PROJECT BLUE BOOK

1
1." DATETIME GROUP 2. LOCATION
1 June 65 92/03252 Daytong, Chio
3. SOURCE 10. CONCLUSION COncLusion
. Civilian AIRCRAFT AIRCRAFT
NUMBER OF OBJECTS
One
5. LENGTH OF OBSERVATION S. LENGTH OF OBSERVATION ANALYSIS
4 Minutes Object appearing as 5 lights brighter than stars. Object appearing as 5 lights brighter than stars. Erratic
6. TYPE OF 6. TYPE OF OBSERVATION OBSERVATION motion. Object cigar shaped. Two lights on motion. Object cigar shaped. Two lights on one end, two one end, two
lights on other end ani one red light. licht a. Silver colored objet
Ground-Visual Dis appeared ov rer the horizon behird trees. Duration 4 min.
. COURSE Observed from car moving 35 mph.
NE COMMENTS: Witness reported observation to Duty Officer and l hung
8. PHOTOS up vithout giving name or telephone nuber. Base Ops called
and indicated that there were, 2, B-52's, 1, C-135 and
Yes 2, T-33's in the area at the time. Description of light and
XXNo flight in accord with a/c observati on.
DENCE
Y.s
Ne
FORM
FTD SEP 63 0-329 (TDE) Provieus editione ef thie fora may be used.
.
.

. 4TON65
5/6.
,
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 questions as you possibly can. The information that ycu give will
be used for research purposes. Your name will not be used in connection with any statenienis,
conclusions, or publications without your permission. We request this personal information sc
that if it is deemed necess we may contact you for further details.
.When did you see the object? 2. Time of day: Fiem ~ 23a0- 2330 local
Hour Hour wiatche previous to Minutes
Three cthers Three cthers hnd hnd watched previous to
4 4 June 1965 this time for ahout 12he.
(Circle One): A.M. A.M. or P.M. P.M.
Day Month Month Year 5
. Time Zone:
(Circle One): Eastern a a. Doylight Saving
Central 6 Standard Standard
c. c Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
MIEGHCITY WAREHOUSE CENTER.
DAViS STELET Dayton Clue
Nearest Postal Address City or Town State or County
5. How long was object in sight? (Total Duratlon) /2
Hours Minutes Seconds
a Certain c. Not very sure
b. Fairly cortain d.Just a guess
5.1 How was time in sight determined? (atch wcis)
5.2 Was object in sight continuously? YasK No--
6. What was the condition of the sky?
DAY NIGHT NIGHT
a. G Bright
b. Cloudy b.
.IF you saw the abject during DAYLIGHT, where was the SUN locoted as you locked at the objest? 7.IF you saw the abject during DAYLIGHT, where was the SUN locoted as you locked at the objest?
In front of you To your left Chject Ohject seen at night at night
(Circle One): a. In front of you (Circle One): a. d. To your left d.
b. In bock of you . Overheod
c. To your right f. Don't remember
FTD FORM
OCT 62 154 Thie form aupereedes FTD 164, Jul 61, which ie obsolete.
A

Page 2
8.IF you saw the object at NIGHT, what did you notice conceming the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circl One):
a. None Q. Bright moonlight
⑥ A fow Dull moonlight
c. Many c. No moonlight - pitch dark
d. Don't remember d. Don't remember
What were the weather conditions at the time you saw th object?
CLOUDS (Cirels One): WEATHER (Circl Ono):
Clear sky @Dry
b. Hazy b.Fog, mist, or light roin
c. Scattered clouds Moderate or heavy rain
d. Thick or heavy clouds d. Snow
•. Don't remember
10. The object appeared: (Circle One):
. Solid As a light
.Transparent .Don't remember
a. Brighter About the same
b. Dimmer Don't know
11.1 Compars brightness to some common object:
About the same as brightest star
.The edges of the object were:
(Circle One):F Fuy or blured (s) . Other -
b. Like a bright stor
c. Sharply outlined
d. Don't remember
.Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes Yes No No Don't know
b. Suddenly speed up and rush away at any time? - Yes No Don'tknow Don't know nove SLe
c. Break up into parts or explode? Break up into parts or explode? Yes No Don't know FiCrass Sku
d. Give off smoke? Yes No Don't know Ard then
. 6, Change brightness? Yes Don't know And then And then
f. Change shape? Yes (No Don't know agrin.
g. Flash or flicker? Yes 39899 No Don't know Don't know
h. Disappear and reappear? Yes Don't know

