PROJECT BLUE BOOK

15 minutes
Observers noted a kite like ooject moving in a northerly
6. TYPE OF OBSERVATION direction. As the object was watched from the moving
Ground Visual automobile tne cojsct appeared te change its direction
to movement toward the south. to movement towat che south. Object Object moved over one mO
7. COURSE observer's head at an altitude observer's head at an altitude of of approximately approximately 300 feet 300 feet
northward and at a speed and at a speed of 30 niles per 30 miles per hour. hour. Afte : the the object
passed overhead it moved passed overhead it moved toward the north and dis-
8. PHOTOS 8. PHOTOS a house.
Yes Description is consistent with that of a balloen
XNo
observation. Dalloons are observation. Dalloons are launched launched from Sulphur from Sulphur
PHYSICAL EVIDENCE PHYSICAL EVIDENCE Grove, Chio twice a day, and could Grove, Chio twice a day, and could have been res- been res-
Y.s Y ponsible for the sighting.
No No
FORM FORM
FTD SEP 63 0-329 (TDE) Previous ditions
,
.

40C166 BEAVERCREEK, CHIO
U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possibl concerning the unidentified aerial phenomenon that you have observed.
Please try to answer 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
that if it is deemed necessary, may conta for further details.
1. When did you see the object? Time of day: 6 20
Hour Minutes
6 October 1966 (Circle One): A.M. or P.M.
Day Month Year X
3. Time Zone: . Time Zone:
(Circle One): a. Easternx a. Daylight Saving Saving
b. Central Standard X Standard X
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw object?
JRosd Beavercreek Greene , Ohio Greene , Ohio
Nearest Postal Address City or Town State or County
tai Duration) 15
Hours Minutes Seconds
Xo. Certain c. Not very sure
.Fairly certain d. Just a guess
5.1 How was time in sight determined? _By watch
5.2 Was object in sight continuously? YesX No
6.
DAY NIGHT
a. Bright a.
b. Cloudy Cloudy
X C.claar
See page 7
(Circle One): a. In front of you d. To your left
b. In back of you e. Overheed
c. To your right f. Don't remember
FORM
FTD 0CT 62 164 This form supersedes FTD 164, Jut 61, which is obsolete.

Poga 3
14. Did the object disappear while you were watching it? If so, how? See page 7
/
15. Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes -X No Don't Know. IF you answered YES, then tell what
it moved behind: A house.
16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes No-X Don't Know. IF you answered YES, then tell what
in front of: _
17. Tell in a few words the following things about the object: 17. Tell in a few words the following things about the object:
a. Sound . Sound I No sound
b. Color Transparent and clear
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
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 bes
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Page 2
8IF you saw the object a* NIGHT, what did you notice co-cerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One): /
a. None a. Bright moonlight
A few b. Dull moonlight
c. Many c. No moonlight - pitch dark
d. Don't remember Don't remember
object?
CLOUDS (Circle One): WEATHER
X a. Clear sky a. Dry
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds Moderate or heavy rain
Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One):
a. Solid d. As a light d. As a light
X b. Transparent e. Don't remember
c. Vapor
If it appeared as a light, was it brighter than the brightest stars? (Circle One): 1.If it appeared as a light, was it brighter than the brightest stars? i (Circle One): Did not.
a. Brighter Brighter c. About the same c. About the sane
b. Dimmer b. Dimmer d. Don't know
The edges of the obiect were:
(Circle One): a. Fuzzy or blurred c. Other
b. Like c bright star
Xc. Sharply outlined
d. Don't remember
.Did the object: (Circle One for eoch question)
a. Appear to stand still at any time? Yes X 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 XXXXXX 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

90° 750
60 B
O A
-15° SW
S5
A-B S
28. Draw a picture that will show the motion that the object or objects made. Place an "A""at the beginning of the
LeV
Faidycoands Faidy.ccands
Ht
DAyTon-Xenin
. IF there was MORE THAN ONE object, then how many were there? no more than one.
Draw a picture of
)

2Do you think you can estimate the speed of the object? .
(Circle One) Yes- yes No 7
-
(Circle One) Yes-X No
IF you answered YES, then how far away would you say it was? 300 fest
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 X c. In open countryside?
X 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
2IF 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)
X a. North Xc. East e. South g. West
- b. Northeast d. . Southeast f. Southwest h. Northwest
24.2 How fast were you moving? 25-30 miles per hour.
object or objects which, when placed up in the sky, would give the same
A piece of -
.

east on Fairground ooped rmers s lane, saw the
object moving back ath n front of
my pick-up my pick-up truck, truck, a ched it 1t move mov directly airectly ove pick-up pick-up
truck at the truck at the estimated 30 miles an hour and the estimated 300 an hour estimated 300
feet in feet in the air. the it had nad passed passed beyond me across across the
Fairground Road going Road goins got back in the pick-up in the pick-up truck,
backed out into Fairground Road and the object was obstructed obstructed
by a house. by a house. When I d When I dr out the house house where where I had viewed,
the object was gone. one.
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Pag's6
30. Have you ever seen this, or a similar object before. If so give date or dates and location.
No
Yes -X No
31.1 IF you answered YE ES, did they see th ircle One) Yes-X No
31.2 Please list their names and addresses:
Dayton 32 Xenia, Ohio 45385
32. Please give the following information about yourself:
NAME NAME
Last Name Last Name First Name Middlo Name Middlo Name
ADDRESS R.R Xenia 0h1045385- Oh10-45385
Street City Zone State
AGE _58 SEX SEX Male Male
Indicate -
.When and to whom did you report that you had seen the object?
6 Oct. 1966 257-0916
Day Month Year

.
13 Oct. 66
Contact was made with Sulfur Grove balloon release station regarding
the release of a balloon on or about O6oo EST. A balloon was released
at 0600 and could have been in the Beavercreek area. The charts had
been sent to Ashville, North Carolina and the individual did not know
the wind direction relocity.
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