PROJECT BLUE BOOK

PROJECT 10073 RECORD
DATE · TIME GROUP 2LOCATION
13-17 August 65 * Urbara, Ohio
3. SOURCE 10. CONCLUSION
Civilian Oth er (PSYCHOLOGI CAL CAUSES)
4. NUMBER OF OBJECTS
Witness interpretations of various ob jects di storted to point that
Miltiple specific object difficult to identify. Stars/Planets, A/C Satellite
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS etc (anything that moves) is an UFo.
2 Hours, 30 Minutes See letters and case file.
. TYPE OF OBSERVATION
Ground-Visual
7. COURSE
Random Varied Stationar
8. PHOTOS
.

( (
U.S. AIR FORCE TECHNICAL INFORMATION 7/
This questionnaire been prepared so that you can give the U.S. Air Force as much
information as possible concerning the unidentified aerial phenomenon th that you have observed.
Please try to answer as many questions as you possibly can. The information that you give will
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.
1.When did you see the object? 1. When did you see the object? 2. Time of day: Time of day:
Hour four Minutes
14 8 8 65 65.
(Circle One): A.M. or [P.M. [P.M.
Day Month Yoar
3.Time Zone:
(Circle One): (Circle One): a. Eastern (Circle Onel: a. Davliaht Savina Daylight Saving
b. Central Standard
C. Mountain
d. Pacific
. Other
4. Where were you when you saw the object?
City or Town
5. How long was object in sight? (Total Duration)
Hours Minutes Soconds
a. Cortain c. Not very sure C gave up watchng)
b. Fairly certain d.Just a guess
5.1 How was time in sight determined? 1
5.2 Was object in sight continuously? Yes No_ No
.What was the condition of the sky? 6. What was the condition of the sky?
DAY DAY NIGHT il
a. Bright Bright
b. Cloudy b. Cloudy
7.IF you saw the object during DAYLIGHT, whers was the SUN located as you looked at the object? IE located as vou looked at the ohiect?
(Circle One): a. in front of you d. To your loft
b. In back of you o. Overhead
c. To your right f. Don't remember
FORM
FTD OCT 62 164 Thie form supersedes FTD 164, Jul 6i, which is obsolete.

Page 2
8.IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One): /
a. None a.Bright moonlight
b. A few b. Dull moonlight
C. Many c. No moonlight  pitch dark
d. Don't remember dDon't remember
:
9. What were the weather conditions at the time you saw the object? bao a a li od
CLOUDS (Circle One): WEATHER (Circle One):
NE 4  ne
a. Clear sky a. Dry a. Dry
b. Hazy b. Hazy b.Fog, mist, or light rain
Scattered clouds .Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. d. Snow
e. Don't remember
10. The object appeared: (Circle One):
a. Solid a. Solid d.As a light c
b. Transparent e. Don't remember
c. Vapor
If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter . About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
ACP
12.The edges of the object were:
(Circle One): a. Fuzzy or blurred Other
b. Like a bright t star
C. "Sharply outlined
d. Don' I remember d. Don f remember
1. Did the object: 13. Did the object: (Circle One for eoch question)
a. Appear to stand still at any time? YOS LYOS No No Don't know
b. b. Suddenly speed up and rush away at any time? Suddenly speed up and rush away at any time? (YOS LYOS No Don't know
c. Break up into parts or explode? Yes No Don't know
d. Give off smoke? Yes No No Don't know
e. Change brightness? YOS YOS No No Don't know
f. Change shape? Yos Don't know
g. Flash or flickor? Y No Don't know
h. Disappear and reappear? Yos No Don't know

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Page 3
14. Did the object disappear while you were watching it? If so, how?
(00)
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 toll what
it moved behind: 210774
Did the object move in front of something at any time, particularly a cloud? .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 tell what
in front of: in front of:
17.. Tell in a fow words the following things about the object: 17. . Tell in a few words the following things about the object:
0.SoundNo2ound
18. We wish to know the angular size. Hold a match stick at arm's length in line with a known objoct and note 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?
at
a low ollilude 3tms as largl.
1. 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 especiatly exhaust trails or vapor trails.-
Place an arrow beside the drawing to show the direction the object was moving. Place an arrow beside the drawing to show the diroction the object was moving. blarbn btarsbnl
Moved in any Moved in any
darction at leang darecton at eaas
No C apor thae