Page 3
1. Did the object disappear while you were watching it? If so, how?
No,
to awothen locadion And then stop for awhile.
Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes IF you answered YES, then tell what
it moved behind: II
Did the objeet move in front of something at any time, particularly a cloud? 16. Did the objeet move in front of semething at any time , particularly a cloud?
(Circle One): (Circle One): Yos Yes No (No Don't Know. IF you answered YES, theu to!! wirat
in front of: _
17. Tell in a fow words the following things about the object: 17. Toll in a fow words the following things about the object:
0. Sound Nos'e .Sound Nos'e
b. Color ihite light (simikar to bright star)
We wish to know the angular size. Hold a match stick at arm's longth in line with a known object and not. how
much of the object is covered by the head 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?
Probably, the complete object
. Draw a plcture that will show the shape of the objoct 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.
Object Objct w)as round spot of lighit similar to bright (sinilar to bright
star) star)
IL

It's size gave it the Apper arue
(Circle One) Yes No
of being as far away as the stars
IF you answered YES, then how far away would you say it was?_
22. Where were you located when you saw the object? 23. Were you (Circle One)
(Circle One):. betest
a. in the business section of a city?
o. Inside a building 6 In tha residential sucticn oi a city?
b. In a car c. In open countryside?
Outdoors d. Near an airfield?
dIn an airplane (type) . Flying over a city?
e. At sea f.
1. Other g. Other
. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete ths followirg questions:
24.1 What direction were you moving? (Circle One) Not in hitomobile
a. North c. East South y. Wost
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 whilo you were looking at the object?
(Circle One) Yos No
25. Did you observe the object through any of the following?
a, Eyeglasses Yos e. Binoculars Yes
b. Sun glasses Yes f. Telescope Ne
c. Windshield Yes g. Theodolite Yes (No
d. Window glass d. Window glass Yes (No (No) h. h. Other Other _
.
common
objoct or objects which, when placed up in the you saw
Bright Har Bright Har
/

90° A75B Wec insice a
60°
B WA
A
E 1
Draw a picture that will show the motion that the object or objects made.Place an at the beginning of the path, a "B" at the ond of the path, and show any changes in direction during the course.
Object moved slowly Across sky (always
bot object did not move continuocishiy.
29. IF there was MORE THAN ONE object, then how many were there?. Draw a plcture of how they were arranged, and put an arrow to show the direction that they were traveling.
Only one object

U
ago 6
Have you ever seen this, or a similar objoct befere. If so give date or dates and location.
No
3. Was anyone else with you at the time you saw the object? (Circle One) Yos No
31.1 IF you answered YES, did they see the objoct too? (Circle Ono) 0 No
31.2 Please list their names and addresses:
Nik. SiLvek Dome Ave. , Drytin, Chio
(TRHiLeR Court)
Two others, but doni't bnow their names iuo others, but dont lenou their names i howewer, knew howene
their place of emplajesit And could attain their place of f emplajmenit And could attain thein namHes names
And addresses if necessArog if necesstrop.
32. Please give the following infermation about yourself:
NAME NAME Last Name First Neme Middio Neme
ADDRESS Kettering 20 Ohio
City Zone Stato
TELEPHONE NUMBER AGE 24 SEX M
Inicatanyadditional Informaton aboutyoursel Ineluding yspeclalexperienc, whichmihtpertinn.
Place of emplogment:
Chryjiler Megacity Warehouse Cenker
Mayton
.When and to whom did you report that you had seen the object? 33. When and to whom did you report that you had seen the object? Decty Decty Offeer Ofher -FTA
.5 Jcire. Jure 1965 1965 UUPAFP,Oh UUPAFR,
Day Month Year

Page
JUNe 4
JUP 4a33
Vem 5h47
CUM CuM 1/h20 1/h20 25°Z 35°E 255°sE 35°Eo√
/ 20°0g 20°00 bo65 ev bo65oeev
SRCTURAS SACTURAS
2
re 2

Poge 7
3Date you comp d this questionnaire: 5 June 1965
Day Month You
at hic  nthiceuaty ovc Y
questionnaire or a narrative explanation of your sighting.
?
None
L

