PROJECT BLUE BOOK

1. DATE · TIME GROUP 2. LOCATION
25Ju1 65 26/01303 Clinton County, Chio
3. SOURCE 10. CONCLUSION
Civilion AIRCRAFT
NUMBER-OF OBJECTS Becond hand data. Laokdng cotplete dotnils. Fii ht and desori tive
leharacteristios consistant adith a/e evluatlon. Iitncoses
One hane not iven. No attenpt at follar-up. Regarded
5. LENGTH OF OBSERVATION. T1. BRIEF SUMMARY AND ANALYSIS
15 1inutes Bright night, no moon, soattered clouds. Objeet brighter
6. TYPE OF OBSERVATION thon stars. Ohject flew North to Lost to Southwest to SE.
Apperred as light only. Ten vitnesses. Inforttion rel yeu
Ground-Visual Ground-visu aL trouh operations at Clinton Coutny Airport. trouh operations at Clinton Coutny Airport.
7. COURSE
Hmvered Hnvered
8. PHOTOS
O Yos O Yos
XH
9 PHYSICAL EVIDENCE 9. IDENCE
Yes
No No
FORM
FTD SEP 63 0-329 (TDE) Previaue editions of thia form msey be used.

2/6
U.S. AIR FORCE TECHNICAL INFORMATION
This quostionnaire has bean preparad so that you can give the U.S. Air Force as much
information as possibl oncarning the unidonrified gerial phenoirenon that you have observeri.
Plogse try to answer quastions as you possibly can. The information that you giva will
be used for rosearch
conclusions, or publieations without your permissian. We request this parsonal information se
that if it is deerned necassary, we may contact you for further details.
1. Whun did you see the object? ?. Tims of dayi
Hour Minulas
(Circle Ons): A.M. or P.M.
Day Manth Your
. Time Zone:
(Circla One): (CirclaOne): a. Eastern Eastern (Circle Dne): o. Daylight Saving
b. Cantral Central b. Standard
c. C. Mountain
d. Pucific Pucific
a. Other
4. Whore ware you when you saw the obiect? 4. Whore wore you when you saw the object?
Neurest Postal Address Neurest Postal Addross City or Town Srate or County
5. How long was object in sight? (Total Duration)
Hours Minutas Saconds
a. Certain c. Not very sure
b. Fairly certain d. Just o guess
5.1 How was time in sight datermined?
5.2 Wan object in sight continuously? Yas No
6. What was the condirion of the sky?
DAY NIGHT
a. Bright
b. Cloudy b. Cloudy
7.iF you saw the objoct during DAYLIGHT, whars was the SUN located as you locked at the objest?
(Circle Ona): o. in front of you d. To your left
b. In bock of you 9. Overhaad
c. To your right f. Don't romembar
FORM
FTD OCT 6? 164 Thla dorm aupuraedoy TD 164, jul 51, whteh ia obsolete.

Many c.
d. Don't ramember d. Don't romember
9.What ware the waathor conditions at the time you saw the objoct?
CLOUDS (Cirela One): WEATHER(Circle Ona):
0 o. Dry
b. Hnzy b. Fog, mist, or light roin
c. Scottered clouds c. Modarats or hauvy rain
d. Thick er hoowy clouds d. Snow
a. Don't remamber
10. The objset appeared: (Circle One):
a. Solid d. As a light
b. Transporent 3. Don'tremembor
c. Yepor
1.If it appearod as a light, was it brighter than ths brightast stars? (Circle Ona):
a. Brighter c. Abour the sams
b. Dimmer d. Don't know
1
12. The odgas of tha objnct wars:
(Circle One): a. Fuxzy or blurred e, Other
b. Like a bright ster
e. Sharply ourlined
d. Don'tremember
13. Did the objact: . (Circla One for "och quastian)
3. Appaor to stend still ai any tima? Yes No Don't know
b. Suddanly speed up and rush away at any tima? Yes No Don't know
e. Break up into parts or explode? Yes No Don'tknow
d. Give off amoke? Yas No Don't know
2. Changs brighiness? Yos No Don't know
1. Change shape? Yas No Don't know
5. Flosh or flickor? Yes No Don't know
h. Disappacr ond reappear? Yos No Don't know

