DECLASSIFIEDUSAF PROJECT BLUE BOOK · NARA T-1206
UNITED STATES AIR FORCE
PROJECT BLUE BOOK
UNIDENTIFIED FLYING OBJECT CASE FILES · 1947 – 1969
CASE REFERENCE7427822
DATE OF SIGHTINGJuly 1965
REPORTED LOCATIONXenia Ohio
FRAMES26
Machine transcription · mean legibility 64.6/100 ·
engines: tesseract-200dpi
Transcribed Frames
FRAME 001 / 026tesseract-200dpi
. DATE - TIME GROUP
5 July 65 06/02002
3. SOURCE
2. LOCATION
Xenia, Ohio
10. CONCLUSION
ATRCRAFT
There were 96 aircraft in & out from Wright field, and 72 -
in & out from Patterson field on this date. Most likely A/C
observation. No data presented to indicate tat the Op ject was
Civilian
4. NUMBER OF OBJECTS
5. LENGTH OF OBSERVATION
6. TYPE OF OBSERVATION
7. COURSE
8. PHOTOS
11. BRIEF SUMMARY AND ANALYSIS
Object had a flashing red light, white glow, medium brightnegs,
brighter on side. Light faded like a' dining flashlight.
3 Yes
¥itNe
9. PHYSICAL EVIDENCE
O Yes
XK No
FORM ia sa
FTD sep 63 0-329 (TDE) previous editions of this fore may de used,
ae Me ek les eet en ee a
FRAME 002 / 026tesseract-200dpi
Poge 2
B. IF you saw the object at NIGHT, what did you notice conceming the STARS ond MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
; a. Bright moonlight .
| : b. Dull moonlight
| c. No moonlight — pitch dork
| | d. Don't remember
9, What were the weather conditions at the time you saw the object?
-2T Se SSR SPR a + dee
“CLOUDS (Circle One}: WEATHER (Circle One):
Ca) Clear sky~ j= raging a
oo a et
I
b. Hazy b. Fog, mist, o¢ light rain
c. Scattered clouds =... : ¢. Moderate or heavy rain
d. Thick of heavy clouds d. Snow
e. Don’t remember
10. The object appeared: (Circle One):
(o> Solid (3) As a light
b. Transparent e. Don’t remember
c. Vapor
11. 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.}. Compare ishianas to some common object: -
12. The edges of the object were; ) |
iy
(Circle One): a, Fuzzy or blurred mei, e. Sie bh, “ = =
Like @ bright star-——-—— - a Os) a ms On OO.
Sharply outlined 4
__d. Don't remember eer
13. Did the object: (Circle One for each question)
a {
: G Appear to stand still at ony time? | Yos/ No Don’t know |
. Suddenly speed up and rush away at any time? os No Don't know
c. Break up into parts or explode? Yes No Don’t know
d, Give off smoke? Yas No Don't know
e. Change brightness? f Yas) No Don"? know
f. Change shape? Yos No Don't know
ge Flash of flicker? Yos ‘No Don’? know (
h. Diseppear and reappear? Yes Mo Dan’? ‘know 'FRAME 003 / 026tesseract-200dpi
eae lati oe AL td een eee
Page 3
14, Did the object disappear while you were «atching it? If so, how? iy, te oa ,
Colored Ly kt-.
——___--—
————+--+—- _-—-
15. Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you unswered YES, then tell what
it moved LL: (ee Cee ee ee 3
-_— ~——e ee
—_——- —. —— —_—
—
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, than tel! wheat
in front of; ___ a
_ — bad 2 ee ee eee ee
—_— — -_--- - — ~-
—_ ——- —_— - ee ee ee
17. . Tell in a few words the following things about the object:
a, Sound im , :
b. Color Ul js oS 4 C= ” nat, “ss oH
18. We wish to know the angular size. Hold a match stick at arm's length in line with a known object and nom how
much of the object is covered by the head of the match. If you had performed this experiment at the time ot 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 sleateh any details
of the object that you saw such as wings, protrusions, etc., and especially exhaust trails or vopor trails.
