PROJECT BLUE BOOK

I
..
PROJECT 10073 RECORD
i. DATE · TIME GROUP 2. LOCATION
11 May 1966 12/0250Z Dayton, Ohio (1 Witness)
3. SOURCE 1. CONCLUSION
Civilian Astro (METEOR) V7/0
2A
4. NUMBER OF OBJECTS
One
5. LENGTH OF OESERVATION 1. BRIEF SUMMARY AND ANALYSIS
5 Seconds Observer noted gray glare with red and green dots: There werd
3 or 4 dots each equal in size'bo a pencil erasor. Sighting was
6. 6. TYPE OF OBSERVATION TYPE OF OBSERVATION accompanied accompanied by whistling by whistling sound Object disappeared Object disappeared be below soin soi
Ground-Visual trees trees
7. COURSE COURSE
To E To E
8. PHOTOS
Yes
CCXiNo CCXNo
9. VIDENCE /
PHYSICAL PHYSICAL EVIDENCE
D Yes
NO
FORM
FTD SEP 63 0-329 (TDE) Previous editions of thle form mey be used.
3SAOS

Disuppend belsu obitales
15.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?
(Cirsle 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. Whistl, 220222
b. Color wit rel ad Iuen Iat"
3524
Wo wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how pil
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?
4." at aom ch length.
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 arrow beside the drawing to show the direction the object was moving.
Not Tos sune →hanit
,
wasThicle

Pago 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? _
21. 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?
2. Where were you located when you saw the object? Were 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 c. In open countryside?
c, Outdoors d.Near an airfield?
d. In an airplane (type) e. Flying over a city?
e, At sea f. Flying over open country?
f. . Other - g. Other _
24.
24.1 What direction were you moving? (Circle One) 24.1 What direction were you moving? (Circle One)
a. North a. North c. East . South . South g. West
. Northeast d. Southeast f. Southwest h. Northwest 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? Did you observe the object through any of the following?
a. Eyeglasses Yes No e. Binoculars No)
b. Sun glasses Yes Ne f. Telescope CNo
c. Windshield (No) g. Theodolite Yes No
d. Window glass Yes No 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
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.
№o compuso
*
V

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. Placo a "B" on the same curved line to
when you first saw it. Place a "B" on the compass where you last saw the object.
90° 75°
60
A
NW NU
30 A→B
E
SW Se
Draw a picture that will show the motion that the object or objects made. Place an "A" at the baginning of the
path, a "" at the end of the path, and show any changes in direction during the course.
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.

Pago 6
Have you ever seen this, or a similar objoct 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) Yes (No
Yes No
31.2 Please list their names and addresses:
32. Please give the following information about yourself:
NAME Last Name
Last Name First Name First Name Middlo Name Middle Name
ADDRESS DA1TON! DAITON 2. 2
Street City Zone State
TELEPHONE NUMBER TELEPHONE NUMBER AGE Teer Teer SEX 1 SEX 14
.When and to whom did you report that you had seen the object?
10 MAY lil
Day Month Year

Page 7
34. Date you completed this questionnaire: 10 MAY 66
Day Month Year
questionnaire or a narrative explanation of your sighting. 1
Ma.
11
watihng .
3

..
PROJECT 10073 RECORD
-
1. DATE · TIME ·GROUP 2LOCATION
15 May 66 / /06357 Dayton, Ohio . ::
3. SOURCE 10. CONCLUSION
Civilian Aircraft √
4 NUMBER OF OBJECTS
One
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
40 Seednds Cbserver noted object in the SE. Object was a star like
6. TYPE OF OBSERVATION object but zig-zaged repeatedly. After 40 seconds the
.object faded out of sight.
Ground Visual
7. COURSE Coserver's father called at o255 and reported saw same
object this time in the NE. Later called back and said
Varicus that he had seen an aircraft with landing lights on.
8. PHOTOS
Yes
No 5 No
9. PHYSICAL PHYSICA EVIDENCE DENCE /
Yes 1
No
FORM
FTD SEP 63 0-329 (TDE) Previous oditions of this form may be used. Previous oditions of this form may bo used.
6
.

Eulur)
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 po concerning the unidentified aerial phenomenon that you have observed.
Please try to answer any questions as you possibly can. The information that you give will
be used for research 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.
.When did you see the object? 2. Time of day: 0135
Hour Minutes
15 (Circle One): CA.M. or P.M.
Day Month Year
3. Time Zone:
(Circle One): Eastern a. Daylight Saving
b. Central b. Standard
c. Mountain
d. Pacific
e. e. Other Other
4. Where were you when you saw the object?
DpvTen
Nearest Postal Address City or Town State or County State or County
5. How long wes object in 5.How long wes object in sight (Total Duration) Total Duration) Q 40
Hours Minutes Seconds
a. Certain c. Not very sure c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determined? Guess
5.2 Was object in sight continuously? Yes K No —
6. What was the condition of the sky?
DAY NIGHT
a. Bright Bright DARH CLeaP
b. Cloudy b.
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 1/4
b. In back of you e. Overhead
c. To your right f. Don't remember
FTD FORM
OCT 62 164 This form supersedes FTD 164, Jul 61, which is obsolete.

Page 2
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
A few b. Dull moonlight
c. Many No moonlight - pitch dark
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):
Clear sky . Dry laa
b. Hazy b. Fog, mist, or light rain Pange
c. Scattered clouds c. Moderate or heavy rain
d.Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One):
.Solid d.) As a light
b. Transporent b. Transpereh! Don't remember
c. Vapor c. Vapor
I t appeared as igh, was t righterthan the brightest stars?Circle One): If it appeared as a light, was it brighter than the brightest stars? (Circle One):
0 Brighter c. About the same
b. Dimmer d. Don't know . Don't know
11.1 Compare brightness to some common object:
C. C CARgER 7h0n
12. The edges of the object were: The edges of the object were:
(Circle One):  Fuzzy or blurred (Circle One): ) Fuzzy or blurred e. Other
b. Like a bright stor
c. Sharply outlined
d. Don't remember
Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes Don't know
b. Suddenly speed up and rush away at any time? Yes Don't know
c. Break up into parts or explode? Yes ⑨992 Don't know
d. Give off smoke? Yes Don't know
e. Change brightness? (Yes Don't know
f. Change shape? Yes No Don't know
g. Flash or flicker? Yes NO Don't know
h. Disappear and reappear? Yes Don't know

Pago 3
.Did the objoct disappear while you were watching it? If so, how?
SLOW D Dion
Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes NO Don't Know. IF you answered YES, then tall what
it moved behind:
16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes N 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
b. Color yu
s 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?
MHTCG had at aboret
2 Dnythe
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.
s/ot

IF you answered YES, then what speed would you estimate?.
(Circle One) Yos) No
Where were you located when you saw the object? Were you (Circle One)
(Circle One): a. In the business section of a city?
aInside a building . In the residential section of a city?
b. In a car c. In open countryside?
Outdoors dNear an airfield?
d. In an airplane (type) .Flying over a city?
e. At sea f.Flying over open country?
f. Other g. Other
2. IF you were MOVING IN AN AUTOMOBILE or other vehicle at time, then complete the following questions:
24.1 What direction were you moving? (Circle One)
c. North c. East . South g. West
. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? — miles per hour. 1
24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.
teoy 9"

