PROJECT BLUE BOOK

PROJECT J0073 P5CORD PROJECT 10073 PECORD
. DATE·TIME GROUP . DATE · TIME GROUP LOCATION
July 1966 July 1966 Daytch, Ohio
3. SOURCE SOURCE 10. CONCLUSION
Civilian INSUFFICIENT DATA FR EVALUATION INSUFFICIENT DATA FCR EVALUATION
4. NUMBER OF OBJECTS NUMBER OF OBJECTS
One
5i LENOTH OF ORIFRVATIAN ii ARIRF SUMMARY AND ANALY3I8
2 Seconds (Assumed)
6. TYPE OF OBSERVATION SEE CASE
Director
Ground-Visual
7. COURSE
Maxwell AFB, Alabama ATTN: Archives Branch Aerospace Studies Inst K2H3.6012-1
S-N RETURN TO: 1-17 Ju1 166
8. PHOTOS
Yes
XIXNo
2. PHYSICAL EVIDENCE
n Yes SMC
XXNo
FORM
P-TD SEPA3 0-329 (TDE) Pravtous oditions of thls forms mey be uend.

.
Page 6
Have you ever seen this, or a similar object before. If so give date or dates and location.
Yes N
C .
Yes No
31.2 Please list their names and addresses:
A
32. Please give the following information about yourself:
NAME NAME Last Name First Name
Middle Name Middle Name
ADDRESS Day+on 6 Oh10 Oh10
City Zone State
TELEPH AGE AGE - 13 SEX SEX Male
Indicate any additional information about yourself, including any special experience, any additional information about yourself, including any special which might be pertinent.
33. When and to whom did you report that you had seen the object?
6 Joly 1966
Day Month Year

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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
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):
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
e, Don't remember Don't remember
10. The object appeared: (Circle One):
a. Solid As a light
b. Transparent e. Don't remember
c. Vapor
If it appeared as a light, was it brighter than the brightest stars? (Circle One):
Brighter Brighter c. About the same
b. Dimmer Dimm d. Don't know d.. 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
b. Like a bright star
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 1

O
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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?
(Circie 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?
(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:
a. Sound - accnded bife siflie in fiokle accnded bike ripline in ticble
b. Color dhtIihd dtht
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 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 thct 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
2Do you think you can estimate the speed of the object?
(Circle One) Yes (No{ 1
IF you answered YES, then what speed would you estimate?
(Circle One) Yes (N\ra
2. Where were you located when you saw the object? 3.Were you (Circle One)
(Circle One):
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?
.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 24.1 What direction were you moving? Circle One) ircle One)
a. North c. East e. South e. South g. West
b. Northeast d. Southeast d. Southeast f. Southwest f. Southwest h. Northwest h. Northwest
24.2 How fast were you moving? _miles per hour.
(Circle One) Yes No
Did you observe the
a. Eyeglasses Yes No e. Binoculars
b. Sun glasses Yes f. Telescope No
c. Windshield No g. Theodolite Yes No
d. Window glass Yes No h. Other

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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 wht
it moved behind:.
16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): (Circle One): Yes Yes No No Don't Know. IF you answered YES, then tell w IF you answered YES, then tell w-a
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:
c. Sound c. Sound
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 8. We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note h
much of the object is covered by the head of the match. If you had performed this experiment at the time of t
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 detar
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.

(Circle One) No
IF you answered YES, then what speed would you estimate?
21.
(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. I Inside a building .In the residential section of a city?
b. D. In a car in a car e. l open coonysiue. In open countryside?
c. Outdoors d. dNear an airfield? Near an airfield?
d. In an airplane (type) d. In an airplane (type) e. Flying over a city?
e. At sea f. f.
f. Other _ f. Other g. Other
24. 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) 24.1 What direction were you moving? ircle One)
a. North a. North c. East e. South g. West
b. Northeast d. J Southeast f. Southwest C 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 e. Binoculars Yes No
b. Sun glasses No f. Telescope Yes No
c. Windshield g. Theodolite Yes No
d. Window gloss Yes No h. Other
-

Pag• 5
In the following sketch, imagine that you are at the point shown. Place an "A" on the curvad line to show how
90°
75°
60°
NW NS
30
E
15° SW sW
S5 SE
S
j7 H7
path, a ""B" 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.

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Page 6
30. Have you ever seen this, or a similar object before. If so give date or dates and location.
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: .-
32. Please give the following information about yourself: 32. Please give the following information about yourself:
NAME
Last Name First Name Middle Name
ADDRESS daytn bagtn Ebio Elio
Street City City Zone State
TELEPHONE NUMBER TELEPHONE E NUMBER AGE !S SEX1 SEX
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? -
1
Day Month Year

:
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Page 7
3. Dato you completed this questionnaire: 20 C 10b Month Year 66
Day
35. I 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.
Obever talled back tuton
E That he oband obj it agine
alout 0100 AM 20 july66
On firt enll ho On fort eall hs Songit bhe Hongit b
objiet he Objiet bes Ar senpts
troute aned Met
have crashed wnet ent out of ondof
sigh
I

U.S. AIR FORCE ECHNICAL INFORMATION
Please try to answer as questions as you possibly can. The information that you give will
be used for research purposes. ur name will not be used in connection with any statements,
that if it is deemed necessary, we may contact you for further details.
.When did you see the object? 2.Time of day: 215
Hour
19f6 (Circle One): A.M. P.M.
Month Year or S
Day Day
3. Time Zone: 3. Time Zone:
(Circle One): a a, Eastern (Circle One): a. a. Daylight Saving
b. Central Standard
c. Mountain
d. Pacific
e. e. Other
4. Where were you when you saw the cbject? 4. Where were you when you saw the e object?
Do Dhi
Nearest Postal Address City or Town State or County
.How long was object in sigh otal Duration) alut
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 cbject in sight continuously? Yes No_
What was the condition of the sky?
DAY NIGHT
a. Sright a. Bright
b. Cloudy b. Cloudy
(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
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):
None a. Bright moonlight
A few b. Dull moonlight
c. Many c. No moonlight - pitch dark
d. d. Don't remember
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
e. e. Don't remember Don't remember
The object appeared: (Circle One): . The object appeared: (Circle One):
a Solid a. Solid @. @. As a light
b. Transparent b. Transparent e. Don't remember
c. Vapor
1.If it appeared as a light, was it brighter than the brightest stars? (Circle One):
.Brighter c. About the same c. About the same
b. Dimmer d. Don't know d .
11.1 Compere brightness to some common object:
1.The edges of the object were:
(Cirale One): a. Fuzzy or blurred Other
b. Like a bright star
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
(9.) Flash or flicker? Yes No Don't know 1
h. Disappear and reappear? Yes No Don't know

time I watched it until it disappeared behind the docigon, I then
continved lone and reported it.
1

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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 (№\o} 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?
(Circle One): Yes o Don't Know. IF you answered YES, then tell what
in front of: _ in front of:
17. Tell in  few words the following things about the object:
a. Sound a. Sound Mrin dke o
b. Color dinkpdisent sinupdieenTEighy edy
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?
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.
Cerculer
aequntal fcing fig

Page 4
2Do you think you can estimate the speed of the object?
(Circle One) Yes No
IF you answered YES, then what speed would you estimate?
2Do 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): In the business section of a city?
a.Inside a building In the residential section of a city?
b. In a car c. In open countryside?
Outdoers Near an airfield?
d. In an airplane (type) e. Flying over a city?
e. At sea f. Flying over open country? Flying over open country?
f. Other f. Other g. g. Other
. IF you were MOVING IN AN AUTOMOBILE or other vehicle time, then complete the following questions: time, then complete the following questions:
24.1 What direction were you moving? (C Circle One)
a. North a. North c. East e. e. South g. West g. West
b. Northeast b. Northeast d. Southeast Southeast f. Southwest Southwest h. Northwest h. Northwest
24.2 How fost were you moving? - 24.2 How fast were you moving? miles per hour. miles per hour.
24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No
2Did you observe the object through any of the following?
a. Eyeglasses Yes e. Binoculars No
b. Sun glasses 2 f. Telescope Yes No
c. Windshield g. Theodolite Yes No'
d. Window glass Yes h. Other
/

I
Pag•5
high the object was above the horizon (skyline) when you first saw it. Place a "B" on the same curved li.
show how high the object was above the horizon (skyline) when you last saw it. Place an "A" on the com…
90°
75°
60°
NW NK
30
B E
-15° SW
56
1 S
Draw a picture that will show the motion that the object or objects made. Place an "A" at the b gin.g
path, a "B" at the end of the path, and shiun any changes in direction during the course.
29. IF there was MORE THAN ONE object, then how many were there?
Draw a picture of hov

?
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Page 6
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). 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:
32. Please giv 32. Please give following information about yourself: following information about yourself:
NAME Last Name
First Name Middle Name
ADDR ADDA Daviton Daviton Oh10 n
City Zone Zone State
TELEPHONE NUMBER AGE/5 SEX 11
experience, which might be pertinent.
When and to whom did you report that you had seen the object?
Day Month Year

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, for further details.
1. When did you see the object? 2. Time of day: 2160
Hour Minutes
12 (Circle One): A.M. or . P.M.
. Day- Day Month Year
3. Time Zone: . Time Zone:
(Circle One): Eastern a. a. Daylight Saving Daylight Saving
b. Central Central (b,) (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?
Ctn Ch
Nearest Postal Address City or Town State or County
(Total Duration) abcet 5
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
b. Cloudy b.
(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 164
FTD OCT 62 This form supersedes FTD 164, Jul 61, which is obsolete.