1. DXTE · TIME GROUP 2. LOCATION
11 June 65 11/0530Z 11 June 65 11/0530Z Dayton, Ohio Dayton, Ohio
3. SOURCE SOURCE 10. CONCLUSION
Civilian ARCRAFT · ARCRAFT
4. NUMBER OF OBJECTS NUMBER OF OBJECTS Many a/c in and out of W-P this date. Likely that an a/c with Likely that an.a/c with
One landing light still light still on was observed. on was observed.
5. LENGTH OF OBSERVATION . LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS 11. BRIEF SUMMARY AND ANALYSIS
10 Minutes Object with erratic motion brightness of half moon, sharply
6. TYPE OF OBSERVATION outlined. Disappeared and reappeared. Flight to East.
Orange. Large, size of coffee cup at arm's length. Plain
Ground-Visual circular light. Looked like an a/c landing light. Had a
7. COURSE red or tail light on object.
SE
8. PHOTOS
Y.s
KXNo
9. PHYSICAL EVIDENCE
Ys
XXXNo
FORM
FTD SEP 63 0-329 (TDE) Previous editione of this form may be used.
-
-

AlC LIJUN 63
.
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 phenoinenon that you have observeri.
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 connee tion with any statonionis,
conclusions, or publications without your permission. We request this personal information sc
that if it is deemed necessary, we may contact you for further details.
12 3 O
.Whan did you see the object? 2. Time of day:
Hour Minutes
11 1/ 65 65 (Circle One): (Circle One): A.M. A.M. . P.M.
or or
Day Month Yeur Yeur
3. Time Zone: 3.Time Zone:
(Circle One): (Circle One): a. Eastern (Circle One): a. Doylight Saving (Circle One): a. Doytight Saving T
b. Central b. Standard
c. Mountain Mountain
d. d. Pacific
. Other
4. Where were you when you saw the object?
Dayton
Nearest Postal Address City or Town State or County
.How long was object in sight? (Total Duration) 00 10 00
Hours Minutes Seconds
a. Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determined? b
5.2 Was object in sight continuously? Yos_ No__-
6. What was the condition or the sky?
DAY NIGHT
a. a. Bright
b. Cloudy Cloudy b. Cloudy b. Cloudy
.IF you saw the object during DAYLIGHT, where was the SUN located as you looked a: the objest? 7.IF you saw the object during DAYLIGHT, where was the SUN located as you looked a: the objest? J
(Circle One): a. (Circle One): : a. In front of you d. To your left To your left
b. In back of you e. e. Overhead Overhead
88 c. To your right c. . To your right f. Don't remember
FTD FORM
OCT 62 164 This form supersedes FTD 164, Jul 61, which is obsolete.
1
L

Hu 2- 13-3'2
C-135 e65
U.S. AIR FORCE TECHNICAL INFORMATION
7
This questionnaire has been prepared so that you can give th U.S. Air Force as much
information as possible concerning the unidentified aerial phenoimenon that you have observedi.
Please try to answer y questions as you possibly can. The information that yeu give will
be used for research purposes. Your name will not be used in connection with any statemenis,
conclusions, or publications without your permission. We request this personal information sc
that if it is deemed necessary, we may contact you for further details.
1. When did you see the object? 2. Time of day: . 10 25
Hour Minutes
Jone Jene 65 65
(Circle One): (Circle One): A.M. A.M. or P.M.
Day Month Your Yeur
3.Time Zone:
a Eastern (Circle One): a. Doylight Soving a. Doylight Soving
b. Cantral Cantral Standard 1
c. Mountain
d. Pacific Pacific
. Other
4. Where were you when you saw the object?
OACRIDGE DRiUe DAyTON OHO /
Nearest Postal Address City or Town State or County
5. How long was object in sight? (Total Duration)
Hours Minutes Seconds
a. Certain c. Not very sure
b. Fairly cerrain d.Just a guess
5.1 How was time in sight determined? _ 2 eas
5.2 Was abject in sight continuously? Yes
6. What was the condition of the sky? 6. What was the condition of the sky?
DAY DAY NIGHT
a. a. Bright a. Bright a. Bright
b. Cloudy Cloudy
.IF you saw the object during DAYLIGHT, whore was the SUN located as you locked at the obiest?
(Circle One): a. In front of you (Circle One): In front of you d. To your left
b. In bock of you e. 8. Overheod Overhead
c. To your right f. Don't remember
FTD FORM
OCT 62 164 Thia form aupersedes FTD 164, Jul 61, whlch is obsolete.'
L

