i 1. OAI"fE TIME CROUP 2. LOCATION ' . f 13 V~r 67 14/0030Z Green, Kentucky (l witness) I 3. !i()tJnCE 10. CONCLUSION Civilian - 4. NUMBER OF OBJECTS INSUF?ICIE DATA FOR EVALUATIOX Fo11n 164 sent and returned. "ADDRESS U~KNOWN" !i. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS Several Minutes 6. TYPE OF OBSERVATION Ground-Visual SJ, PtiOTOS J 9. PHYSICAL EVIDENCE Witness observered a star like object ccx'!'ling fno.11 the North-~ ern sky. Object traveled slowly toward the West. One f hovered for several minutes, before disappearing. As the plane got close to the object the lights on the UFO went out ar4cl never reappeared again. fTD S(P 63 0-329 (TOE) PN1oue edHJore o( thle tona mey be u .. d. 30. Have you ever seen this, or a similar obiect before. If so give dote or dates and location. 31. Was anyone elM with you at the time you saw the obiect? (Circle One) 31.1 IF you YES, did they s" the obiect too? (Circle One) 31.2 P leaM list their cancl addre s: 32. Please give the following information about yourself: Lost No,... First Nom. Mfcjclle Heme City Zone . TELEPHONE NUMBER ------- Indicate any additional infcwmation about yourself, incluclint any apec:ial experience, which might be pertinent 33. When and to whom did you report. that you had seen the obiect? Month Year 34. Date you completecl this questionnaire: , 35. Information which you f .. l pertinent and which is not adequately covered in the specific points of the questionnaire or a ive explanation of your sighting. ' TDF:r/TJFO DK~A"TM.NT 0,. THE AI" frO"CK MIADQUARTIR8 f'ORIION TICHNOL.OGY DIYIIIO" f Af'IC) WltiGMTItATT&RIDN AUt f'ORCa 8M&. OHIO 414aa UJ'O Obeervatlon, l3 Oreemp, X.tucq 4U!M Reference your nn1deDt1t1e4 ObHrvation. '!he t10D vh1ch we have received is not sutt1c1ent tor a acient1t1c evaluation. Request you complete the attach~Kl 1''1'D 164 and return 1 t 1D the envelope provided. Thank you tor reporting ;your observation to the Air Foree. r ... ",l S C. MANATT, Colonel, USAF ~(Director of Technology and Subsystem. FTD Form 164 w/envelope TDF:r/tJFO DI,.A,.TMaNT Ofl' THE All' ,.OJtCI HIEADQUA"TIUt I'O"IEION TECHNOLOGY DIVI.ION f Ar8C) WJtiGHTItA1TIE AIR I'OJtCIE aua. OHIO ttlaa UFO Observation, l3 Merab 1967 '-': .... , X.tucq 4UIM Reference your un1clellt1t1ecl ObHrvation. 'lhe int t10D \lh1cb we have received 1s not ~tt1c1ent tor a acientitic evaluation. Request you complete the attachecl 1'1'D 164 and return 1 t in the envelope provided. Thaak you tor reporting your observation to the Air Force. , ... .J; S C. MANATT, Colonel, USAF ~(Director of Technology and SUbsystems FTD Form 164 w/envelope Nemo for the Record: 1) P'~rch 67 Received call from Civil Defense director at Ashland, Kentuck,y reporting a UFO which was observed by f.frs. Georgia Elliot or //II _, Greenup, Kentucky. 'f"J 'r'f Call to s. revealed the following description of the sighting; At 1930 hours the witness observed a star like object coming from the northern sk,y. The object traveled slowly toward the west and hovered there for several minutes, before disappearing. An aircraft was seen and traveled toward the west. As the plane got close to the UFO the lights on the UFO \'lent out and never reappeared during the next sev8ral minutes. The adult witness only sa\'1 the object in the western sky. Her daughter saw it ~oming from the north star, so the adult witness figured the UFO must have come from the north. The object was brighter than the stars. The center of the UFO was just li.'<e a star, but the outside edges were white and blue. It l ooked like the object had spheres on the outside. The witness said that she heard a light hurrnning sound. U.$. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared sa that you can give the U.S. Air Force as much information as possible concerning the unidentified aerial phenomenon that you have observed Please try to answer as many questions as you possibly can. The information that you give will be used for research purposes. Your name will not be used in connection with any statements, conclusions, or publications without your permission. We...request this personal inforntation so that if it is clee....d necessary, we nat contact you for further details. 1. When did you s .. the oliect? Month Year 3. Time Zone: (Circle One): a. Eastern b. Central c. Mountain d. Pacific 4. Where were you when you saw the obiect? 2. Time of day: ------ Hour Minutes (Circle One): (Circle One): a. Daylight Saving b. Standard Nearest Postal Address City or Town State or County S. How long was obiec:t in sight? ( T otol Durotion} Hours Minutes a. Certain c. Not very sure b. Fairly certain d. Just a guess 5.1 How was time in sight determined? ------------------ 5.2 Was obiect in sight continuously? 