1
Page 2
8.1 STARS (Circle Ore): 8.2 MOON(Circle One):
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
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, ist, or light rain
c. Scattered clouds Moderat? or heavy rain
d. d. Thick Thick or heavy clouds ouds d. Snow d. Snow
e. e. Don': remember Don': remember
10. The object appeared: (Circle One): 10. The object appeared: (Circle One):
a. Solid o. Solid As a light 63 As a light
b. Transparent b. Transparent 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 brighter than the brightest stars? (Circle One):
Brighter i-hter c. About the same Ahout the sas
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
.The edges of the obieat were:
(Circle One): a. Fuzzy or blurred c. Other
b. Like e bright star
c. Sharply outlined
d. Don'tremember
. 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 us into parts or explode? Yes No Don't know
d. Give off smokn? Yes No Don't know
e. Change brightness? Yes No Don't know
f. Change shape? Yes No Don't know
9 Flash or flicker? Yes No Don't know √
h. Disappear and reappecr? Yes No Don't know

:
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Page 3
. Did the object disappear while you were watching it? If so, how?
Oluver wad a hoe t call hife g
(Circle One): Yes $(\ 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\o 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:
a. Sound a. Sound 222
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 8.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 RALSAAM
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.
335RPN
-e --- clectivine aguend tne
- - -
bluking ligits
obget vevenent )

IF you answered Y
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?
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  building b In the residential section of a city?
b. In a car c. In open countryside?
C Outdoors d. Near an airfield? d. Near an airfield?
d. in an cirplane (type) d. in an airplane (type) e. Flying over a city?
e. At sea e. At sea f. Flying over open country?
f. Other g. Other Other -
24. 24.
24.1 What direction were you moving? (Circle One) 24.1 What direction were you moving Circle One)
a. North c. East e. South e. South g. West
. Northeast b. Northeast d. Southeast d. Southeast f. 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 abserve the object through any of the following?
Eyeglasses Yes No e. Binoculars Yes $N\o}$
b.s Sun glasses Yes No f. Telescope Yes (No
c. Windshield g. Theodolite Yes No
d. Window glass Yes No 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
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.
1

(
Page 5
. In the following sketch, imagine that you are at the point shor.. Place an "A" on the curved line to show how
90°
75°
60°
5 B
NW NU
30°
E
25
-15° 15° SW S6
S
A
2. IF there was MORE THAN ONE object, then how many were there?
Draw a picture or ey were arranged, and put an arrow to show the direction that they were traveling.
√

Page 6
30. Have you ever seen this, or a similar object before. If so give date or dates and location.
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:
32. Please give the following information about yourself: . Please give the following information about yourself:
NAME NAME
Last Name First Name First Name Middle Name Middle Name
ADDRESS Obie
Street City Zone State
TELEPHONE NUMBER AGE SEX
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?
Day Month Year

t ( /
Pago 7
questionnaire: I ol
Day Month Year
Information which you fe pertinent and which is ot adequately covered in the specic points of the
qusstionnaire or a narrative explanation of your sighting.

CUND
I. ·DATE  TIME GROUP LOCATION 0
19 July 66 Dayton, Ohio
3. -
SOURCE 0. CONCLUSION
Civilian INSUFFICIENT T DATA FOR EVALUATION
4. NUMBER OF OBJECTS
One
5. LENGTH OF OBSERVATION
Not Reported Not Reported .
6. TYPE OF OBSERVATION TYPE OF OBSERVATION SEE CASE
Ground-Visual
7. COURSE
Not Reported
e. PHOTOS
Yes Yos
XOXNO XXNO
9. PHYSICAL EVIDENCE 2. PHYSICAL EVIDENCE
n Yos
XXNo
FORU
FTD SEP 63 0-329 (TDE) Prevlous editions of this form may be used.
TT
.
.

19 Jal b
Dayox, Oki
FTD (TDETR)
Wright-Patterson AFB, Ohio 45433
21 July 1966
Dayton
Dea
Reference your unidentified observation of 19 July 1966.
The information which we have received from the Duty Officer
is not surficient for evaluation. Request you complete the
attached FTD Form 164 and provided.
We wish to thank thank observation to the
Air Force. Air Force.
Sincerely,
HECTOR NILLA, Jr, Major, USAF IILLA, Jr, Major, USAF
Chief, Pr lue Book Book

UFO sgle Dayto Ohi
19 gonly. cald oftie
J Jh Regat Fons a avulabl
5D0's file fih
2yS.
UFO Lane; I Soock
t oneff the n lm llese.
Coi Dxm
.

PROJLCT EO7O RECORD
1. TIME GROUP 2. LOCATION
..
26 uiy 66 27/02402 Dayton, Cnio
3. SOURCE 10. CONCLUSION
Civilian INSUFFICIENT DATA FOR EVALUATION
4. NUMBER OF OBJECTS NUMBER OF OBJECTS
One
5: LENGTH OF OBSEAVATION II. ANIEP SUMMANY AND ANALYSIS
1 Minute
6. TYPE OF OBSERVATION SEE CASE SEE CASE
TYPE OF OBSERVATION
Ground-Visual Ground-Visual
7. COURSE
SW
8. PHOTOS
07 Yes
XXNo
9. PHYSICAL EVIDENCE
n7 Yos
XOXNo
FORM
TD S1P40.329 (TDE) Provloue editions of this form mey be ueed.
.

FTD TDETR)
Wright-Patterson AFB, Ohio 45433
27 July 1966
Dayton, Ohio 45414
De
Reference your unidentified observation of 26 July 1966
which you reported to the Duty Offic at Wright-Patterson
AFB. The Information in his report not sufficient for
evaluation. Request you complete th e attached FTD Form
164 and return it in the envelope provided.
EECTOR CUINTANILLA, Jr, Major, USAF
Chief, Project Blue Book
-

wouldrr
objeer or
U.S. FORCE TECHNICAL INFORMATION
This questionnaire 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 possibly can. The information that you give will
- be used for research rposes. Your r 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.
1.When did you see the object? .When did you see the object? 2. Time of day: 2140 Time of day: 21
Hour Minutes
26 26 July 66 66 (Circle One): A.M. or P.M.
Day Year Year
. Time Zone:
(Circle One): a. Eastern (Circle One): a. Eastern (Circle One): a. Daylight Saving a. Daylight Saving
b. Central b. Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw t the
N  e dDuylon
City or Town State or County
5. How long was object in sight? (Total Duration)
Hours Minutes Seconds
c. Certain c. Not very sure
b. Fairly certain Justa guess
5.1 How was time in sight determined?
5.2 Was object in sight continuously? 5.2 Was object in sight continuously? Yes X Yes- No No-
6. What was the condition of the sky?
DAY NIGHT
a. a. Bright 3
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 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. a. Bright moonlight
b. Dull moonlight
c. Many atight pitch dark
Don't remember d. Don't remembas
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 a. Dry
b. Hazy ? ? Fog, mist, or light rain
c. Scattered clouds Scattered clouds c. Moderate or heavy rain Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don't remember
10. The object sppeared: (Circle One): 10. The obiect sppeared: (Circle One):
aSolid d. As a light
. Transparent e. Don 1 remember
c. Vapor
If it appeared as a light, was it brighter than the brightest stars? (Circle One):
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:
(Circle One): a. Fuzzy or blurred Other
b. Lika a bright star
Sharely outlinr Sharely outline
d. d. Don't remember
.Did the object: (Circle One for each question) (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? Break up into parts or explode? Yes 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 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?
Over hougr
1. Did the objec: 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): (Circle One): Yes No Don't Know. 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 Ner
b. Color_ wh
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 abject 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?
Dont krow
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. 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.
romd (apos) roond (apot)
/

Poge 4
2Do you think you can estimate the speed of the object?
(Circle One) Yes
IF you answered YES, then what speed would you estimate?
.Do you think you can estimate how far away from you the object was?
(Circle One) Yes No
IF you cnswered 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?
c. Outdoors d. Near an airfield?
d. in an airplane (type) in an airplane (type) e. Flying over a city?
e. At sea e. At sea f. Flying over open
f. Other - f. Other g. Other
24.1 What direction were you moving? (Circle One)
. North c. East e. South g. West
b. Northeast 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 e. Binoculars
b. Sun giasses b. Sun giasses Yes f. Telescope Telescope Yes
c. Windshield Yes Yes O0Od g. Theodolite Theodolite No
d. Window gless d. Window gless Yes Yes h. Other _ Other
In order that you can give as clear a picture as possible of what you saw, describe in your own words a common 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.
like et.