Place on orrow beside the drawing to show the direction the object was moving.
ee a ee et ee eee Oe “ 5
FRAME 004 / 026tesseract-200dpi
—
20. Do you think you can estimote the speed of the object? | |
(Circle One) Yes No
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
| ow Dt) ewe 2
__1IF you answered YES, then how far away would you say it was?
- —- ——— * : ~23Vom :
: au Wid .
| 7
22. Where were you located when you saw the object? | 23. Were you (Circle One) Torre
(Circle One): :
: 3 a. In the business section of a city? = *' =
.a, Inside a building... ., Comp the residential section of a city? - |
‘ b. Ina car ¢. In open countryside?
Outdoors d. Near an airfield? |
d. In an airplane (type) e. Flying over a city? !
e. At sea f. Flying over open country? |
f. Other ___ g- Other ene ig |
24. IF you were MOVING IN AN AUTOMOBILE or oinier vehicle at the time, then complete the Sales ie questions:
= ‘A. } What direction were you moving? (Circle One)
a. North c. East e. South ye West
b. Northeast d. Southeast f. Southwest h. Northwesr
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. 6 bs you observe iad onjeet through any of the following?
+3 Btaesd “oe tie red
'e; Eyeglosses The Yes” No ie ud e. Binoculars _ No %
b. Sun glasses Yes No — pee: Telescope Yes No _ Fk et |
c. Windshield Yes No — g. Theodolite Yes No ee
d. Window glass Yes No h. Other — siti cing
~ -— —~ -- es
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 sow
ee Pid ecm WN 2.
FRAME 005 / 026tesseract-200dpi
ee ek a ee see Le RON ee ee ne ee a. ee i ee ee ee PT! US ey, Te
age J
27, In the following sketch, Imagine thet you ere et the pein? shown, Place on A" on the curved line te show how
high the object wes above the horizen (skyline) when you first sew it, Place a ‘'B’’ on the same curved line to
show how high the object wos obove the horizon (skyline) when you last suw it. Place un ‘'A’’ on the composs
when you firs? sew it. Plece o ''B’’ on the compass where you Jost saw the object.
75°
90°
28. .Draw a picture that will show the motion that the object or objects made. Place an ‘‘A*’ at the pening of the
path, o 8" at the end of the path, and show any changes in direction during the course.
29. IF there was MORE THAN ONE object, then how mony were there? _._ EE
Draw a picture of how they were orranged, and put on arrow to show the direction that they were traveling.
FRAME 006 / 026tesseract-200dpi
Page 6
}
30. Have you ever seen this, or a similar object before. if so give date or dotes ond location.
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: ll
“hy, . sik 3 <7 : ‘
yes ht en
‘en ‘ik, en
32. Please give the following information about yourself; |
NA 3 wa = :
First Name
Middle Neme
* =a : a8
- yr -
—— oY ree Wee 49") 4
ADDRESS Se nn PT aaa ene ee ae
Zone State
TELEPHONE NUMBE AGE SEX
indicate any additional information about yourself, including any special experience, which might be pertineni.
/ 33. When and to whom did you report that you had seen the object?
we 2 ~ ae
Day Month Yeor
ne ee ee ee
FRAME 007 / 026tesseract-200dpi
1. ‘DATE « TIME GROUP 2. LOCATION |
12-21 July 65 01502 Xenis , Ohio
3. SOURCE 10. CONCLUSION
Civilian Astronomical (vams/amculus) lf Wa
4. NUMBER OF OBJECTS
Two
5. LENGTH OF OBSERVATION
Over 1 How
6. TYPE OF OBSERVATION
Ground -Visual
7. COURSE
Venus and Regulus in the approximate position af the objects.