UNCLASSIFIED
DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSAGE
AF IN: 33748 (16 May 66)F/djv Page l of 6
ACTION: N NIN-7 INFO: XOP-1, SAFOS-3, RDC-4 (18)
ADV CY DIA
SMB B 03 1CZ CBVB 795
PTTU JAW RUEDARD 0193 1361130-U
ZAR JUJUU.
PR 161137
FM 649TH RADAR SO BEDFORD AFS VA
TO RUNVEVA/ADC ENT AFB COLO
RUEDMAA/1AF STEWART AFB N Y \$
RUODGU/AFSC "R IGHT PATTERSON AFB OHIO
RUEdHQA/HQ USAF WA SH D C RUEDHQA/HO USAF WA SH D C
RUED HQA/SECRETARY OF THE AIR FORCE WASH D C RUED HQA/SECRETARY OF THE AIR FORCE WASH D C
INFO RUEDARA/33 AIR DIV FT LEE AFS VA INFO RUEDARA/33 A IR DIV FT LEE AFS VA
RUEDARA/CAPT RUEDARA/CAPT OIN FT LEE LEE AFS VA
BT
UNOLAS 6490OP 00039 MAY 66. SECTION I OF II SECTIONS. FOR ADCCADOIN),
1AFCAF OIN), AFSC (SCF), HQ USAF (AFNIN), OSAF (SAFIO), 33ADIV
(33O IN), SUBJECT : UFO SIGHTING. IN ACCORCANCE TAO MOP WITH AFR AFD 200-2 THE
FOLLON ING INFORMAT ION IS SUBMITTED.
4DESOR IPTION OF OBJECT : (INI REPORT)
(1) TORPEDO SHAPED.
FEET IN LENGTH (COMPARABLE TO LOOKING
AFHQ JAN 85 FORM 0-309C
UNCLASSIFIED

Pag• 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
when you first saw it. Place a "B"" on the compass where you last saw the object.
90° 75°
60°
NW NU
30°
E
150 N.
SW SS
path, a " at the end of the path, and show any changes in direction during the course.
zay to SE
z1g
M

Pago 6
.Have you ever seen this, or a similar object before. If so give date or dates and location.
7
3. Was anyone slse 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) No
31.2 Please list their names and addresses:
DAY
Please give the following information about yourself:
NAME
osf First Name Middle Name
ADDRESS ADDRESS D4 ts D4 11 C
City Zone State
TELEPHONE TELEPHONE AGE 1.5 5 SEX
Indicate any additional information about yourself, including any spec I experience, which might be pertinent. experience, which might be pertinent.
none
.When and to whom did you report that you had seen the object? DOTY
15 M21f 66
Day Month Year FTD

31
Page 7
34. Date you completed this questionnaire: - 15 Mif 66
Day Month Year
questionnaire or a narrative explanation of your sighting.
2088 670e1 t B i
2C ZAgED NEPE0
40 sec. 17 D108 Aw
3ent O0T.
Ar 0255
lwinness's Fa7hr) calld he
2 u E log
te the NE 0250. Het
altitilet He
mrboi
at ar2 Eont
Dinill

PROJECT 10073 RECORD
1. DATE· TIME GROUP 2. LOCATION
23 Mey 1966 23/0520Z Dayton, Ohio (1 Witness)
3. SOURCE . CONCLUSION
Civilian Probable (SATELLITE) 3 8A
4. NUMBER OBJECTS EchoI
One
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
5 Minunes Object appeared as a light only. Green and turquoise color.
Stady light like plane.
6. TYPE OF OBSERVATION TYPE OF OBSERVATION
Ground-Visual
7. COURSE Echo Echo I ouer 84 Long- 40 Lat at o 4 2
E
. PHOTOS 6. PHOTOS
Ys
X No XX No
9. PHYSICAL PHYSICA EVIDENCE VIDENCE
Yes
ENo
FORM
FTD SEP 63 O-329 (TDE) Previocs ediulone of thle form may be used.
.
-

DAYTOS 03/05305
.:
Pob Sotlil)
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 possil ncerning the unidentified aorial phenomenon that you have observed.
Please try to answer yquestions as you possibly can. The information that you give will
be used for researcl oses. Your name will not be used in connection with any statoments,
conciusions, 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? Time of day: 6020
Hour Minutes
(Circle One): A.M. or P.M.
Day Day Month Year Year
3. Time Zone:
(Circle One): (Circle One): Eastern a. Daylight Saving
Central b. Standard Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
Doytor
Nearest Postal Address City or Town State or County
.How long was object in sight? (Total Duration)
Hours Minutes Ssconds
c. Certain .Not very sure
. Fairly certain d.Just a guess
5.1 How was time in sight determined? _
5.2 Was object in sight continuously? Yes No-
6. What was the condition of the sky?
DAY NIGHT
a. Bright ar
b. Cloudy b. Cloudy
IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): 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 form supersedes FTD 164, Jul 61, which is obsolete.
.

Page 2
.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 o. Bright moonlight
b. A few b. Dull moonlight
c Many .c. No moonlight - pitch dark
d. Don't remember d. Don't remember
CLOUDS (Circle One): WEATHER (Circle One):
Clear sky Q Dry
b. Hazy b. Fog, mist, or light rain
c. Scottered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don't remember
The object appeared: (Circle One):
a. Solid a As a light
b. Transparent Don't remember
c. Vapor
If it appeared as a light, was it brighter than the brightest stars? Circle One): 1If it appeared as a light, was it brighrer than the brightest stars? (Circle One):
O! ! Brighter c.About the same .About the same
b. Dimmer b. Dimmer d. d.Don't know Don't know
11.1 Compare brightness to some common object:
The edges of the object were:
(Circle One):. Fuzzy or blurred e. Other
Like a bright star
c. Sharply outlined
d. Don't remember
Did the object: (Circle One for each question)
Appear to stand still at any time? es No Don't know
b Suddenly speed up and rush away at any time? Yes No Don't know
c. Break up into parts or explode? es No Don't know
d. Give off smoks? Yes No Don't know
e. Change brightness? Yes No Don't know
f. Change shape? Yes No Don't know
g. Flash or flicker? Yes No Don't know
h. Disappear and reappear? Yes No Don't know

Page 3
14. Did the object disappear while you were watching it? If so, how?
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?
(Circie 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: .Tell in a few words the following things about the object:
. Sound
b. Color
Ws wish to know the angular size.Hold a match stick at arm's length in line with a known object and note how 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? sighting, how much of the obiect would have been covered by the match head?
None
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.
Ligytorly
J

Were you (Circle One)
(Circle One):
a. In the business section of a city?
Inside a building b. In t the residential section of a city?
b. In a car c. In open countryside?
c. Outdoors d. Near an airfield?
d. In an airplane (type) e. Flying over a city?
e. At sea f. Flying over open country?
f. g. Other
24. IF you Were MOVING IN AN AUTOMOBILE or other vehicle at time, then complete the following questions: .
. North East e. South g. West g.
. Northeast : : d. Southeast Southeast f. Southwest f. Southwest h. Northwest 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
Did you observe the object through any of the following?
Eyeglasses Yes e. Binoculars No
b. Sun glasses No f. Telescope Yes No
c. Windshield Yes No g. Theodolite Yes No
d. Window gless Yes No h. Other _
onplane
Stenly high