Page 2
8.IF you saw the object at NIGHT, what did you notice conceming the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circl One):
a. None a. Bright moonlight
b. A fow b. Dull moonlight
c. Many c. No moonlight - pitch dark
dDon't remember d. Don't remember
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circl One): WEATHER (Circl One):
a. Clear sky a. Dry
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds Thick or heavy clouds d. Snow Snow
e. Don't remember Don't remember
10. The object appeared: (Circle One):
. Solid a. Solid d.As a lighe d.As alighe Orarge Orange
b. Transparent b. Transparent . Don't remember
c. Vapor c. Vapor
1If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter c. About the same
Dimmer d. Don't know
11.1 Compare brightness to some common
The edges of the object were:
(Circle One): a. Fuzzy or blurred Other-
b.Like a bright stor
C. Sharply outlined
d. Don'f remember
Did the object: 13. Did me objeet: (Circle One for each question) (Cirele Une for Gach qusstion)
a. Appear to stand still at any time? Yes No Don't know Don't know
b. Suddenly speed up and rush away at any time? Yes es No Don't know Don't know
C. Break up into parts or explode? Yes No Don't know Don't know
d. d. Give off smoke? Yes No Don't know
o. Change brightness? Change brightness? Yos No Don't know Don't know
f. f. Change shape? Yos Yos No Don't know Don't know
g. Flash or flicker? Yos Yes No Don't know
h. Disappear and reappear? Yes No Don't know

Pago 3
14. Did the object disappear while you were watching it? If so, how?
1.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:
.Did th objeet move in front of something at any time, particularly a cloud? Io. Did th objeet move in front ot semething at any time, particularly a cloud?
(Circle One): Yes Yes No No Don't Know. IF you answered YES, theu to!! wirat IF you answered YES, theu ta!! wirat
in front of: _
1. Toll in a fow words the following things about the object: 17. . Toll in a fow words the following things about the object:
. Sound Sound No
b. Color Orange
18. We wish to know the angular size. Hold a match stick at arm's length in line with a known object and nots fow
much of the objoct is covered by the head of the match. If you had performed this experiment at the time of tl:
sighting, how much of the object would have been covered by the match head?
at anae
Q boing
1. Draw a pleture that will show the shape of the objoct 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. -I
Place an arrow beside the drawing to show the direction the object was moving.
Paie cirula Cere lglt
NE f it
L 4
11

. -
104
20.Do you think you can estimate the speed of the object?
(Circle One) Yes No
IF you answered YES, then what speed would you estimate? —_
(Circle One) Yes No
IF you answered YES, then how far away would you say it was?
22. Where were you located when you saw the object? . Were you (Circle One)
(Circle One):
In the business section of a city?
Insido a building b. Inthe residential section of a city?
b.ln-o-cor C. In open countryside?
c. Outdoors Near an airfield?
d. In an airplane (type) e. Flying over a city?
. At sea f. Flying over open country?
f. Other f. Other _ g. 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)
.North c. East South y.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?
(Cirele One) Y.s No
25. Did you observe the object through any of the following?
Eyeglasses Yos No •. Binoculars Yes No
b. Sun glasses Yes f. Telescope Yes No
c. Windshield Yes No 9. Theodolite
d. Window glass Yes No h. Other
2 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 appe arance as the object which you sow.
lhe Dhe

when you first saw it. Place a "B"" on the compass where you last saw the ahiect.
75°
60
1SB SW SW
2.. 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 direction during the course.
traghtline
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 thay were traveling.

ngo 6
Have you ever seen this, or a similar objoct 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) es No
31.2 Please list their names and addresses:
albres uoted ferinly ao2ress
32. Please give the following information about yourself:
√ √
NAME
Lost Name Firat Name First Name Middle Neme
ADDRESS Daston 32 O10
Street City Zone State
TELEPHONE NUMBER AGE 41 SEX F
Indicate any additional information about yourself, Incl luding any speci erience, which might be pertinent.
None
-
When and to whom did you report that you had seen the object?
Day Day Month Month Yoar Year

Pogo 7
34. Date you complated this questionnaire: 11 O 65
Day Month You
questionnaire or a norrative explanation of your sighting. -
Mis
Thre - t
she san- a
O teil sin sin it
faided 2 il ant ay,
.
IL
8