Tl. BRIEF SUMMARY AND ANALYSIS
Two lights setting in West observed from 12 July to 21 July 65. |
8. PHOTOS
9. PHYSICAL EVIDENCE
GO Yes
XKNe
FORM ey:
FTD sep 63 0-329 (TDE) previous editions of this form may be used,
FRAME 008 / 026tesseract-200dpi
Freel peta LL ery of Rye ec PY Aer RS + Mg SLE kt eee rr) of PA ‘ —_ -
[2-2o Ju_y 1/96)"
DATToN | o1dtu:
Bovedh
MEMO FOR THE RECORD: CALL OF 21 Jul 65
A bea 45430 called to say that he
has been sighting an unusual object inthe sky for the past several nights.
Since the 12th of July to be exact. Saw it at abbut 20° - a at 745 pm
in the SW 265°. The description and elevations that he gave over the
phone were plotted by Sgt Moody on the Globe. Objects were Venus and
Regulus, however Mugs qiite insistant that this ould not be the
case, he then started getting his directions mixed up, so Sgt Moody suggested
that he fill out an FID Form 164. ‘This form was sent to him on the
afternoon of 21 Jul 65.
FRAME 009 / 026tesseract-200dpi
U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prepared so thot 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 ony 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.
== i ———————— _
—S oe
Ss ee Se ae
1. When did you see the object? Sa 2. Time of day: a) J6
#/- 4-24 7 [96 eet PESREN ee
A) prthead 7 1769
ot
a ALSO 12" SEE (Circle One): A.M. or (P.M
Day Menth Y eur CP
Sa + _—- —
——— Ps 00 es
3. Time Zone:
(Circle One): ]a, Eastern * (Circle One); a, Doylight Saving
. Central | be Standard]
c. Mountain
d. Pacific
eS, Other Basoand
4, Where were you when you sow the object? mn
ie
, BEAvencrecn Tee Grins Co Ono _
earest Posial Address City or Town Stot» or County
#/ / —- ra
5. How long was object in sight? (Total Ouretion) “2 —-—— ss 29 = m
Hours Minutes Seconds
a, Certain c. Not very sure
ib. Fairly certain | d. Just ao guess
5.1 How was time in sight determined? __b/At Z oa AZ bs
~ 5.2 Wos object in sight continuously?— (Yes No 4
_—_— ee Oe — LT a Ne
6. What was the condition of the sky?
he. OO
DAY NIGHT
a. Bright Ua. Bright 7
b. Cloudy b, Cloudy t
_ — — - —— Jone ieal = ona + eer eesemer "
7. 1F you saw the object during Paves where was the SUN loccted os you locked at tha object? i
(Circle One): ta. In Genhebve ‘you, d. To your Ieft i
b. In bock of you 2. Overhacd
ec, To your right f, Don’t remember ‘
ee
LG zuce EP Saw St dard af cS Lith DPF PLT
L.
FTD oct 32 164 = Thie form supersedes FTD 164, Jul 61, which is obsolete.
.
eee
FRAME 010 / 026tesseract-200dpi
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 (Circle One):
