PROJECT BLUE BOOK

PROJECT. 10073 RECORD
1. DATE - TIME GROUP 2. LOCATION

2 August 65 02/19102 Cuyahoga Falls, Ohio
J. SOURCE 10, CONCLUSION

Civilian A/c
4. NUMBER OF OBJECTS

Ons No Data rresented to indicate object was NOT an A/C.
*. LENGTH OF OSSERVATION 11. BRIEF SUMMARY AND ANALYSIS

10 Minutes | Disc shaped object. WX included heavy clouds, Dark blue,
a a | . ~ >
¢. TYPE OF OBSERVATION |  &lmost black object.

Crounmd-Visval
7. COURSE
rE laa ee
2, PHOTOS

iw Yes

<~Y No

—. —oOT —— --—-- — - -——_--__——_—,
9. PHYSICAL EVIDENCE

1 Yes

ZiNe

FORM

FTD sep 62 0-329 (TDE) Previous sditions of this form may be used,

. : gins OR Tae ial] cates fii a aS i ct — ee ee eee a) ee eae

her sae s-

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 Gnswer as many questions as you possibly can. The information that you give will
be used for rssearch 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.

'
!
: =a Se. SSS ae = == <a Se a a
H : ; : F |
1, When did you see the object? 2. Time of day: -
Hour Minutes |
| | !
om : AL fel 9289 (Cirele One): A.M. or P.M. :
Day Month Year ; |
3. Time Zone: —— pee
(Circle One): o,( Eastern ° Circle One): .a. Daylight Saving °
ted al vVayitg
b. Cenrral b, Standard
c. Mountain
d. Pacific
e. Other i
= of
4, Where were you when you saw the object? |
}
f —— }
a ‘Lt, 1 Peale Ae awe. =
Nearest Postal Address City of Town Stats or County
| ;
H 5. How long was object in sight? (Toral Duration) as Mid
Hours Minures Seconds
a. Certain CG ‘Not very sure—
Pe ge “ a alae
~b.. Fairly cactain d, Justa guess
5.1 How was time in sight determined? Ls FL} ALP £2 Pes" Boe Let:
5.2 Was object in sight continuously? Yes AN NO Git
“ 7 7
6. What was the condition of the sky?
DAY NIGHT
i a, Bright. a. Bright
b. Cloudy b, Cloudy ;
+ } ' >
7. |F you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?

(Circle One): a. In frant of you
b, In back of you
c. fo your right

or =

—_—— ~—e

i . . -
/.- s forms TT tos

peraedes

' rs, ,
eae baat t,o et eat a kes cy ve mere re aS :

en Sed

mhie?

“d. To your loft
e. Ovarhecd

£) Dan’? ramember

ee ere <2 ee ew ee

ty hee -_

Se me tee

;
ete te ot eee

Page 2
g | | “aA
8. IF you saw the object at NIGHT, what did you notice concerning tha STARS and MOUN?
8.1 STARS (Circle One): §.2 MOON (Circle Ona):
a. None a. Bright moonlight
- b. A few b. Dull moonlight
c, Many ¢. No moonlight — pitch dark
4d, Don't remember d. Don't remember
9, Whot were the weather conditions at the time you saw the object?
| CLOUDS (Circe One): WEATHER (Circle One); |
a. Clear sky a, Dry oe
b. Hazy ob. | Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
d.. Thick or heavy clouds» d. Snow |
| rs e. Don’t remember
10, The object cpcecred: (Circle One):
a. Solid d. Asa light
b, Transparent e. Don't remember
c, Yapor
S Se, ;
| }}. (f it appeared cs a light, was it brighter than the brightest stars? (Circle One): |
a. Brighter c, About the same
: b, Dimmer d. Don’t know
: LizT Compars brightness to some common object:
; SE — es a -_—__ -_--- -—- ~
12, The edges of tne object wera:
(Circle One): a. Fuzzy or blurred e. Other
b. Like a bright stor ;
¢. Sharply outlined —~ J na
| d. Don’t remember 4 s |
13. Did the object: (Circle One for each question) |
aid
a. Appear to stond still at aay time? Yes No Don't know
b, Suddenly speed up and rush awey ct any time? Yes No Don’t know |
c. Break up into parts or explode? Yes _No Don’t know
d, Give off smokes? Yos . No Don't know
2, Change brichtness? Yas ‘No Don’t now
; *, Change shape? Yes ‘No Don't know
: ge Flash or flicker? Yas No Don’t know
N
!

h. Disappear and reappear? Yes Now Don’t know |

oe terreno er ee Ame AE er ee oy OTT ORT STL ee te eee PEIN MCI TY | me PTT ES oe AY RY fer etre epi miri -

Page 3
fag
14. Did the object disappears while you were watching it? |f so, how?
|
-_——_--—- —
ek '
15. Did the object move behind something at any time, particularly a cloud? |
(Cirels One): Yes No ° Don't Know, IF you answered YES, then tell wheat
it moved behind: eae | -” Js
AS eee = ceeds apes 4
15. 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 tel! what

NL

-~——_*

in front of:

_—_-- — —

17. Tall in o few words the following things about the object;

— ned

SC. Sound ee

b. Color a big /

18. 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 tha object is covered by the head of the match. |f you had performed this experiment at the time of the
sighting, how much of the object would have been coversd by the match head?