( L
Page 4
20. Do you think you can estimate the speed of the object?
(Circle One) Yes No ao fat a fillingda
IF you answered YES, then what speed would you estimate?.
2 Do you think you can estimate how far away from you the object was?
(Circle One) Yes No
IF you answered YEs, then how far away would you say it was?.
.Where were you locatod whon you saw the object?. Were you (Circle One
(Circle One): Chetoohaloty
a. In the business section of a city? a. In the business section of a city?
a.Inside a building.o b. In the residential section of a city?
b. In a car b.In a car c.
c. Outdoors d.Near an airfield? d. Near an airfield? WPAFBL WPAFBoL
d. In an airplane (type) d. In an airplane (type) e. @. Flying over a city?
.At sea f. Flying over open country?
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)
a. North c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest 3
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?
(Circl One)
25. Did you observe the object through any of the following?
a. Eyeglasses 19t D Yes No e. Binoculars No
41 f. Telescope
b. Sun glasses Yes Yes No
c. Windshield Yes No g. Theodolite No
d. Window glass Yes Yes No No h. Other 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 2In order that you can give as clear a picture as possible of what you saw, describe in your own words a common
object or objoects which, when placed up in the sky, would give the same appearance as the object which you saw. objoct or objects which, when placed up in the sky, would give the same appearance as the object which you saw.
(aTelment on (Telement on latu shet) latu ahet)
.

Pago 6
30. Have you ever seen this, or a similar object before. If so give date or dates and location.
mo
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:
344
almost imposibe to give all Preaent
demrosimpde
mlo 25t30 evsono he.
A
.Please give the following i .Please give the following information about yourself: information about yourself:
NAME
First Name Middl
Lnbane 43878 his
ADDRESS
Cood035Cin Zone State
TELEPHONE NUMBI AGE 65 SEX m
Indicate any additional information about yourself, including any special experience, which might be pertinent.
a
ing
When and to whom did you repost that you had seen the object? Champaion
14 65 6S champigpSeif
Day Month Yoar

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 last saw it. Place an "A"" on the compass
when you first saw it. Place a "B" on the compass where you last saw the object.
90 75 " (5 obectoghtedoght)
B 60°
cel9 2.15
30° 30°
15
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.
but inChesame
A, all
duection. he went dureitly
general B Noith-fast.g
Draw a picture of how they were arranged and put an arrow to show the direction that they were traveling.
they dhey o2
eastunsdy- eastun sly-
Riaction!. Diction!.

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Page 7
34. Date you completed this questionnaire: 18 865
Day Month Year
Information which you fel pertinent and which is not adequately covered in the speciic points of the
questionnaire or a narrative explanation of your sighting.
,

( (
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 possib oncerning the unidentified aerial phenomenon that you have observed.
Please try to answer a questions as you possibly can. The information that you give will
be used for research
conclusions, publications without your permission. request this personal information so
that if it is deomed necessary, we may contact you for further details.
1. When did you see the object? wien uid you see me oufecr?~y 2.Time of day: - me or day.-
Hour Hour Minutes Minutes
15 8 65 65
(Circle One): (Circle One): A.M. or P.M.
Day Day Month Year
.
3.Time Zone: 3. Time Zone:
(Circle One): (Circle One): a. Eastern Eastern (Circle One):_a. Daylight Saving
Tb. Jb Central -b. b. Standard
Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
at thackeyo. Charp
al Address City or Toww State or Gounty
5. How long was object in sight? (Total Duration)
Hours Minutes Seconds
a. Cortain c. Not very sure gave up watching)
b. Fairly certain d. Just a guess
5.1 How was time in sight determined? B
5.2 Was object in sight continuously? X No -
1
6.What was the condition of the sky?
DAY NIGHT
t0. Bright
. b. Cloudy Cloudy
7.IF you sow the object during DAYLIGHT, where was the SUN located as you looked at the object?

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Page 2
8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
b. A few b. Dull moonlight
C. Many c.No moonlight - pitch dark
d. Don't remember Don't remember
9.What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky a. Clear sky D11 a. Dry
b. Hazy b. Fog, mist, or light rain n
c. Scattered clouds c. Moderate or heavy rain Moderate or heavy rain
d. Thick or heavy clouds Thick or heavy clouds d. Snow
Don't remember . Don't remember
10. The object appeared: (Circle One):
a.Solid d. As a light
b. Transparent .Don't remember
c. Vapor
1If it gppeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter c. About the same
b. Dimmer Don't know
11.1 Compare brightness to some common object:
12. The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
Like a brioht ster
c. Sharply outlined
Don't remember
. Did the object: (Circle One for soch question)
a. Appear to stand still at any time? No No Don't know
b. Suddenly speed up and rush away at any time? es No Don't know Don't know..
c. Break up into parts or explode? Yes No Don't know
d. d. Give off smoke? Yes Yes No No Don't know
8. 6. Change brightness? Yes: Yos: No Don't know
f. Change shape? Yos No/ Don't know
G. Flash or flicker? Yas No Don't know
h. Yos No Don't know
1
10

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Page 3
14. Did the object disappear while you were watching it? If so, how?
Yie
(no)
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:
16. Did the object move in front of something at any time, particularly a cloud? 1.Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes Z No Don't Know. IF you answered YES, then tell what
in front of:
2
001 001
17. Toll in a fow words the following things about the object: 17. Toll in a few words the following things about the object:
0.Soundn0s0und
b. Color  Yellou to g
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 the time of the
sighting, how much of the object would have been covered by the match hegd?
a high alttute
MoybiG Ec
ouDy.
. 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 especiatly exhaust trails or vapor trails.
Place an arrow beside the drawing to show the direction the object was moving. Place an arrow beside the drawing to show the direction the object was moving. Dsideame (0 Dlsideami (5
1ETT \lg woh s
00M1
Jar-ar
2o Vavortrals Moved in anydedn
1