Wright-Patterson AFB, Ohio 45433
15 August 1966
vard
Dayton, Ohio 45406
Dear
Reference your unidentified observation of 6 July l966.
The information which we have received is not sufficient
for evaluation. Request you complete the attached FTD
Form léh and return it in i the envelope provided.
We wish to thank you for reporting your observation to
the Air Force..
Sincerely,
CTOR QUINTANILLA, Jr, MajOr, USAF
Chief, Project Blue Book

Pago 5
In the following sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how
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
45
30• 30° S
15
SS
Draw a picture that will show the motion that the object or objects made. Place an "A at the beginning of th
path,at the end of the path,and shuw sny changes in direction during the course.
stuaight
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.

Pago 6
.Have you ever seen this, or a similar object before. If so give date or dates and location.
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: Twoottens.
32. Please give the following information about yourself:
NAME
Last Name Middl Name
ADDRESS DAyTOr
Street City Zone State
TELEPHONE NUMBER AGE 24 SEX M 45414
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? 3.When and to whom did you report that you had seen the object?
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 the specific points of the
questionnaire or a narrative explanation of your sighting.
Hung p
-
a

U.S. AIR FORCE 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 a 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, for further details.
When did you see the object? 2. Time of day: 18 55
Hour Minutes
July 1966
(Circle One): A.M. or P.M.)
Day Month Year
3. Time Z Zone:
(Circle One) a. Eastern (Circle One): a. Daylight Saving
b. Central b. Standard
c. c. Mountain
d. Pacific
e. Other Other
4. Where were you when you saw the object? 4.Where were you when you saw the object?
Nearesi Postai Address Nearesr Postai Address State or County State or County
5. How long was object in sight? 5.How long was o (Total Duration) Total Duration) 3
Hours Minutss Minutes Seconds
G. G. Certain c. Not very sure c.Not very sure
Fairly certain b. Fairly certain d. Just a guess d. Just a guess
5.1 How was time in sight determined? wer . !
5.2 Was object in sight continuously? Yes K No
6. What was the condition of the sky?
DAY . NIGHT
Bright a.
b. Cloudy b. Cloudy
(Circle One): In front of you To your left
b. In back of you Overheed
c. To your right Don't remember
FTD O 2R 164 FORM
Thie form supersedes FTD 164, Jul 61, which is obsolete. (send 164)
3

Page 2
8.1 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 6
d. Don't remember
. What were the conditions at the time you saw the aobject?
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
The object appeared: (Circle One):
Q Solid d. As a light
b. o. Transparent Transparent e. Don't remember e. Don Y remember
c. c. Vapor
righter than the brightest stars? (Circle One):
a. Brighter c. About the same
b. Dimmer d. Don't know
11.1 Compare bri 11.1 Compare prightness to some common object: tness to some common object:
.The edges of the object were: The edges of the object were:
(Circle One): a. Fuzzy or blurred (Circle One): a. Fuzzy or blurred e. Other
b.Like a bright star 1
G Sharply outlined
d. Don't remember
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? Yes No 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 Don't know
f. Change shape? Yes 099999 Don't know
g. Flash or flicker? Yas Don't know
h. Disappear and reappear? Yes Don't know

Page 3
.Did the object disappear while you were watching it? If so, how?
No
15. Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answered Y YES, then tell what
it moved behind:
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
b. Coior Almnin
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?
12
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.
11
1//

(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? Were you (Circle One)
(Circle One):
a. In the business section of a city?
a. I 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. 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)
. North c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? miles per hour.
24.3 Did you stop at any time while you were looking at the object?
(Circle One) (Circle One) Yes No
Did you observe the object through any of the following? -
a. Eyeglasses a. Eyeglasses Yes) No e. Binoculars e. Binoculars Yes
b. Sun glasses Yes No f. Telescope
c. Windshield Yes No g. Theodolite Yes No
d. Window glass Yes No h. Other
when placed up in the sky, would give the same appearance as the object which you saw.

Pago 5
2. In the following sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how
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" n the compass where you last saw the object.
90°
75°
60 B
NW NE
30.A-B
E
-15° SW
35
28. 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. path, a "B"" 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? 29. IF there was MORE THAN ONE object, then how many were there?
Draw a picture of ho they were arranged, and put an arrow to show the direction that they were traveling.
-
B

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) Yes No
ircle One) Yes No
31.2 Please list their names and addresses:
32. Please give the following information about yourself:
NAME
Last Name First Name Middle Name
Day ton Dhi Dhi
ADDRESS
Street City Zone State State
TELEPHONE NUMBER AGE 13 SEX m
SEX
P S berience, which might be pertinent.
_
--
When and to whom did you report that you had seen the object?
Day Month Year
II

Reference your unidentified observation of July 1966.
The informetion in your letter was not sufficient for
217 evaluation. Request you complete the attached FTw Form
i6k and return it in tbe envelope provided.
We wish to thank you for reporting your observation to
the Air Force.
Sincerely,
HECTOR QUINTANILLA, Jr, MajOr, USAF
Chief Project Blue Book

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

L
4
PROJECT 10073 RECORD
T. DATE· TIME GROUP LOCATION
7 7 July 66 Dayton, Ohio
3. SOURCE 3. SOURCE 10. CONCLUSION
Civilian
Aircraft (possible)
4. 4. NUMBER OF OBJECTS
One
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
45 Minutes
Observer noted solid type object whicn had the colors of
6. TYPE OF OBSERVATION yellow, red & green. There was a soft rumble heard. Object
Ground Visual continually circled over Dayton making three circles of the
area. Lights flashing red, green & yellcw. Object was
7. COURSE occasionally observed by clouds during observation.
Overhead
3. PHOTOS
Yos
No
9. PHYSICAL EVIDENCE
Yo.
Ex No
FORM
FTD SEP 63 0-329 (TDE) Previous editions of this form may be used.

This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possibl oncerning the unidentified aerial phenomenor n that you have observed.
Please try to answer y questions as you possibly can. The information thot you give will
be used for research purposes. r 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, may contact you for further details.
When did you see the object? 2. Time of day: — 0115
Hour Minutes
7 fuly July is6 (Circle One): A.M. or
Mooth P.M.
Year
3. Time Zone:
a. Eastern (Circle One) Daylight Saving
b. Central Standard
c. Mountain
d. d. Pacific Pacific
e. e. Other
4. Where were you when you saw the object?
DAYTIN DPYTIN Gis
Nearest Postal Address City or Town City or Town State or County
5. How long was object in sight? (Total Duration) (Total Duration) 45 45
Hours Hours Minutes Soconds
c. Certain c. Certain c. Not very sure
Fairly certain Fairly certain d. Just a guess
5.1 How was time in sight determined? Wateh
5.2 Was object in sight continuously? Yes No ocaomn oyeunn
6. What was the condition of the sky?
DAY NIGHT
a. a Bright
b. 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
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
, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
/
a. None 0 Bright moonlight
(b.) A few b. Dull moonlight
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 object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky G. ) 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
. The object appeared: (Circle One):
(6.) Solid d. As a light -
b. Transparent e. Don't remember
c. c. Vapor apor
If it appeared as a light, was it brighter than the brightest stars?Circle One):
a. Brighter c. About the same About the same
b. Dimmer b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
The edges of the obiect were: 12. The edges of the obiect were:
(Circle One): a. Fuzzy or blurred e. Other
b. Like a bright star
c. Sharply outlined ,
d. Don't remember
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? 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

Page 3
.Did the object disappear while you were watching it? If so, how?
/
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:
7.Tell in a few words the following things about the object:
a. Sound
b. Color yelit flach- nedt green
.We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how 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?
Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details .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. 1

IF you answered YES, then what speed would you estimate?
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? 3.Were you (Circle One)
(Circle One):
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 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
24.1 What direction were you moving? Circle One) N/A
a. North c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? _miles per hour.
24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No
a. Evealasses Yes No e. Binoculars No
Sun glasses Yes f. Telescope
c. Windshield g. Theodolite Yes
d. Window glass Yes h. Other
14

Page 5
. In the following sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how
when you first saw it. Place a "B" v the object.
90°
75°
60
11
NW NE
15
SW S5
28.
path, a "B" at the end of the path, and shuw sny changes in direction during the course. path, a 'B"at the end of the path, and shuw sny changes in direction during the course.
2. IF there was MORE THAN ONE object, then how many were there? 29. IF there was MORE THAN ONE object, then how many were there? one one
Draw a picture of ho LoJimmoin.

