PROJECT BLUE BOOK

PROJECT !OO73 RECORD
1. DATE - TIME GROUP .LOCATION
17 February 66 17/1100z Centerville, Ohio
3. SOURCE 10. CONCLUSION
Civilian Astro (VENUS)
3. NUIMBER OF DBJECTS
One
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
22 Minutes Object was starlike but larger than a star.. Seemed to whirl
and the dog barked. Was cbserved in the East at approximately
6. TYPE OF OBSERVATION 75 deg azimuth and lo deg elevation.
Ground-Visual At O6OOL, VeNUs was at 120 deg azimuth, and 30 deg elevation
7. COURSE Stellar mag -4.3.
Stationary NT
8. PHOTOS
7 Yes
XXNo
9. . PHYSICAL EVIDENCE
FTD SEP 63 O-329 (TDE) Prevlous editione of thl torm my he usod,

U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prepar ed so that you can give the U.S. Air Force as much
information as possibl oncerning the unidentified cerial phenomenon that you have observed.
Please try to answer as s you possibly can. The infermation that you give will
be used for research purposes. Y our name will pot be used in connection with any statements,
conclusions, or publications without your permission. Wa request this personal information so
thar if it is deemed necessary, we may contact you for further details.
1. When did you see the object? 2.Time of day:O6
Hour Minutes
Zeb
(Circle One): A.M. or P.M.
Day Month Year
3. Time Zone: . Time Zone:
(Circle One): a. Eastern (Circle One): a. Daylight Saving Daylight Saving
b. Central 6. Standard
C. Mountain
d. d. Pacific Pacific
e. Other
4. Where were you when you saw the object? 4. Whsre were you when you saw the object?
Centille
Nearest Postal Address City or Town State or County State or County
5. How long was object in sight? (Total Duration) 2.2
Hours Minutes Seconds
a. Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was rime in sight determined?
5.2 Was object in sight continuously? Yes No
6. What was the condition of the sky?
DAY NIGHT
a. Bright a. Bright
b. Cloudy 6. Ctoudy
7. IF you saw the object during DAY LIGHT, where was the SUN located as you looked ar 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FTD OCT 62 164 This formn superardes FTo 164, Jul 61, which is obsolete.

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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
Many rc. 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. Dry
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don't remember a
10. The object appeared: (Circle One):
d. Solid d. As a light
b. Tronsparent e. Don't remember
c. Vepor -
1 If it appeared as a light, was it brighter than the brightest stars? (Circle One):
C. Brighter c. About the same
b. Dimmer d. Don't know
12. The edges of the object were:
(Circle One): a. Fuzzy or biurred e. Other
Like a bright star
c. Sharply outiined
d. Don't remember
1. Did the object: (Circle One for eoch question)
a. Appear to stand still at any time? Yes No Don't know
b. Suddenly speed up and rush away at any time? Yas No Don't know
c. Break up into parts or explode? Yes No Don't know
d. Give off smoke? Yes No Don't know
e. Change brightness? a Yes No Don't know
f. Change shape? CYes No Don't know
g. Flash or flicker? Yes No Don't know
h. Disappear and reappear? Yes No Don't know

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14. Did tho object disappoar whils you wers watching it? If so, how?
not
15. Did the cbject move behind something at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answered YEs, thon toli whar
it moved behind:
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: .
17. Tell in a few words the following things about the object:
a. Sound__ wlidle
b.Color
18. Ws wish to know the angular size. Hold a match stick at arm's iength in line with a known object and nore how
much of the object is covered by the head of the match. If you had performed this sxperiment at the time of the
sighting, how much of the object would have been covered by the match head?

Yes
comple miles
IF you answered YES, then how far away would you say it was?
22. Where were you located when you saw the object? 2Were you (Circle One)
(Circle One):
a. In the business section of a city?
Inside a building b. In the residential section of a city?
b. in a car cin open countryside?
c. Outdoors d.Near an airfield?
d. in an airplane (type) d. in an airplane (type) . Flying over a city?
e. At sea f. Flying over open country?
f. Orher _ f. Other g. Other
24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complets the following questions:
24.1 What direction were you moving? (Circle One)
a. North c. East e. South g. West g. West
. Northeast b. Northeast d. d. Southeast 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
of
25. Did you observe the object through any of the following?
a. Eyeglasses Yes No e. Binoculars No
b. Sun glasses Yes f. Telescope No
c. Windshield Yes. g. Theodolite Yes No
d. Window glass Yes No h. Other_
26. In order that you can give as clear a picture as possible of what you saw, describe in your own words o common
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.

Pag 5
27. in the following sketch, imagine that you ars at the point shown. Placs an "A on the curved line to show how
high the object was abovs 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 cornpass
when you first saw it. Place a "B" on the compass where you last saw the object.
900 75°
60 13
45 NX
m
30
5
15 3W
28. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of ths
path, a "" at the end of the path, and show any changes in direction during the course.

30.Have you ever seen this, or a similar object before. If so give dats or dates and location.
N.n2
31. Was anyore eise with you at the time you saw the object? (Circle One) Yos No
31.1 IF you answered YES, did thay see the object too? (Circle One) Yes No
31.2 Please list their names and addresses:
F wife
ille
32. Please give the following information about yourself:
NAME
Last Nome First Name Middi Name
ADDRESS
Strest City Zone State
TELEPHONE NUMBER AGE_25 SEX
001 - 4 2 a
33. When and to whom did you report that you had seen the object?
&l-
Day Month Yoar

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