Pago 5
27. In the following sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how
90° 75
NW
30° →
E
15° SW
S6
S
Draw a picture that will show the motion that the object r jects madePlace n A the beginning of he Draw a picture that will show the motin that the object r jects madPlace n Aa the beginning  th
path, a " at the end of the path,nd show any changes in direction during the course. path, a "" at the end of the path, and show any changes in direction during the course.
2. 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.
EAST

Page 6
Have you ever seen this, or a similar object before. If so give date or dates and location.
Years /
3. Was anyone else with you at the time you saw the object? (Circle One) Yes No
Yes No
31.2 Please list their names and addresses:
32. Please give the following information about yourself: .Please give the following information about yourself:
NAME
First Name First Name Middle Name
ADDRESS ACDRESS
$jr Cjty Zone State
TELEPHONE NUMBET TELEPHONE NUMBER AGE SEx F SEX F
Indicate any additional information about yourself, incl luding any special experience, which might be pertinent.
When and to whom did you report that you had seen the object?
∂3
Day Month Year

UNCLASSIFIED
DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSAGE
AF IN: 33748 (16 May 66) Page 2 of 6
AT A WATERMELON HELD IN THE HAND AT ARMSS LENGTH)
(3) BLACK NOSE - GRAY BODY
(4) ONE
PAGE 2 RUED ARD 0193 UNCLAS -
(5)N/A
(7) NONE OB SERVED
(3) YES. WHISTLING SO UND
(9) NONE REPORTED (9) NONE REPORTED
B. DESCRIPTION OF COURSE OF OBJECT:
(1) OBSERVER NOTICED ALLEDGED SIGHT ING DUE TO WHISTLING (1) OBSERVER NOT ICED ALLEDGED SIGHT ING DUE TO WHISTLING
SOUND FROM OVER HEAD AND BECAUSE SOUND WAS RAVEL ING FROM AVEL ING FROM
NORT HEAST TO SOUT HYEST. NORTHEAST TO SOUT HYEST. /
(2) ANGLE APPROXIMATELY (2) ANGLE APPROXIMATELY Y 360 DEGREES, AZIMUTH 060 DEGREES 360 DEGREES, AZIMUTH 060 DEGREES
(3) ANGLE 060 DEGREES .1
SONNORTHEAS HE AD ING
AT AN UNDERTERMINED SPEED. ALTITUDE 200 FEET
BY OBSERVERS EST IMATE.
(5) OBJECT CONTINUED ON ORIGINAL HE ADING AND DISAPPE ARED
RAPIDLY.
AFHQ JAN 65 FORM 0-309C UNCLASSIFIED

Page 7
34. Date you completed this questionnaire: 23 Ma 66
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.
\

PROJECT 10073 RECORD
DATE TIME GROUP 2 LOCATION
23 May 66 24/0200Z Dayton, Ohio
. SOURCE 10. CONCLUSION
Civilian Satellite (possible) not
4. NUMBER OF OBJECTS
0 Two
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
15 minutes Observer noted an object in the western sky that appeared as
a light. The light was like a car light or a 3oo watt bulb.
TYPE OF OBSERVATION Objects traveled east and finally just disappeared om view.
Ground Visual Observer has seen similar objects several times.
7. COURSE 7. COURSE Conversation with observers wife (2nd witness) stated that Conversation with observers wife (2nd witness) stated that
Esst she didn't know what a satellite looked like, She had she didn't know what a satellite looked like, She had
never seen one and only thought that there were only a very
3. PHOTOS few in the sky. After talking with 2nd witness, conclusions
o Yes Yes are that both witnesses have observed satellites of several are that both witnesses have observed satellites of several
No DNo occasions.
9. PHYSICA- EVIDENCE PHYSICAL EVIDENCE
= Yos n ox Yos
5 No No
FORM
FTD SEP 63 0-329 (TDE) Previous editlons of this form may be ueed.

DAYTON 18 MAy36 21MAY
OTHER(INSOFF FDAT9
FTD (TDEW)
Wright-Patterson AFB, Ohio 45433
24May 1966
Dayton, Ohio 45406
Dear
Reference your recent conversation with the Duty Officer at
Wright-Patterson Ohio regarding your unidentified observa-
tion. The Duty Officer's report stated that you wished to be
contacted by telephone This office has attempted to reach you
after 1530 hours various days, however, we have not been
successful. enclosing a FTD Form 164 for your completion.
If you have any If you have any questions questions regarding regarding this subject, feel this subject, feel free to free to
call 25-70916 or 25-76678 call 25-70916 or 25-76678 during duty hours (0715 - 1600). during duty hours (0715 - 1600).
I wish to thank you fo I wish to the Air
Force.
Sincerely,
HECTOR QUINTANILLA, Jr, Major, USAF HECTOR QUINT FANILLA, Jr, Major, USAF
Chief, Project Chief, Pro Blue Book

21020
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 pos oncerning the unidentified aerial phenomenon that you have observed.
Please try to answ questions as you possibly can. The information that you give will
be used for resear es. 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.
.When did you see the object? 2. Time of day: 9 aclech.
66
23 m01 (Circle One): A.M. or (F.M.)
Doy Month Year
. Time Zone: .Time Zone:
(Circle One): (Circle One): a. Eastern (Circle One): a. Daylight Saving (Circle One): a.Daylight_Saving
b. Central b. Standard ?
c. c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
DAYTOY CHi0 DAYTO4 6fiG mont. mant.
st Postal Address City or Town State or County
How long was object in sightt (Tatal Duration) 15
Hours Minutes Seconds
. Certain c. Not very sure
b. Fairly certain d. Justa guess
5.1 How was time in sight determined? _ Naw a chear neght
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 b.
(Circle One): in front of you d. To your left
b. In back of you e. Overhead
c. To your right f. Don't remember
OCT 62 164 FORM
FTD This form supersedes FTD 164, Jul 61, which is obsolete.
.

Page 2
8IF 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
B. Afew b. Dull moonlight
c. Many c. No moonlight - pitch dark
d. Don't remember d. Don't remember
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
Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One):
a. Solid a. Solid d. As a light
b. Tronsparent b. Tronsparent e. Don't remember e. Don't remember
c. Vapor Vopor
If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter About the same .About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
Lihe a 300  ul f a 100 w. 8ull
The edges of the object were:
(Circle One): c. Fuzzy or blurred e. Other.
b. Like a bright star
C. Sharply outlined
d. Don t remember
Did the object:
a. Appear to stand still at any time? Yes No Don't know
b. Suddenly speed up and rush away at any time? Yes 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? Yes No Don't know
f. Change shape? Yes No Don't know
g. Flash or flicker? Yes Don't know
h. Disappear and reappear? Yes No Don't know
10

Page 3
it Just
15. 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?
(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 non
b. ColtrRcl leke o a Can light on at night
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?
afout b ot tri ojut
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 arrow beside the drawing to show the direction the object was moving.
O- W.