-
1. DATE  TIME GROUP LOCATION
24 June 65 "25/0455Z Dayton, Chio
3. SOURCE 3. SOURCE 10. CONCLUSION 10. CONCLUSION
Civilian Civilian SATELLITE
4. NUMBER OF OBJECTS 4. NUMBER OF OBJECTS
One
5. LENGTH OF OBSERVATION 5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS 11. BRIEF SUMMARY AND ANALYSIS
10 Minutes Object slightly brighter than stars. Erratic motion. White Object slightly brighter than stars. Erratic motion. White
10 Minutes clor. ∞lor Observed in West, disappearing Observed in West, disappearing in the NE. Was not in the NE. Was not
6. TYPE OF OBSERVATION like a satellite, having including hesitations and
then starting again.
Ground-Visal
7. COURSE COMMENTS: Description, direction of flight, duration in accord
W to NE with Satellite observation. Hesitati on in flight attributed
to illusion or atmospheric conditions. NoT Echo I or II or
. PHOTOS Pegasus s I or II. Likely one of the other Satellites as bright
Yes as Echo I such as Tyros 9, Saturn 5, or Centaur 2.
No
. PHYSICAL IDENCE
Yes
No
FORM
FTD SEP 63 0-329 (TDE) Provious edit be used.
: .

24 JUNE 19.61
"
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 pos ncerning the unidentified aerial phenomenon that you have observei.
Please try to an iny questions as you possibly can. The information that you give will
be used for re
conclusions, or publications without your permission. We request this personal information sc
that if it is deomed neces we may contact you for further details.
When did you see the object? 2.Time of day:.2353
Hour Minutes
24 Juse 65 (Circle One): A.M. or P.M.
Day Month Year
.Time Zone:
(Circle Ong Eastern (Circle One): a. Doylight Saving
b. Central b. b. Standard
C. Mountain
d. d. Pacific
. Other
4. Where were you when you saw the object? 4. Where were you when you saw the objoct?
DAYTON 27 DAYTON 27 0 H10 0 H10
Nearest Postalz Kity or Town State or County
How long was object in sight (Total Duration) 10
Hours Minutes Soconds.
a. Cartain c. Not very sure
b. Fairly certain dJust a guess
5.1 How was time in sight determined? WATCH:
5.2 Was object in sight continuously? Yes No--—
6. What was the condition of the sky?
DAY NIGHT
a. Bright a. Bright
b. Cloudy b. Cloudy
7.IF you sow the object during DAYLiGHT, where was the SUN located as you locked at the obiest?
(Circle One): In front of you d. To your left
b. In back of you . Overhead
c. To your right f. Don't remember
FTD FORM
OCT 62 164 This form supereades FTT 164, Jul 51, which is obaolete.

Page 2
8.IF you sow the object at NIGHT, what did you notice conceming ths STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None o. Bright moonlight
b. A fow b. Dull moonlight
c. Many c. No moonlight - pitch dark
d. Don't remember ember
9. What were the weather conditions at the time you saw the objoct?
CLOUDS (Circle One): WEATHER (Circl One):
a. Clear sky a. Dry
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds Snow
@. Don't remember
10. The object appeared: (Circle One):
a. Solid d. As a light I
b. Transparent •. Don'tremember
c. Vapor
1. If it appeared as a light, was it brighter than the brightest stors? (Circle One):
a. Brighter c. About the same
b. Dimmer b.Dimmer d. Don't know
11.1 Compare brightness to son
slghll he ctoro
The odges of the object were:
(Circle One) a. Fuzzy or blurred . Other
b. Like a bright stor
c. Sharply outlined
Don't remember
1.Did the objoct: (Circle One for each question)
a. Appear to stand still at any time? Yos No Don't know
b. Suddenly speed up and rush away at any time? Yos No Don't know
c. Break up into parts or explode? Yes Ne Don't know ANNN
d. Giva off smoke? Yes No Don't know
8. Change brightness? Yos Don'tknow
f. Change shape? Yes Don't know
g. Flash or flicker? Yas Don't know
h. Disappear and reappear? Yes No Don't know

no
15. Did the objoct move behind something at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answered YES, then tall what
it moved behind: .
16. Did the objeet move in front of something at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answered YES, then th!! wiat
in front of:
.Tell in a few words the following things about the object:
o.Soundn
We wish to know the angular size. . Hold a match stick at arm's length in line with a known object and nnt, how
much of the object is covered by the head of the match. If you had performed this oxperiment at the tirme af th:e .
sighting, how much of the object would have been covered by the match head?
mo

