f 2. L. ~CATION ~U~BER OF OBJECTS ' tnesse~ po~sible tc~t the observer ~igbted two satellite~ . ~. LENGTH OF OBSERVATION 6. TYPE OF OBSERVATION 9. PHYSICAL EVIDENCE 11. IRIEfl SUMMARY AND ANALYSIS The obaerYer aignte4 2 one vaa soing in FTD S!' 'J 0329 (TOE) PNYlMI edltJ .. e at tNe lora .. , M orange color lights. easterly direction. One wen~ Wuaterl DEPARTMENT OF THE AIR FORCE HKAOQUA"T~"S P'OJt~IQN TIICHNOLOOY DIVISION ( AP'SC:) WJtiOHT.ptATTIEftSON Alft P'O .. CII BASK. OHIO .. !1433 UFO Obser~tion# BashY1lle- Your name has been given to the Aerial Phenomena Branch (Projec t Blue Book) as being a ~itness to an unidentified flying object. If you 'Were a witness to an UFO s i ghting on 21 Septonlhe:r 1967 '\ould you please complete the atta ched AF Form lr( and r eturn it in the envelope provided. If you were not a witness to this sighting , would you please make a statement to this effect on the atta che d forrn. The information which you provide will be u s ed in evaluating this observation. Thank you for your assistance in this matter. USAF 1 Atch JAMES C. MANATT, Colonel, rector of Production DEPARTMENT OF THE AIR FORCE HEADQUA .. TE"S FO.-EIGN TECHNOLOGY DIVISION ( AP'!IC) WRIGHT-PATTERSON AU P'O"CI: BASE. OHIO <45-'33 UFO Observation, 2J. Sept.aber 1967 Your name has been given to the Aerial Phenomena Branch {Project Blue Book) as being a ~itness to an unidentified flying object. If you '\o:ere a witness to en UFO siGhting on 21 Se_pt.aber 1967 \,ould you please complete the attached AF Form 117 and return it in the envelope provided. If you were not a witness to thi~ sighting, would you please make a statement to this effect on the attached fotin. The information ~hich you provide will be used in evaluating this obGet~ation. Tha you for your assistance in this matter. J~S C. MANATT, Colonel, USAF \Director of Production AF Fonn 117 TDE"!'/UFO (MaJ Quintanill.a/70916/mhs/25 Oct 67) U Observation, 21 September 1967 Nashville, TeaD Your na11e baa given to the-Aeria~ PbeJ'lOJJlena :ar~ch (Project Blue Book) as being a ... ,."i tness to a n un1denti.f1ed flying obje-ct.. It you & r vi tneas to a UFO sighting en 21 September 1967 would you .' .. pleaae coaplete the attached F1D Form 164 and return it in the s elf-addressed envelope. It you ~ere not a witness to this ~izbting w-ould you please make a statement to this effect on the! attached :for:n. The information which you provide llill be used in ~valuating this observation. Th~ you for your asaistance in th13 matter. :F"TD Fox-m 164 v/ envelope c. MARAft, Colonel, USAi' tor o-r TeebnoloQ and Sllbsyste-as Na shv1lle ,: DCT.l o 1 1 Ma~or \-\c.c.tor Q"'\.~o~ta,.i\\ a Pro~c.c.-\ B\"'c Boo\<. U.S. AIR FORCE TECHNICAL INFORMATION . This questionnaire has been prepared so 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, oi' publications without your permission. We request this personal information so that if it is deemed necessary, we may contact you for further details. 1. When did you see the object? 