URCHNA, OHO
regarding observations by Deputy Sheriffy P McCullough, Cour
Urbana and Urbana, Ohio 43078. Forms
were sent to them on 17 Aug 65. T They had two calls last night
out of East going West, very bright then headed North. Weren't
too high. Objects observed for  hour.
Sgt Moody explained about the low level flights being made from
Lockbourne AFB during this period of time. However, we would send
them forms t to fill out.
Received a call on 17 Aug 65. He has seen
flying saucers for the past four straight nights. What happened .
Mr
would fill out the forms right away because he didn't want anything
to happen to happen and he would be out looking again tonight. -

Page 4
20.Do you think you can estimate the speed of the object?
none Thes objecte
(Circle One) Yes No
2Do you think you can estimate how far away from you the object was?
(Circle One) Yes No .
dAn ioron 4COOhxE 0
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):
NOS a. In the business section of a city?
a.
b. In a car . In open countryside? . In open countryside?/d
c. Outdoors d. Near an airfield? Near an airfield? . W.PATBare W.PATBare
d. In an airplane (type) In an airplane (type) . Flying over a city? Flying over a city?
At sea f. Flying over open country? f. Flying over open country?
f. Other g. Other
24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complote the following questions:
24.1 What direction were you moving? (Cirele One)
a. North c. East . 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 Ome) Yes No
25. Did you observe the object through any of the following?
. Eyeglasses Yes No e. Binoculars .Yes
. Sun glasses Yes f. Telescope No
C. Windshiold Windsnieid Yes No No Theodolite Tneodone Yes No
d. Window glass d. Window glass Yes Yes No No h. Other _ h. Other -
In order that you can give as clear a picture as possible of what you saw, describe in your own words a common 2In 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 saw. objoct or objects which, when placed up in the sky, would give the same appearance as the objoct which you saw.
Statudot oni latu ahect.
1a1

Page 5
2. 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 last saw if. Place an "A" on the compass
when you first saw it. Place a "B"" on the compass where you last saw the object.
90 1 75 C offects sighted Plus 2
60 green aect
NW
30
E
E
2Draw 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.
fut in a
weslug Cueetin)
29. IF there was MORE THAN ONE object, then how many were there? 6
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling.
at about all 6 formed a line almost
North to south and remained stationry.
Noth to sh and m .

Pago 6
0. Have you over seen this, or a similar object before. If so give date or dates and location.
no)
3. Was anyone else with you at the time you saw the object? (Circle One) es 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:
shoiff Deputas from unbana 0.
a
sereral nerlbor. and harelirs
32. Please give the follomi 32. Please give the follomin
NAME NAMI 5
Vame First Name Middlo
ADD lestana 43028
City Zone State
TELEPHONE AGE 65 SEX M
Indicats any additional information about yourself, including any special experience, which might be pertinent.
o
When and to whom did you report thgt you had seen the_ object? Champagn shifif.
13 S 65 65 Chanpaghf.
Day Month Year

Page 7
34. Date you completed this questionnaire: % 68
Day Month Year
3.Information which you foel pertinent and which is not adequately covered in the specific points of the
questionnaire or a narrative explanation of your sighting.
..
/
4

(
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 possibh concerning the unidentified aerial phenomenon that you have observed.
Please try to answer as man questions as you possibly can. The information that you give will
be used for research purposes. Your name will mot 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.
.When did you see the object? Time of day: .Time of day:
Hour Minutes
65 65 -
(Circle One): (Circle One): A.M. or P.M.
Day Month Year
3. Time Zone: 3. Time Zone:
(Circle One): (Circle One): 9. Eastern Eastern (Circle One): a. Daylight Saving (Circle One): a Daylight Saving
Central bStandard
Mountain
d. Pacific
. Other
4. Where were you when you saw the object?
Jhackey o champaigneo
Nearest Postel Address City or Tyun State Count
5.How iong was object in sight? (Total Duration) 7 30
Hours Minutes Seconds
a. Certain c. Not very sure
b. Fairly certain d. just a guess /
5.1 How was time in sight determined?
5.2 Was object in sight continuously? 5.2 Was object in sight continuously? No- No
6.What was the condition of the sky? 6. What was the condition of the sky?
AX NIGHT NIGHT
a. a. Bright
Cloudy
7.IF you saw 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 loft )
b. In back of you 8. Overhead
c. To your right f. Don't remember
FORM
FTD 0CT 62 164 This form supersedes FTD 164, Jul 61, which is obsolete.