Pago 2
IF you saw the object at NIGHT, what did you notice conceming the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circl One):
a. None a. Bright moonlight
b. A fow b. Dull moonlight
c. Many No moonlight - pitch dark
d. Don't remomber Don't remember
.What were the weather conditions at the time you saw the object?
CLOUDS (Circl One): WEATHER (Circl Ono):
a. Clear sky a. Dry
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
heavy clouds d. Snow
•. Don't remember
10. The object appeared: (Circle One):
a. Solid d. As a light 5leght
.Transparent .Transparent . Don'I remember
c. Vapor Vane
If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
The edges of the object were:
(Circle One): a. Fuzzy or blurred . Other -
b. Like a bright stor
Sharply outlined
d. Don'tremember
.Did the object: .Did the object: (Circle One for each question) (Circle One for each question)
a. Appear to stand still at amy time? Appear to stand still at amy time? Yos No Don't know
b. Suddenly speed up and rush away at any time? Yes Yes No No Don't know
c. c. Break up into parts or explode? Break up into parts or explode? 83 81 No Don't know
d. Give off smoke? Give off smoke? Yes No Don't know
e. Change brightness? Yes Don't know
f. Change shape? Yes No Don't know Don't know
g. Flash or flicker? Yes No Don't know Don't know
h. Disappear and reappear? Disappear and reappear? Yes No Don't know

(Circle One) Yes No
IF you answered YES, then how far away would you say it was?
22. Where were you located when you saw the object? Were you (Circle One)
(Circle One):
a. in the business section of a city?
o. Inside a building 60 In the residential sucticn of a city?
b. In a car c. In open countryside?
c. Outdoors d. Near an airfield?
d. In an airplane (type) Flying over a city?
. At sea on frol atires f. Flying over open country?
1. Other _ g. Other
24.1 What direction were you moving? (Circle One)
NA c. East . South West
a. North
b. Northeast d. Southeast f. Southwest h. Northwest
-
roend oyed g

75
30 *
B
BAAAs
30
Draw a picture that will show the motion that the object or objects made. Place an Aat the beginning of the
path, a "B" at the end of the path, and show any changes in direction during the course.
A

.
not repaited.
Was anyone else with you at the time you saw the object? (Circle One) Yos No
31.1 IF you answered YES, did they see the objoct too? Circlo One) Yos No
31.2 Please list their names and addrosses:
Mrs DAYTON,OHIO
.Please give the followi g informatlon about yourself: 32. Please give the followi information about yourself:
NAME NAME
FIrst Name First Name Middlo Neme
ADDRESS DAYTON OHiO OHiO
Streot Streot Cy City Zone Zone State Stete
TELEPHONE NUMBER AGE 32 SEX F SEX F
hos read books on uFO USAF Pubs.
N/A
When and to whom did you report that you had seen the object? " CptOn FIDDO
2y 6>
Day Month Year

Page S
Pe I+π
EchoiI
not ovew
at thore at those
Timi's

Page 7
34. Date you com stionnaire: 25 _June 65
Dey Month Yeur
Information which you feel pertinent and which is not adequately covered in specific polnte of the
questionnaire or a narrative explanation of your sighting.
satillit had. defini ptthun
war mot like
hatig nd tg g.

Page 3
1. Did the object disappear while you were 'watching it? If so, how?
oe e horijnnden tee)
, --
(Circle One): No Don't Know. IF you answered YES, then tell what
it moved behind:
Did the objeet move in front of something at any time, particularly a cloud? 16. Did the objeet move in front of semething at any time, particularly a cloud?
(Circle One): Yos Yes No No Don't Know Don't Know IF you answered YES, then ta!! wiat IF you answered YES, then to!! what
in front of:
17. . Toll in a few words the following things about the object: 17. . Toll in a few words the following things about the object:
Sound . Sound No
b. Color SilveR
8.We wish to know the angular size. Hold a match stick at arm's longth in line with a known object and nntc how
much of the object is covered by the head of the match. If you had performed this experiment at the time of ti:
sighting, how much of the object would have been covered by the match head?
1. Draw a picture that will show the shape of the object or objects. Label and include 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.
Cegnalepel
tovs Meare
Turlytt lgt
-red - red
024
12