,—= = =e
— a Ad
ond ee ae

a.

i

—

— _—— = — —_—— —__-—-

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 crrow beside the drawing to show the direction the object was moving.

Poge 4

20. Do you think you can estimate the speed of the objact?

~

(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?

(Circis One) Yeas No
| IF you answered YES, then how far away would you say it was?
c = T
22. Whars were you !ocated when you saw the object? 23, Ware you (Circle One) {
' (Circle One):
a. In the business section of a city?
a, Inside a building b, Jn the residential section of a city?” °
b ina cor c, In open countryside?
e, : Outdoors d. Near an airfield?
ir In an airplene (type) e. Flying over a city?
e, At sea f. Flying over open country?
Bs f, Other Z : - we g. Other

24, IF you ware MOVING IN AN AUTOMOBILE or other vehicle at the time, than complete the following questions:

i 24.1 Whar direction were you moving? (Cirele One)

a. North c, East 2. South g. West
b, Northeast d, Southeast f, Southwest h. Northwest

24.2 How fast were you moving? miles per hour,

—— a

-_---- - -—----++ —-+——-_-—- --—_ —_ —_ a —— —- 4

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 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 Mo |
d, Window glass Yes No. h. Other : os

—_ —— -

25. |n 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 some appearance as the object which you saw

ee ee ee

“tome

ee

:

(ek dR aI os Aint Mm ats hel ee aoe a

La TT
4 == —_ —s ed Ome NE femtene rma ewe

ee ee ee ’

;
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 (sky!ine) when you first saw it, Place o ''8’' on the same curved line fo

show how high the object was above the horizon (skyline) when you Jas? saw tt. Place an “'A”’ on the compass

when you first saw it. Place a ‘'B’’ on the compass where you last saw the object.

90°

73”

ae ee a me eee em. 6 ee | Oe

———-

i§* Bias
i
i
:
0°
i
;
23. Draw a picture that will show the merion that the object or objects made, Place an ‘A’ ut the heginnina of the
path, a 'B’' ai the end of the path, and show any changes in direction during the course.
> '
a eRe |
eae
BH (ethers was MORE THAN ONE obieet,.than hove meme warethele? f Bac |

Draw a picture of how they were crranged, and put an arrow to show the direction shat thay ware troveling,

—* Oe ed

ee ee ee ee

;
- ent —

ee eee ores tO ewe —_—_——— —_—_— Se ee OE eer me + ~o tae -- ELLE ELE LG Ni me

So Rote - - © ee ee |

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

31. Was anyone aise 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

ee ———

31.2 Please list their names and addrasses

|

—_ ; —_——
°

32. Please give the following information cbhout yourself;

NAME _ #- fy =e ek

Lost.Name First Name Middle Nome
ADDRESS apie ; RE SE Sa ra a Bh RT
Street City Zone Stote

TELEPHONE NUMBER SI ce SEX

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

32. When and to whom did you report that you had sa9n the object?

r
~~?

Day Month Year

ep 5 = © Ore aes Ea Fo ~ = ¥ ’ ; i; } ~ ™ L r " - ‘a rie ns . 4 " . Cet ire ate om oF
’ . ’ = — bass - a _ ‘

Poga 2

—- — + ———S oe -_ o —, —_ eee

j eel mee - —o. me oe © POeOe am eeows ome 089

wr . »¥ . » = ‘ , ,
A. NF you saw the object at NIGHT, what did you Aotice concerning the STARS and MOON?
8.1 STARS (Ci role One): 8,2 MOON (Cirele One);
bh, A few b. Dull moonlight

c. Many c. No moonlight ~ pitch dark
d, Don’t remember d. Don't remember

| a, None a. Bright moonlight
.

——

+ ees ee eee

Whet were the weather conditions at the time you saw the object?

| CLOUDS (Circle One): WEATHER (Circle One):

a, Clear sky Q. Dy

ie te) ee

b. Hazy “dD. Fog, t mist, or light rain}

PO eno] ee ~- —
—_ —

SS
i:
.”)
*
"
ee ee ee ee ee i ee @ Sask

¢. Scattered clouds ' c. Modarate or heavy rain
oT. Thick or heavy clouds a d. Snow
ae e, Don’t remamber
t-. . i
10, The object appeared; (Circle Ons):
§ Solid) d. Asa fight
b. Fr iociant ea, Don’t remember
¢c. Vapor
: :
| Jy 14 it appeared as a light, was it brighter than the brightest sters? (Circle One);
a, Brighter c, About the same
b, Dimmer d, Don’t know
i ae = * .
-Livl” Compare brightness to some common object:
‘
: =
12. The edgas of the object were:
4 ;
i
(Circle One); a, Fuzzy or blurred e. Other __ ala cartel at oe
b. Like a bright star x |
: 78. Sharply outligad A ee ee
d. Don’t remember ae eee ee LS Oe, Fe
; :
" " i ya. ad a i
| 13, Did the object: (Circle One for each question)
' j
a. Appaar to stand still at any time? “Yes No Don't know
b. Suddenly speed up and rush away at any time? Yes Neo) Don't know
c. Break up into parts or explode? Yes Nov Don’t know
d. Give off smoke? Yes » No, Den’? know
e. Change brightness? Yeas No? Don’? know
f, Change shape? Yes “No. Don’? know
q - : ,
g. Flash or flicker? Yos No Don’t know
; h. Disappear and reappear? Yos No. Don’t know |
as
(SA eg cae cnr mn Re I j