Page 2
8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None al a. Bright moonlight
b. A fow Dull moonlight
c. Many 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):
thaido dy bi n
a. Clear sky Clear sky a. Dry a. Dry
b. Hazy b. Hazy b. Fog, mist, or light rain
c. Scattered clouds c. Scattered clouds c. Moderate or heavy rain Moderate or heavy rain
d. Thick or heavy clouds d.Thick or heavy clouds d. Snow
e. Don't remember Don't remember
10. The object appeared: (Circle One): 1. The object appeared: (Circle One):
a. Solid d. As a light d. As a light
b. Transparent Don't remember
c. Vapor
1.If it appeared as a light, was it brighter than the brightest stars? (Circle One):
2
a. Brighter c. About the same
b. Dimmer d. Don't know
10441004
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 Star
C. Sharply outlined
d. d. Don't remember Don't remember 0 20
.Did the object: 1. Did the object: (Circle One for each question) (Circle One for each question) T
a. Appear to stand still at any time? Yes No Don't kpow
b. Suddenly speed up and rush away at any time? Yes No Don't know
c. C. Break up into parts or explode? Yes Yes No Don't know Don't know
d. Give off smoke? Yes Yes No Don't know
. 6 Change brightness? Yos No Don't know
f. Change shape? Yos No Don't know
9. Flash or flicker? $Y_{s}$ No Don't know
h, Disappear and reappear? Yos No Don't know
.

Page 3
14. Did the object disappear while you were watching it? If so, how?
n
15. Did the object move behind something at any time, particularly a cloud
(Circl One):. Yes' No Don't Know. IF you answered YES, then tell what
it moved behind:
16. Did the object move in front of something at any time, particularly a cloud? 1. 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 tell what
in front of: in front of:.
17. Tell in a few words the following things about the object: 17.  Tell in a few words the following things about the object:
.Sound no
b. Color _
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 the time of the
sighting, how much of the object would have been covered by the match head?
Viery Large,
.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 especiatly exhaust trails or vapor trails.'
Place an arrow beside the drawing to show the direction the object was moving.
dredin
movein a
- 2o vapor traid 2o vapor trail
i exaut i exaust
→

(
Page 4
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?
2.Do you think you can estimate how far away from you the object was? Detalon
(Circle One) Yes No
IF you answered YES, then how far away would you say it was? last Page
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? a. In the business section
a. Inside a building
b. In a car c. c. In open countryside?
S. Outdoors C.Outdoors d. d. Near an airfield? QOPdr Bare WPAF BaRe
d. In an airplane (type) e. Flying over a city? Flying over a city?
At sea . At sea f. .Flying over open country? Flying over open country?
f. Other f. Other 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)
a. North c. East . 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 abject?
(Circle One) Yes No
25. Did you observe the object through any of the following?
Eyeglasses Yes No Binoculars
b. Sun glasses Yes No f. Telescope Yes No
c. Windshield No g. Theodolite Yes No
d. Window glass Yes No h. Other _ h. Other
2In order that you can give as clear a picture as possible of what you saw, describe in your own words a common 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 appearance as the object which you saw.

Page 6
30. Have you ever seen this, or a similar object before. If so give date or dates and location.
no
3. Was anyone else with you at the time you saw the object? (Circle One) es 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:
charpaign co shriff.
atleast
i, 10,
32. Please give the following information abou vour 3.Please give the following information about voursels
NAME
Last/ First Name Middl Ne
43708 Ohio
ADDRESS Lnfana
City Zone State
TELEPHONE NUMBER AGE 6.5 SEx M
Indicate any additional information about yourself, including any special-experience, which might be pertinent.
42
33. 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?
16 6S
Day Month Yoor

Page 5
2. 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 last saw it. Place an "A"" on the compass
when you first saw it. Place a "B"" on the compass where you last saw the object.
90• 750 8otfect.
60
30 30°
s
15
S
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.
coue mosthyto wets
A very irvegulai
2 went druly nrith from
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 they were traveling.
6
a
Srit Soitt
A
CO.PAFB U.PAFB
1

( /
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 mot 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.
.When did you see the object? When did you see the object? Time of day: 2. Time of day: 2:00
Hour Hour Minutes Minutes
13 8 8 65
(Circle One): A.M. or P.M.
Day Month Yoar Year
3.Time Zone: 3.Time Zone:
(Circle One): Eastern (Circle One): a. Daylight Saving (Circle Onek: a. Davliabt Saving
b. Central b. Standard
Mountain
d. Pacific
e. Other
4.Where were you when you saw the object?
Noarest Postal Address City or Tow
5.How long was object in sight? (Total Duration) 2 30
Hours Minutes Seconds
a. Cortain. c. Not very sure
b. Fairly certain d. Just a gue /
5.1 How was time in sight determined? B 4 wal
5.2 Was object in sight continuously? 5.2 Was object in sight continuously? Yo Yo No
6. What was the condition of the sky? 6.What was the condition of the sky?
DAY NIGHT
a. a. Bright a. Bright
b. Cloudy Cloudy b.
7
7.IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the obisct?
(Circle One): a. In front of you d. To your loft
b.In back of you . Overhead
C. To your right f. Don't remember
FORM
FTD OCT 62 164 This ferm supersedes F TD 164, Jul 6i, which is obsolete.

