PROJECT BLUE BOOK

PROJECT I0O73 RECORD
1. DATE : TIME GROUP LOCATION :1
14 Oct 66 15/0115z Boliver, Onio
. SOURCE 10. CONCLUSION
Civilian (othere) INSUFFICIET DATA FOR EVALUATION DATA FOR EVALUATION
4. NUMBER OF
One
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS BRIEF SUMMARY AND ANALYSIS
- 25 minutes 25 minutes
SEE CASE
b. TYPE OF OBSERVATION
Ground Visual
-
7. COURSE
Varred
8. PHOTOS
D Yes
No
2. PHYSICAL EVIDENCE
17 Yes
$x^{raN$
FORM
FTD SEP 43 0-329 (TDE) Pravioua adttlons of thls form may be uaed.
11

14Cat66
FFD (TDETR)
Wright-Patterson AFB, Ohio 45433
18 October 1966
Boliver, Ohio 44612
Dear Mrs.
Reference your unidentified observation of l4 October 1966.
The information which information which we we have received is not sufficient for have received is not sufficient for
evaluation. Request you complete complete the attached the attached FWD Form 164
and return he en elope provided.
Adoo aIld TIOIM Ado SILd TILMO o 0 We wish to We wish to thank thank observat:
Air Force.
Sincerely, Sincerely,
*
ECTOR MOr QUI LLA, Jr, Major, USAF
Chief, Proj Blue Book

Page 2
8IF 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):
. None a. Bright moonlight
b. A few b. Dull moonlight
C. Many No moonlight - pitch dark
Don't remember d. Don't remember
9. What were the weather conditions at the time you saw the object?
CLOUDS (Cincle One): WEATHER (Circle One):
a. Clear sky a. Dry
Hazy b. Fog, nist, or light rain 1.m
Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds Snow
C Don': remember
10. The object appeared: (Circle One): whits botton 210222
lights along
a. Solid d.As a light
b. Transparent Transparent e.
c. Vapor Vapor "edd blae lites "Redd blie lites
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
bighten then e lane p
The edges of the obiect were:
(Circle One): a. Fuzzy or blurred ey oter Cone sheged
b. Like c bright star
c. Sharply outlined
d. Dor't remomber
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? es No Don't know
c. Break up into parts or explode? Yes No Don't know
d. Give off smoke? Yes No Don'tknow
e. Change brighitness? Yes No Don't know
f. Change shape? Yes Ng Don't know
g. Flash or flicker? Yes No Don't know
h. Disappear and reappecr? Yes No Don't know tat
brit Lonner
honrel aoot can An lonll

:
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 ny 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, further details.
1. When did you see the object? 2. Time of day: 0815-20 PM
Hour Minutes
14 2 Q-ct 66 X
(Circle One): A.M. or P.M.
Day Month Year Year
3. Time Zone:
(Circle One): (Circle One): a. Eastern (Circle One): a. Daylight Saving Daylight Saving
Central Central b. Standard
c. Mountain
d. Pacific Pacific
e. Other
Lunwo 2ast Canton Oe
City or Town State or County
(Total Duration) 25
Hours Minutes Seconds
a. Certain c. Not very sure
b. Fairly certain
5.1 How was time in sight determined?
5.2 Was object in sight continuously? Yes No
DAY NIGHT
a. Bright
b. Cloudy
7.IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): a. In front of you d. To your left
b. In back of you e. Overhead
c. To your right f. Don't remember il
FORM

you say it was?
2.Where were you located d when you saw the object? 2Were you (Circle One)
(Circle One):
aIn 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) d. In an airplane (type) e. Flying over a city?
e. At sea f. country?
f. Other g. g. Other
24. IF you were MOVING IN N AUTOMOBILE or other vehicle at the time, then complete the following questions:
24.1 What direction were you moving Circle One) Circle One)
a. North g. North c. East c. East e. South g. West 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
b. Sun glasses Yes f. Telescope Yes No
c. Windshield No 9. Theodolite Yes
d. Window glass Yes No h. Other
2. In order that you can give as clear a picture as possible of what you saw, describe in your own words a common
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.

.
Page 3
. Did the object disappear while you were watching it? If so, how?
te
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.
in front of: dn
Objut asinng Objt wnnen
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 a. Sound
b. Color liti(5) liti(s5)
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 that will show the shape of the object or objects. Label and include in your sketch any details
of the object that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails.
Place an arrow beside the drawing to show the direction the object was moving.
→

Page 6
. Have you ever seen this, or a similar object before. If so give date or dates and location.
——*
Yes No
Yes No
31.2 Please list their names and addresses:
32. Please give the following information abput yourself:
NAME
First Name Middle Name Middle Name
BOLIVER BOLIVER OAIO
ADDRESS ADDRESS
Street City Zone $012 $9012 State
AGE 26 I
TELEPHONE NUMBER SEX
shulen
Indicate any additional information about yourself, any special experience, which might be pertinent.
Was callung long de.
33. When and to whor did you report that you had seen the ebject?
Day Month Year

Paga 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 lins to
when you first saw it. Place a "B" on the compass where you last saw the object.
90°
75°
60°
5 o NW NE
30
E
-15° 3W 3w
SE SS
28. 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, and show uny changes in direction during the course. path, a "B"a end of the path, and changes in direction during the course.
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.
1