3. Time Zone: (Circle One): A t::astern c. Mountain d. Pacific 4. Where were you when you sow the object? (Circle One): (Circle One):~ Daylight Saviny 'li:"' Standard N'torest Post.2l At !Jr City o r To w n State or County 5. h ow long wcs o bj11ct in light? (T~>rol Dt..rotio.,) Hours M i nutes Seconds a. Certain c. Not very sure ~Fairly certain d. Just a guess S. 1 How wos t i nae in sight determined? _ . ....-c.Q. 5.2 Was obiect in sight continuously? 6. What was the condition of the sky? (a) Bright 7. IF you sow the obiect during DAYLIGHT, where was the SUN located as you looked at the object? (Circl~ O.c): o. In front of you 1J. In bac:~ of you c. To your right d. T o yoJr l~f t a: Ov .erhec-d f. Don't r~member FTD or.:T 62 164 Thle fwrn .u,.., d .. FTn 164. Jul 61. which ia obsolete. Ma~or ~c:.tor Q'-'\Nta .. ii\Q Projc:.c. t B\"'c Boo\<. ~. IF you saw the object ot NIGHT, whot dicf y ou notice concerning the ~TARS and MOON? 8.1 S T AR5 (Circle One): 8.2 MOON (Cucle One): Bright moonlight Dull moon I ight No moonlight -pitch dark Many d. Don't remember d. Don't remember 9. What were the weather conditions at the time you saw the ob;ect? CLOUDS (Circle One): > Clear ~ky c. Scattered clouds d. Thick or heovy clouds HEATHER (Circle One): b. Fog, mist, or I i gh t ro in c. ,...;oderate or heavy rain e. Don't remember 10. The object appeared: (Circle One): a. Solid @)As a light b. T ron spa rent e. Don't remember 11. If it appeared as o light, was it brighter than the brightest stars? (Circle One): a. Br i gh t'Jr {)About the same d. Don't know 11.1 Compare brightness to some common object: ~ 12. The edges ot the ob1ect were: (Circle One): a. Fuzzy or blurred e) Like a briyht star c. Sharply out I ined d. Don't remember 13. Did the object: a. App.,or to :;tand stili at any time? b. Suddenly speed up and rush away at any time? c. Breok up into parts or explode? d. Give off smoke? e. Change bri~tness? f. Change shape? g. Flas h or flicker? h. lH lpp~'V ond reoppaor ? Den' r know D('Jt ~ know Doo 't know D<Jn't know 14. Did the obittct disappear while you were watc,ing if? tf so, how? 15. Did the obi4tc:t move ~.,ind something at any time, oorticul~rly a cloud? (Circle One): Yes Don't Know. IF you answered YES, then tell what it moved behind: 16. Did th~ obiec:t mnvf! in front of so,.,ethinq ot orw tim~, o o!"ticu l crly o cloud? (Circle One): Don't Know. IF you answered YES, then te II whGt 17. Tell in a few words the following things obout th~ object: 18. We wish :o know the angll lor ~iz,.. Hold o ~Ttatch stick at arm's len!'}th in I ine with a knnwn ob;ftct and note how muc~ of the obiect is covered by thf! h!'!nd of the mntch. If you had oerformed this ex~timent nt t~e time of the sighting, how ertuch of the object would ha"e bf,en covered by tne match head? 19. Draw a p;ctur~ th'lt will show th~ shape of the obiect or objects. Lebel and include in your sketch any details of the ob,,ct that you saw such as wings, protrusions, etc., and e!pecially exhaust trails or vapor trails. Place an arrow beside the drawing to show the direction the object was moving. ~ 20. Do you thinlc you can estimate the speed of t+.e ob;ect? (Circle One) IF you answered YES, then what speed would you estimate?------- 21. Do you thinlc you can eatianate how for away from you the object was? (Circle One) IF you answered YES, then how far away would you say it was? ..,3t::.:;_;:Q,~Y\..L..3o.