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302531088.pdf

NARA·NARA_PBB_597821_pdfs-5·pdf·28.0 MB·13 pages

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page 1
|  1. DATE | 2. LOCATION | 12. CONCLUSIONS  |
| --- | --- | --- |
|  21 November 1963 | West Nyack, New York | ☐ Was Balloon ☐ Probably Balloon ☐ Possibly Balloon  |
|  3. DATE-TIME GROUP Local CMT 21/2355T | 4. TYPE OF OBSERVATION ☑ Ground-Visual ☐ Ground-Radar ☐ Air-Visual ☐ Air-Intercept Radar | ☐ Was Aircraft ☐ Probably Aircraft ☐ Possibly Aircraft  |
|  5. PHOTOS ☐ Yes ☑ No | 6. SOURCE Civilian | ☑ Was Astronomical Meteor ☐ Probably Astronomical ☐ Possibly Astronomical  |
|  7. LENGTH OF OBSERVATION 5 seconds | 8. NUMBER OF OBJECTS one | 9. COURSE West  |
|  10. BRIEF SUMMARY OF SIGHTING 
page 2
Noted JAN 17, 1979
File No. 129

Intelligence, Fenton
Wright-Patterson (NTE)
Barton, O.

Dear Sirs:

Concerning your investigation into Unidentified Flying Objects, I would like to report an object I saw on the evening of Nov. 21, 1953.

I have heard that you provide special sheets to people who sight these things. If it would help you any, I would be glad to fill one out.

Thank you very much for your time and trouble.

Sincerely yours,

P.S. I am sorry to delay this so long, but the events of the day following the sighting of course delayed this, and it has been delayed until now.
page 3
1900 ACP 1886
G 4 Applications for Appt. War Department Received May 23 1886

Intelligence Section
Wright Patterson Air Force Base
Dayton, Ohio
page 4
MEMO ROUTING SLIP

NOTICE FOR FOR APPROVALS, DEPARTMENTAL CORRESPONDENCE, OR CENTRAL ACTIONS

|  1. TO | INITIALS | CIRCULATE  |
| --- | --- | --- |
|  TDE-1 | DATE | COORDINATOR  |
|  2. |  | FILE  |
|   |  | INFORMATION  |
|  3. |  | NOTE AND RETURN  |
|   |  | PER CON- VERSATION  |
|  4. |  | SEE ME  |
|   |  | SIGNATURE  |

REMARKS

FROM
Mrs. Shaffer
TDI, Bldg 262, P120I, Area A

DATE
10 Feb 64

PHONE
6-9163

DD FORM 95
1 OCT 50

Disclosure DD Form 94, 1 Feb 50 and DD Form 95, 1 Feb 50 which will be used until addressed.

GPO 1962 - O - 918721
page 5
164

COPY
N.Y.
Feb. 3, 1964

Intelligence Section
Wright-Patterson AFB
Dayton, O.

Dear Sirs;

Concerning your investigation into Unidentified Flying Objects, I would like to report an object I saw one the evening of Nov. 21, 1963.

I have heard that you provide special sheets to people who sight these things. If it would help you any, I would be glad to fill one out.

Thank you very much for your time and trouble.

Sincerely yours,

P.S. I am sorry to delay this so long, but the events of the day following the sighting of course delayed this, and it has been delayed until now.

COPY
page 6
HEADQUARTERS
FOREIGN TECHNOLOGY DIVISION
AIR FORCE SYSTEMS COMMAND
UNITED STATES AIR FORCE
WRIGHT-PATTERSON AIR FORCE BASE, OHIO

REPLY TO
ATTN OF: TDEW

SUBJECT: UFO Sighting ( ) AUG 15 1964

TO: Hq USAF SAFOI-PR (Mrs Gaiser)
Wash 25 D C

Reference the attached letter from Jr, requesting a form on which to report an unidentified flying object. It is suggested that an FTD form 164 be sent to M

FOR THE COMMANDER
David C. Blusky

NRIC T de JONCHMÈRE
Colonel, USAF
Deputy for Technology and Subsystems

2 Atchs
1. Ltr, ,
3 Feb 64
2. FTD form 164
page 7
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, or 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 o
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Page 2

8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?

8.1 STARS (Circle One):
a. None
b. A few
c. Many
d. Don't remember

8.2 MOON (Circle One):
a. Bright moonlight
b. Dull moonlight
c. No moonlight – pitch dark
d. Don't remember

9. What were the weather conditions at the time you saw the object?

CLOUDS (Circle One):
a. Clear sky
b. Hazy
c. Scattered clouds
d. Thick or heavy clouds

WEATHER (Circle One):
a. Dry
b. Fog, mist, or light rain
c. Moderate or heavy rain
d. Snow
e. Don't remember

10. The object appeared: (Circle One):
a. Solid
b. Transparen

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