302537790.pdf

|  1. DATE - TIME GROUP | 2. LOCATION  |
| --- | --- |
|  25 February 65 25/1530 | S Rockville, Maryland  |
|  3. SOURCE | 10. CONCLUSION  |
|  Civilian | Other (BIRDS) Report is inconsistent, but nothing presented to indicate that the objects could NOT have been birds, in view of nature of report. JTH  |
|  4. NUMBER OF OBJECTS | 11. BRIEF SUMMARY AND ANALYSIS  |
|  6-8 in 1 Cluster | Cluster of 6-8 objects observed during daylight with sun shining intermittantly with strom clouds moving Easterly. Objects observed in NE disappearing slightly W of North. Total duration 2-5 minutes. Sky was dar…

DEPARTMENT OF THE AIR FORCE
WASHINGTON

OFFICE OF THE SECRETARY

Dear [redacted]

Attached is FTD Form 164 which is used for reporting observations of unidentified flying objects to the Air Force. In order for the Air Force to evaluate these reports, this form should be completed as fully as possible and returned to this office. You will be advised of the conclusions reached by the Air Force concerning your report.

Sincerely,

MASTON M. JACKS
Major, USAF
Public Information Division
Office of Information

1 Atch
FTD Form 164

Damascus, Maryland

by phone

Birds

# 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 …

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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 – intermittently
c. Moderate or heavy rain
d. Snow
e. Don't remember

10. The object appeared: (Circle One):…

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14. Did the object disappear while you were watching it? If so, how?
In and out of the clouds, up and down, back and forth but steadily moving forward

15. Did the object move behind something at any time, particularly a cloud?
(Circle One): ☑ Yes ☐ No ☐ Don't Know. IF you answered YES, then tell what it moved behind: Clouds

16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): ☑ Yes ☐ No ☐ Don't Know. IF you answered YES, then tell what in front of:

17. Tell in a few words the following things about the object:
a. Sound Too far to hear anythi…

4

20. Do you think you can estimate the speed of the object?
(Circle One) Yes No
The cluster of 6 to 8 objects was progressing at about 5 miles per minute; individual objects flitting from and returning to the cluster were traveling approximately 7,000 miles per hour.

IF you answered YES, then what speed would you estimate?

21. Do you think you can estimate how far away from you the object was?
(Circle One) ☑ Yes ☐ No
IF you answered YES, then how far away would you say it was? about 15 or more miles

22. Where were you located when you saw the object? (Circle One):
☑ a. inside a building -…

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27. In the following sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how high the object was above the horizon (skyline) when you first saw it. Place a "B" on the same curved line to show how high the object was above the horizon (skyline) when you last saw it. Place an "A" on the compass when you first saw it. Place a "B" on the compass where you last saw the object.

28. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the path, a "B" at the end of the path, and show any changes in dire…

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30. Have you ever seen this, or a similar object before. If so give date or dates and location.
No

31. Was anyone else with you at the time you saw the object? (Circle One)
☐ Yes ☐ No
31.1 IF you answered YES, did they see the object too? (Circle One)
☐ Yes ☐ No
31.2 Please list their names and addresses:
Coast & Geodetic Survey
Washington Science Center
S. Rockville, Md. 20852

32. Please give the following information about yourself:

|  NAME | Last Name | First Name | Middle Name  |
| --- | --- | --- | --- |
|  ADDRESS | Street | City | Zone  |
|   | Damascus | Zone | 20750  |
…