20.Do you think you can estimate the speed of the object?
(Circle One) 60 No -
Sooup
Do you think you can estimate how far away from you the object was?
(Circle One) Yes No
22. Where were you located when you saw the object? Were you (Circle One)
(Circle One):
a. In the business section of a city?
a.Inside a building 4. In the residential section of a city?
b. In a car c. In open countryside?
c. Outdoors d. Near an airfield?
d. In an airplane (type) e. Flying over a city?
e. At sea f. Flying over open country?
Other - g. Other _
)
a. North c. East e. South g. West
b. b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? _miles per hour. iles por 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 e. Binoculars Yes No
b. Sun glasses Yes @9g f. Telescope Yes No
c. Windshield Yes g. Theodolite Yes No
d. Window glass Yes No h. Other -
t or jects which, when placed u n the sy, would give the same appearance as the object which you saw.
Roud liki 0- 300
it in timn o7f th man
Towen how it and Low it Deasfn

show how high the object was above the horizon (skyline) when you last saw it. Place an "A'
when you first saw it. Place a "B" compass where you last saw the object.
90° 75° :
60
45°
30B
SW SE
path, a "B at the end of the path, and shun any changes in direction during the course. path, a "B" at the end of the path, and shun any changes in direction during the course.
E W. W
B P
2. IF there was MORE THAN ONE object, then how many were there? _ 2
Draw a picture of how w they were arranged, and put an arrow to show the direction that they were traveling.
←100F
V

Pnge 6
Have you ever seen this, or a similar object before. If so give date or dates and location.
Du in may lost tian fome -
Deritelior ird in furs thn jear.
Yes No
Yes No
my Wif 4 cheldrun
an the man at Vondde wolir than
32. Please give the following information about yourself: 32. Please give the following information about yourself:
NAME Name First Name Middle Nome Middle Name
ADDRESS Di7YTO4 DR7YT04 16 -Qlio QHfio
City City Zone State State
TELEPHONE NUMBER TELEPHONE E NUMBER AGE 34 SEX 121
Indicate any additional information about yourself, including any special experience, which might be pertinent. .
3. When and to whom did you report that you had seen the object?
23 Macy le6
Day Month Year
Daty officer
Bacli

Page 7
34. Date you completed nis questionnaire: 26 may 66
Day Month Year
questionncire or a narrative explanation of your sighting.
, )
)

... .
UNCLASSIFIED
DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSAGE
AF IN: 33748 (16 May 66) Page 3 of 6
SE CONDS.
C. MANAER OF OBSERVATION
(GROUN-VISUAL
(2) NONE USED
PAGE 3 RUEDARD 0193
(3) N/A
D. TIME AND DATE SIGHT ING :
(1)12/1520
(2) UAY - FOGGY - OVERCAST. CEILTNG BOTTOMS T000 - T8DD FEET, 1000 - 1800 FEET,
TOPS: 5500 FEET. TOPS: 5509 FEET.
(3) N/A
E. LOCAT ION OF OBSERVERS: LATITUDE 37 DEGREES 30 MINUTES
OF THE CENTER OF THE CITV OF HBURGH, ON RIVERMONT BURGH, ON RIVERMONT T AVENUE AVENUE IN IN
NORTHNEST LYNCHBIRGH. NORT HIE ST YNCHBIRGH.
F. IDENT IFYING INFORMATION OF OB SERVERS: E. IDENTIEVING DRMATION OF DB SERVERS:
(1) -
NEWSPA (
(2G AUBREY WILEY, OAK FOREST
ROAD,L
AFHQ JAN 65 FORH 0-309C —
UNCLASSIFIED

PROJECT 10073 RECORD
DATE· TIME GROUP LOCATION
23 May 1966 2 24/03452 Dayton, Ohio (1 Witness)
3. SOURCE . CONCLUSION
Civilian SATELLLTE
4. NUMBER OF OBJECTS Echo I
One No indication that the sighting was not that of a satellite obser
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS vatior
15 Minutes Observer saw round shaped object which appeared as a light.
6. TYPE OF OBSERVATION Object appeared as a star or telstar satellite. Object
6. TYPE OF OBSERVATION traveled from west to east being traveled from west to east being visible for about i5. minutes. visible for about 15. minutes.
Ground-Visual
7. COURSE sa.shed. sal.sded.
W to B Chob Chob
s. PHOTOS
Yes Eche I war over the anea at et C3352 100
KNo 140 Lomg 140 Long
9. 9. PHYSICAL PHYSICAL EVIDENCE IDENCE
Yes
FORM
FTD SEP 63 O-329 (TDE) Previous editlons of thls form may be used.

U.S. AIR FORCETECHNICAL INFORMATION 4
This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possib ole concerning the unidentified aerial phenomenon that you have observed.
Plecse try to answer as many questions as you possibly can. The information that you give will
be used for research r name will not be used in connection with any statements,
that if it is deemed ne for further details.
1. When did you see the object? 10 45
Hour Minutes
23 (Circle One):
A.M. or P.M.
Doy Month Year
. Time Zone: 3. Time Zone:
(Circle One): (Circle One): a a. Eostern (Circle One): a.Daylight Saving (Circle One): a._ Daylight Saving
b. Central b. Standard
c. Mountain
d., Pacific
e. Other
4. Where were you when you saw the object? 4. Where were you when you saw the object?
abby Aie + 3rd A. abbr Aie t 3nd A. Doytom Do Oh Oh
Nearest Postal Address City or Town State or County
5. How long was object in sight? (Tatel Duration) 1S
Hours Minutes Seconds
a. Certoin .Not very sure
5. Foirly certain d. Just a guess
5.1 How wes time in sight determined?
5.2 Was object in sight continuously? Yes No
What was the condition of the sky?
DAY NIGHT
c. Bright a.
b. Cloudy b. Cloudy
IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): a.l In front of you d. To your left
b. In back of you e. Overhead
c. To your right f. Don't remember
FTD FORM
OCT 62 164 This form supernedes FTD 164, Jul 61, which is obsolete.

Page 2
8IF 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 No moonlight.= pitch dark
d. Don't remember d. Don't remember
. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky Dry
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One):
a. Solid d. As a light d. As a light
b. Transperent e. e. Don't remember like a like st. sin.
c. Vapor
1.If it appeared as a light, was it brighter than the brightest stors? (Circle One):
a. Brighter c. About the same c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
The edges of the object were:
(Circle One): a. Fuzzy or blurred c. Other
b. Like c bright stor
c. Sharply outlined
d. Don't remember
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? Yes 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? Yes No Don't know
f. Change shape? Yes No Don't know
g. Flash or flicker? Yes No Don't know
h. Disappear and reappear? Yes No Don't know
ohi0A rair sinali Lo Dlad

Page 3
14. Did the object disappear while you were watching it? If so, how?
15. 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?
(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: 17. Tell in a few words the following things about the object:
a. Sound . Sound
b. Color b. Color
We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how .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?
C0aNd 61 mated.
.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 arrow beside the drawing to show the direction the object was moving.
Rourd.

Page 4
20.Do you think you can estimate the speed of the object?
7
(Circle One) Yes No
IF you answered YES, then what speed would you estimate?
Do you think you can estimate how far away.from you the object was?
a (Circle One)
Yes No
IF you answered YEs, then how far away would you say it was? .
22. Where were you located when you saw the object? 3.Were you (Circle One)
(Circle 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. Near an airfield?
d.-In an airplane (type) e. Flying over a city?
e. At sec f. Flying over open country?
f. Other - g. Other _
24. 1 IF you Were MOVING IN AN AUTOMOBILE or ot other vehicle at the time, then complete the following questions:
24.1 What direction were you moving Circle One)
a. North a. North c. East e. South e. South g. West
. Northeast . Northeast d. Southeast d. Southeast f. Southwest Southwest h. Northwest 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? Trred Lo view fbioogh
TBiroculo·s 6u c00lc n.o g4
a. Eyeglasses No e. Binoculars Yes cloor vieu-
Sun glasses Yes No f. Telescope Yes .No
c. Windshield No g. Theodolite Yes No.)
d. Window glass Yes No 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
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.
affeone lik a Ster on Tulstor

show how high the object was above the horizon (skyline) when you last saw it. Place an "A" on the compass
90° 75°
60
45 NW
A E B
15 SW
Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the Draw a picture that will show the motion that the object or objects made. Place an "Aat the beginning of th
path, a "B" at the end of the path, ond shiuw any changes in direction during the course. path, a "B" at the end of the path, and shiun any changes in direction during the course.
15000 150
B3 72
A
wea 7 Eay
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.