6. What was the condition of the sky? a. Bright a. Bright b. Cloudy b. Cloudy 7. IF you sow the obiect during DAYLIGHT, where was the SUN located as you looked at the object? (Circle One): a. In front of you b. In bock of you c. To your right d. To your left e . Overhead f. o~nt remember FTD OCT 62 164 Tht form uperd FTD 164, Jul 61. which l obaolete. 8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON? 8.1 STARS (Circle One): 8.2 MOON (Circle One J: a. Bright moonlight b. Dull moonlight c. No moonlight -pitch doric d. Don't rememl.r d. Don't remember 9. What were the weather conditions at the tim you saw the obiect? CLOUDS (Circle One): . WEATHER (Circle One): a. Clear sky b. Hazy b. Fog, mist, or light rain c. Moderate or heavy rain c. Scattered clouds d. Thick or heavy clouds d. Snow e. Don't remember The obiect appeared: (Circle One): d. As a light b. Transparent t:. Don't remember 11. If it appeared as a light, was it brighter than the brightest stars? (Circle One): a. Brighter c. About the same d. Don't know Compare brightness to some common object: 12. The edges of the object were: (Circle One): a. Fuzzy or blurred b. Like a bri~ht star c. Sharply outlined d. Don't remember 13. Did the object: a. Appear to stand sti II at any time? b. Suddenly speed up and rush away at any time? c. Break up into parts or explode? d. Give off smoke? e. Change brightness? f. Change shape? g. F Ia ;n or f! i c:k~r? h. Disuppeor and reappear? (Circle One for each question) Don't know Don't know Don't know Don't know Don't know Don't know Don't know Don't know 14. Did the obiect disappear while you were watching it? If so, how? 15. Did the obiect move behind something at any time, particularly a c:loud? (Circle One): Don't Know. IF you answered YES, then tell what 16. Did the obiect move in front of something at any tiane, particularly a cloud? (Circle One): Don't Know. IF you answered YES, th~n tell what 17. Tell in a few words the following things about the obiec:t: 18. We wish to know the angular size. Hold a match stick at arm's length in line with a known obiect and note how of the obiect is CQvered by the heod of the match. If you had performed this experiment at the time of the sighting, how much of the object would have been covered by the match head? Draw a picture that will show the shape of the object or obiects. Label and include in your sketch any details of the obiect that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails. Place an arrow beside the drawing to show the direction the obiect was moving. 20. Do you think you can estimate the speed of the obiect? (Circle One) IF you answerecl YES, then what speed would you estimate? ------- 21. Do you think you can estimate how far away from you the obiect was? (Circle One) IF you answered YES, then how far away would you say it was? --------. . 22. Where were you located when you sow the obiect? 23. Were you (Circle One) a. Inside a building b. In a car . c. Outdoors d. In an airplane (type) a. In the businss section of o city? b. In the residential section o{ o city? c. In open countryside? d. Near an airfield? e. Flying over a city? f. Flying over open country? 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 24.1 What direction you moving? (Circle One) g. West ~ c. East b. Northeast d. Southeast f. Southwest h. Northwest 24.2 How fast were you moving? .miles per hour. 24.3 Did you stop at any time wnile you were looking at the ob;ect? (Circle One) 25. Did you observe the obiect through any of the following? a. Eyeglasses Binoculars Sun glasses f. Telescope c. Windshield Theodolite Yes No d. Window glass 26. In order that you can give as clear a picture as possible of what you saw, describe in your own words a common obiect or obiects which, when placed up in the sky, would give the same appearance as the obiect which you saw In the following slcetch, imagine that you are at the point shown. Place an "A,. on the curved I ine to show how the obiect was above the horizon (slcyline) when you lirst saw it. Place a "B" on the same curved line to show how high the object was above the horizon (slcyline) when you lost saw it. Place an "A" on the compass when you lirst saw it. Ploce a "8" on the compass where you lost saw the obiect 28. Oraw a picture that will show the motion that the obiect or objects mode. Place an "A" at the beginning of the path, a '~B" at the end 9f the path, and show any changes in direction during the course. i 29. IF there was MORE THAN O~E object, then how many were there?----------- pictur' of how they were arranged, anJ put an arrow to show the direction that they were traveling.