PROJECT BLUE BOOK

1. DATE · TIME GROUP PROJECT 10073 RECORD
LOCATION
21 August 66 22/03002
3. SOURCE Miamisburg, Ohio (3 Witnesses) 7
Civilian 1. CONCLUSION
4. SATELLITE m1
NUMBER OF OBJECTS
One
5. LENGTH OF OBSERVATION 11.
20 Minut es BRIEF SUMMARY AND ANALYSIS
6. TYPE OF OBSERVATION Observers noted star like object brighter than the birghtest
moving across the sky. star traveling toward'the NE. Object was like white light
Ground-Visual
7. COURSE ECHo I was passing over the area at O23oz. Description is consistent with that of a satellite sighting.
NE
8. PHOTOS
NO Yes
9. PHYSICAL EVIDENCE
Yos
SONo
FTD FORM
SEP 63 0-329 (TDE) Previous editions of this form may be used.

. Page ?
8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
b. A few b. Dull moonlight
c. Many c. No moonlight - pitch dark
d. Don't remember d.Don't remember
What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): CLOUDS (Circle One): WEATHER (Circle One):
a. a. Clear sky a. Dry
Hazy Hazy b. Fog, mist, or light rain 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):
a. Solid d.) 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 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): Fuzzy or blurred e. Other_
b. Like a bright star b. Like a bright star
c. c. Sharply outlined
d. Don't remember
Did the object: Did the object: ms (Circle One for each question)
a. Appear to stand still at any time? Yes No Don't know
b. b. Suddenly speed up and rush away at any time? Yes No Don't know
c. c. Break up into parts or explode? Yes No Don't know
d. Give off smoke? Give off smoke? Yes Yes No Don't know 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 )

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 y 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? When did you see the object? Time of day: . 2.145 2.145
Hour Minutes
21 Gg66 21 Gng66
2145 (Circle One): A.M. or (P.M. (P.M.
Day Month Year Year
3.Time Zone: 3 7
(Circle One): a. Eastern (Circle One): a. Daylight Saving
b. Central b. Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
MIAMISBURG
Nearest Postal Address City or Town State or County
5.How long was object in sight? (Total Duration) severel mnte
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.I How was fime in sight determined?
5.2 Was object in sight continuously? Yes No No
What was the condition of the sky? 6.
DAY NIGHT
a. Bright .Bright a.Bright
b. b. Cloudy Cloudy
7.IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): a. In front of you d. To your left
b. In back of you e. Overhead
c. To your right f. Don't remember
FORM
FTD OT62 164 Thin form supernedes FTD 164. jut 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 ): a Yes Don't Know.
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? 1. Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes Yes No Don't Know. IF you answered YES, then tell what
in front of: _ in front of:
1 k1
17. Tell in a few words the following things about the object:
a. Sound Nini Mini
b. Color whit
. 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.
Place an arrow beside the drawing to show the direction the object was moving. 2.
1.
19o 1
11
11
)
0

Page 4
20. Do you think you can estimate the speed of the object?
(Circle One) Yes No
IF you answered YES, then what speed would you estimate?
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? 3. Were you (Circle One)
(Circle One):
a. In the business section of a city?
a. a. Inside a building Inside a building b. In the residential section of a city? b. In the residential section of a city?
b. In a car b. In a car c. In open countryside? In open countryside? I
c. Outdoors d. Near an airfield?
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
IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:
24.1 What direction were you moving? (Circle One)
a. North c. East e. South g. West al
. 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
Did you observe the object through any of the following?
a. Eyeglasses Yes No e. Binoculars Yes No
b. Sun glasses Yes No f. Telescope 0
c. Windshield Yes No g. Theodolite
d. Window glass Yes No h. Other 4
In order that you can give as clear a picture as possible of what you saw, describe in your own words a common
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw. object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.
1| 3181

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" on the compass
when you first saw it. Place a "B"" on the compass where you last saw the object.
90° 75°
60
NW NE
30
E
1 1
L15 15° SW 3W S5
SE
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 sliun uny changes in direction during the course.
29. IF there was MORE THAN ONE object, then how many were there?
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling.
)
11

Page 6 7
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:
1
32. Please give the following information about yourself: 32. Please give the following information about yourself:
NAME NAME
Last Name First Name First Name Middle Name Middle Name
45342
ADDRESS Meanielng O.
Street City Zone State
TELEPHONE NUMBER AGE SEX
Indicate any additional information about yourself, including any special experience, which might be pertinent.
3. When and to whom did you report that you had seen the object? When and to whom did you report that you had seen the object?
Day Day Month Month Year Year 7

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.
1
te

FTD (TDETR)/
Wright-Patterson AFB, Ohio 45433
24 August 1966
Miamisburg, Ohio 45342
Dear
Reference your unidentified observation of 2l August 1966.
The information which we have received is not sufficient
for evaluation. Request you complete the attached FTD
Form 164 and return it in Form l64 and return it in envelope provided. envelope provided.
w o We wish to thank you for reporting your observation to We wish to thank you for reporting your observation to
the Air Force. the Air Force. 1 -
Sincerely,
HECTOR QUIN ANILLA, Jr, MajOr, USAF
Chief, Project Blue Book
2v :