Page 6
. Have you ever seen this, or a similar object before. If so give date or dates and location.
Fo /
Yes No
Yes No
31.2 Please list their names and addresses:
32. Please give the following information about yourself:
NAME NAME
Last Name First Name Middle Name
ADDRESS ADDRESS
Street City Zone State
TELEPHONE NUMBER TELEPHONE NUMBER AGE AGE ? SEX 38 SEX 381
Indicate any additional information about yourself, including any special experience, which might be pertinent.
U0s Ar Forco
33. When and to whom did you report that you had seen the object?
Day Month Year

PROJECT 10073 RECORD
1. DATE · TIME GROUP 2. LOCATION
25 May 1966 25/21212 Dayton, Ohio (3 Witnesses)
3. SOURCE . CONCLUSION
Civilian Probable (AIRCRAFT)
4. NUMBER OF FOBJECTS
One
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
40 - 50 Seconds Object was a bright silver color, triangular shaped. Object
6. TYPE OF OBSERVATION went behind a jet stream for 2-3 seconds then reappeared agair.
Traveled on a straight flight to SE.
Ground-Visual Ground-visual
7. COURSE 7. COURSE
N to SE N to SE
. PHOTOS 8. PHOTOS
D Y.s
X.No
9. PHYSICAL EVIDENCE PHYSIC DENCE
Y.s Yes
No
FORM
FTD SEP 63 0-329 (TDE) Previous editions of thie form may be ueed.
.
.

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 possibl concerning the unidentified aerial phenomenon that you have observed.
Please try to answer as any 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? 2. Time of day: - 16i21
Hour Minutes
25 11a7 262 (Circle One): A.M. or P.M.)
Day Month Year
.Time Zone:
(Circle One): Eastern (Circle One): a. a. Daylight Saving
b. b. Central b. Standard
c. c. Mountain
d. Pocific
e. Other Other
4. Where were you when you saw the object?
RyTLAD DeUe Dpyren Deyren
Necrest Postal Address AJR City or Town State or County-
5. How long was object in sight? (Total Duration) 48-50
Hours Minutes Seconds
a. Certain c. Not very sure
Fairly certain d.Just a guess
5.1 How was time in sight determined?7'
5.2 Was object in sight continuously? Yes No-
What was the condition of the sky?
DAY NIGHT
Q. Bright a. Bright
b. Cloudy b. Cloudy
IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): In front of you d. To your left
In back of you e. Overhead
To your right f. Don't remember
(
FORM
FTD OCT 62 164 This form supersedes FTT) 164, Jul 61, which in obsolete.

Page 2
8IF 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. Dan't remember .Don't remember
What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
Clear sky a. Dry
b. Hazy b. Fog, mist, or light rain
Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds Snow
e. e. Don't remember Don't remember
10. The object appeared: (Circle One): . The object appeared: (Circle One):
6 Solid d.As a light
b. Transparent e. Don't remember
c. Vapor
it apeared alight was it igr than the brightest storsCirclen: If it appeared as a light, was it brighter than the brightest stars?Circle Cne):
a. Brighter a. Brighter c. About the same
b. Dimmer d. Don't know Don' know
11.1 Compare brightnass to some common object:
1.The edges of the obiect were:
(Circle One): a. Fuzzy or blurred
b. Like a bright stor
Sharply outlined
Don't remember
Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes Don't know
b. Suddenly speed up and rush away at any time? Yes Don't know
c. Break up into parts or explode? Yes Don't know
d. Give off smoke? Yes 9 9 Don't know
e. Change brightness? Yes Don't know
f. Change shape? Yes Don't know
g. Flash or flicker? Yes Don't know
h. Disappear and reappear? Yos No Don't know

2 UNCLASSIFIED
DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSAGE
AF IN: 33748 (16 May 66) Page 4 of 6
WAS ONLY ALLEGED ACTUAL OBSERVER OF OBJECT.
-
Talking with Mr HE CONFIRMED HE WAS WARNED, THAT
HE HEARD A "HISTLING SOUND D PASSiNg OvER aNd by tHE time HE
PAGE 4 RUEDARD 0193 UNCLAS
HAD LEFT HIS HOUSE THE OBJECT "AS NOT IN SIGHT
G. WEATHER:
5500 FEET AND BOTTOMS BETWEEN 1000-1800 FEET. 5500 FEET AN BOTTOMS BETWEEN 1000-1800 FEET.
(2) OBTAINED FROM THE DUTY FORECASTER, DET 41, 12TH WEATHER (2) OBTAINED FROM THE DUTY FORECASTER, DET 41, 12TH WEATHER
SQUADRON LOCATED AT THE 33 ADIV, WIND VELOCITY SQUADRON LOCATED AT THE 33 ADIV, WIND VELOCITY IN DEGREES AND KNOTS DEGREES AND KNOTS
FROM THE SURFACE TO B0,000 FEET:
SURFACE 260 DEGREES 10K 263 DEGREES 10K
5000' 260 DEGREES 10K 260 DEGREES 10K
10,000* 260 DEGREES 10,039' 260 DEGREES 20V S 20v
16,000°2 271 DEGREES 20K
20,000° 2 273 DEGREES 20K
30,000'? 240 DEGREES 35K
50,000. 260 DEGREES 30K
/
AFHQ JAN 65 FORM 0-309C
UNCLASSIFIED

Page 3
.Did the object disappear while you were watching it? If so, how? deagind fior alout
202 300.
15. Did the object move behind something at any time, particularly a cloud?
(Circie One): Yes (N Don't Know. IF you answered YES, then tell what
it moved behind:
Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes $(N\ 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
b. Color Lridlves widlves
18. 18.V We wish to know the angular size. old a match stick at arm's length in line with a known object and note how 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? i-btineLommohof oon covered by the match head?
Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details
of the objest that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails.

Page 4
Do you think you can estimate the speed of the object?
(Circle One) Yes No
(Circle One) Yes) No
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. Inside a building 6 In the residential section of a city?
b. In a car c. In open countryside?
E Outdoors d. Near an airfield?
d. In an cirplane (type) e. Flying over a city?
e. 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:
Circle One)
a. North c. East e. South g. West
b. Northeast b. Northeast d. Southeast f. Southwest 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
Did you observe the object through any of the following?
Eyeglasses Yes No e. Binoculars Yes №o
b. Sun glasses Yes $№_o f. Telescope Yes cNg
c. Windshieid Yes g. Theodolite No
d. Window glass Yes No h. Other_
-
O7H6E irs
TC14151212 5Hnr
√

Pag• 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
when you first saw it. Place a "B"" on the compass where you last saw the object.
90° 75°
6
45° NE
30° OZ
E
15 SW S5
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 shuw any changes in direction during the course. path, a "s" at the end of the path, and shiuw any changes in direction during the course.
2. 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.