--:::x1 1\--c 22. Where were you located when you saw the object? (Circle One): Inside a building b. In a car d. In an airplane (type) 23. Were you (Circle One) In the business section of a city? In the residential section of a city? In open countryside? Near on airfield? Flying over a city? 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 were you moving? (Circle One) a. Nor!h c. East e. South 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 while you were looking at the object? (Circle One) I 25. Did you observe !he obiect through any of me following? a. Eyeglasses Binoculars b. S'.Jn ;tass&s Yes N;)} f. Windshield Theodolite d. Window glass Yes h. Other In ord~r th'lt yC'J con ~ive o.s clear a pictur~ as possibl-9 of what you ~aw d~scribe in your own words a common objsct or OOjttCts which, when placcrd up in th e sky, would give th~ sante appearance as tn3 object which you saw. BOB Nr 21-R258 SSGHTtNG Or UNlOENTJ,:1ED ?HENOJ\1ENA CUESTIONNAtRE THIS QUESTIO~"NAtRE HAS BEE~ PREP .. .\_RED SO THAT YOU CA.~ GIVE THE U.S.. AIR FORC.E AS MUCH INFORMATION AS POSSIBLE CONCERNING THE UNIDENTIFIED PHENOMENON THAT YOU H AVE OBSERVED. PLEASE TRY TO ANSWER .\LL OF mE QUESTIONS. TilE I~f."ORMATION YOU CIV '.V!LL 3 E U~EO FOR Ri.':SEARCH PURPOSES. YOUR NAME WlLL NOT BE USED 11'1 CONN~Cl'lON WlTH A ... 'l"iY OF YOUR S'l'.\TEMENTS OR CONCLUSIO~S ~1TIIOUT YOUR PER~.USSION. RETURN TO AIR F'O RCE BASE INVESTIGATOR FO~ FO~WARDL"'{G TO FTD (TOTR), WRICHT- PArrER&ON AFB, OHIO 45433, lAW 80-17. (IF ADDITIONA.L SH~ET.'i ARE NEEDF:D FOR NARRATIVE OR SKETCH$ ATTACH SECURELY TO THIS FOR.~ OR ANNOTATE 'rHTfl YOUR NAME FOR IDENTIFlCA"'.t'lOiV.) 1. WHEN 010 YOUSE THE PHENOMENON? Z. WHAT TIME 010 YOU ~I .. ST SIGHT THI!: PH~NOMENON r l. WHAT TIME DID YOU LAST SIGHT TH! PHEHOM!NOKt HOUR MINUTES 4 . TIME/ZONE DAYLIGHT SAVINGS 0 CENTRAL 0 MOUNTAIN 0 PACIFIC 0 OTHER 5. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY, GIVE THE N EAREST STR!::ET ADDRESS ANO INDICATE ON A HANO OP.AWN MAP WHERE YOU WERE STANDING WITH REFERENCE T O THE AOORESS. IF IN THE COUl'ofTRY, IOENTIFY THE HIGH'N~Y YOU W~RE ON OR N C:AR AND TRY TO FIX A DISTANCE: A N 0 DIRECTION FROM SOME R E:COONI ZABLE LANDII4ARK. &. IMAr;HJE. ' ' O :J A R=: AT TH~ POl r .,.I--O WN I~ ft<lE ... :<~TC ?_Ar;z. A~l .A .. ON THE CJRV~D LIN.! TO SHOW HOW HIGH THE PHENO~ENON WAS ABOVE' T H E H('OI";;O ... Or~ ~'<YLf'-11:: , 'ffilEN FIRST $~EN. P LACE A s ON THE SAM~ CURVF-D LINE TO SHOW HOW t'IC.H ABOVE 'ri1E H C ?IZO N "lifE PriENOMENO~ ~.\~ WHE.~ LAST .iE~N. 27. In the following sketch, imagine that you ae at the point shown. Place 011 ''A" on the curved I ine to show how the object was above the horizon (sky I ine) when you lirst sow it. Place a ' B" on the same curved r ine to show how high the obiect was above the horizon (skyline) when you last sow it. Place an "A" on the compass when you first saw it. Place o "B" on the compass where you last sow the object. 28. Or ow a picture that wi II show the mot ion that the object or objects mode. Place on "A" at the beginning of the . path, a .. B., at the end of the path, and show any changes in direction ring th~ course. I Q.b -"'t'rl...Q GA