.….
20.Do you think you can estimate the speed of the object?
(Circle One) Yes No
IF you answered YES, then what speed would you estimate? _
(Circle One) Yes No
22. Where were you located when you saw the object? Were you (Circle One)
(Circle One):
a. in the business section of a city?
o. Inside a building b. In the residential sucticn of a city?
In a cap c. In open countryside?
c. Outdoors d. Near an airfield?
d. In an airplane (type) e. Flying over a city?
e. At sea @. At sea -8 f. Flying over open country?
f. 1. g. Other _... Other
.IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete uestions:
24.1 What direction were you moving? (Circle One)
a. North c. East South West
. Northeast theast f. Southwest h. Northwest
24.2 How fast were you moving? 3 miles per hour.
24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yos No
25. Did you observe the object through any of f the following? 7
a. Eyeglasses Yos . Binoculars Yes No
b.Sun glasses Yes f. Telescope No
c. Windshield Yes No g. Theodolite No
d. Window glass Yes No h. Other
2
2In order that you can give as clear a picture as possible of what you saw, describe in your own words a common
objoct or objects which, when placed up in the sky, would give the same appearance as the object which you sow. object or objects which, when placed up in the sky, would give the same appearance as the object which you sow.
I 1
bey ali bua slhei sijor
eugar
L
-T

show how high the objoct was above the horizon (skyline) when you last saw it. Place an "A"" on the compass
75•
We
Draw a pleture that will show the motion that the object or objects made.Place an at the beginning of the
path, a "B"" at the end of the path, and show any changes in direction during the course.
hugh
dow oun chuccka
29. IF there was MORE THAN ONE object, then how many were there? _
Draw a pleture of how they were arranged, and put an arrow to show the direction that they were traveling.
.

Phgo6
Have you over seen this, or a similar objoct before. If so give date or dates and location.
1T
3. Was anyone else with you at the time you saw the object? (Circle One) Yes No
31.1 IF you onswered YES, did they see the object too? (Circle One) Yos No
31.2 Please list their names and addresses:
32. Please give the following information about yourself: 32. Please give the following information about yourself:
NAME NAME
Lest Neme Last Neme First Neme First Name
ADDRESS 2
Street Ciy Zene State
TELEPHONE NUMBER AGE SEX
Indicate any additional information about yeurself, Including ahy speclal experience, which might be pertinent.
When and to whom did you report that you had seen the object? 33. When and to whom did you report that you had seen the object?
Day Day Month Month Yoor Year

Pago 7
34. Date you complete ed this questionnaire:
Doy Menth Your
Information which you feol pertinent and which is not adequately covered in
questionnaire or a narrative explanation of your sighting.
CALLING PARTY NUNG UP PRIOR To
Ivin6
NAME. NAME.
/
KE
-
L
11

4
..
1. DATE · TIME GROUP .LOCATION LOCATION
-
4 June 65 4 June 65 C5/0400Z C5/04C0Z Dayton, Ohio Dayton, Ohio
3. SOURCE 10. CONCLUSION
Civilian AstrononicalARCTURUS) Astrononical(ARCTURUS)
Venus and Jupiter not t in area. Mars in West but at 20-25 deg in area. Mars in West but at 20-25 deg
4. NUMBER OF OBJECTS elevation. Arcturus at 65 deg elevation in West. elevation. Arcturus at 65 deg elevation in West. This places ihe This places the
star in the approximate area of the reported object. Motion star in the approximate area of the reported object. Motion
One attri buted to atmospheric conditions. attri buted to atmospheric conditions Evlntodae ARCTuRHS Evalnated ARCTIRHS
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
Over 30 Minut es Object like a star with erratic movements.
6. TYPE OF OBSERVATION repartel maTion is
Ground-Visual If then is So reara
7. COURSE illusory- as Oprobabs
0bjec
Westerly To sesped-
8. PHOTOS
was Arctivus 24
Yes
No
VIDENCE
Yes
XNo
FORM
FTD SEP 63 0-329 (TDE) TD SEP 63 O-329 (TDE) Previous editione of thie form mey be used, Previous editione of thie
-