Page 6
30. Have you ever seen this, or a similar object before. If so give date or dates and location.
/
31. Was anyone else with you at the time you saw the object? (Circle One) Yes No
Circle One) Yes No
31.2 Please list their names and addresses:
32. Please give the following information about yourself:
NAME
Last Name First Name Middle Name
ADDRESS ADDRESS Brongbang Blird. Dayton OKrs Day
Street City Zone State
TELEPHONE NUMBER AGE SEX
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? Called to It. mandey
over telphone
Day Month Year
& Ruly 6

Page 7
34. Date you completed this questionnaire: Day Month Year
questionnaire or a narrative explanation of your sighting.
objeict continnally cinled ouer
Daytonmade three cinles f area
Lights flashing green- and
yellow-

Page 8
0
/
!

d
in coutl to north.
ther
the right anglenn the

PROJECT 10073 RECORD
1. DATE · TIME GROUP LOCATION
18 July 66 19/0225 Dayton, Ohio (2 witnesses)
3. SOURCE 10. CONCLUSION
Civilian Insufficient Dats 2e
4. NUMBER OF OBJECTS
One which will be evalusted as i insufricient dste.
5. LENGTH OF OBSERVATION BRIEF SUMMARY AND ANALYSIS
30 seconds
strong ray of light. A
5. TYPE OF OBSERVATION blue-white light (neatray). Observer stated she felt the
Ground Visual heat from the beacon.
7. COURSE
N/R /
3. PHOTOS
Yes Yos
E No R No
9. 9. PHYSICAL EVIDENCE
Yos
No
FORM
FTD SEP 63C SEP 63 0-329 (TDE) Previous editions of this form may be used.
+
.
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 possible concerning the unidentified gerial phenomenon that you have observed.
Please try to answer as s 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 for further details.
.When did you see the object? 2. Time of day: 25
Hour Minutes
16 1966 (Circle One): A.M. or (P.M.
Day Month Year
3.Time Zone: Eastern (Circle One): Daylight Saving
(Circle One): a.
b. Central Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object? 4Where were you when you saw the object? Home, Bhts Home, Sts
adical adical 8ayto 8ato hs h
- City or Town State or County
5. How long was object in sight? 5How long was object in sight? (Total Duration) 30
Hours Hours Minutes Soconds Seconds
a. Certain a. Certain c.Not very sure .Not very sure
b. (Fairly certain b. Fairly certain d. Just a guess d. Just a guess
5.1 How was time in sight determined?
5.2 Was object in sight continuously? Yes No
What was the condition of the sky?
DAY NIGHT
a. Bright
b. Cloudy b.Cloudy
IF you sow the cbject 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
T
FTD FORM
OCT 62

Page 2
8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circie One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
b. A te b. 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 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
Thick or heavy clouds d. Snow
e. Don't remember
. The object appeared: (Circle One):
a. Solid d.As a light
b. Transparent e. Don'tremember
c. Vapor Vapor
.If it appeared as a light, was it brighter than the brightest stars? 1. If it appeared as a light, was it brighter than the brightest stars? (Circle One): (Circle One):
o. 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:
(Circle One): a. Fuzzy or blurred (Circle One): a. Fuzzy or blurred e. Other
b. Like a bright star b. Like a bright star
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

Page 3
. Did the object disappear while you were watching it? If so, how?
.Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes No 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 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 ni cr d. Seund
b. color  Bii hid iight 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 18.
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 thst will show the shape of the object or objects. Label and include in your sketch any details 19 tishowthe Land ineludo
of the objec: 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.

it was?
Where were you located hen you saw the object? 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?
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. 1
. North c. East c. East e. South South g. g. West West
b. Northeast d. Southeast f. f. Southwest h. Northwest Northwest
24.2 How fast were you moving? _ 24.2 How fast were you moving? — miles per hour. miles per hour.
24.3 Did you stop at any time while you were looking at the object?
(Cirele One) (Cirele One) Yes No
2.Did you observe the object through any of 2.Did you observe the object through any of the following? following?
a. Eyeglasses Eyeglasses Yes Yes No No e. Binoculars e. Binoculars
b. Sun glasses. Yes No f. Telescope
c. Windshield Yes No g. Theodolite No
d. Window glass Yes No h. Other

Pago 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) whan you last saw it. Place an " on the compass
when you first saw it. Place a "B' compass where you last saw the object.
90° 75*
60°
o NW N
30°
-15° SW SG
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 ot the end of the path, and slun any changes in direction during the course.
2. IF there was MORE THAN ONE object, then how many were there?
Draw a picture of Draw a picture of h y 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 too Circle One) Yes No
31.2 Please list their names and addresses:
(Nuhaud)
NAME Last Name me First Name Middle Name
Laglon Lagln 24
ADDRESS Street Street City City Zone State
TELEPHONE NUMBE TELEPHONE NUMBE AGE 36 SEX SEX
Indicate any additional experience, which might be pertinent.
When and to whom did you report that you had seen the object?
21
Day Month Year

Pago 7
Day Month Year
35.1
questionnaire or a narrative explanation of your sighting.
white legat 2 me from
i ctiant llue Felt
Mo whene, lnt diicet heat so
the deoe
from
1
T

Call from Mrs Jim Young of 5569 Shady Oak, Dayton, Ohio.
a beacon. S Observed it for
Husband said she was just having a hot flash and she said she was too
young for that. It was just like an X-Ray Sent her a form 164 to
complete (19 Jul #66) 2
.
ETA
a

PROJECT 10073 RECORD
1. DATE - TIME GROUP 2.LC TION
16 July 66 Both 1 nights Deycon, Ohio
19 July 66
3. SOURCE 10. CONCLUSION
Civilian & Military A/C with A Advertising sign
NUMBER OF OBJECTS
One
. LENGTH OF 5. LENGTH CF OESERVATION VATION 11. BRIEF SUM Y AND ANALYSIS
Veried Veried
SEE CASE FILES
6. TYPE OF OBSERVATION
Ground Visual
7._COURSE
Varied
S. 8. PHOTOS
Yes Yes
R No
9. PHYSICAL EVIDENCE PHYSICAL EVIDENCE .
Y..
= M
FTD SI 35 0-329 ( (TDE) Previous editions of this form may bo used.
# .
I

PROJECT 10073 RECORD
1. DATE · TIME GROUP 2. LOCATION LOCATION
6 July 66 6 July 66 7/00953
7/0045Z Dayton, Ohio
3. SOURCE 3. SOURCE 10. CONCLUSION
Civilian Aircraft (possible) Aircraft (possible) Jo
4. NLIMBER OF OBJECTS 4. NLIMBER OF OBJECTS
One
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
3 minutes
Observer noted a very brilliant metallic silver object
6. TYPE OF F OBSERVATION that made no sound. The object kept moving at a steady
speed until it disappeared below the horizon. Object
Ground Visual looked like two dimes glued together with the edges
COURSE filed down to give the dimes a sharp edge.
Notth The sighting took place near sunset. A high flying
8. PHOTOS atrcraft would have been visible since the sun would
be illuminating the aircraft. Sunset was at about
Yes 1955 on the 6 July 66.
XNo
9. PHYSICAL EVIDENCE
7 Yes -
X No
FORM
FTD SEP 63 0-329 (TDE) Previoun editionn of this form mey de used.

of Barnes Aerial Advertising,
We were able to contact 18 and 19 July, Mr
Winchester, Kentucky. nights of that
Champion Aircraft with an advertising sign
was flying a 1959 the bottom of the plane From either side
had a series of lights advertising appears row of
of the caft, in distance, the matated that person had to
blinking or revolving or rev lving lights. Mri
blinking plane in order order to read the to read the sign.
be directly under the be directly
the others the others observed. All of the observed. All of the
sure this this was what what you you and no unusual objects
I feel similar information. There was
reports provide reports provide quite
the the local radar authorities.
reported reporte Force.
I wish to thank
Sincerely,
A G
SECTOR QUINTANILLA, Jr, Major, USAF
Chier, Projec Blue Book

of plane. The plane landed at Montgomery County Airport to refuel
before circling the Dayton area. A Aircraft was advertising for
Borchers Ford's 1966 close out sale. 0 Onthe bottom of the plane
are a series of lights. From either side of the craft in the distance
the advertising - lights. Area representa-
tive is Mr who will call us abo next
the surrounding
rea since April, refueling . at Greater
Cincinnati i Airport.
to be directly underneath the
going the
lane
Mr
the Dayton area on the evening of
B

8 o'clock news.
Check with the Clinton County AFB, Ohio Weather Bureau Negative.
Chack with the PoliceDepartment - specifically Lt Rado. He observed
object appeared to being going East to West, thought it was probably
over Springborgr. L Looked to be at about looo ft, probably around
8 and 9 pm. If we want further information check with the Records
pecple, Sgt Hanby. R Rado hadn't given any further thought to the
-
He had been down to watch the Cincinnat Reds play ball the other week
when Frisch's had a similar banner
imately one hour. imately one hour. Recnsle Aleatiai Recse Aleatii faod food methiiq methiig sx
it.
They had gotten their information foom the
and therefore didn't who the dealer was.

