C3SERVATION . T'f?f i)F OnSERVATION 'J. f'nY!>ICA L eVIDENCE c o:-;c:...ustON Hove-you eve r :;ccn this, or a si-n lo r ohject before. If s o giv,e dote o r Jolt)~ and location. 31. Was anyone else with y ou a t the t ime you sow the object? (Circle One:) 31.1 IF you o nswP.re d YES, did they see the object too? ( Circle One) 31.2 Please list their names and addresses: 32. Please give the following information about yourself: T E LEPHONE NUMBE Indicate any cdditionol informa t ion obout yourself, including a ny special exp~rience, which might be pe rtinent. Shen rnd to whom d1d you report t:~::t yc u hod seen t hn obj~ct? 35. Information which y ou fe.,l pertinent and which is not adeqvotely covered in the specifi c points of the quutionnnirc or a narrative explanation of your ~ighting. c Lc.. c( -tt-t,c.--~J R l:?I..V TO DE?A~nAENT OF' THZ AI~ FORCE WlliGHTf'ATT:l:o~$01"1 Ali\ FO tCZ I'JA.J:!. OHIO ,.J ~.lJ UFO Observe cion l. " 1 1n67 \f.aeeling, West Virgini3. 2oC03 Refe rence y(,ur ~"lidentif!ed observation. The i nforrr.etion vhich we have received i s not sufficient for a scientific evaluation . Request you complete the attached FTD Form 164 and return it in the envelope provi ded. Than.'-< you for reporting your obse r vation to the Air Force J .4MES C. t.l-\NA'IT, Colonel, USAF Director of Technology and Subsystems F?D Form 164 v/~nvelope U.S. AI R FORCE TECHNICAL IHFORMAYIOtl. Thi:) questionnaire ho a b".lan pr.lpored so thor you con ytvo the U.S. Air forcfl oa much Informat ion as po 5sible conce rn ing th~ un id_,ntified oe11al pheno.nf'nou that you h11vo oLoervtt.i. Ploau try to answar as many questions as y ou pos~ibly con. T ho in format ion that ):u g:v3 ...,,11 bo uud fOf' rasoorch purposes. Your nom will not be used in connec.t ion witn any 31-:Jt~r:tttni;, conclusion5, or publicati ons without your permission . W0 request t hi l parsonol inform.:.tion ~c that if it is d.,emed ne cessary, wa ma y contact you for fu rther details . s~e the object ? rime of -lo ... (Circlo One}: a , Eastern b. Control c. Moun ta in d. Pacific i ( trclu One): A.M. (Circlo ~,)ne}: o. Day li\)hl ~o 'll'lfJ b. Sto.,dard 4. Wh~r~t wertJ yov whe n you Gaw t h o bj ect? City or Town 5. How long wos objct in alght? (Totol Durotl on) Hourt Minute 1 SecondJ o. Co rtain c . No t v~ry sure b. Foirly curtain d. Jult o gueH 5.2 Wa3 object in sight continuously? 6. What wo~ tha conditi on o f the aky? a. Bri; h t 7. IF y ou sew the object durino DAYLIGHT , wher3 wo'l th e SUN located as you lock~J c! th~ oi:Jt~-::t? (Circlo One): o . In f ronl of you b. In beck cof you c. To your ri~} d. To your lllft " . Orerh ad f. Don't ro me mbr Thl 9 f<><m aupe rtl !'TD 16~. Jul 6 1 , which h obat>l t . l 1~. Did rh~ obtocl d, >Ot'P<~r wh1lu y ou w :ro. ,ctchsng t' II ~o. ho.v? 15. Did th" obje c t movD behind somethtng at any t ime, porhCJiurly o cloud'? ( C irc/e Ontl ): Don't Know. IF you JolSW.,rod Y [ ~ thnn tel II o~h at moved behind: 16. Did th o objct movd in front o f a,ornerhtng a t any ttm~, pflrticulorly o cloud? (Circle One): (_es . No O.:>n't Know. 17. Tell in o few words th o followin g things about the obj~:ct: 18. We wish t o know th~ a ngula r size. Ho ld a matc h s t ick o t orm-. length in lin~ with a k11own ~Jbj t onc:l:-: . J" much of the o b ject is covered by the head o f th o match. If you hlld pttrfor mod this o xfJertmo n t o t tht: ti.~-. .i : - s ight in g, how muc h of th e object would hove bai!n c ove red by the match h ood? 19. Draw a p icture thot will ahow tha shope o f the obje c t or obje crs. Lobel end include in yvut s!.etch any d~to:J.. of tho objct that you saw such a s wings , protru s ions, e tc., ond ~upeciolly exhaust traih or vopet t rails . lace on arrow ~side the d rawing to show th o d irec.tio n th a obje c t wos moving. < you ... on (C irclc One} IF yoo Otswered YES, then what speed would you ostin.ote~ ----- , 21. Do you think you con e stimate how for a w a y from you th n obp, c t w'Js ? (Circlo One ) IF you answer12d YES, then ho-w fo r a way would you soy it was?