PROJECT BLUE BOOK

PROJECT 10073 RECORD
1. DATE TIME GROUP 2. LOCATION 4

Tolddo, Ohio
10. CONCLUSION

A/c

> data open to indicate that an a/c could NOT have been the

3. SOURCE
Civilian
4. NUMBER OF OBJECTS

Light in flight from North to West. Brighter than star.
Erratic motion. Would fade out and reappear in a <n
place. Bright white. Slower than jet a/c.

7. COURSE

West
8. PHOTOS

0 Yes
“4 [.]

9. PHYSICAL EVIDENCE

O Yes

XKNe

FORM
FTD sep 63 0-329 (TDE) Previous editions of thie form may be used.

=> - -

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 will
be used for research purposes. Your name will aot 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. Pen |

1, When did you see the object? = a 2.. Time of dey: 224 T~ ©
Hour

{ Z LIX © Sg (Circle One):
Day Month Yeor |

3. Time Zone: (Civei . - ; | =
| ircle One): a. Eastern (Circle One): Ca. Daylight ing
Cb/ Central ~ Standard
c. Mountain ;
d. Pacific aaa |
. Oe | .

Jotkig OH of

« City or Town State or County

aad

5. How long was object im sight? (Tota! Duration) pet ear a. ey a

Hours

' . c. Not very sure
ay Fairly certain d. Just o quess

5.1 How was time in sight determined? = Si * - S Tis7F TEC

5.2 Was object in sight continuously? Yes No ie: | |

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 looked at the object?
(Circle One): a. In front of you d. To your left
b, In back of you | e. Overhead
c. To your right f, Don't remember

FORM
FTD ocr 62 164 This form supersedes FTD 164, Jul 61, which is obsolete. : |

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8. IF you sow the object at NIGHT, what did you notice concerming the STARS and MOON? |

8.1 STARS (Circle One): 8.2 MOON (Circle One):

a,/ Bright moonlight
« Dull moonlight | |
¢. No moonlight — pitch dork
d. Don’t remember d. Don't remember

9. What were the eile) ciullitions at the time you saw the object?

CLOUDS (Circle One:

-

| WEATHER (Circle One):

a. Clear sky: : i eR | Ca) Dry |
b. Hazy b. Fog, mist, or light rain

Ce clouds Moderate or heavy rain
d. Thick or heavy clouds Snow

Don’t remember ! 7

10. The object appeared; (Circle One):
a. Solid

1]. tf it appeared as a light, was it brighter thon the brightest stars? (Circle One): © |

‘7 Brighter c. About the same
b. Dimmer d. Don’t know a

1L.1 Compare brightnessto some common object:
oy Fr

12. The edges of the object were:

(Circle One): a. Fuzzy orblurred e. Other
b. Like a bright stor |

Cé,) Sharply outlined
d. Don’t remember —

13. Did the object: (Circle One for each question)

a. Appear to stand still at any time? Yes No Don’t know
b. Suddenly speed up and rush away at any time? es No Don’t know
c. Break up into parts or explode? - Yes No Don’t know
d. Give off smoke? oy . No Don't know
e. Change brightness? es / No Don’t know
f, Change shape? es Noy Don’t know
g- Fiash of flicker? : Yes | ‘No’ Don’t know .
h. Disappear and reappear? (Yes” No Don't know

is

a ee -
.

16. Did the object move in front of something at any time, porticularly a cloud?

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

(Circle One): - . —. Yes N Don’t Know. ~~ IF Jeg answered ves, then tell what

— — LE Re Se a mR

’
.
” Pan 7 . ©

ew

(Circle One): "="? ~ Yes tz Don't Know. IF you answered YES, then tell what

SOEUR ate sy), cS ee a ee es

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

ae ae “Ge ae, | TF f “
re Cilla

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

19.. Drew a picture that will show the shape of the shheel « oF sheen: Lobel at ‘ecto in your sketch any detoils
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.
i a

ol Oh ih Mia) liga tamale ann epee A Lue, Rade e Leesan

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i i i i ee ll kk ee el ote ee eee EE SES ee oe ® yr — «

Page 4

20. Do you think you can estimate the speed of the eels

: (Circle One) ‘Yes = ry th «foal os
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?

| = fClele One) | Yes | CNs/ :

ity Het phat I427SH AV] Yow |

IF yes medal YES, then how tor cway. would you say it was?

—————

ee | eee eee

22. Where were you located when. you saw the object? _
(Cirele One):

23.. Were you ( Circle One)

, .
v :

a. In the business section of a city?
alk the residential section of o city?
|

@. Inside a building |

b. Ina car n open countryside?

tdoors d. Near an airfield? |
i. In an airplane (type) e. Flying over a city? |
; At sea f. Flying over open country?

f. Other . Other.

24, IF y you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:

24.1 Whot direction were you naving? (Cirele 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?

ee Eyeglasses Yes (is e. Binoculars . Yes Nee / |
b. Sun glasses Yes oS f. Telescope Yes @& |
c. Windshield Yes g- Theodolite Yes Wo” |
d. Window glass Yes Ay h. Other |

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 ae in the sky, would give the same appearance as the object which you saw

A ty 4 At A

co Age” ei sie oo Mwirdcde a)

a | vlad "5 ?
me Pai eed iva Ladcaiaialbendian

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 /asf 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.

28. Draw a picture that will show the motion that the object or objects made. Place an ‘‘A’’ at the beginning of the
~~path, o '"B”’ at the end of the poth, and show any changes in direction during the course. ~~

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

/

Page 6

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

AOW IE

31. Was anyone else with you at the time you saw the object? (Circle One) (Ye? No
31.) IF you answered vES, did they gee the object too? (Circle One) Cov No
31.2 Please list their names and ¢

JL Tetldc, CWO

“Ly 44 dy
f ,

32. Please give the following information about yourself;

#2 i “in iS

Lost Neme ~ Firs? Name ididdle Meme

0 AL
City Zone State
TELEPHONE AGE of SEX a Mae

4

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

oH =

33. When and te whom did you report thet you had seen the object?

Bc Sees = OO os aaa es fe
Day Month Yeor .

ass Métis Fo CenziowsK © CU#- Ao.

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