(
Page 7
34. Date you completed this questionnaire: 18 8 68
Day Month Year
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.
Jonight all The sight sies left meat
about ":od. I was not sleepg so I wathed
The ofjects aloni. at. about 3.30. The 8h
in Sow. Fseemid to banin trouble
operationfor about
Lover allthe time. In
were 2object setting slationary about over
The ais bore to the onetoThe
Yoth, went to sto aid. connicted a cable or
some offet to it but some offet to it but couldnt lit t an high couldnt lift t an hige
The were not were not
tine (Estumate) tine (Estmate) Just os thi y star ti h Just tos Thi sky starld ti shret
0

( L
Page 8
on Che Seene and the deabled objeett
was housted gnt The
the large ofject. brigh
enoughat chat height that  qot a veny
good look at The thing I was to my
estio aut 200 t longand0
wide, The fottomi swra flat bitthetop
wo dome shaped. I had nuvrerous.
wondocs in ito sides. lhen The lowedon
sthaigh ap
The sane locality for thei 5or 6 minut
day light: I Came light: I Came down 2vey lou dowon 2rey loud
Ind I saw it plain. I was s
Ther it retuned to it Positen Ther it returned to ito positeon. west gits
ingemal Sasiton, 9git a Lug good vie
it would lha talh  a

U.S. AIR FORCE TECHNICAL INFORMATION
This questionnair has been prepared so that you can give the U.S. Air Force as much
information as pos 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 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. 273X
1. When did you see the object? .When did you see the object? Time of day: Time of day:.
Hour Hour Minutes
$138 38 6S
(Circle One): A.M. A.M. or P.M.
Day Month Year
3.Time Zone: 3. Time Zone:
(Circle One): (Circle One): a. Eastern a. Eastern (Circle One): a. Daylight Saving Daylight Saving
3b. Central Standard
c. Mountain
d. Pacific. 2
. Other
4.Where were you when you saw the object?
RAY Lirbana O(champagee)
Nearest Postal Address City or Tawn State or Coun
.How long was object in sight? (Total Duration)
Hours Minutes Seconds
a. Certain c. Not very sure
b. Fairly certain d.Just a guess
5.1 How was time in sight determined?
5.2 Was object in sight continuously? Yes No No
6. What was the condition of the sky? .What was the condition of the sky?
DAY NIGHT
a. Bright a. Bright Brighto Td. Brigha
b. Cloudy b.
7. IF you saw 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 romember
FORM
FTD OCT 62 164 This form supersedes FTD 164, Jul 61, which is obsolete.

(
Page 2
8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None Bright moonlight Rpi.
b. A few .Dull moonlight
C. Many c. No moonlight - pitch dark 2249
d. Don't remember dDon't remember
9.What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): CLOous (cirere One: WEATHER (Circle One): ATHeRTcireie One):
6
a. Clear sky a. Clear sky a. Dry
b. Hazy b.Fog, mist, or light rain b.Fog, mist, or light rain
c. Scattered clouds Scattered clouds c. Moderate or heavy rain
d. d. Thick or heavy clouds Snow
e. e. Don't remember
10. The object appeared: (Circle One):
.Solid d Ac g light
b. Transparent Don't remember
c. Vapor
If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter c.About the same A
. Dimmer d.Don't know
44
11.1 Compare brightness to some common object:
The edges of the object were:
(Circle One): a. Fuzzy or blurred . Other
Like a bright stor
c. Sharply_outlined Sharply outlined
.Don't remember d. Don't remember
. Did the object: (Circle One for each question)
a. Appear to stand still at any time? No Don't know
b. Suddenly speed up and rush away at anytime? b. Suddenly speed up and rush away at anytime? No No Don't know
c. c. Break up into parts or explode? Yes Yes No No Don't know
d. Give off smoke? d. Give off smoke? Yos Yos No No Don't know
a. Change brightness? Yos No Don't know
i. Change shape? Yas No Don't know
g. Flash or flicker? Ye No Don't know
h. Disappear and reappear? No Don't know

(
Page 3
14.Did the object disappear while you were watching it? If so, how? N
no
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:_
1.Did the object move in front of something at any time, particularly a cloud? 16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): (Circle One): Yes No Don't Know. IF you answered YES, then tell what IF you answered YES, then tell what
in front of:. in front of:
17.  Tell in a few words the following things about the object: 17. Toll in a few words the following things about the object:
. Sound nD
b. Color 7.lloo to goe
18. We wish to know the angular size. Hold a match stick at arm's length in line with a known objoct and note how
much of the object is covered by the heod of the match. If you had performed this experiment at the time of the
sighting, how much of the object would have boen covered by the match head?
he S
all were
very snall and high
1. 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 especiatly exhaust trails or vapor trails- mue
Place an arrow beside the drawing to show the direction the object was moving. bleiraomifd
WODNNY
noafortal noraforthat
traveled in anydunt Traveledin ani
at will

