? iWJECT 10073 RECORD t .. <l.- ER OF OBJECTS ~. LENGTH OF OBSERVATION 6. TYPE OF .OBSERVATION Ground Vis~l '!'v:Jc. ol e : :iOA;{ Tne wi~ness rep0rt was rec.u.rne d and tt~n ooLh reLior cs ...... ::- j sen~ to a hand writinG expert. The ex?erts opi onion \1,:.:-; 1a;,j bo~h fozms \/ere filled ou t by the same person . J 11. BRIEF SUMMARY AND ANALYSIS I Observer sighted an object tha~ was like a f J.yjn.:. cac:>~. ~: ...... was burning at bott. e nds. The object was f ) r ... t. c _:011-~a ,'_ti-. ing from the south toward the north ond in o rr.a\.vt:. 0 ;;~ x . ,.. returned and headed south. The object appeared ~o ~e ~-~ 100 ft from the beach ove~ the aea &nd about 300 ? t ~o _;, -.. 8 . PHOTOS 9. PHYSIC A ~VIDENCE F TD SEP 63 P revlou e<tltlon ot lhlo t ol"'n m e y be uood. 27. In the following sketch, imagine that you are ot the point shown. Place on "A" on th~ curved lin~ to sho w how high the object was above the horizon (skylin e ) when you first sow it. Ploce o "B" on t h e s ome curved line to show how high the object was above the horizon (skyline) when you las t sow it. Ploc1: on "A" on th e compass when you first saw it. Place a "B" on the compass where you lost sow tl1c object. 28. ~Jrow o picture that wi II show the mot ion that the object or objects mode. Place an "A" at the beginning of the path, a "B ,. at the end of the path, and show any changes in direct ion dur ing th~ course. 29. IF then~ wo s MO RE THAN ONE object, then how many were t here? ----------- Draw a p icture OT now they were arranged, anJ put an arrow to show the d irection that they were traveling. 3 1. Was anyone else with you at the tim~ y ou sow lhe ohj~ct? (Cir:::le One) 31.1 IF yov onswred YES, did the~y sau th e object too? (Circl~ Ona) 3 1.2 Please list their names and oddre.sses: 32. Please giv nformotio n about yoursdlf: Firat t~ome S t r .. et City St :>'! T ELEPHONE NIJ Indica te ony ariclit lonnl infonnot ion abt'lur yoursolf, including any speciollllx~.,;i~nce, whic h might be pert inent. When and to whoon diJ you r .eport thot yov ha d s"an the object? U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so tha t you con give the U.S. Ai~ Force os much information as possible concerning the unidentified aerial phenomenon that you hove observed . Plaose try t o answer as many questions as y ou possibly can. The information that you give will be used for research purposes. Your name wi II not be used in connection w ith any statements , conclusions, or publicati ons without your permission. We request this personal informat ion so that if it is deemed necessary, we may contact you for further details. 1. 'Nhen did you see the object? 3. T ime Zone: (Circle One): ~ tostern b. Central c. Mountain 2. Tirne o f day: (Circle One): (Circle One): rd\ Daylight Saving Y. Standard 4. Where were you wzr you sow the object? ~ (', I V \J ~ I Noore s t P onltJI Addres s City o r .... ~wf\ /) Stole or County S 8conds ~ 5. how lon g wa s obiec t in sight? (To ta l DJrotion) Hours Monuto s c. Not very s ure d. Just a guess (_9) F oi riy certain 5.1 How was t ime in s ight determined?-------------------U,l;e.,l~U'VVU-;.:)' t-v 1 5.2 Was object 1n s1ght continuou sly? Yes No [,~ /.)~ _::, _.' ~ ~ I'J 6. What was the condition o f the sky? b. C loudy 7. IF you sow the object during DAYLIGHT, where was the SUN located as you looked at th e obje c t ? (Circle One): a. In front of you c. To yo1..r r igl,t d. T o your left c . Ov~rh..,od f. Don ' t r~m-emb~r FTD OCT 62 164 T h l a form auperaotdea FTn 164, Jul 61, whic h ia obsolete. 