7
−
Contacted Montgomery County Airport 866-2427 Radio Room
us when he comes in for she didn't know if was flying last
night or not.
A citizen from he Dayton area called on 19 Jul 66. What he observed
last night sounded like a piper cub towing pulsating lights, lights
would go West to East. Plane was flying SE towards Cincinnati and
Virginia. He had d called wING radio station and they told him not
to worry about it. H He said he and his two frinds thought it sounded
like a piper cub.
NEGATIVE REPORTS FROM:
B Stenger's Ford Co Peffley Ford Co FAA, W-P AFB FAA, W_P AFB
Vandalia Airport Tower at W-P AFB Clinton County AFS
Call from Marysville, Pa 17053
who is visiting in the ayton area.He saw a object traveling SW to
looks like. This didn't have caution lights. Lights seemed to revolve looks like. This didn't have caution lights. Lights seemed revolve
slowly. It would go slow and then fast, disappeared near the Frigidare
tower. It was like twenty lights surrounding. They would be on and then
off. Called the base last night, 18 Jul 66 at 257-ol22 and the guy who
answered said he was looking for them but couldn't see them. Ulrich
thought the guy should be able to see them but really wasn't looking.
Lt. Marley explained that certain portions of W-P are at quite a distance
from Dayton and they might not be able to observer it. Sent a Form 164
on 19 Jul at his request.

A
|
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(
JOURNAL HERALD 15
Tuesday. July 19, 1966 Dayton, Ohio
This Morning's Briefs
92
That "Saucer
You Saw Was
Only An Ad
An airplane trailing an advertisement for a local auto
dealer apparently missed its mark last night, prompting a
rash of reports of sightings of an unidentified flying object.
Few saw the lettering even though one man insisted the
aircraft was only 200 feet above the ground.
"Apparently the pilot was flying a little too high," a
spokesman for the auto dealer said, trying to explain why
the advertisinig was not easily visible.
Callers described the aircraft as a "double-decked disk Callers described the aircraft a 'double-decked disk
all lit up. . . and rotating," and a "mess of lights, changing
forms, flying high as a jet, egg-shaped, like light bulbs on a forms, flying high as a jet, egg-shaped, like light bulbs on a
pole."
Tom Weber. 413 Forest Park drive, said he spotted the Tom Weber, 413 Forest Park drive, said he spotted the
object above North Main street at about 9:15 p.m. seeming to
hover abcut 2o0 feet above the group.
"I'm a graduate of Purdue university with a major in
civil engineering. I don't believe in this kind of thing"' (UFOs) civil engineerng. I don't believe in this kind of thing"' (UFOs)
but I saw it," he insisted.
143 To Be Drafted In August 143 To Be Drafted In August
There will be 143 Mont-
gomery county men drafted gomery countv men drafted
into the sarvice in August, Spoilight Spotlight
Selective Service officials
announced yesterday. announced yesterday. on
The men will he part of a LOCAL
state-wide draft of x,a9s
men, compared with 2,785 in NEWS
July. Officinls snid the
"gross" cail would lead to
the induction of 2,207 men,
compared with 1,67i last
month.
Other area counties and
their August call are: ami, 35; Preble, 5, and
Greene, 31; Darke, 15; Mi. Shelby, 5.
Musician Fine Case
A 25-year-old musician was fined $500 yesterday after he
pleaded guilty to a reduced charge for a narcotics violation.
Robert Lee Olivcr, 25, of 400i Whitestone drive, was ar-
rested after police confiscated marijuana at his home. He
had been charged with a felony, but pleaded guilty to a lesser
charge of mainiaining a place where narcotics are kept.
Oliver was fined by common pleas Judge Cecil Edwards.

e
( .
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 phenomonon 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? 2. Time of day: 50
Hour Minutes
18 Tcly 1966 (Circle One): A.M.
Year or P.M.
Doy Month
3. Time Zone:
(Circle One): a. Eastern a. Daylight Saving
8. Central b. Standard
c. c. Mountain Mountain
d. Pacific
e. Other
4. Where were you when you sow Where were you when you saw the object? the object?
Paytin Chie 45403 Chi 45403
Nearost Postal Address Nearost Postal Address City or Town State or County
5. How long was object in sigh Total Duration) 2 2
Hours Minutes Minutes Seconds Seconds
.Certain o. Certain c. Not very sure c. Not very sure
b. Fairly certain b. Fairly certain d. Just a guess d. Just a guess
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
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 F TD 164, Jul 61, which is obsolete.

2
( (
Page 2
8.1 STARS (Circle One): 8.2 MOON (Circle One):
None a. Bright moonlight
b. Duld moonlight -
b. A few No moonlight - pitch dark
c. Many c.
d. Don't remember d. Don't remember
-
CLOUDS (Circle Ome): . 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': remember
1 The object aopeared: (Circle One):
a. a. Solid Solid d. As a light
b. Transparent b. Transparent e. Don't remember
c. c. Vapor Vapor
1.If it appeared as a light, was it 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
b. Dimmer d. Don't know
11.1 Compare brightnass to some common object:
1.The edges of the obiect were: The edges of the obiect were:
c. ote Cauld not obiect cily.
(Circle One): a. Fuzzy or blurred
b. Like e bright star the lights
c. Sharply outlined
d. Don't remember
Did the object: (Circle One for each question)
Appear to stand still at any time? Yes) No Don't know
a. Yes No Don't know
b. Suddenly speed up and rush away at any time? Don't know
c. Break un into parts or explode? YeSJ No
Give off smokn? Yes No Don't know
d. Yes No Don't know
e. Change brightness? No Don't know
f. Change shape? Yes
Flash or flicker? Yes No Don't know
g. Yes No Don't know
h. Disappear and reappecr?

Page 3
. Did the object disappear while you were watching it? If so, how? whnt out of sight, towont
W-PAFP
.Did the abject move behind something at any time, particularly a cloud?
(Circle One): Yes ANo Don't Know. IF you answered YES, then tell what
it moved behind: A free
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:
o. Sound like a helicepter ot airplone hut like smenesingiy
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?
could only see lights, which couldony see lights, which would have been n shaller shaller
1o0 to 15 lights 10 t 15 lights
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.
√

(Circle One) Yes No
IF you answered YES, then what speed would you estimate?
(Circle One) Yes No
22. Where were you located when you sow the object? 23. Were you (Circle One)
(Circle One):
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?
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. 1 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) 24.1 What direction were you moving? (Circle One) NA
a. North c. c, East e. 'South g. West
b. Northeast d. Southeast Southeast f. Southwest h. Northwest 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 Yes . No
None
a. Eyeglasses Yes e. Binoculars Yes No
b. Sun glasses Yes f. Telescope Yes No
c. Windshield Yes g. Theodolite 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.
Can tell,

(
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
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 on the compass where you last saw the object.
90° 75"
60°
NVW 1 NG
30
E
-15° SW
55
Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of th
path, a "B" at the end of the path_ond shiun 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.
A
2. IF there was MORE THAN ONE object, then how many were there?
Draw a picture of how they were crranged, and put an arrow to show the direction that they were traveling. Draw a picture of he y were crranged, and put an arrow to show the direction that they were traveling. E

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 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.
'
When did you see the object? 2. Time of day: 7 45
Hour Minutes
6 Juby 1966 (Circle One): A.M. or P.M.
Day Month Year
3. Time Zone:
(Circle One): a. Eastern a. Daylight Saving
6. Central b. Standard
c. Mountain
d. d. Pacific
e. Other
4. Where were you when you saw the object?
Oayton Ogyton Ohio
Nearest Postal Address City or Town State or County
(Total Duration) Total Duration) 0 3 ?
Hours Minutes Seconds
. Certain a. Certain c. Not very sure
b. Fairly certain d. Just a guess d. Just a guess
Wrist-watch Lltth
5.1 How was time in sight determined?
5.2 V Was object in sight continuously? YesX No
6. What was the condition of the sky?
DAY C NIGHT
a. 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): a. In front of you d. To your left.
b. In bock of you c. Overhead
c. To your right f. Don't remember
FORM
FTD OCT 62 164 This form supersedes FTD 1 164, Jul 61, which is obsolete.
T

No —
Was anyone eise with you at the time you saw the object? (Circle One) Yes No
Yes No
31.2 Please list their names and addresses:
.Please give the following information about yourself:
NAME First Name
Last Name
ADDRESS Day/en 2 Chis Chio
City Zone Zone State
TELEPHONE TELEPHC NUMB NUM AGE 19 sEx Eemale
Indicate any additional information about yourself, including any spec Indicate any additional information about yourself, including any speci experience, which might be pertinent.
Studied stars stars in H.S. course. H.S. course.
.When and to whom did you report that you had seen the object?
18 July 1966 FTD Dity Officer
Day Mohth Year

,
(
Page 7
34. Date you completed this questionnaire: 18 Jcly 1966
Day Month Year 7
questionnaire or a narrative explanation of your sighting.
1 lights appered square.
A

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 smany 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.
When did you see the object? 2. Time of day: 8 4.5
Hour Minutes
1$ July 1966 (Circle One): A.M. or P.M.
Day Month Year
3. Time Zone:
(Circle One): a. Eastern (Circle One): a. Daylight Saving
b. Central b. Standard
c. c. Mountain Mountain
d. d. Pacific Pacific
e. Other Other
4. Where were you when you saw the object?
Dayt0z Dantoz lho
Nearest Postal Address City or Town City or Town State or County
- (Total Duration) (Total Duration) 5 5
Hours Minutes Seconds Seconds
a. Certain c. Not very sure
b. Fairly certain Fairly certain . Just a guess 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
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
OCT 62 16 FORM
FTD This form supersedes FTD 164, Jul 61, which is obsolete.