(
Page 4
20. Do you think you can estimate the speed of the object?
(Circle One) Yes No
7
IF you answered YES, then what speed would you estimate? _
2Do you think you can estimate how far away from you the objoct was?
(Cirele Ome) Yes No
TDOMEO ND.
IF you answered YEs, then how far away would you say it was?
22. Where were you located when you saw the object? 2. Were you (Circle One)
(Circle One): (Circle One):
a. In the business section of a city? a. In the business section of a city?
a. Inside a building b. In the residential section of a city?
b.In a car .In a car FC In open countryside?
Ourdaore Ourdaore d Near an airfield? WPAFB. WPAFB.
d.In an airplane (type) d.In an airplane (type) .Flying over a city? . Flying over a city?
.At sea . At sea f. Flying over open country?
f. Other f. Other _ g. Other E
24. IF you were MOVING IN AN AUTOMOBILE or other vohicle ot the time, then complete the following questions:
24.1 What direction were you moving? (Circle One)
sep a. North c. East South g. West
9m, b. Northeast d. Southoast f. Southwest h. Northwest
24.2 How fast were you moving? _ miles per hour.
24.3 Did you stòp at any time while you were looking at the object?
(Circio One) Yes No
25. Did you observe the object through any of the following?
. Eyeglasses Yes No Binoculars Ti
.Yes
b. Sun glasses Yes No f. Telescope Yes
c. c. Windshiold Windshiold Yes Yes No 2 27 T.. g. Theodolito Theodolite No
d. Window glass Yes No h. Other _ h. Other _
2In order that you can give as clear a picture as possible of what you saw, describe in your own words a common 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 appearance as the object which you saw. object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.

Page 6
30. Have you ever seen this, or a similar object 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) 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:
& 5 Depulyo
RH2~ 12
and abort 2oto so0thers and abort 2ots so0thers
32. Please give the following information about yourself: 32. Please give the following information about yourself:
NAME NAME
First Nome
Urtana 43675
ADDRESS
City Zone State
in AGE 65 m
TELEPHONE NUML SEX
Indicate any additional information about yourself, including any special experience, which might be pertinent.
- 0
-
When and to whom did you report that you had seen the object? .When and to whom did you report that you had seen the object?
Day Honth Yoar
20 sepnttongh
1
11

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 last saw it. Place an "A"" on the compass
when you first saw it. Place a "B" on the compass where you last saw the object.
90° 75°
B. 60 B
NW NE
30°
28. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the
path,  "B"" ot the end of the path, and show any changes in direction during the course.
19
A very Zi9-Za9 counee moally westuly
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 they were traveling.
allown
alt oar
N
Shandle o
.

.
Page 7
34. Date you completed this questionnaire: 68
Day Month Year
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.
L

PROJECT T0073 RECORD
K
1. DATE · TIME GROUP LOCATION 1 a
30 August 65 31/03152 31/03152 Urbama, Ohio Urbana, Ohio
3. SOURCE 1. CONCLUSION 10. CONCLUSION
Civilian UNIDENTI FIED
4. NUMBER OF OBJECTS
One One
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
3 - 4 Seconds Rourd solid object, bright but nct given off light. Like a
t.. TYPE OF OBSERVATION white ball. Appeared to be coming down in front of a car driven
dowm the highway. Was in front of the car. Stopped car in order
Ground-Visual to avoid being hit. Object. hit road ard bounced up went to Ncrth
7. COURSE Car going South. Object 5-8 ft in diameter. Smll trail of
light 2-3 ft long following behind object. No projecti ons.
South Appeared solid. 34 sca n in sight. Did not revolve or changle
8. PHOTOS color. About loo ft fran ob server. No sound. No sparks or
mark where it hit road. Just a big white ball of light.
Yes
XUXNo
9. PHYSICAL EVIDENCE
n7 Yes
XXNo
FORM
FTD SEP 63 0-329 (TDE) Previous editions of this form may be used,

( L
Page 2
8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None d. Bright moonlight
b. 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):
a. Clear sky a. Dry
b. Hazy b.F b. Fog, mist, or light rain
c.Scattered clouds c. C. Moderate, or heavy rain Moderate or heavy rain
dThick or heavy clouds Thick or heavy clouds d. d. Snow
e. Don't remember
10. The object appeared: (Circle One): 10. The object appeared: (Circle One):
a. Solid d. As a light
b. Transparent D remember
c. Vapor
1. If it appeared as a light, wos it brighter than the brightest stars? (Circle One):
a. Brighter .About the same
b. Dimmer dDon't know
11.1 Compare brightness to some common object:
Lanl from yellow to green
12. The odges of the object were:
(Circle One): a. Fuzzy or blurred Other
b. Like a bright stor
C. Sharply outlined
d. Don't remember d. Don't remember
.Did the object: Did the object: (Circle One for soch question)
a. a. Appear to stand still at any time? Yes No Don't know Don't know
b. b. Suddenly speed up and rush away at any time? Yosx Yosx Don't know
c. Break up into parts or explode? Yes Yes Don't know
d. Give off smoke? Yes Don't know
e. Change brightness? Yes No Don't know Don't know
f. Change shape? Yes No Don't know
a Flash or flicker? S No Don't know
h. Disappear and reappear? es No Don't know