Pago 2.
8.IF you saw the object at NIGHT, what did you notice cor.cerning the STARS and MOON?
8.1 STARS (Circle One ): 8.2 MOON (Circle One):
INIRO a. None a. Bright moonlight
6.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): CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky a. Clear sky C. Dry Dry
b. Hazy b. Fog, mist, or light rain
127 M c.Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d.Thick or heavy clouds d. Snow
e. Don': romember 2
10. The object appeared: (Circle One): 10. The obiect appeared: (Circle One):
a. Solid As a light
b. Transparent e. Don't remember
121 c. Vapor
1. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter c. About the sane
b. Dimmer d. Don't know
11.1 Compare brightnass to some common object:
The edges of the obiect were:
(Circle One): a. Fuzzy or blurred c. Other
b. Like c bright star
c. Sharply outlined C. Sharply outlined
d. Don't remember d. Dor'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 Don't know
c. c. Break up into parts or explode? Yes Yes No Don't know
d. Give off smoke? Yes Yes No (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 reappecr? Yes No Don't know

U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prepared that you can give the U.S. Air Force as much
information as pos oncerning the unidentified aerial phenomenon t you have observed.
Please try to any questions as you possibly can. rmation 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.
- :
.Time of day: Time of day: ApRox. AD.00 ApRox. 1D,00
1. When did you see the object? When did you see the object?
Hour Minutes
21 Cuq 66 (Circle One): (Circle One):
7 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. Mountain
17 d. Pacific
e. Other
4. Where were you when you saw the object?
ghi
Mea in
Nearpst Postal Address City or Town State or County
.How long was object in sight? (Total Duration) 20
Hours Minutes Seconds
a. Certain c. Not very sure
. Fairly certain d. Just a guess
5.1 How was time in sight determined? 5.1 How was time in sight determined? . 0
5.2 Was object in sight continuously? 5.2 Was object in sight continuously? Yes Yes No. No
.What was the condition of the sky? What was the condition of the sky?
DAY NIGHT NIGHT
a. Bright
b. Cloudy b. Cloudy Cloudy
7.IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): a. In front of you d. To your left
b. In back of you e. Overhead →
c. To your right f. Don't remember
CTD FORM

Poge 3
14. Did the object disappear while you were watching it? If so, how?
to
1. Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answered YES, then tell what
it moved behind:
1.Did the object move in front of something at any time, particularly a cloud? 1. Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answered YES, then tell what
in front of: _ in front of: _
.Tell in a few words the following things about the object: 17. Tell in a few words the following things about the object:
a.Sound: ound
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
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. E W. M
th ty A
16
/

Page 4
20. Do you think you can estimate the speed of the object?
(Circle One) Yes No
2Do you think you can estimate how far away from you the object was?
(Circle One) Yes No
22. Where were you located when you saw the object? Were you (Circle One)
(Circle One): (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. d. 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 g. Other
2.IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:
24.1 What direction were you moving? (Circle One)
a. North c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
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? R
(Circle One) Yes No
25. Did you observe the object through any of the following?
a. Eyeglasses N\o e. Binoculars Yes No
b. Sun glasses Yes (No) f. Telescope Yes No pone
c. Windshield Yes No g. Theodolite No
d. Window glass d. Window glass Yes Yes No h. Other h. Other
2
2.In order that you can give as clear a picture as possible of what you saw, describe in your own words a common 2. In order that you can give as clear a picture as possible of what you saw, describe in your own words a common
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.
a wohite light meoving a white light moving
A
141

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
high the object was above the horizon (skyline) when you first saw it. Place a "B" on the same curved line to
show how high the object was above the horizon (skyline) when you last saw it. Place an "A" on the compass
when you first saw it. Place a "B' on the compass where you last saw the object.
990. 75
60B
NW NE
↑
15° 15• SW
SE
Draw a picture that will show the motion that the object or objects made. Place an A at the beginning of th EB
path, a "B" at the end of the path, and sliun uny changes in direction during the course.
↑
N
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.
2 N1J3
.
Srlay
x.
8

Page 6
Have you ever seen this, or a similar object before. If so give date or dates and location.
Juist Ballon Orbit
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
MRt MuRS
MIAMIS BURG OHO No
.Please give the following information about yourself: 32. Please give the following information about yourself:
NAME First Name
Last Name Middle Name
ADDRESS MIAUISBURG Obtco
City Zone State
TELEPHONE NUMBE AGE 42 SEX M
Indicate any additional information about yourself, including any special experience, which might be pertinent.
K
33. When and to whom did you report that you had d seen the object? lright attkean
21 66
Day onth Year
2

S
Pago 7
.Date you completed this questionnaire: 2.5 llng
Day Month Yoar
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.
W
2
1
.