(
i
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
A few b. Dull moonlight
c. Many c. 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):
aClear sky a. Dry
b. Hozy 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
10. The object appeared: (Circle One):
Solid d.As a light
b. Tronsparent e. Don't remember
c. c. Vapor aDO
If it appeared as a light, was it brighter than the brightest stars? (Circle One): If it appecred as a light, was it brighter than the brightest stars? (Circle One):
. Brighter .About the same c.About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
like linding lights on plae like land ding lighits on plae
12. The edges of the object were: The edges of the object were:
(Circie One): a. Fuzzy or blurred (Circie One): a. Fuzzy or blurred . other could lights e. other could lights
b. Like a bright star b. Like a bright star
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 Don't know
d. Give off smoke? Yes Don't know
e. Change brightness? Yes Don't know
f. Change shape? Yes 999929 Don't know
g. Flash or flicker? Yes (Don'fknow
h. Disappear and reappear? Yes Don't know

C
Page 3
.Did the bject 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:
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:
0.Sound K's could herr seund a. Sound -
b. Color_ b. Color
We wish to know the angular size. Hold a match stick at orm's length in line with a known object and note how .We wish to know the angular size. Hold a match stick at orm'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?
Eigr Bigr the rateh Keod ratel Keod abou the size
. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details 10
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.

22. Where were you located when you sow 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?
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
time, then complete the following questions:
24.1 What direction were you moving?
a. North c. East South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? 2 h miles per hour.
24.3 Did you stop at any time while you were looking at the object? -
(Circle One) No
2Did you observe the object through any of the following?
Disc light on toj

Pag• 5
. 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 BNE
30°
E
150
S5
S
23. Draw a picture that will show the mction that the object or objects made. Place an "A" at the beginning of the
path, a "B at the end of the path, and shliow any changes in direction during the course. path, a"B" t the end of the path, and show any changes in direction during the course.
S
29. IF there was MORE THAN ONE object, then how many were there?
Draw a picture of ho Draw a picture of they were arranged, and put an arrow to show the direction that they were traveling.
1

3
(
Page 6
30. Have you ever seen this, or a similar object before. If so give date or dates and location.
N's
Yes (N\o0
. Yes No
31.2 Please list their names and addresses:
.Please give the following information about yourself:
NAME Last Name First Name Middlo Nome
ADDRESS Payte Payte 5 Chie Chie
City City Zone State
TELEPHONE NUMBEI AGE 2 AGE2/ sEx male
.When and to whom did you report that you had seen the object?
18 Fil 1961 FTD D.C.
Day Month Year
4.

(
Pago 7
34. Date you completed this questionnaire: 18 Tvily 1966
Day Month Year
Information which you feel pertinent and which is not adequately covered in the specific points of the
questionnairs or a narrative explanation of your sighting.
\
-

U.S. AIR FORCE TECHNICAL INFORMATION
informction 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.
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? 5 50
Hour Minutes
18 Jily 1946 (Circle One): A.M. P.M.
Month Year or
Doy
3. Time Zone:
(Circle One): Eastern a. Daylight Saving
b. Central Standard
c. Mountain
d. Pacific ueiri
e. e. Other
4. Where were you when you saw the object? 4. Where were you when you saw t the object?
Deyfi Dey/i Ohic Ohic
wadress dress City or Town State or County ,
(Total Duration) 10
Hours Minutes Soconds
o. Certain c. Not very sure
b. Fairly certain d.Just a guess d. Just a guess
5.1 How was time in sight determined?. 5.1 How wcs 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
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 O 2 164 This form supersedes FTD) 164, Jul 61, which is obsolete.

Page 2
8 IF you saw the object at NIGHT, what did you notice 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 d. Don't remember
9. What were the weather conditions at the time you saw
CLOUDS (Circle Oe): WEATHER (Circle One):
1ea 4
a. Clear sky a. Dry
b. Hazy b. Fog, nist, or light rain
c. Scattered clouds c. Moderate or heavy rain
Thick or heavy clouds d. Snow
e. Don': remember
10. The object appeared: (Circle One):
a. Solid _d. As a light
b. Transparent b. Transparent e. e. Don't remember 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 ligh, was it brighter than the brightest stars? (Circle One):
a. Brighter c. About the same.
b. Dimmer d. Don't know , hd haee Jd hee
The edges of the obiect were: 12. The edges of the obiect were:
(Circle One): a. Fuzzy or blurred CinalonV Ln
b. Like  bright star 1.
. Sharply outlined X.
d. Dar'  remember
Did the object: (Circle One for eoch 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 Don't know
e. Change brightress? Yes Don't know
f. Change shape? Yes Don't know
g. Flash or flicker? Yes Don't know
h. Disappear and reappecr? Yes Don't know

,"
(
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
. A few b. Dull moonlight
Many c. No moonlight - pitch dark
Don't remember d.
9. What were the weather conditions at the time you saw the object? E -
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky a.Dry
b. Hazy 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
b. Transparent b. Transparent e. Don't remember e. Don't remember
c. Vapor
1. 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 b. Dimmer d. Don't know
11.1 Compare brightness to some common object: 11.1 Compare brightness to some common object:
strect light street light
The edges of the object were: .The edges of the object were:
(Circle One): a. Fuzzy or blurred (Circle One): a. Fuzzy or blurred e. Other ccly 2 /ighits e. Other oale see Lialits
b. Like a bright star
c. Sharply outlined —
d. Don't remember
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? 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

(
Page 3
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: Tree
.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:
c. Sound like a glisanod mnator
b. Color Lights
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?
a dine would tave a dini would tave covaéd it. eoveéll il.
Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details
of the object thct 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.
-

(Circle One) Yes No
(Circle One) Yes No
2Where were you located when you saw the object? Were you (Circle One)
(Circle One):
In the business section of a city?
a. Inside  building b. In the residential section of a city?
6. In a car c. In open countryside?
c. Outdoors Near an airfield?
d. In an airplane (type) e. Flying over a city?
e. At sea f. Flying over open country?
f. Other g.
24.1 What direction were you moving? (Circle One) 24.1 What direction were you moving? (Circle One)
. North . North C. Eost c. East e. South g. g. West West
. Northeast . Northeast d. Southeast f. Southwest f. .Southwest h. Northwest
24.2 How fast were you moving? 35 miles per hour.
24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yos Yo No
Did you observe the object through any of the following?
a. Eyeglasses Yes No e. Binoculars
Sun giasses Yes No f. Telescope Yes No
c. Windshield Yes No g. Theodolite Yes
d. Window glass Yes No h. Other
helicorter

Page 5
In the following sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how
90°
75°
60°
NW NE
30°
E
-15 SW
S6
28. Draw a pisture that will show the motion that the object or objects made. Place an "A at the beginning of ths
path, a ""8" at the end of the path, and shuw any changes in direction during the course.
29. IF there was MORE THAN ONE object, then how many were there?
Draw a picture of h Draw a picture of ho ey were arranged, and put an arrow to show the direction that they were traveling. y were arranged, and put an arrow to show the direction that they were traveling.
I

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) 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:
Daytan 1 Ohio
32. Please give the following information about yourself:
NAME Lost Name First Name Middle Name
ADDRESS Sa Sarni as above akove
Street City City Zone State
TELEPHONE NUMBER AGE 2.3 SEx Fenale sEx Fenale
Indicate any additional I experience, which might be pertinent.
.When and to whom did you report that you had seen the object?
18 Jcly 19é6 FTDP.O,
Day Month Year

..
(
Pago 7
34. Date you completed this questionnaire: 1X 764 6L
Day Month Year
Information which yu feel pertinent and which is not adequately covered in the specific points of the
questionnaire or  narrative explanation of your sighting.

(
U.S. AIR FORCE ECHNICAL 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
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? Time of day: 4.5
Hour Minutes
18 Tuly 1966 (Circle One): A.M. C.M.
Month Year or
Day
3. Time Zone:
(Circle One): a. Eastern Daylight Saving
b. b. Central Contral b. Standard Standard
c. Mountain
d. Pocific
e. e. Other Other
4. Where were you when you saw the object?
Phil &Siclpentholer Phil &Siloethoke Payt Payt Chio
Nearest Postal Address City or Town State or County State or County
5.How long was object in sight? 5. How long was abject in sight? (Total Duration) (Total Duration) 10
Hours Minutes Seconds.
a. Certain c. Not very sure c. Not very sure
b. Fairly certain Eai-lycartair d.Just a guess
5.1 How was time in sight determined?.
5.2 Was object in sight continuously? Yes No
.What was the condition of the sky?
DAY NIGHT
a. Bright 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. Overheod )
c. To your right f. Don't remember
FORM
FTD OCT 62 164 This form supersedes FTD 164, Jul 61, which is obsolete.

( (
Page 3
4. 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: frees
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:
c. Sound R'o
b.Color yello light Llbs
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?
Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details . 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.