Page 6
. Have you ever seen this, or a similar object before. If so give date or dates and location.
. Was anyone eise 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) Ye No
31.2 Plecse list their names and addresses:
GiEN!. BERGINS DRYTON O:12
32. Please give the following information about yourself: . Please give the following information about yourself:
NAME Monit Moxit
First Name First Name Middle Name
ADDRESS DAYTOM DAYTON 16 D6 Oi?
City Zone Zone State
TELEPHONE NUMBER TELEPHONE NUMBER AGE∠2 \frac { }$ SEX H1 SEX H
Indicate any additional information about yourself, including any special experience, which might be pertinent.
33. When and to whom did you report that you had seen the object? Ecrorren
25 1966 Drr OOFCER
Day Month Year

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

DafroO. 15m6/66 2101018
.
U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prepared so that you can give the U.S. Air Force as much
informetion as possibl e 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
conclusions, or publications without your permission. We request this personal information so
that if it is deemed necessary, we may contact y you for further details.
1.When did you see the object? 2.1 Time of day: 4 21
Hour Minutes
35 Mas 1966 (Circle One): A.M. or P.M.
Day Month Year
3. Time Zone:
(Circle One): a. a. Eastern (Circle One): a._Daylight Saving (Circle One): a. Daylight Saving
b. b. Central b. Standard b. Standard
c. Mountain
d. Pacific Pacific
e. Other
4. Where were you when you saw the object? 4. Whare were you when you saw the object?
Dangten 2 Ohe C0
Nearest Postal Address City or Town State or County
5. How long was object in sight? (Total Duration) 40
Hours Minutes Seconds
Certain c. Not very sure
b. Fairly certain d.Just a guess
5.1 How was time in sight determined? Visual anproxiiatios
5.2 Was object in sight continuously? Yes- NoX
6. What was the condition of the sky?
DAY NIGHT
a. Bright a.
Cloudy b. Cloudy
7IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): g.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 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 a. Bright moonlight
b. A few b. Dull moonlight
c. Many C. No moonlight - pitch dark
d. Don't remember
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
@. Clear sky a. Dry
b. Hazy b. Fog, mist, or light rain
Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
.Don't remember e. Don't remember
10. The object appeared: (Circle One):
0. Solid a. Solid d. As a light
b. Transparent e. Don't remember e. Don't remember
c. Vapor
If it appeared as a light, was it brighter than the brightest stars? (Circle One): 1. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter c. About the same c. About the same
b. Dimmer d. Don't know d. Don'+ know
11.1 Compare brightness to some common object:
The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
b. Like a bright stor
c. Sharply outlined
Don't remember
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? Yes 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? Yes No Don't know
f. Change shape? Yes No Don't know
g. Flash or flicker? Yes No Don't know
h. Disappear and reappear? Yes No Don't know

2kere wobre was a jet stream wtich it
went belind more then
that
15. 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: .. a strecon
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 Fa none at all
b. Color _ feher.
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 mugh of the object would have been covered by the match head? sighting, how mugh of the object would have been covered by the match head?
it.
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 arrow beside the drawing to show the direction the object was moving.
7o winig, exhaust Oraula, ec.

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? _ 630
21. Do you think you can estimate how far away from you the object was?
(Circle One) Yes No
22. Where were you located when you saw the object? Were you (Circle One)
(Circle One):
a. In the business section of a city?
Inside a building . In the residential section of a city?
b. In a car c. In open countryside?
. Outdoors dNear an airfield?
d. In an airplane (type) e. Flying over a city?
e. At sea f. Flying over open country?
f. Other - g.
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 b. Northeast d. Southeast Southeast f. Southwest h. Northwest
24.2 How fost 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
Did you observe the object through any of the following?
a. Eyeglasses Yes No e. Binoculars No
b. Sun glasses No f. Telescope Yes No
c. Windshield No g. Theodolite Yes No
d. Window gioss 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 cammon
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.
can't think of ony.
)

90° 75
$A
30•
2 E
SW B
path, a "B" at the end of the path, and show any changes in direction during the course. path, a "B" at the end of the path, and shuw any changes in direction during the course.
A- *-- - -B3 -1B
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.

UNCLASSIFIED
DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSAGE
AF IN: 33748 (16 May 66) Page 5 of 6
80,000 279 DEGREES 20K
(3) CE IL ING: OVER CAST
(4) VISIBILITY: 10 MILES
(5) AMOUNT OF CLOUD COVER: 10/10 (TEN TENTHS)
(5) THUDERSTORMS IN AREA AND QUADRANT IN WHICH LOCATED: NONE
(7) OBTA INED VERTICAL TEMPERATURE GRADIENT FROM DUTY
PAGE 5 RUEDARD 0193 UNCLAS
FORECASTER, DET 41, 12TH WEATHER SQUADRON AT THE 33 AIR DIV:
SURFACE 2 DEGREES PER 1003 FEET
6000' 2 DEGREES PER 1000 FEET 2 DEGREES PER 1000 FEET
10,000* .75 DEGREES PER 1020 FEET 10,000* .75 DEGREES PER 1020 FEET
16,000* 1 2/3 DEGREES PER 1080 FEET. 16,000* 1 2/3 DEGREES PER 1000 FEET.
20,000' 2 1/2 DEGREES PER 109 FEET 20,000' 2 1/2 DEGREES PER 109 FEET
8 30,000' 2 DEGREES PER 100 FEET
50,000' 1/2 DEGREES PER 1000 FEET 1/2 DEGREES PER 1008 FEET
80,000' 1 30,000' '1/2 DEGREE PER 1/2 DEGREE PER 1000 FEET 1000 FEET
H. ANY otHER UNUSUAL ACTIVITY oR CONDITION: NONE ACCOUNTED FOr.
I. INTERCEPT ION OR IDENTIFICAT ION ACT ION TAKEN: NOEN
J. FAA STATES THEE WAS AN A IR R COMMANDO AIRCRAFT IN THE VICINITY
BUT ONE HOUR ,Ter That the SIGHT ING. 4E WAS DESCEND ING FROM
AFHQ JAN 65 FORM 0.309C
UNCLASSIFIED

Page 6
Have you ever seen this, or a similar object before. If so give date or dates and location.
To.
3. 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 4
31.2 Please list their names and addresses:
Please give the following information about yourself: . Please give the following information about yourself:
NAME First Name First Name
Last Name Middle Name
ADDRESS Dayton 6 Ohia
Sfreet Sfreet City City Zone Zone State
TELEPHONE NUMBER TELEPHONE NUMBE AGE AGE 12' 12' SEX SEX Male
Indicate any additional information about yourself, including any special experience, which might be pertinent.
. When and to whom did you report that you had seen the object?
25 7nang 1466 Wrigat -Patterson AFB.
Day Month Year Projid B.iue Mook.
Duty Officer

later
we -
only in aig for 203 aconcde at the su xe
mort.
4

DAYTONg OHIS 25MNY66
FTD (TDEW)
Wright-Patterson AFB, Ohio 45433
6 June 1966
..
Dayton, Ohio 45406
Reference your unidentified observation of 25 May 1966 Swhich
you reported to the Duty Officer at Wright-Patterson AFB.
The The Information which we have received information which we have received is not sufficient for is not sufficient for
evaluation. evaluation. Request you complete the attached FTD Form 164
and return provided.
We wish to thank you thank observation to the
Air Force. Air Force.
Sincerely,
8 4
HECTOR QUINTANILLA, Jr, MajOr, USAF QUINTANILLA, Jr, Major, USAF
Chief, Proj t Blue Book