e. None [a._ Bright moonlight \,
rb. A few) b. Dull moonlight
c. Many c. No moonlight — pitch dark
d. Don't remember d. Don't remember
9. What were the weather conditions at the time you saw the object?
“CLOUDS (Circle One): = ~~. :+~«WEATHER(Circle One):
o. Clear sky - ori (an ana \a. Dry )
b. Haay » Fog, mist, o¢ light rain
\e. “Scattered clouds)-anicirAr S/CHT/iwoe, Moderate or heavy rain
ado Thick or heavy clouds d. Snow
e. Don’t remember
10. The object appeared; (Circle One):
ey ar Rea ° >” epee TIN TN lao ocr ¥t j
(a. Solid Keo (d. Asolight } 9 ~ chem SETA eR
b, Transparent e. Don't remember
c. Vapor
11. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter | | ney. c, About the same
\ b. Dimmer ) 4 2_ d. Don’t know
11.1 Compare brightness to some common object; FP pec RI£ZeT ghtctwer Sievzivine FLAri
RANCH 2
Cr KE APREM PANE PF Ga3neT- APPEARED Anovt hs Latent as Stan Dv aus’
12. The edges of the object were:
(Circle One): a. Fuzzy or blurred | e. Other
hb the o bright ster) Se
c. Sharply outlined
d. Don’t remember
13. Did the object: (Circle One for each question) :
a. Appear to stand still at any time? Yas / No | Don’t know i
b, Suddenly speed up and rush away at any time? Yos Ne} Don't know ;
c. Break up into parts or explode? Yes | No’ Don’t know
d. Give off smoke? Yos ‘Ne, Don’t know
e, Change brightness? Yes | No) Don’? know ’
f, Change shape? Yes No ) Don’t know i
g. Flash or flicker? [Yas | No Don’t now 3
a, Disappear and reappeor? “Yes Neo) Don't know
4
7 , a a
vied 5) tare we ils:
FRAME 011 / 026tesseract-200dpi
14,
15.
16.
7.
18,
19.
Tell in a few words the following things about the object:
—_—— . vie Prey She Pee ee SOS Le. te ee eT er
Puge 3
Did the object disappear while you were «watching it? If so, how?
BJ ehdeey — LEST Ce#R VISIBLE fleas2en
Mo edeer Ost ER eLE OF AGM ae?
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
—- ——_—_—— —__-—— ——
tp moved benhtads 10420. Se et
—— ee a a a err ere cere OOOO
so ew
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, thew tal! wirat
in front of: __ i. hi.
ee +
—— —-- +
—_ ——y
— ——- ——- —- — — -—— =
- + . el
a. Sound _$_ fUswe
B/- Brive AAT BET LEN War7e Ff Terie
b. Color 2 a sf ;
—— aa a oe
We wish to know the ongular size. Hold a match stick at arm’s length in line with a known object and not. tow
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?
Weutp ps7 Harve CrvERZO fo. /
Li tULb (PAVE covered Wi. 2-
Draw a picture that will show the shape of the object or oiects. Label and include in eur sketch any details
of the object that you sow such as wings, protrusions, etc., and especially exhaust trails or vopor trails.
Place on arrow beside the drawing to show the direction the object was moving.
Srtoe ef
oe ng Rid A
FRAME 012 / 026tesseract-200dpi
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 wil!
be used for research purposes. Your name will not be used in connection with any statemanis,
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: Ff ALOO re Ray
tour Minulas ; |
= 5 J | vi '¢ 6s (Circle One): A.M. or PLM.
Day Month Yeur
— re ——- ae -_-—-~_--——— sm ——— = _ — —— —s~
(Circle One): e. Easton (Circle One); o, Daylight Saving
b, Central i . Standar
c, Mountain
d. Pacifie
e, Other _— on
3. Time Zone:
4. Where were you when you sow the object?
|
a, ta 3 ER OA “Dt
Neorest Postal Address City or Town Stote or County
A a TR nt te eR _ — ee
5, How long was object in sight? (Total Durotion) estes ~ — ae
3 Hours Minutes Seconds
| a. Certain c. Not very sure |
C®. Fairly tertcin > d. Justo guess |
5.1 How was time in sight determined? Se. rnotes
a ee ee ee —
‘ /
5.2 Was object in sight continuously? Yes — No —
—_ —— -_—-_—— +--+ oo —_— — PE OLS CAE OE
6. What was the condition of the sky?
——
DAY ; MIGHT
a. Bright a. Bright ——+ Soiclebar hagy H
b, Cloudy b, Cloudy :
—— ———_—_—— ——_—_ — — ~~ ~<— — on: : *
7. IF you saw the object during DAYLIGHT, whare was the SUN loccted as you looked at the object?
(Clecla Ona): 9. In front of you d. To your left :
@ In back af you 2, OQvorhecd :
e. To your righ? #. Don’t remember *
Jones
FORM
FTD ocr é2 164 Thie form supersedes FTD 164, Jul 61, which is obsolete.
arch Ab Ld liber Hore + =e.