2Do you think you can estimate the speed of the object?
(Circle One) Yes No
7
2Do you think you can estimate how far away from you the object was?
(Circle One) Yes N\o
IF you answered YES, then how far away would you say it was?
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 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 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle af the fime, then complete the following questions:
24.1 What direction were you moving? (Circle One) 24.1 What direction were you moving? (Circle One)
a. North c. East e. South g. g. West West
. Northeast d. Southeast f. Southwest h. Northwest
24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes Yes No
25. Did you observe the object through any of the Did you observe the object through any following?
a. Eyeglasses a. Eyeglesses Yes (Yes) No e. Binoculars e. Binoculars Yes No
b. Sun glasses Yes No f. Telescope Yes
c. Windshiela Yes No g. Theodolite Yes
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 a common
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.

Pag• 5
2. In the following sketch, imagine that you are at the point shown. Place an "A"" on the curved line to show how
90°
75°
60°
o
NW NE
30°
E
-15°
SW SE
17223
path, a ""at the end of the path, and sliun 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.
2. IF there was MORE THAN ONE object, then how many were there?

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.
d 1. -

( (
Page 6
30. Have you ever seen this, or a similar object before. If so give date or dates and location.
No
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:
Diy tn6 Oli
Please give the following information about yourself:
astrName Name First Name First Name Middle Nome
ADDRESS Sane San
Street Street City Zone State
TELEPHONE NUMBER AGE30 AGE3O — SEX Feile SEX Feunle
Indicate any additional information about yourself, including any special experience, which might be pertinent. Indicate
.When and to whom did you report that you had seen the object?
Day Month Year

(
Pocn'
34. Date you completed this questionnaire:
Day Month Year
Inormatin which you e pertinent nd which is ot adequatey coverd in e specic points of th qusstionnaire or a narrative explanation of your sighting.
Secm to be going aroondl
21 Oirplane in the area of object
.
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
conclusions, or publications without your permission. We request this personal information so
for further details.
.When did you see the object? 2. Time of day: 9 11.
Hour Minutes
18 Fc4 1966 (Circle One): A.M.
or P.M.)
Day Month Year
3. Time Zone:
(Circle One): (Circle One): a. Eastesh (Circle One): a. Daylight Saving
b. Cennal Cennal . Standard 6. Standard
c. Moursin Moumain
d. Poc c Pocc
e. Other
4. Where were you when you saw the :ject? 4. Where were you when you saw the sject?
Nearest Postal Address City or Town State or County
(Tan| Duration) 9
Hours Minutes Seconds
a. Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determined? wa/ch
5.2 Was object in sight continuous? Yes K No
What was the condition of the sky?
DAY NIGHT
a. Bright a. Bright
b. Cloudy b. Cloudy
IF you saw the cbject during DAYL GHT, 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
O 2 164 This form supersedes FTT 164, Jul 61, which is obsolete.

/
(
Poge 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 fow 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) a. Dry
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds Moderate or heavy rain
d. Thick or heavy clouds O. neavy eroot d. Snow
e. e. Don't remember Don't remember
10. The object appeared: (Circle One):
. Solid o. Solid d. As a light d.As a light
b. Transporent b. Transporent e. Don't remember
c. Vapor Vapor
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 c. About the same
b. Dimmer d. Don't know
11.1 Compere brightness to some common object:
strect light, but dimmer
12.The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
b. Like a bright star
.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 smcke? 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? lYes 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?
15. Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes 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.
in front of: 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:
a. Sound Humming riis a.SoundHumming riis
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
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 thar 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.

C
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?
Do you think you can estimate how far away from you the object was?
(Circle One) Yes No
2. 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 b. In the residential section of a city?
b. b. In a ca: In a car c. c. In open countryside? In open countryside?
c. c. Outdoors d. d. Near an airfield?
d. In an cirplane (type) d. In an cirplane (type) e. Flying over a city? Flying over a city?
e. At sea e. .At sea f. f. Flying over open country? Flying over open country?
f. Other g. g. Other
24.1 What direction were you moving? (Circle One)
a. North a. North c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? miles per hour.
24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No
25. Did you observe the object through any of the following?
a. Eyeglasses Yes No e. Binoculars Yes
b. Sun glasses Yes f. Telescope Yes No
c. Windshield Yes g. Theodolite Yes No
d. Window glass Yes No h. Other
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.

,.
(
Pag• 5
.In the following sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how
when you first saw it. Place a "B'
90° 75°
60
45° NW NU
30°
15° 15° SW
S
path, a " 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 object, then how many were there?
Draw a picture of ho ey 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.
NO 71
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) YYes) No
31.2 Plecse list their names and addresses:
Fomily
32. Please give the following information about yourself:
NAME NAME
Last Name Last Name First Name Middle Name Middle Name
ADDRESS Dinftn Difton 4C 4C Ohi'o
City City Zone State
TELEPHONE NUMBER AGE 4/ SEx Mak
Indicate any additional information about yourself, including any special experience, which might be pertinent. ,
10,c0o hrs Flyin tine
33. When and to whom did you report that you had seen the object?
18 Tuly 1966 Nos paper, FTD D.O.
Day Month Year )

(
Pago 7
this questionnaire: 18 Tily 961
Day Month Year +
Informatin which yu e pertinent and which is not adequately covered in th specic points of the
questionnaire or a narrative explanation of your sighting.
1.Lights orangick in color.
2. Dimmer than street lights
3.
4 round
5. at 3. af an angle angle

(
Poge 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
A few b. Dull moonlight
Many c. No moonlight - pitch dark
Don't remember d.
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 d. Snow
e. Don't remember Don't remember
10. The object appeared: (Circle One): 10. The object appeared: (Circle One):
a. Solid d. As a light
. Transparent e. Don't remember e. Don't remember
c. Vapor c. Vapor
If it appecred as a light, was it brighter than the brightest stars? (Circle One):
. 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:
(Circle One): a. Fuzzy or blurred e. Other
b. Like a bright star
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

(Circle One) Yes N .
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):
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?
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
- J
2. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:
2
24.1 What direction were you moving? (Circle One)
a. North c. East e. South West
. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? _ 10 ._miles per hour.
r14641 HeA T
(Circle One) Yes No
25. Did you observe the object through any of the following?

al
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 smany 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.
.When did you see the object? Time of day: 50
Hour Minutes
12 Fcl 66 (Circle One): A.M. or P.M.
Day Month Year
3. Time Zone:
(Circle One): Eastern (Circle One): a.Daylight Saving (Circle One): Daylight Saving
b. Central . Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
Paetin PoI Ohio
Necrest Postal Address City or Town State or County
Total Duration)
Hours Minutes Seconds
. 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—
DAY NIGHT
a. 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): 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.

(
Page 3
14. Did the object disappear while you were watching it? If so, how?
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?
(Circle One): Yes No) Don't Know. IF you answered YES, then tell what
in front of: .
7.Tell in a few words the following things about the object: 17. Tell in a few words the following things about the object:
0. Sound Hamingo Hissing 0. Sound Haaning orHissing
o. Coior  fatish frple (Elvorecint) b. Coior  fokish porple (Fleorecent)
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 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 skeich 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.
√

(Circle One) Yes No
IF you answered YES, then what speed would you estimate?.
(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? 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? Flying over a city?
e. At sea f. f. Flying over open country? Flying over open country?
f. Other f. Other g. g. Other Other
24. IF you were MOVING IN AN AUTOMCBILE or other vehicle at time, then complete the following questions: time, then complete the following questions:
24.1 Whar direction were you moving? Circle One)
a. North . North c. East c. East South e. South g. West
b. Northeast d. 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 observet the object through any the following?
a. Eyeglasses No e. Binoculars Yes
b. Sun glasses Yes No f. Telescope
c. Windshield g. Theodolite Yes No
d. Window gless 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.

Pag• 5
. In the following sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how
when you first saw it. Place a "B" on the compass where you last saw the object.
90°
75°
60°
NW
30
E
-15° 15° SW SW
S5
path, a "at the end of the path, and shiuw any changes in direction during the course.
1
2. IF there was MORE THAN ONE object, then how many were there?.
Draw a picture of how

( (
Page 6
30. Have you ever seen this, or a similar object before. If so give date or dates and location.
1
31. Was anyane else with you at the time you saw the object? (Circle One) Yes No
31.1 F you answered YES, did they see the object too? (Circle One) Yes No
31.2 Please names and addresses:
*
Dayton
32. Please give the following information about yourself: 32. Please give the following information about yourself:
NAME NAME First Name First Name
Last Name Middle Name
*
ADDRESS Kettering 29 21 Ohia Chia
Stree Street City Zone State
TELEPHONE NUMBER TELEPHONE NUMBER AGE4/ AGE SEXFenaCi SEX Fenali
.
When and to whom did you report that you had seen the object?
Day Month Year

( witwa)
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 any questions as you possibly can. The information that you give will
be used for research name will not be used in connection with any statements,
that if it is deemed necessary, we may contact y for further details.
1. When did you see the object? 9 1.5
Hour Minutes
18 July 16b (Circle One): A.M. or P.M.)
Day Month Month Year Year
3. Time Zone:
(Circle One): a. Eastern Daylight Saving
b. Centre! Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object? suth South
Woodmo Dr &Porothy/ine Dhio
Nearest Postal Address City or Town State or County
(Tota! Duration) 10
Hours Minutes Seconds
. Certain c. 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 _ V No_—
What was the condition of the sky?
DAY NIGHT
a. a. Bright
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  164 FORM
FTD This form supersedes FTD 164, Jul 61, which i is obsolete.