Puga 3
14. Did the object disappecr w ile you were watching it? If so, how?
NAPTH T
/
15. Did the object move bahind something at any tima, particularly a cloud?
(Circle One): Yes No Don't Know. IF you onswerad YES, then tall what
it moved behind:
16. Did the abjoer move in front of something at any time, particularly a cloud?
(Circle Ona): Yes No Don't Know. iF you answerad YEs, thon tall what
in front of: _
17. . Toll in a few words the following things about the object:
a. Sound
b. Color
18. We wish to know the angular size. Hold a match stick at arm's length in line with a known objnct and nak. how
much of the object is covered by the head of tha maich. If you had parformed this axperiment ar tha tine: af
sighting, how much of tha cbject would have baen covered by the match head?
I
Place an crrow beside the drawing to show the direction the object was moving.
.

,44
20.Do you think you can estinate the spead of the objact?
(Cirala Ona) Yes No
IF you answered YEs, then what speed would you ostimate?
21. Do you think you can estimate how far away from you the object was?
(Circle One) Yes No
IF you ansvered YEs, than how far away would you say ir was?
22. Whera were you located when you saw the object? 23. Were you (Circle One)
(Circle One):
a. in tho business soction of o ciry?
3. Inside a building b. In the residential suction of a city?
b. In a car c. In open countryside?
Outdoors d. Near an birfield?
d. In an airplane (typa) d. In an airplane (typa) e. e. Flying over a city?
. At sea e. At sea f. Flying over open country? f. Flying over open country?
1. Other g. Other
24. IF you were MOVING IN AN AUTOMOBILE or other vehicls at the time, then complete tho following qusstions: 24. IF you were MOVING IN AN AUTOMOBILE or other vehicls at the time, then complete the following qusstions:
24.1 What direction were you moving? (Circle One) 24.1 What direction were you moving? (Circle One)
a. North c. East . South . South y. Wesr Weat
b. Northeast Northeast d. Southeast d. s Southeast f. Southwast f. Southwest h. 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?
(Cirale One) Yos No
25. Did you obsarve the object through any of the following?
a. Eyeglassos Yos No . Binoculars Yes
b. Sun glasses Yas No f. Telsscope Yes No
c. Windshield Yas No g. Theodolito Yos No
d. Window glass Yos No h. Other
26. In order that you can give as claar a picture as possible of what you saw, dascribe in your own words a common
object or objects which, whan placed up in tha sky, would give the same appearance as tha abjoct which you saw

Ongu6
30. Hovs you sver seen this, or a similar objeer halae. if so givs dote or deres and location.
31. Was anyone eise with you at the time you saw the objoet? (Cirels Ons) Yos No
31.1 IF you anawered YES, did thay sae tha abject tea? (Cirele One) Yer No
31.2 Placse liar thair namas and addrssses:
32. Plaase give ths following infermation about yourself: 32. Plaase give ths following infcrmation about yourself:
NAME NAME
Lost Name First Nama First Name Mlidis Hume Misdis Hame
ADDRESS
Straat City Ciy Zor 310t9 St0t9
TELEPHONE NUMBER TELEPHONE NUMBER AGE SEX
indicate any addipional Information about youraslif, ineluding any spacial experianca, which might by pertinenr.
NISPENEE CLINTON
DAITIN CRL HE GOT
33. Whan and to whom did you repert that you had sean the objset?
Day Month Y0u7

whan you first sow it. Place a "B" on the compass where you last sow the object.
90* 73"
60
30
130
28. Draw a pisture that will show the metion that the object or objects made. Place an "A"' ar the boginaing of the 23. Draw a picture that will show the metion that the object or objects made. Place an "A"' ar the boginning of the
path, a "B" at the ond of tha path, and show any changes in direction during the course.
29. IF shers was MORE THAN ONE object, than how many wore there?
Draw a picture of how they wers arranged, and put an arrow to show the dirsction that they ware traveling.

Paga7
34. Dals you completed this quastionnairs:
Day Month Yaar
35. Information which you foel partinent and which is not adoquately coverad in the specific points of the
questionnairs or a narrativs explanation of your sighting.