8. IF you sow the object at N IGHT, what d id you notice concerning the 5TARS and MOON? 8.1 STARS (Circle One): (_c':) Many c( Don't rememb&r 8.2 MOON (Circle One}: a . Bright moonlight b . Dull moonlight c. No moonlight -pitch dark d. DOfl't remember 9. What were the weather conditions at the t ime you saw the object? CLOUDS (Circle One): WEATHER (Circle One): {!!) C lear sky 0Dry ~-lcJ b . Fog, mist, or light rain c . Scattered clouds c. Moderate or heavy rain d. Thick o r heavy clouds d. Snow e . Don't remember 10. The object appeared: (Circle One): b . T ransporent @ As a light e. Don't rememb e r If it appeared as a light, ...,as it brighter than the brightest stars? () Brightsr c. About the same d . Don' t know 12. Th e edges of thtt object were : (Circle One): a. F uzzy or blurred b . Like a briyht star c . Sharply outline d d. Don't remember (Circle One): 13. D id th,. obj"'!c t : (Circlt! On~ r -,ex:;, ql-Hti~) a. Appear t o stand still at any t ime? ~ Don't ~now ~; ~.Av6on't know b. Suddenly speed up and rush away atony time? Break up into ports or explode? Don't know Give o ff smoke? Don't know e. Change bri~tness? Den't know f. C hango shape? Don' t !mow h. 9 h opp'Jc r end r.:op~or? 15. Did the o bject movtt b,hind something at any time, particularly o cloud? (Circle One}: Ye: @ Don't Kn w. IF you onswere<:l YES, then tell what 16. Did the o bject move in front of something at any t ime, particula rly a cloud? Don't Know. IF y ou answered YES, then tell what 17. Tell in a f~w words the following things about the object: a. Sound _ 18. We wish to know the onqulor s ize. Hold a matc h stick at arm's length in line with a known object a nd note how much o f the object is covered by the head of the match. If you hod performed this experiment a t the time of the sighting, how much o f the object would hove been c overed by the match head? Draw a picture thut will show !~e shope o f the obj~ct or objects. Lobe l and include in your sketch any details of tf-.e obj'!c t thot you sow such as wings, protrusions, etc., and especially exhaust trails o r vapor trails. Place an arrow b-s1d e the drawing to show the direction the object was moving. Do you think you con estimot~t the sp~ed of the object? (Circle One) ~ No IF yoo answered YES, then wha t speed would you estimoto? 21. Do yoo think you con estimate how for away from youth~ object was? (Circle One) 8 No IF you answsred YES, then how for owoy would you soy 22. Where were yoo located when yoo sow the object ? (Circle One): a. Insid e o building b. In o cor .\ ,_ d. In on airplane (type)~ e . At sea 23. Were you (Circle One) a. In th e business section oF a city? b. In the residential section of a city? c. In open countryside? d. Near o n airfield? e. Flying ov~tr a city? ( f. Flying o~r n clountry? {}_ ~-6-fc .. - 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions : 24.1 Whot direction were you moving? (Circle One) c. East e. So uth b. Northeast d. Southeas t f. Southwest h. Northwest 24.2 How fast were yoo moving? mm ... iles per h our . 24.3 Did you stop at any time whil e you were looking a t the object? (C ircl.t On.,) Did you observe the ob je c t th rough any of the following? a. EyeglaHes e. Binocu lars Yes No Sun glasses f. T e lescope Yes Windshield Theodolite Yes No d. Window glass In ord~r that you can g ive os clear o picture as possibb o f what y ou sow, d " s cribc in your own word.; o common object or objects which, when placed up in the sky, would give the some op~oronce as the obj~ct which you saw In t he following sketch, imagine that you ore a t the po int shown. Place on "A" on th curv.,d l~r-:e to show how high the o bj&ct was above the hor iz on (skyline) wh"n y ou first sow it. Place a " B" on the sam~ curved line to/ show how high the object was ob.we t h e horizon (skyline) when you last sow it. Place on "A" on the ompor when you first sow it. Place o "B" on the compass where you lost sow tlac object. 