PROJECT BLUE BOOK

PROJECT 10073 RECORD
1. DATE - TIME GROUP 2. LOCATION
17 Aug 66 18/0300Z Medway, Ohio
3. SOORCE SOURCE TO.CONCLUSION 10. CONCLUSION
Civilian Civilian
4. NUMBER OF NUMBER OBJECTS OBJECTS
One One
S. LENGTH OF OBSERVATION 5. 1 LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS 11. BRIEF SUMMARY AND ANALYSIS
5 - 7 minutes 5-7 minutes Observer watched star like object move in a northerly direct-
6. TYPE OF OBSERVATION ion. Object was bright white appearing flatter than an oval ion. Object was bright white appearing flatter than an oval
5. TYPE OF OBSERVATION being not completely round. Observer saw a similar
Ground Visual object previously; however, believed that to be a satellite.
7. COURSE This object was traveling too fast for a satellite.
Northerly
8. PHOTOS
Yes
No
9. PHYSICA VIDENCE
Yes
No
FORM TAP
CTN --
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U.S. AIR FORCE T TECHNICAL INFORMATION
This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as ole concerning the unidentified aerial phenomenon that you have observed.
Please try to answer as y questions as you possibly can. The information that you give will
be used for research purposes. our name will not be used in connection with any statements,
conclusions, or publications without your permission. We request this personal information so
that if it is deemed necessary. we may contact you for further details.
.When did you see the object? 1. When did you see the object? Time of day: Time of day: 0 2200 00 00
Hour Minutes Minutes
4us 4us (Circle One): A.M. or or P.M (P.Mm
Day Doy Month Year
3. Time Zone:
(Circle One): (Circle One): a. Eastern a. Eastern (Circle One):_a.Daylight Saving (Circle One):a Daylight Saving
b. Central b. Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object? KvCartise (reting)
Dkrednnylna Ohi0
Nearest Postal Address City or Town State or County
How long was object in sight? (Tatal Duration) 0 5-7 -
Hours Minutes Seconds
a. Certain c.Not very sure
b. Fairly certain d.Just a guess
5.1 How was time in sight determined? _7
LosT sighrferaseconp
5.2 Was object in sight continuously? 5.2 Was object in sight continuously? Yes X Yes while taling Fricnds. while e talhing Fricods.
6.What was the condition of the sky?
DAY NIGHT
a. a. Bright o.Bright. o. Bright.
Cloudy b.
IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object? 1/A
(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.

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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
CMany 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 (Cireie One): WEATHER (Circle One):
a. Clear sky a. Dry
b. Hazy b. Hazy b. Fog, mist, or light rain b.Fog, mist, or light rain
c. Scattered clouds Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One): 1. 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):
a. Brighter c. About the same
b. Dimmer d. Don't know
11.1 Compere brightness to some common object:
dikeaneleiricare.
12.The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other _
b. Like a bright stor
c. Sharply outlined c. Sharply outlined
d. Don't remember d. Don't remember
Did the object: Did the object: (Circle One for each question)
a. a. Appear to stand still at any time? Appear to stcnd still at any time? Yes No Don't know
b. Suddenly speed up and rush away at any time? Suddenly speed up and rush away at any time? Yesate 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? olntier atend (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
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14. Did the object disappear while you were watching it? If so, how?
Ve5.
. 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: ar0in2 tree and saul
it
Did the object move in front of something at any time, particularly a cloud? 16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes) No Don't Know. IF you answered YES, then tell what
in front ofs staciapp be right next
tothestar
17.Tell in a few words the following things about the object: 17. Tell in a few words the following things about the object:
0. Sound1lone
b.Color it Brigiit ihite
.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?
Most of it.
Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details
of the object that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails.
Place an arrow beside the drawing to show the direction the object was moving. Place an arrow beside the drawing to show the direction the object was moving.
11.t 10.t Flat: Flat
FiaTter Than an Ovad. Fiatter than an ovad.
N

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Page A
20.Do you think you can estimate the speed of the object? Regeired 5min. Fron
Yes catiy pdssing big dipper antil
(Circle One) No
seen. 8
Do you think you can estimate how far away from you the object was?
Circle One) Yes (No) At star aittude -
IF you answered YEs, then how far away would you say it was?.
Where were you located when you saw the object? Were you (Circle One)
(Circle One):
a. In the business section of a city?
Inside a building b. In the residential section of a city?
b. In a car C.In open countryside? reer a resience
c.) Outdoors in lounge ckoir d.Near an airfield?
d. In an cirplane (type) e. Flying over a city?
e. At sea e. At sea f. Flying over open country?
f. Other _ g. Other _ Other .
24.
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?
(Circle One) Yes No
25. Did you observe the object through any of the following?
. Eyeglasses Yes (No) e. Binoculars No
b. Sun glasses No f. Telescope Yes
c. Windshield No g. Theodolite Yes No
d. Window glass Yes (No) h. Other
In order that you can give as clear a picture as possible of what you saw, describe in your own words a common

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) 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
30 30
O
-15° 15 SW 3W SE
S
Draw a picture that will show the motion that the object or objects made. Place an Aat the beginning of th
path, a "B" at the end of the path, and sliun any changes in direction during the course.
No oirec tion change
2. IF there was MORE THAN ONE object, then how many were there?
Draw a picturfhow they wee arranged and put an arrow to show the directin that they were travelin.
N/A -One object. N/A -One object.

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Have you ever seen this, or a similar object before. If so give date or dates and location.
age Frow n the
Same secatiom. ihight Thenght
if mijit kavo been d satoite a report. This Tine
thoughtitws tee£ast fet ssatellite.
Was anyone else with you at the time you saw the object? (Circle One) YYes) 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:
ev Casliske, Ohia
, 11 1 11
'
'1
" , 11
32. Please give the following information about yourself: 32. Please give the following information about yourself:
NAME NAME
Last Name First Name Middle Name
ADDRESS Whwlicliste On:o
City Zone State
TELEPHONE NUMBER AGE8 SEX Pele
Indicate any additional information about yourself, including any special experience, which might be pertinent.
Has studioon ast tinifo0
CTrade shool gradunte)
33. When and to whom did you report that you had seen the object? 33.When and to whom did you report that you had seen the object?
17 7 Acco A 66 Frs Duty offices Officer
Day Month Year

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34. Date you completed this questionnaire: 17
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.
Was traveling veryFas. io Furthe r
Dutyp gf Duty gf
.