------------ 22. Whorl) wer:t you located when yoo sow the object? (C ucle One}: o. Inside a building b. In a car c': Outdoors~) d. - rn on a irplane (type) e. A t soo 2:1. Were you (C11du One} a. lr th e busine n sec tion of a ctty? ~ Jr, r~.e resid:mtial suctic.ot .:i c city? c . lr. opt~n country 'ide '? d. _N.,or on oirf1eld' a. Fl"ytng over a c ity? f. Fly.n\f O>~or oJ)'l'n c~mtry? ' 24. IF you wer MOVING IN AN AUTOMOBILE or other vehicl~ a t t!-ott tt me, the, co;nplcte th, fo llowio,g qusft\)(\J; 24.1 'Hhat d irectio n were you tnoving? (Circle Ono) a . North c . East b. North~alt d. Southeast f. Southwut h. Nor th.,..ut 24.2 H o w fast Wtlft:J y o u moving? --- .Jmiles pOJr hour. 24.3 Did you atop ot any tim while you were looking at t h e obje c t ? (Circle One) No 2J. O ld y o u obnrvll the object through any of the following? o. E yglotlu Binoculars Yes No b. S u n g lo !Uitl Tcl.,scope Windshild Yes Theodol ite Yu No Window g l a H Yu No In order that you con give a a cloo r o picturo a s ponibl, o f what you s o w, d&~c:ribe in your own word:: :.~--! obj1.1cl or o~j.,cts which, w hn placed u p in th e s ky, would giv$ th o sam~ oppeoronco a s !tu obj.,ct which) ou ,.,..,. l1 ,;, , f~lh'1ng :a~n,~h, lm<'l9ln thot you or() ct th P'>lnt ho~.,. PI:;Jce un ''J." or. 1he r.Jr v 8; lm<1. ,, uhow ho...,. show how high th obj c t wos obovot the horixon (~ylln!t) when you lost ,lJ,., 11. Pice~ un ' '!;.' on t h 4 compu: whn you llfll o~w lt Ploeo o ''S" on th) e~mpaH wh~r y ou lo:st s'lw 1ho oh1 c t . 28 . Draw a pic ture that will show the motion t hat the object o r obja cts modo. Ploco on ''A 'ar 1htJ boamrti.1fl t~t 1he path, a "S" ot tha end of the path, and show ony c hangas in direction dvrmg the ~;)U''-" ~wwoowwoowwoo--owwoowwoowwoowwoowwowwoowwoowwoowwooowwo--wwooowwo ww.o.'w.ow--owwowwoowwoomrwoowwoooomrw.owwwwooww.oww.owwoowwoowwoowwooowwowwoo---------------------~ 29. IF thr:t was MORE THAN ONE objct, thtn how mony wer thr? ------------ Draw a plctur.-of how they wr orrcngtd, and put on orrow to show tho dirocr1on that rhoy went t;ovuling. 1 31. Was anyone oiG-9 with you ot t)le time you ~ow the object? (Circle Ono) Jl.l IF yOIJ ansvor~d YES, did thay sas t h a objwct too? (Circl~ One) 31.2 Pbas list th..tir nome;s gnd addruu: 32. Pl'lM give the following lnfGII'matlon about yournlf: TELEPHONE N Jndl~ot-3 a"y adclltlo,ol lnfQf',.tlon about yourtelf, lnc:ludlng any tpKial oxprl,nc~, which might b. ~rtinnr 33. Wl-um o~ to whon~ did yov r..,pcrt that yov hod n,n th, objttct? Int'or_,ation too m~ager for firm evaluation. A one-wi tne:ss case-- which I dun' t like. Tr.ajectory qut!er. Basically only a bright lie~t reported, ob~erved for o~ly a ~nute or so. Evaluations: Possible aircraft Possible unkno~n. (Original s igned oy J. Allen. Hynek ) Oat3 yov comphtttd thi-6 G'JIIStionnoir~: lnfcr:notlon which you fol prtinnt and which is not adquotely covarod in the specific point~ of th. quo1ionnalre oro norrativ~ explanation of your sighting '-;J!r/~Jbl Lt. Col. llector Quintanilla Statement, included at Blue Book, to Lhc effect thut ''<h i~'ct ~vas not moving except t.Jhen the vii tness t.fould tr."l'lel in ''" '', i :; absolutely incorrect, if the t.Jltness is to be helieved :tl . ' 1. \.Jj tncss stated tha t the object suddenly ~'>ped up and rushed m.fay <111 i " ritc.:n it tvas approaching me it h a d only vibrant red light that was viible' ~Hth respect t:o the light, to1itness stated, "there is n otili n.