FRAME 013 / 026tesseract-200dpi
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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?
———_ ——_—--—
21. Do you think you can estimate how far away from you the object was?
(Circle One) Yes No
“IF yen answered YES, jee hew for away would you say it was? ____
_—=- Or --—- Oe ee eee ee > nnn—n— EO eee ee ee
a Lge apts
22. Where were you locates when you sow the object? 23. Were you (Circle One) Se
(Circle One):
a. in the business section of o city?
a. Inside a building _ b. In the residential suction of a city?
b. Ina car c. In open countryside? |
c. Outdoors d. Neor an airfield? |
d. In on airplane (type) e. Flying over a city?
e. At sea f, Flying over open country? |
{, Other es ge Other My NE Oy eRe SOL NO SN Fe
|
i mm ne a i ee ee — — -—-— —— ------ ~~ —- —— _
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 y. West
b. Northeost = 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. ue you observe stag Select through any of the teliee ina!
cy Eyeglasses is Yes so bette tia e. Binoculars Yes No v? / es
b. Sun glasses Yes . No —_ f. Telescope Yes a erated ie |
c. Windshield Yes No ——g.._: Theodolite Yes Nope Fin iter aint |
d. Window gloss Yes No h. Other — | |
oe
— —_—— —
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 appeorance os the object which you saw
eeFRAME 014 / 026tesseract-200dpi
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POI err get be raion te wy eI HD aie febied A. teh te 4 nt On hd ‘1 ~ ti Peele ms vr
Peges
27. In the following sketch, Imagine thet you are at the point shown. Place on ‘'A’’ on the curves line to show how
high the object wes above the horizon (skyline) when you first sow it. Place a ‘'B'’ on the same curved line to |
show how high the object was obove the horizon (skyline) when you las? suw it. Place an ‘’A’’ on the compass
‘when you first saw it. Ploce o ''B’’ on the compass where you Just saw the object.
TS"
90°
28. .Draw a picture thar 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 ony changes in direction during the course.
Ant
29. IF there was MORE THAN ONE object, then how many were there? —-.__ SE
Draw a picture of how they were orranged, and put an orrow to show the direction that they were traveling.
Lj / f
‘| AS / A |
ish. \ / je x ij NS
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it: os ° We) \V |
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‘ wens a” NV | / ;
ig? oe. /
Jury s27h fey me 2 — fv
ee
FRAME 015 / 026tesseract-200dpi
Sage 6
30. Have you ever seen this, or a similar object before. If 30 give date or dates and location.
Seek 7 AE AF PEL SEA cx _s wee 7PYS CFR L.,E/I7
Aro A STAACINE efdvb<C7, aGrecks Shy Tey Titer
wene pares [/mkeS / bith SLES NIL COL ULE7I
—_——__-- —
—— -_—— + _——- — —-—
31. Was anyone else with you at the time you saw the object? (Circle One) (Yes) No
31.1 IF you answered ree) did they see the object too? (Circle One) No
31.2 Please list their names and addresses: | ° ta @
Mins
415
jt 42.
32. Please give the following Information about yourself;
NAME
ADDRESS « | ees Teget ane 3a Oe is
- 4 2 = c _-_ —_— Se
Street _ mite” Zone State
TELEPHONE —— AGE 4 ¥ sSEx fice
Indicate any additional information about yourself, including any speciol experience, which might be pertinenr.
Aremny Bin Fretceks // A WENT - ee Warr IL
——_———
te tee —--
eer ee ew
33, When and to whom did you report that you had seen the object? 567% /Povpy- CVF RX, bive Beer
2/ | oe LG a
—_
Day Month Yeor
2 wee ee
FRAME 016 / 026POOR LEGIBILITY — PENDING RE-EXAMINATION
Page 8
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34. Date you completed this questionnaire:
35. Informetion which you feel pertinent ond which is not adequately covered in the specific points of the
questionnaire or a narrative explanation of your sighting.