FTD TDEW)
Wright-Fatterson AFB, Ohio 45433
13 September 1965
RR#3
Urbana, Ohio
MOO A OO Dee
Reference your recent unidentified sighting of 30 August 1965
which you reported to the Sheriff of Champaign County. At present
we are unable to identify the object which you and your friends
observed. Therefore, we are sending a copy of your report to
Dr JAllen Hynek who is the Air Force Consultant on Project Blue
Book. Dr Hymek, who is also director of Dearborn Observatory,
Northwestern University in Evanston, Illinois, your
C tober. tober.
We wiah to We wish to thank interest subject.
Sincerely,
7
HECTOR QUINTANILLA, Jr ec: ee: Dep Sheriff Phil McCullough Dep Sheriff Phi McCullough
Major, USAP
Chief, Project Proje Blue Book tue Book

-
FTD (TDEW)
Wright-Patterson AFB, Ohio 45433
13 September 1965
Urb
Dear M
Reference your recent unidentified sighting of 30 August 1965
which you reported to the Sheriff of Champaign County. At present
we are unable to identify y the object which you and your friends
observed. Therefore, we are sending 8 copy of your report to
Dr J Allen I Hynek who is the Air Force Consultant on Project Blue
Book. Dr Hynek, who is also director of Dearborn Observatory,
AJ0O TH HOO Northwestern University in Evanston,: Illinois, review your
We wish to thank - P
Sincerely, Sincerely,
4 U
HECTOR QUINTANILLA, Jr HECTOR QUTI ANILLA, Jr ce: ce: Dep Sheriff Phil McCullough McCullough
Major, UAF
Chief, Project Blue Book

FTD (TDEW)
Wright-Petterson AFB, Ohio 45433
13 September 1965
Urbana
De
Reference your recent unidentified sighting of 30 August 1965
which you a reported to the Sheriff of Champaign County. At present
we are unable to identify the object which you and your friends
observed. Therefore, we are sending a copy of your report to
Dr J Allen Hynek who is the Air Force Consultant on Project Blue
Book. Dr Hynek, who is also director of Dearborn Observatory,
AJ00 TH M3430 Northwestern University in Evanston, Illinois, will Northwestern University in Evanston, Illinois, will review your
M010 We wish to thank you We wish to thank interest interest subject.
Sincerely,
C4
HECTOR QUINTANILLA, Jr ce: Phi McCullough
Major, USAF
Chief,Project Chief, Project Blue Book

Describe to what you saw?
A: Well we were driving down the road and all at once I saw this white round
ball coming down in the road ahead of us, I slamed on the brakes of the car
and stopped, I think we might have hit it if I hadn't stopped.
Q. Did this object -
towards you?
A. It came straight down out of the and then hit the
road and bounced right back up.
Q Did it hit the road?
A. It came awfully near if it didn't.
Q. What did this object look like to you?
It was a round white ball ahout the ame color as a star only hri
No.
Q. Did light anything around it?
A. No, but it was awfu ally bright.
A: Did the object i
No it appeared

I was really scared.
Did the revolve?
No.
A.: Did the or?
No.
Q. How fast did the object going?
A. Sort of fast but not to fast.
R: What did you do then?
I got back in fast.
C
Did you see the object anymore? 5
A: Yes, it was going sout following 54
Q. How close was it to
A. Not very far away.
A: About 10c
A: How big around did it look then?
About as big as a basketball. S
No.
2: Did the object leave a vapor trail or emmit any vapor?
There was no vapor trail but there was a streak of light about l or 2
feet long following it.
Q. When this object hit the road were any anything else
left on the road?
A. No.
Q. Did you see ghtning anytime tonight were riding around?
A. No.
8: What do this object might have been?
I don't know, it was just a big white ball of light, it really shook me
up.