~ i :tnow of, or that I've ever seen with red lights that v1ere as vii lit or as brilliant". Finally, witness became frightened because object 'I' rol so close directly over her car, and yet said there t.,ras no ~"nd nt all. Unless one i s willing to call this an absolute hallucin:~l ' . tnd that there t.Jas no physical outfit present wha tever, the c v . ill 'lion "aircraft" simpl y won' t hold up. his case is sufficientl y interestin8 for me to int~1 , i witnesses, as there t.Jere tHO rather than one as stated. Jilt'/ ,;etc independent and t a lked about it only after each had seen iL v arately. I will make this personal inv~stigation and report l~l~r. 23. 3 April 1967, Rosev ille , Hichigan. tvould agree tvith the evaluation of possible birds . r suppose to be fair we should also add, possible unidentified ldata insufficient, no follot~tp). The card indicates one object, Pnd the report, however, clearly indicates that 10 to 12 lights t.Jcre observed flying in V formation . Thi s actually stren gthens tile "possibl e birds " evaluation. 24. 4 April 1967, ~1eeling, W. Virginia . This is no t in my files. April 1967, Hestminister, Colorado Since the 164 was not r eturned the evaluation "insuf fie Let\ t data", I suppose, is entirely correct, but the case itself is inlr"sting in tha t there we r e 1 5 t.Jitnesses. Here i s one case the Cont!nn Committee should have looked into, since it t.JC\S right at their back chP1. They should have looked into it particularly since Lhere wer e J) ~ i~nesues. Also the object t-1as visible for 15 minutes, and i t t-1as ob:> tv"r' thrJuch a t elescop e . Ev e n a t this late date this might be worth :t r"tll. A.~ a ma tter of fact, when I am in Bould e r this July I will 1 c>'dt i.nto i t mysel f , but for the stat i s tics , the evaluation "insuff ic i rut lata" certainly holds. U.S. AI R FORCE TECHNICAL INFORM~TION This qut'stionnoire has been prepare d s o that you con giv e t!te U. S . Air Force os much information as possible concerning th.:: unide n:ified aerial phenomenon that you hove observ~d. Please try to answer as many questions os y ou possiSiy con. The informatio n that you give will be used for rest.lor c h purposes. Your nome will not be used in connection wit h any s tate ments , conclusions, or publications without your permission. We reque s t this personal informat ion s o that if it i s dee me d necessary, we may contact you fo r further details . When did you see the object ? Time of day: _ Lei t::._z 3. Time Zone: (Circle One}: c. Mountuin d. Pacific 4 . Where were you when you sew the object ? (Circle One): (Circle One): a . DoyligfU._Soving (_b. S tcindoro ' . Nearest Postal Address Stat .. o r County 5. How long wa s obje c t in sight ? ( T o tol Durat ion ) a. Ce r t a i n c . Not very s u re (f. Fairly certain) d. Just a gue s s 5.2 \'los object in sight continuously? 6 . What was the condi tion o f rhe sky? a. Briqht a. Brrqht 7. IF y o u sow the a b,ect during DAYLIGHT, wl,ere was th e SUN located as you look~!d o t the ab,e ct? (Cir=I.:J One): a . h :rant of y o u d . To your left b. In back of you e . Qv "rh~od f. Don't reme mbe r c . T o your r ight 8 . I F you sow the obtect o: NIGHT, whot did you notice co-:cerning t h e STAf~S 0~1d MOOt->t? 8.1 STARS (Ctrcle One): Brlght moonlight b. Dull moonlighr No moonligh t -pitch dark Don't r em mber Don't remember 9. What were the we a ther conditions o t the time yoo sow the obj.:ct ? CLOUDS (Circle Orud: WEATHER ( C trclc One): a . Clear s ky b. Fog , ni:;t, or ligh t rain cf Scattered:;~ c . Mode r o t" o r heavy rain d . Thick o r heavy clouds d. Snow e . Don'~ rei'Tle rnber