, protrusions, etc., and especially exhaust troilt or vapor trails. Place en cr~.., ':-!!s ;de the drawir:g r~ s how the direction the obiect was moving. 20. Do you think you con tutirnote tho speed of the object? (Circle One) IF you answered YES, then what speed would you estin,ate'( - ----_ .. - 21. Do you think you can estimate how far away from you thct obiect wtJs? (Circl e One) IF you answ~r~d yes, then how far away would you soy it ~as? 0 1..1-....... fi._L_--'-"'-.. I t>.: " 22. Where were ycx; locotttd whon '/OY saw the obfect? (Circle O n e): b. In a cor c. Outdoors d. In on a irplane (type) 2~t Were you ( Circ lo One) lr; the business section of a cit)i? lr, rh(S residential S\!cfi c.et vi a city? In opcm country~ id& '! an airfield? Flying over a city? Fly;n~ ovor opor country? 2.4. IF you wer ~OVING IN AN AUTOMOBILE or othor vehicle at the time, then complete t~l!t followit.g qu,ationa: 24.1 \4/hot ~:rction ware you '"ovin;? (Circle One) / So.,~th ~ost/\ d. f. Southwest 24.2 How fosr were you moving? '-.miles per hour. 24.3 Did yo~ ttop at any time whrf:you were looki~ at the obiect? (Crr: it One) Yts No h. North we at Old you Qbsnv the o~iect throu~h ony cf the following? Binoculars f. Telescope Yea No Wind'h i i ! Theodolite 26. In order thct y :u c~n give oa clear a pictura as possible of what you sow, d~scribe in your own words a COtnm~ obiect or obiech which, when ploced up In the aky, would give the sam~ oppttaronce as the obiect which ) ' OU 10\tf 27, In th followlnt a!ctch, lmoglne that you ore et tht potnt thown. Plac:e an 'J..'' on '~tt r.vrv.,.-: I inc-to a how hov. high th oblect woe abov the horizon (kylln) wh~n yw llrJt sow lt. Ploc:tt o "B" un th" 13me t;Ur-i(Jd line 'r. 1how how high the obict was above the horizon (skyline) when you last ~uw it. Ploco .:~n ~:on the compasr. when you ''"' aow It, Ploc o "B" on the compoaa whr you lost sow tho ohjc:t. 1 2'! . . Oro" : p ; : , ... ,. that will shaw the mol i ~n th ot the abject or objects mad~. Place on "A ' at the beg lnroi:>g oi ihe ' ootn, o " S ' t at the end of tho path, and show any chongas in direction durina the ~ourt.&, 29. IF thoJrt w:a ,\.40~: THAN ONE ob!act, tnn how many were there?------------- Draw a pie tvr cf how they w~r orr:i'~d, and put on arrow to show tho dirction that th(Jy wertt travu!ing Have you ever aten thia, or a aimi lor obieet !:.fort. If 10 give dat or dcat and locotlon. 31. Was anyoM el