28. t)riJw a picture that will show the mot ion that t he object or objects mode. Place an "A" at the beginning of the p a th, a "ll" at the end of the path, and show any changes in direc ti on during tht. course. 29. IF there was MORE T ONE object, then how many were there? f2Jd_ , """'-.....------ Draw a picture of how they were orronyed, on.:J put on arrow to show the direction t hat they were travel ing 31. Was anyone el:se with you at th~ t im" you saw thtt obj'lct? (Circl~ On.,) 31.1 IF you c:nsw~red YES, did thl!y seb the objact too? (Circle One) 31.2 Pl~ase l i.st their names and addresses: 32. Please give thrJ following information about youts~lt: Middlot Nome City Z or>o St<?:J T ELEPHONE N Indicate any additional information about yovrself, inch;ding any spe c:iul uuoari.:mc0, which might be pertin ent When a nd t o whom did you report thot y ou ~cd sc~il tb o b j"'ct ? 34. Date you completed this questionnaire: 35. Information which you feel pertinent and which is not ad~quately covered in tho specjfic points of t he questionnaire or a narrative explanatbn of your sighting. fllltLY TO D EPARTMENT O F THE AIR FORCE HEADQUARTERS FOREIGN T ECHNOLOGY DIVISION (AFS C) WRIGHT-PATTERSON AIR FORC E BASE. OHIO 4~433 UFO Observation, J une 4, 1967 Sgt. G. A. Young Da on Police Department 335 West Third Street Dayton, Ohio 45402 1 . Reference your tel ephone conversation with 2nd Lt . Carmon L. 12 December 1967. Tae inclosed FTD Forms 164 were alleg- edly completed by two different persons, yet, the handwriting appears similar. Request your opinion as to whether both forms have been prepared by the same person or not. 1~nk you for your time, efforts and assistance in providing additional information on this report. "'-11E"&f6t--QcriJi.mW,~"1r; Major, USAF Aerial Phenomena Office Aerospace Technologies Division Production Di rectorate OF DAYTON, DEPARTMENT SAFETY BUILDING 335 WEST THIRD STREET COl. R. M. IG lEBURGER Director ol Police Eccto:;.~ ~.uinto.nilla., Jr. , !~jor, US . .j.F Chief, Acri~l P!1::!norr.e!13. O~ficc A~!os~ucc Tcch11olo,;ies Di 'ris:..on :?:rouuction Direct.;orate REFER REPLY on cnclozed F. T. D. th-: o.iu or mlnr . .}:u photoc.ca;_:r.; no:::nlly us-Jd ~o:: '.rtis '!_::llinose. Hm-rcvcr, i:. i::> rw o :~inion that tlu.: hand irr::.. tin.3 on tnc::>c forn::;, in t'he n cs of' Henry Sea.~r and ::~i:.Lltu.lt./ con:.ain~<l in th:;s0 ~':o ::;:cciJ~c :i, .t:l-1~o.s r:::la'vi.rcl; ::e~r :!_)ointG o: G ,y : J.jr Jlllf'\. Y TO DEPARTMENT OF THE AIR FO~CE HE~OQUARTERS FOREIGN TECHNOLOGY DIVISION I AF5C) WRIGHT-PATTERSON AIR FORCE SASE . OHIO 4!54:13 UFO Observotion, J une 4, 1967 Your name has been given to the Aeria l Phenomena Branch (Project Blue Book) as being a witness to on unidentified flying object . If you ":ere a ,,,i tness to e n UFO sishting on 4 J une 1967 t,ould you please complete the attached f..F Form 117 and return it in the envelope provided. If you we r e not a \litness t o this sighting , would you pleas e make a statement to this effect on the attached form. information 11hich you provide \.'ill b e used i n evaluating this observation. Thank you for your assistance in this matter. MF.S C. MANA'I'T, Colonel, USAF ector of Production AF Form 117 TDET/UFO )Maj Quintanilla/ 70916/ mhs/27 Sep 67 ) UFO Observation, J'une 4, 1967 :shjLngton, D C 20016 . ~. The Aerial Phenomena Branch is investigating an unidentified flying obje~t s ighting that occurred near BetbaDy Beach, Dcla-~e, on June 4 , ~967.. The observer gave your name ea a witnes s to tM.I' s ighting. 2 . I.f' you vould complete the inclosed .FTD Foro 16J~ und r eturn it 1n the envelope provided, the 1n"formation '\oOUld be helpful in our evaluation o.f' the sighting. If' you d i d not observe the sighting pJease state so in replying .. 3 Thank you for any assistance you can provide. C. MANAn', Colonel, USAF rector of Technology & Subsystems }'tD Form 16J1 U.S. AIR FORCE