PROJECT 10073 RECORD
1. "DATETIME GROUP LOCATION
AJ
29 May 66 90230Z Dayton, Ohio
3. SOURCE . CONCLUSION
Civilian Satelito
4. NUMBER OF OBJECTS
One
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
7 Minutes Object appeared twice as bright twice as bright as a star as it passed over- as a star as it passed over-
6. TYPE OF OBSERVATION 6. TYPE OF OBSERVATION head. Object appeared round and slightly larger than a star. than a star.
Ground Visual Observer saw same thing on 23 May 66.
7. COURSE There is There no indication that the sighting is not is not
S to the N a satellite.
8. 8. PHOTOS
Yes
No
9. PHYSICAL VIDENCE
Ys
R No
FORM
FTD SEP 63 0-329 (TDE) Previous editions of this form mmy 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 pos oncerning the unidentified aerial phenomenon that you have observed.
Please try ny questions as you possibly can. The information that you give will
be used for research urposes. our 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.
When did you see the object? Time of day:. 21 30
Hour Minutes
29 May 1966 (Circle One): A.M. or P.M.
Day Month Year
3. Time Zone: . Time Zone:
(Circle One): Eastern (Circle One): a. Daylight Saving
b. Central Central b. Standard Standard
c. Mountain
d. Pacific
e. Other Other
4. Where were you when you saw the object?
Daytom Dodon Ofine
Neares: Postal Address City or Town State or County
.How long was object in sight (Total Duration) 7
Hours Minutes Seconds
a. Certain c. Not very sure
b.Fairly certain d. Just a guess
5.1 How wes time in sight determined? Gwks
5.2 Was object in sight continuously? Yes C No —
What was the condition of the sky?
DAY NIGHT
o. a. Bright
b. Cloudy
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
To your right f. Don't remember
FORM
FTD OCT 62 164 This form superaedes FTD 164, Jut 61, which is obsolete.

Page 2
IF you saw the object a: NIGHT, what did you notice co-cerning 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
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky a. Dry
b. Hazy b. Fog, nist, or light rain
c. Scattered clouds Moderat- or heavy rain
d. Thick or heavy clouds Snow
e. Don': remember
10. The object appeared: (Circle One): 1. The object appeared: (Circle One):
a. Solid d. As a light
b. Transparent b. Tronsparent Don't remember Don'tremember
c. Vapor c. Vapor
t appeared as a ligh was t brighter than the brightest stors?Circle One): 1If it appeared as a light, was it brighter than the brightest stors? (Circle One):
a. Brighter c. About the same c. About the same
b. Dimmer b. Dimmer d.Don't know dDon't know
Fwice is bncnd u st
.The edges of the obiect were:
(Circle One): a. Fuzzy or blurred c. Other
b. Like  bright stor
. Sharply outlined.
d. Don't remember
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? Yes Don't know
C. Break up into parts or explode? Yes 99@ Don't know
d. Give off smoke? Yes Don't know
e. Change brightness? Yes Don't know
f. Change shape? Yes Don't know
g. Flash or flicker? Yes NO Don't know
h. Disappear and reappecr? Yes Don't know

ENI
Page 3
14. Did the object disappear while you were watching it? If so, how?
yes 1. Just went out. /
15. Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes N 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?
(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 __ No No
b. Color_ b. Color whit lil. =a whitl.=
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
siahtina bow muchof
slishth tham sta
. 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 arrow beside the drawing to show the direction the object was moving.
ro

. -
(Circle One) Yes (No)
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):
a. In the business section of a city?
a.Inside a building b. In the residential section of a city?
b. In a car c. In open countryside?
Outdoors dNear an airfield?
d. In an airplane (type) e. Flying over a city?
e. At sea f. Flying over open country?
f. Other _ g. g. Other - Other _
24.1 What direction were you moving 24.1 What direction were you moving Circle One) Circle One)
a. North c. East e. South e. South g. West g. West
. Northeast . Northeast d. Southeast f. Southwest 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
2. Did you observe the object through any of the following?
a. Eyeglasses Yes e. Binoculars
b. Sun glasses Yes f. Telescope Yes ②@②
c. Windshield Yes g. Theodolite Yes
d. Window glass Yes 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
)

show how high the object was above the horizon (skyline) when you last saw it. Place an "A
90° 75°
60
-B
30
E
15 15• SW SW SG
S
A
Draw a picture that will show the motin that the object or objects made. Place an Aat the beginning of th
path, a "B" at the end of the path, and shuw any changes in direction during the course. path, a "B" at the end of the path, and shuw any changes in direction during the course.
2. IF there was MORE THAN ONE cbject, 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.

Page 6
Have you ever seen this, or a similar object before. If so give date or dates and location.
Yes No
31.1 IF you answered YES, did they see the object ircle One) Yes No
31.2 Please list their names and addresses:
wife& 4 Kid
.Please give the following information about yourself: . Please give e the following information about yourself:
NAME
Last Name First Name Middle Name Middle Name
Dayton ORo
ADDRESS
Street Street City Zone Zone State State
TELEPHONE NUMBER TELEPHO NUMBER AGE AGE SEX
Indicate any additional information about yourself, including any special experience, which might be pertinent. VJiA , erience which miaht be pertinent
33. When and to whom did you report that you had seen the object?
29 M 6
Day Month Year
Copt. J.R. Boland FTD t f

UNCLASSIFIED
DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSAGE
AF IN: 33748 (16 May 66) Page 6 of 6
6000 FEET TO 4000 FEET INTO LYNCHBURGH ON TOP ILS.
COLOR: BLUE AND WHITE. PROPELLER DRIVEN.
K. POSIT ION, TITLE, AND COMMENTS OF THE PREPARING OFFICER:
RICHARD C. RENAIRI, 2LT., CEM SUPERVISOR.
(1) OBJECT "AS SIGHTER BY MR OF
EOT
LYNCHBIRGH. SIGHT ING WAS AT
AVE IN NORTHMES LYNCIBURGH. THE INFORMAT ION WAS RELAYED
BT
NNNN
AFHQ JAN 65 FORM 0.309C
UNCLASSIFIED

Page 7
34. Date you completed this questionnaire:
Day Month Year
35. 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.
it W w> J tod + AFB.
Same seeed a 23mai66

PROJECT 10073 RECORD
—
1. DATE - TIME GROUP 2 LOCATION
29 May 1966 30/0430Z Dayton, Ohio (2 Witnesses)
3. SOURCE 10. CONCLUSION
Civilian SATELLITE √
Eche I geot
4. NUMBER OF CEJECTS
One No data presented to indicate object could Nor have been an sate lit
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
8 - 10 Minutes 8 - 10 Minutes Observer noted star like object traveling in a southerly direqtic Observer noted star like object traveling in a southerly direqtid
which was visible for about 9 minutes. Object moved which was visible for about 9 minutes. Object moved slowly slowly
6. TYPE OF OBSERVATION across the sky. across the s sky. Object did not appear to go out of Object did not appear to go out of vision, it
Ground-Visual Ground-Visual (GX) appeared to decrease in appeared to decrease in intensity from its original intensity from its original brightness
to nothing.
7. COURSE 7. COURSE
N to S chk not shs. che sot shs.
6. PHOTOS
Yes
iCo
9. PHYSICA VIDENCE Eche I war over ader at 0420z
Yos (84 Lootg 40 Lat)
No
FORM
FTD SEP63 0-329 (TDE) Prevlous editions of this