PRN ee eae BLS ROE ALE MN ea amt ELT IE TM eT ee RT Se PI eae

=o Teh Se Mreas,- 2 Py 4

Page 3
14, Did the object disappear while you wears watching it? |f so, how?
iy jePesagh Te Se? wamapeeA widens e ss Corie Tr , |
° v s iar tes

15. Did the object move behind something at any time, particularly a cloud?

(Circle One): Yes No)

it moved behind:

Don’t Know. IF you answered YES, then tell what

—_

—-—— -

_ _ Simin —_ —

15, Did the object move in front of something at any-time, particularly a cloud?

(Circle Ona): “Yes? No

i

. A Boe
in front of: nh Por Avg

Don’t Know, |F you answered YES, then tall what

S— —_ — —

ae —— Sanne

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

° ikea a st x
a. Sound ae:

b, Coior By hee

—_—_ or - --

—_—---—-

_— oe

18. We wish to know tha angular size, Hold a match stick at arm’s length in line with a known objact and note how |

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

S { —s {is » ° + ne
$4, d% L

rh le A/S 'S

———_-—- - ees —$__——— ~

-_—— -—_-—_—__- -- --—--

——$—— ———— ————

—_— -_-----

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

Place cn orrow beside the drawing to show the-direction the object was moving.

My ‘ MY
ise Sia pad 2\

| Se gs one

Csi ae

a ee ee ee ee ee ee ey |

Page 4
20. Do you think you can estimate the speed of the object?
a |
(Circle One) Yes “No |!
Niassa
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
'F you answered YES, then how far away would you say it was? s
“Sonttedinhs = i Ail ar mera ny
22, Where were you located when you saw the object? 23. Were you (Circle One)
(Circle One):
a. In the business section of a city? H
LCD Em _
a. Inside a building 6. _|n the residential section of a city?
b. Ina car | c. In open countryside?
a 2 Outdoors /7 d. Near an airfield?
d. In an airplene (type) e. Flying over a city?
e. At sea f, Flying over open country?
f, Other g. Other =
24, IF you wers MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:
24,] What direction ware you moving? (Cirele One)
H
ac. North c, East a. South gq, West
b, Northeast d. Southeast f, Southwest h. Northwest
| 24.2 How fast were you moving? milas par hour,
24.3 Did you stop at any time while you ware 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 Na f. Telescope Yes Ne?
c. Windshield Yes “No! g» Theodolite Yes WMS!
; 2a, hase
d. Window glass Yes Ny h., Othar ee eine
r
26. In order that you can give as clear o picture as possible of what you saw, describe in your own words a common
ebjact of objects which, when placed up in the sky, would give the same appearance as the object which you saw

et a

A Ae A NE A et —— = ——— ——— Oe ee EE ee ee tet

regent archaea NaCl, Ae A TPE aes kA be ee r ? sad ats te

> SEPP rege)" euee ee mmmenrne creme SPP tr caren neem mcr Te ONT MTORR AES IPE RMT I TEFEN TT TR ee) REET NerweN ITP S mer! Pee TREE REN Hite RTE eR

Page 5

; -

27. In the following sketch, imagine that you are at the point shown. Place an “A”’ on the curvad line to show how |
) nigh the object was above the horizon (skyline) whan you first saw it. Place a "'8’’ on the same curved line to

show how high the object was above the horizon (skyline) whan you last saw it. Place an ‘'A’’ on the compuss

when you first sawit, Place a “’B” on the compass where you last saw the object. i
{ 990°
| 75°
{
:
i
;
/
!
i
;
;
’
i
" vg pi
23, Draw a picture that will show the motion that the object or objects made. Place an ‘'A’’ at the baginning of the |
; ' . * . . . ;
path, a “’B”’ at the end of the path, and snow any changes in direction during the course. ‘
oa’ fe fe
ww ’ i
i “ll — '
OS acres * ;
eal ~ ‘4 Pes] *
A 5 > tl ~ ro ~———_— “
| Ade Bases } Pot i MY Tae | es ~~. ee Say
| ate : =

a iF there was MORE THAN ONE object, then how many were there? _

Drow a picture of how they were arranged, and pur an arrow to show the diraction that rhey were traveling.

—— =! 68 Oe tum © >

——_—
-

ee

—_——-—<.  ee e-

ee
—

_ aha - ~%!- bid Rear ot atte Me ae eS a ee om