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34. Date you completed this questionnaire:
35. Information which you feel pertinent and which is not adequately covered in the specific points of the
questionnaire or a narrative explanation of your sighting.
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14, Did the object disappear while you were watching it? {(f so, how?
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es —_—_——— _ —--
—_— ——- —_—-— —— we —s*
15. Did the object move behind something at any time, particularly a cloud?
(Circle One); ~ Yes CNo > Don’t Know. IF you answered YES, then tell what
it moved behind;
—— - ee ee et ee
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16. Did the objeet move in front of something at any time, particularly a cloud? :
(Circle One): Yes (Ne) Don’t Know. , IF you answered YES, then te!! wisat
in front of: Ss
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17. . Tell in a fow words the following things about the object;
a, Sound None :
bi Coli anc settee. (¢ 2)
Soe Ce -
—_
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18, We wish to know the angular size. Hold a match stick at arm’s length in line with a known object and nat, bow
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 hove been covered by the match head?
——
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—
—-
=
—
19, Drow 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 crrow beside the drawing to show the direction the object was moving.
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8. IF you saw the object ot NIGHT, what did you notice conceming the STARS and MOCN?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None moonlight
aw C b. Dull moonlight ~
c. Many ~€. No moonlight — pitch dark
d. Don’t remember d. Don’t remember
9. What were the wacather conditions at the time you saw the object?
CLOUDS (Circle One): | . WEATHER (Circle One):
a. Clear sky Ca. Dry |) |
<b. Hazy > b, Fog, mist, or light rain ; |
c. Scattered clouds ¢. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don’t remember
—_—_——
10. The object appeored; (Circle One):
a. Solid d. Aso light —
b. Transparent 0. Don’t romember
c. Vapor
1}. {f it appeorad aa a Sight, was it brighter than the brightest stars? (Circle One):
a, Brighter agit c. About the same
b. Dimmer — d. Don’t know
11.1 Compore brightness to some common object:
4 ors noes a! ra a’ Ge a ec —«_¢-ue
—__ ———
+ eee eee
| 39; The: edows.of the object wores
;
i
-_——-—--_— ————— ool e-- e e- -s o- |
|
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(Circle One): a, Fuzzy or blurred ©. Other
b. Like o bright stor
c. Sharply outlined f
d. Don't remember
ee ee
13, Did the obiact:
(Circle Ona for acch question)
;
a. Appaar to atond srill et ony time? Yes (No> Don’? know 4
b. Suddenly speed up end rush away at any time? Yes (No Don’t know }
¢c. Break up into parts or explode? Yos CN> Don’? know f
d. Give off smoka? Yos (No? Don’t know
e, Change brightness? CY¥es) aS Don’t know 5
#. Chongs shone? Yes No Don’t know |
; 9. Filasn of fHlickec?” Yas No Dor’? know 2
; n, Disapcecr cad preppenr? Yes CTs” Dan’? know
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30. Have you over seen this, or a similar object befors, If so give date or dstes ond location.
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31. Was anyone alse with you at the time you saw the object? (Circle One) Yos No’
31.1 IF you answered YES, did they see the object too? (Circle One) Yos No
31.2 Please list their names and addresses:
32, Please give the foll information about yourself; en
ase CM i
; Lost Nome First Name Middia Name
+05 laa Trash Ker a: SS i baa a ces
tree?
City Zone Stote
TELEPHONE NUMBER. Ace sex 1 |
indicate any additional information about yourself, including any special experience, which might bs pertinent.