Da/To 2710
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 poss concerning the unidentified aerial phenomenon that you have observed.
Please try to answer any questions as you possibly can. The information that you give will
be used for research oses. 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.
When did you see the object? Time of day: 23 30
Hour Minutes
20 May 66 (Circle One): A.M. or P.M.
Day Month Year
. Time Zone:
(Circle One): (Circle One): a. Eastern a. Daylight Saving Daylight Soving
b. b. Centra! b. Standard Standard
c. Mountain Mountoin
d. Pacific
e. Other Other
4. Where were you when you saw the object? 4. Where were you when you saw the object?
Dayton
Nearest Pestal A City or Town State or County
ota! Duration) 8-10
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_-
6.What was the condition of the sky?
DAY NIGHT
a. Bright a. Bright
b. Cloudy b. 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 left
b. In back of you e. Overhead
c. To your right f. Don't remember
FORM /
FTD OCT 62 164 This form supersedes FTD 164, Jul 61, which is obsolete. SATtiiI6
a

Page 2
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): 7
a. None a. Bright moonlight
b. Afew b. Dull moonlight
Mery_D c. No moonlight - pitch dark
d. Don't remember d.Don't remember
I
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky Dry
b. Hazy Fog, mist, or light rain
c. Scattered clouds Moderate or heavy rain
Thick or heavy clouds * er neavy cloou. d. Snow
e. e. Don't remember Don't remember
10. The object appeared: (Circle One):
a. Solid a. Solid d. As = light. d. A.s a light.
b. Transparent e. e. Don't remember
c. Vapor
If it appeared as a light, was it brighter than the brightest stars? (Circle One): If it appeared as a light, was it righter than the brightest stars? (Circle One):
a. Brighter c. About the same c. About the same
b. Dimmer d. Don't know
11.1 Compere brightness to some common object:
.The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
b. Like a bright star
c. Shorply ouflined
. Don't remember
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? Yes Don't know
c. Break up into parts or explode? Yes Don't know
d. Give off smoke? Yes Don't know
e. Change brightness? Yes 9999999 Don't know
f. Change shape? Yes Don't know
g. Flash or flicker? Yes Don't know
h. Disappear and reappear? Yes Don't know

Page 3
14. Did the object disappear while you were watching it? If so, how?
Slawly C(Gr0x.1O t
go ont, aterit statd Jading.
(Circle One): Yes No Don't Know. IF you answered YES, then tell what
it moved behind:
16. Did the cbject 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: .Tell in a few words the following things about the object:
0. Sound_ Uo
b. Color_ b. Color- like sla like sl
.We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how .We wish to know the angular size. Hold a match stick at arm's length in line with a known object ard note how
much of the object is covered by the hend of the match. If you had performed this experiment at the time of the 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?
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 arrow beside the drawing to show the direction the object was moving.

Page 4
2.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?
(Circle One) Yes No
IF you answered YES, then how far away would you say it was?
. Where were you located when you saw the object? Were 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 c. In open countryside?
c. Outdoors d. Near an airfield?
d. In an cirplane (type) e. e. Flying over a city? Flying over a city?
e. At sea f. f. Flying over open country? Flying over open country?
f. Other g. Other _ Other _
2.IF you were MOVING IN AN AUTOMCBILE or other vehicle at the time, then complete the following questions: IF you wee MOVING IN AN AUTOMCBILE or other vehicle at the time, then complete the following questions:
24.1 What direction were you moving? (Circle One)
. North c. East e. South g. West g. West
. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fest 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. Eyegiasses Yes e. Binoculars Yes
b. Sun glasses Yes f. Telescope (NO
c. Windshield g. Theodolite Yes No
d. Window glass Yes No 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
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.

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
when you first saw it. Place a "B"" on the compass where you last saw the object.
90° 75°
L60.A
45 NW NT
45 30
-15° SW
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 shiun any changes in direction during the course. path, a "B" at the end of the path, and sliun any changes in direction during the course.
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.

Page 6
Have you ever seen this, or a similar object before. If so give date or dates and location.
Neva |
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:
n
32. Please give the following information about yourself: .Please give the following information about yourself:
NAME NMI
Last Name First Name Middle Name
ay bon Chio Chio
ADDRESS ADDRESS
Street City Zone State
TELEPHONE NUMBER TELEPHONE NUMBER AGE AGE 41 SEX SEX M
Indicate any additional information about yourself, including any special experience, which might be pertinent.
33. When and to whom did you report that you had seen the object?
29 May 66
Day Month Year

Page 7
34. Date you completed this questionnaire: Day Month Year
questionnaire or a narrative explanation of your sighting.
Objet did nt apee~t aoutof
Visin it =
From it 0r1 bnigintates
to nithig I in acerox. 10 2

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 pos oncerning the unidentified aerial phenomenon that you have observed.
Please try to ans questions as you possibly can. The information that you give will
be used for resear oses. 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.
When did you see the object? 2. Time of day: C0
Hour Minutes
10 MAy 6l (Circle One): A.M. P.M.)
or
Day Month Year
3. Time Zone:
(Circle One): a. Easteri (Circle One): a. Daylight Saving
b. Central Standard
c. Mountain
d. Pacific Pacitic 0
e: e. Other
4. Where were you when you saw the object? 4. Where were you when you saw the object?
Kettingfill na Pasinle Horia Ketting fill ma Paskinle Hoi Deton Degton Olnii
Neerest Postal Address Nedrest Postal Address City or Town State or County State or County
5. How long was object in sight? (Totel Duration) How long was object in sight nt? (Total Duration) S
Hours Minutes Seconds
a. Certain a. Certain c. Not very sure
b. Fairly certain b. Fairly certain Just a guess
5.1 How was time in sight determined? 5.1 How wgs time in sicht determined?
5.2 Was object in sight continuously? Yes L No_
6. What was the condition of the sky?
DAY NIGHT
a. Bright Q. Bright
b. . Cloudy Cloudy
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 remember
FTD FORM
OCT 62 164 This form supersedes FTD 164, Jul 61, which is obsolete.

Page 2
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): 7
a. None a. Bright moonlight
b. A few b. Dull moonlight
c. Many .c. No moonlight - pitch dark
d Don't remember d Don't remember
.What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky a. Dry
Hazy b. Fog, mist, or light rain
c. Scattered clouds Moderate or heavy rain
d. Thick or heavy clouds Snow
e. Don't remember
10. The object appeared: (Circle One):
6. Solid d. As a light
b. Transparent e. Don't remember
c. Yapor
If it appeared as a light, was it brighter than the brightest stars? (Circle One): If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter a. Brighter c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
.The edges of the object were: 1.The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other _ e. Other
b. Like a bright star
c. Sharply outlined
Don't remember
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? Yes 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? Yes No Don't know
f. Change shape? Yes No Don't know
g. Flash or flicker? Yes CNo Don't know
h. Disappear and reappear? Yes Don't know