:
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Poge 2
8.IF you sow the object at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
. None a. Bright moonlight
b. A few b. Dull moonlight
Many c. No moonlight - pitch dark
d. d. Don't remember
9.What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
C. Clear sky (a. Dry
b. Hazy b. Fog, mist, or light rain
Scattered clouds c. Moderate or heavy rain
Thick or heavy clouds Thick or heavy clouds d. Snow d. Snow
e. Don't remember Don't remember
The obiect appeared: (Circle One): The object appeared: (Circle One):
a. Solid a. Solid d. As  light
b. Transperent b. Transparent e. Don I remember e. Don I remember
c. c. Vapor
1If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
Brighter te strect light
1.The edges of the object were:
(Circle One): a. Fuzzy or blurred . Other soe each indind ljht
b. Like a bright star
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 Don't know
e. Change brightness? Yes Don't know
f. Change shape? Yes 99899 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?
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 cbject move in front of something at any time, particularly a cloud?
(Circle One): Yes (No Don't Know. IF you answered ES, 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
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 18. We wish to know the angular size. Hoid 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 much of the ohiect is covered by the head of the match. If vou had performed this experiment at the time of the
sighting, how much of the object would have been covered by the match head?
alot bigger
19. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details
of the object that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails.
Place an arrow beside the drawing to show the direction the object was moving.
√

Do you think you can estimate how far away from you the object was?
(Circle One) Yes (No
IF you answered
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 b. In the residential section of a city?
(b: In a ca: 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
24.1 What direction were you moving? Circle One)
©. North c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
a. Eyeglosses Yes N0 e. Binoculars No
Sun glasses Yes No f. Telescope
c. Windshleld Vess No g. Theodolite Yes
d. Window gloss Yes No h. Other
body of a plane withort uinjs

Page 5
.In the following sketch, imagine that you are at the point shown. Place an "A" on tho curved line to show how
when you first saw it. Place a "B"
90°
75°
60°
NW Na
30°
E
15 3W 3W
36 S5
S
2. IF there was MORE THAN ONE object, then how many were there?
Draw a picture of ho

when you first saw it. Place a "B' the compass where you last saw the object.
90°
755
60° A
NW N$
E
15 SW
S5
path, a "B"at path, a "B' end of the path, and shuw any changes in direction during the course. end of the path, and sliun any changes in direction during the course.
North B 8
A
2. IF there was MORE THAN ONE object, then how many were there?
Draw a picture of ho they were arranged, and put an arrow to show the direction that they were traveling.
L

( (
Page 6
30.Have you ever seen this, or a similar object before. If so give date or dates and location.
No
Was anyone else with you at the time you saw the object? (Circle One) Yes No
Circle One) No
31.2 Please list their names and addresses:
kettering Ohio
.Please give the following information about yourself: Please give the following information about yourself:
NAME First Name
Last Name Middle Name
ADDRES 19 19 Oho Ohio
reet Zone State
TELEPHONE NUMBER AGE 18 SEX Fernale
Indicate experience, which might be pertinent.
When and to whom did you report that you had seen the object?
15 Tul 1966
Day Month Year

∴
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Page 7
34. Date you completod this questionnaire: Ik Jily 1966
Day Month Year
questionnaire ra narrative explanation of your sighting.
Shape of cylinder
2: Scemed to be spining
3 Red lights in friont

( - (
U.S. AIR FORCE TECHNICAL INFORMATION
information as possible concerning the unidentified aerial phenomenon that you have observed.
Please try to answ many 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.
IIII
1.When did you see the object? Time of day: 30
Hour Minutes
18 10ly 1966 (Circle One): A.M. or P.M.)
Day Month Year
3. Time Z Time Zone: Zone:
a. Eastern (Circle One): a. Daylight Saving) a.(Daylight Saving)
b. b. Central TCentral 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?
Dayton Darton Ohio
Nearest Postal Address City or Town State or County
5.How long was object in s Tatal Duration) 4
Hours Minutes Seconds
a. Certain c. Not very sure
b Fairly certain d. Just a guess
5.1 How was time in sight determined? by claak .
5.2 Was object in sight continuously? Yes V No
6. What was the condition of the sky?
DAY NIGHT
a. Bright a. Bright
b. Cloudy
IF you sw 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. Overheod )
c. To your right. f. Don't remember
OCT 62 164 FORM
FTD

.
Page 2
IF you saw the object at 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 moon
b.A few b. Dull moonlight of
c. Many c. No moonlight - pitch dark 3
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
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds clouds d. d. Snow Snow
e. Don':remember Don': romember
1. The object appeared: (Circle One): 0. The object appeared: (Circle One): whck recseed whch recsteed
a. Solid dAs a light45 dAs 0 light45 lights ligéts
. Transparent b. Transparent e. Don't remember
c. c. Vapor
If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter a. Brighter c.About the same) C.About the sane
b. Dimmer d. Don't know
.The edges of the object were:
(Circle One): a. Fuzzy or blurred c. Other
b.C ike bright stor
c. Sharply outlined
d. Don't remember
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? Yes No Don't know
c. Break up into parts or explode? No Don't know
d. Give off smoke? es Don't know
e. Change brightress? Yes 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? t of sight
It dreppeured it was
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: wer (22μth lichts
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. Teil in a few words the following things about the object: 17. Teil in a few words the following things about the object:
0.SoundLonC 0. SoundLONC
b. Color jist sinits b. Color jist /igits
We wish to know the angular size. Haid a match stick at arm's length in line with a known object and note how 8. We wish to know the angular size. Haid 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 much of the object is covered by the head of the match. If you had performed this experiment at the time of the
Abost $\fra{}$ of the object
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.
L-UN
—
Lights rewived

or5 mls oway
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 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.
f. Other g.
24. IF you Were MOVING IN AN AUTOMOBILE or other vehicle at the
24.1 What direction were you moving? (Circle One)
a. North c. East c. East e. South e. South g. West g. West
. Northeast b. Northeast d. Southeast 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
.
a. Eyeglasses No e. Binoculars Yes
b. Sun glasses Yes f. Telescope No
c. Windshield g. Theodolite Yes No
d. Window gless Yes No h. Other
object or objects which, when placed up in
row of lights
A revoleing
√

Pag• 5
2. In the following sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how
show how high the object was above tho horizon (skyline) when you last saw it. Place an "A n the compass
90°
75°
60°
NW NU
E
8
A150 F15o SW S5
S
28. 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 "A" at t the beginning of the
path, a "B" at the end of the path, and sliuw any changes in direction during the course. path, a "B" at the end of the path, and sluw dny 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
30. Have you ever seen this, or a similar object before. If so give date or dates and location.
3. Was anyane 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:
Th E
15 people
32. Please give the following information about yourself: 32. Please give the following inforr mation about yourself:
NAME Middle Name
Last Name Last Name irst Name st Name
Marysrille Pennstlvaria Pennsylvania
ADDRESS Street
Street City Zone State
I7 11
TELEPHONE NUMBER AGE SEX
Indcate ny additional information about yoursel including any special experience, which might b pertinent.
33. When and to whom did you report that you had seen the object? onofficen of
18 July 1916 to:
Day and Month Year UPAFB
19 Joly 1966

:
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Page 7
34. Date you completed this questionnaire: 25 I01y Month 1916
Day Year
35. Inatin wh u  rtnent nd which is  aequat coveed  tscpit  t questionnaire or a narrative explanation of your sighting.
The object ddn't have any
colored 119 hts / suck as waoning or
signel lighte
31gi
It caly It cily fed fed Bright Revolving
Lights Lights
Please reply and tell me
what conclusion you came to, .
or what you therk the object was

/
U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prepared so that you can give the U.S. Air Force as much
Please try to answer as any questions as you possibly can. The information that you give will
be used for research purposes. r 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 yc for further details.
When did you see the object? 2. Time of day: 2200
Hour Minutes
17 (Circle One): (Circle Une): A.M. A.M. or or P.M.
Month Year P.M.
Day Day Month
3. Time Zone:
(Circle One):a. Eastern (Circle One): a. Daylight Saving
b. Central Standard
c. Mountain
d. Pacific
e. Other Other
4. Where were you when you saw the object?
Iesled Parb Crgtn
Nearest Postal Address City or Town State or County
How long was object in sight? (Total Duration) alont 5mi
Hours Minutes Seconds
a. Certain c. Not very sure .
b. Fairly certain d. Just a guess
5.1 How was time in sight determined? Ential
5.2 Was object in sight continuously? Yes No
6.
DAY NIGHT
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
c. To your right f. Don't remember
FORM
FTD OCT 62 164 This form supersedes FTD 164, Jul 61, which is obsolete.