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33, When and to whom did you report that you hed seen the object? SIS - 2Ze2s—
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27. In the following sketch, imagine thet you cre at the point shown, Place on A," on the curved line to show how
high the object was above the horizon (skyline) when you first sow It. Place a ‘'B'’ on the same curved line io |
show how high the object wos above the horizon (skyline) when you /as? suw 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°
7TS°
28. .Draw a picture that will show the motion that the object or objects made, Place an "A" at the beginning of the |
poth, a *8"" at the end of the path, and show any chonges in direction during the course. |
29. IF there wos MORE THAN ONE object, then how many were there? __
Draw a picture of how they were arranged, and put on crrow to show the direction thot they were traveling.
/
FRAME 024 / 026tesseract-200dpi
co ,
PROJECT 10073 RECORD
» DATE - TIME GROUP 2. LOCATION
12 July 65 13/00502 Xénia, Ohio
. SOURCE
10. CONCLUSION
INSUFFICIENT DATA FOR EVALUATION
Time motion swquence ami positional data missing. Additional da
requested but Form 164 not retumed as of this data.
be reevalused upon receipt of form
- NUMBER OF OBJECTS
Un
» LENGTH OF OBSERVATION [11]. BRIEF SUMMARY AND ANALYSIS
- TYPE OF OBSERVATION
and charged brightness. Disappeared and reappeared with
different colored lights. Revolved ami travelled SE.
ou | Observed with BX.
7. COURSE Additional data requested by Form 16,. Witness did not retu
SE form. Insufficient data for evaluation. Tim: motion swquenc
missing. No positional data included.
8. PHOTOS \
(Reseine + RALwen EXCEPT rom Ditters oF EUGHT PCdcoheD
See Cé4Se Same DIT odie, Am), CASTEILN U.S.) LH
FORM
FTD sep 63 0-329 (TDE) previous editions of this form may be used,
Object sharply outlined with revolving lights. Was stationar
FRAME 025 / 026POOR LEGIBILITY — PENDING RE-EXAMINATION
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sy Ref “your observation of an unid ed flying ob on
forgo _FTD Duty Officer on-12 July 1965 was not sufficient for evalue- 9 5)
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ation.) It is requested that you fill out the attached FID Form bs
* 164 and return it in the envelope provided, in order that we may
oi. make. The’ Air Force appreciates your
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U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prepared so that you can give the U.S. Air Force a3 much |
information as possible concerning the unidentified aerial phenomenon that you have observe,
Please try to answer as many questions as you possibly can. The information that you give wil!
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.. ..
SS SS Oe ————
imme) whee. Slieal Leh eed : a 2 105
1, When did you see the object? 2. Time of day: J 2. 3 Se :
Hour Minute ae 4.
tink Juey ae et (Circle One): AM. , or
Doy Month Year
Sw eens oe
= —-—-~-
3. Time Zone:
(Circle OneX_as Eastern (Circle One); a. Daylight Saving 4 |
b. Central “by” Standard
¢. Mountain
d. Pacifie
e Ome 2... ang
nee cee meer ee we ee re
4. Whare were you when you sow the object? :
Meee ss _ DAY TON OPIO..
Neorest Postal Address City of Town Stote or County
es Ee
5. How long was object in sight? (Tote! Duration) naps ol tet sia
Hours” Minutes Seconds |
a, Certain c. Not very sure
4b ‘Fairly certain d. Justa guess
4
ig
5.1 How was time in sight determined? = a ee re es j | |
“5.2 Was object in sight continuously?” eX | | :
6. What was the condition of the sky? |
lam ™* “9
wm DAY 1iGHT
a.) Bright Ca) Brain
. Cloudy . Cloudy
——---~- -— ae — — —- . ——
7. |IF you saw the object during DAYLIGHT, whare was the SUN located as you looked at the objest?
ey SAR Retr mente ore
(Circle One): a. in front of you 4. To your left
b, In bock of you a. Overhead
¢. To your right t, Don’t ramember
a. bk at le Te
FTD ocT 462 164 Thies form supersedes FTD 164, Jul 61, which 1s obsolete.
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