PROJECT BLUE BOOK

2, LOCATION

1. ‘DATE -‘TIME GROUP

Coldwater, Ohio
3. SOURCE 10. CONCLUSION

Civi lian AIRCRAFT
4. NUMBER OF OBJECTS

11. BRIEF SUMMARY AND ANALYSIS

5. LENGTH OF OBSERVATION

it

20 Seconds Observation of two objects in flight to West at dusk.
5. TYPE OF OBSERVATION Appeared as two landing lights, no objects visible. Lights
only. Changed brightness, Disappeared ag Western horizon.
_ Ground-Visual White color, Lights were vertically spaced.

7. COURSE

West
8. PHOTOS

0 Yes

XX Ne

FORM
FTD sep 63 0-329 (TDE) Previous editions of this form mey be used,

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U.S. AIR FORCE TECHNICAL INFORMATION > | Sig? OF

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 aot be used in connection with any stotements,
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.

2. Time of day;
> Hour Minutes

S/W

(Circle One): A.M. or €m)

1, When did you see the object?

) Ta: a A.
Day Month

Year

3. Time Zone:

(Circle One)< ga Eastern (Circle One); a, Daylight Saving
pb, Centra <b. Standard >

c. Mountain
d. Pacific
e. Other

4, Where were you when you saw the object?

Neorest Poste! Address City of Town State or County

5. How long was object in sight? (Total Durcrion) = a il ZO
Hours Minutes Seconds

a, Certein c. Not sure
b. Fairly certain <d. Justa st >
5.1 How was time in sight determined? _ 3 E9§W ATC HM
‘ . /
5.2 Was object in sight continuously? Yes og No.

6, What was the condition of the sky?

| DAY = DUSK NIGHT
a. Bright HABY a. Bright
b, Cloudy b. Cloudy

7, |IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?

(Circle One): a. In front of you d, To your left
b. In beck of you 2. Overhead
¢, To your right f, Don’t remember

FORM
FTD OCT 62 164 This form supersedes FTD 164, Jul 61, which is obsolete. ATC ot 2

Page 2

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

8.1 STARS (Circle One); 8.2 MOON (Circle One): DLS
a, None a. Bright moonlight
b. A few b. Dull moonlight
c. Many c. No moonlight = pitch dark
d. Don’t remember — d. Don’t remember

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

CLOUDS (Circle One): WEATHER (Circle One):
a. ar sky at a. Dry a

be. Hazy » Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow

e. Don't remember

10. The object appeared: (Circle One);

a. Solid TWO 4MGHTS
b. Transparent e. Don't remember

c. Vapor

1}. If it appeared as a light, was it brighter than the brightest stars? (Circle One):

c. About the same
5. Dimmer d. Don’t know

11.1 Compare brightness to some common object:

A ANDING AIEXT- — 000 WATT AIGKTS

12, The edges of the object were: WO ObBSJEFCT P DOINMT DOUCCSE OF MGI
| (Circle One): a. Fuzzy or blurred e. Other
b. Like a bright star
\e¢. Sharply outlined a
d. Don’t remember tienen
13. Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes Gq / Don't know
b. Suddenly speed up and rush away at any time? Yes 5-2 Don’t know
c. Break up into parts or explede? Yes 12 Don't know
d. Give off smoke? Yes (No Don't know
e, Change brightness? Ci83 ¥ No Don't know
f, Change shape? Yos ALD, Don't know

. Flash of flicker? Yes Cri Den’? «now
_ y

oe
h. Disaocear cnd reappear? Yos C Ne Deon’? know |

Page 3

14. Did the object disappear while you were watching it? If so, how?

YES — AT WEs7FON Hok1IZ0N

15, Did the object move behind something at ony time, particularly « cloud?

(Circle One): Yes Don’t Know. IF you answered YES, then tell whet
it moved behind: : | — 7

. Did the object move in front of something at any time, particularly a cloud?
(Circle One):. Yes No Parsee) IF you answered YES, then tell what

in front of:

————

17. . Tell in a few words the following things about the object:

oe en ae ee
b. Coler. LIGA 7

We wish to know the angular size. Hold a match stick at arm’s length in line with a known object and note how

much of the object is covered by the heod of the match. If you had performed this experiment at the time of the
sighting, how much of the object would have been covered by the match head?

19. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details
of the object that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails.

Place an arrow beside the drawing to show the direction the object was moving.

Page 4

2, Do you think you can estimate the speed of the object?

(Circle One) Yes

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 Ge )

" AF you answered YES, then how for away would you say it was?

a oe

eee

22. Where were you located when you saw the object? 23. Were you (Circle One)

(Circle One): |
a. In the business secti

a. Inside a building “6. Tn the residential section of a city?
b, ar “——"e. In open countryside?

“c. Outdoors — d. Near an airfield?

“a. In on airplane (type) e. Flying over a city?

o. At sea : f. Flying over open country?
Gee re g- Other

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. North c. East e. South g-. West
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) Yes No

25. Did you observe the object through any of the following?

a, Eyeglasses Yes No e. Binoculars . Yes No /
b. Sun glasses Yes No f. Telescope Yes No |
c. Windshield Yes No g. Theodolite Yes No

d. Window glass Yes No is sa :

—- = CC —:000CO0CO0OC»& Seo eee ao —_—++- -—+_—_—_—_—-  -- ae

26. In order that you can give as clear a picture as possible of what you saw, describe in your own words a common

object or objects which, when placed up in the sky, would give the same appearance as the object which you saw
Fit) AMEOCTS VERTICALLY SPACEY

—_—— oe ae ee

Page 5

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 /ast saw it. Place an ‘*A’’ on the compass
when you first saw it. Place a ‘'B"’ on the compass where you /ast saw the object.

90° 75°

28. Draw a picture thot 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 direction during the course.

<=
A rRom BSB

29. IF there was MORE THAN ONE object, then how many were there? _—
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling.

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ll ele Ne te Sw

Page 6

30. Have you ever seen this, or a similar object before. If so give date or dates and location.

31. Was anyone else with you at the time you saw the object? (Circle One)

31.1 IF you answered YES, did they see the object too? (Circle One)

31.2 Please list their names and addresses: ¥ 7 |
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32. Please give the following information about yourself;

a

Los? Neme Middle Name

*
ADDRESS Gina: Phd Lees |
Street City Zone |

TELEPHONE NUMBER —=< RO wees ee SR eee

indicate any additional information about yourself, including any special experience, which might be pertinent.

SéL FD tw US AiRPRRCE

33. When and to whom did you report that you had seen the object? CAPT LDWiw md) JE: Psa VA

. a4 “GAP , 27/4 59A
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Day Month Yvor LT LF FIES ee

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