R: Would you take a Polygraph
the truth. your statements?
Have anything
dddd Yes.
Recently?
Yes. there was something in the paper Lake Erie. Lake Erie. - ving object up around
$\ 2. Do you think it same one?
I don't know. was the same one?
Q. Have any you bovs ey er seen an object like this before?
...n:; My sister saw something last week.
Q. Did you at any time notice any oarticular r oder in the
spotted this flying object? area where you
A. No.

especially ving me the
Yes we know, but you the truth.
A.
SUMMATION
Powell Ave. is locatedat theSouth-East edge of the City of rbana, and goes
East fro limits to State route 54. a mile West
supposed to have been seen about
This flying Ave. is a straight straigh road ar
of Rou . Powell , Powell
any hi ength, ength. object left the office
oys OvS that reported this
Immedia Immediat that hat detects Gamma and detects Gamma and Beta rays (Very Bets rays (Very sensitive)
I borrowed I borrowed a area The results of this test were I results of this test were negative. negative.
and checked the Powell Ave.
Philip mCullongh
chif Depty Sheilf.
Chanpaien

After five days return to
SHERIFF'S OFFICE UR BA NA,
URBANA, OHIO 43078 SEO 2
AM
1965
OHIO
Foreign Technology Division
Attn: U.F.O. Personnel Wright -Paterson A.F.B.
Fairborn
Ohio

he noticed the light as it was moving upward. The object was moving about as
fast as an aircraft. This witness stated the object looked like a dise shaped
object about eignt feet in diameter.
COMMENTS
The initial portion of the sighting has the characteristics of being a
meteor; however, the fact that the ob,ject was noted traveling south and follow-
ing Route 54 tends to obliterate this conclusion. The conflicting length of
observation between the witnesses causes some concern. Driver states he saw
ob.ject as it moved along Route 54, but later stated he ob.ject as it moved along Route 54, but later stated he didn't see it anymore. didn't See it anymore.
As driver was leaving the original scene where object hit road, the other two
observers continued to watch object as it was going south along Route 54. One
witness, excluding the driver, stated he watched object for witness, excluding the driver, stated he watched object for thirty seconds. thirty seconds.
Driver said that he was was driving and didn't see the object as driving and didn't see the object as long as the other
two. two.
the case is carried as unidentified.
.

Page 3
14. Did the object disappear while you were watching it? If so, how?
It would din -then appear a shot
distance away.
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 toll what
it moved behind: be1ewan0U02
16. Did the object move in front of something at any time, particularly a cloud? . Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes' Yes' No Don't Know. IF you answered YES, then tell what
. in front of: _
A1
17. Toll in a fow words the following things about the object: 17.Toll in a few words the following things about the object: PK
0. Sound no ound
b. Color Vared faom gellow to geend
18. Wo 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 the time of the
sighting, how much of the object would have begn covered by the match head?
at high alttude et wos about Dhesie
a mateh
Draw a picture that will show the shape of the object or objects. Label and include in your skotch 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. Place an arrow beside the drawing to show the direction the object was moving.
Zhe otjecto traveled The objecto traveled
( in ang drecectio at in ang drrectior at
I
lase, lase.
T
1

(
Page 4
20.Do you think you can estimate the speed of the object?
(Circle One) es No
2.Do you think you can estimate how far away from you the object was?
(Circl One) Yes No s
w Wut re 7G970Z30 UOY
IF you answered YEs, then how for away would you say it was?
22. Where were you located when you saw the object? 23. Were you (Circle One)
(Cirele One):
a. In the business section of a city?
aInside a building b. In the residential section of a city?
b. In a car c. In open countryside?
c. Outdoors d.
d.In an airplane (type) d. In an airplane (type) e. Flying over a city? WPAFBane WPAFBane
. At sea f. Flying over open country?
f. Other - 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 wore you moving? (Cirele One)
a. North c. East . 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?
a. Eyeglasses Yes No Binoculars .Yes
b.Sun glasses b. Sun glassos No f. Telescope Telescope Yes No
c. Windshiold c. Windshiold Yes No g. Theodolite Theodolite Yes No
d. Window glass Yes 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 2In 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 saw. object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.
gIe viry gIe viry hard to describe the objicho

Page 5
.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 last saw it. Place an "A" on the compass
when you first saw it. Place a "B"" on the compass where you last saw the object.
90 75°
60
30°
15•
S S
Came Came Durectly Durectty over hiad over hiad
Ther svesit
Drawa picture that will show the motion that the object or objects made. Place an the beginning of th
path, a "B" at the end of the path, and show any changes in direction during the course.
A it would be almost inysosseble tishour
eoncavle
The
on a line ghrand
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 they were traveling.
saw only one tonght one nonight
saw only

Page 6
30. Have you ever seen this, or a similar object before. If so give date or dates and location.
(never)
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
2
31.2 Please list their names and addresses:
urbana O
wanao Nsana
unbans 0 unbano.0
unbana
32. Please give the following information about yourself:
NAME NAME
First Name
ADDRESS Urbasia43078
Zone State
TELEPHONE NUMBER AGE 65 SEX M
Indicate any additional information about yourself, including any special experience, which might be 'pertinent.
33. When and to whom did you repgrt that you had seen the object? .When and to whom did you repgrt that you had seen the object?
/3 13 8 65 Sheriff office
Doy Month Year
State latiul atoffio

Page 7
34. Date you completed this questionnaire: 188 65
Day Month Year
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.
i.
1