PROJECT BLUE BOOK

PROJECT IOO7O RECORD
1. DATE · TIME GROUP 2. LOCATION
11 Nov 66 12/01452 Cincinnati, Chio (one witness)
. SOURCE 3. SOURCE 10. CONCLUSION 10. CONCLUSION
Civilian (other) INSUFVICT6 INSI AA TOR EVALUATION .AA TOR EVALUATION
4. NUIMBER OF 4. NUIMBER OF OBJECTS OBJECTS
One
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
3 ninutes 3 ninutes · SEE CASE
TYPE OF OBSERVATION TYPE OF
Ground Visual
7. COURSE
W-H -
9. PHOTOS
C Yes
2No
9. PHYSICA EVIDENCE
17 Yes
No
FORM
FTD SEP63 0-329 (TDE) Prevlous editions of thie form mey be uaed.
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3 .

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 possik concerning the unidentified aerial phenoinenon that you havu olsorvai.
Please try to answe any questlons as you possibly can. The information that ycu give wil!
be used for resear r name will not be used in connection with any statonienis,
conclusions, or publications without your permission. We request this personal information sc
that if it is daemed ne ,we may contact you for further details.
.When did you see tha object? Time of da,2 45
Hour Minutns
11 1q650 (Circle One): A.M. or P.M.
Doy Month eur
3. Time Zone:
(Circle One): Eastern (Circle Une): a. Daylight Soving
b. Contral b. Standard
c. Mountain
d. Pacific
. Other
4Where were you when you saw the object?
Cncnai Oth0
Noarest Postal Address City or Town Stote  County
5. How long was oblect in sigh Total Duration) 3
Hours Minutes Seconda
a. Certain c. Not very sura
Fairly certain d. Just a guess
5.1 How was time In sight determined? _ APPCOMATION 1
2444
5.2 Was object in sight continuously? Yos No--
What was the condition of the sky? s md conarnon or Te sxy?
DAY . NIGHT NIGHT
a. a. Bright a. 4f10 410
b. Cloudy b. Cloudy b. Cloudy B. Cloudy scatkeces SCA cCo
7.IF you sow the object during DAYLIGHT, whore was the SUN located as you lockes : the objest? the objest?
(Circle One): a. In front of you (Circle One): a. In front of you d. To your loft To your left
b. In bock of you N/A Overheod Overheod
c. To your right c. To your right 1. f. Don't romember
FTD FORM
OCT 62 164 Thie form supersedes FTD 164, jul 61, whlch la obuoiete. send1
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Pegs 2
8.IF you sow tho object al NiGliT, what did you notice concarning ths STARS and MOCN?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
b. A fow b. Dull moonlight 1
c. Many CNo moonlight - pitch dark
d. Don't remember . Don't remomber
9. What were the weather conditions at the time you saw bject?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky .)Dry
b. Hazy b. Fog, mist, or light rain
E Scalternd clouds c. Moderate or heavy rain
Thick on hoovy clouds d. Snow
. •. Don't remember Don't remomber
. The objact appeared: . The object appeared: (Circle One). (Circle One):
.Solid .Solid As alight As a light
.Transporent b. Transpoiont Don't remember
c. C. Vapor Vapor
1If it appeared as a light, was it brighter than ths brightest stars? (Circle One):
a. Brighter About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
AA Sthc
1.The edgas of the object were:
(Ciclo(na) . Fuzzy or blurred . Other
Like a bright stor
c. Sharply outlined
d. Don't remember
. Did the object: Did the oblect: (Circle One for soch question)
a. a. Appear to stand still at any time? Appear to stand still at any time? Yes No (No Don't know Don't know
b. Suddanly speed up and rush away at any time? Yer Yer No Don't know Don'tknow
c. Break up into parts or explode? Yes Yes No No Don't know
d. Give off smoka? Yas Yes No Don't know
. e. Change brightness? CYos Yos No No Den't know Den't know
f. Change shape? Change shape? Yas N\o No Don't know
g. g. Flash or flicker? Yes No No Don't know
h. h. Disappear and reappear? Disaonaor and reappar? Yos Yes No Don't know
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Pugn 3
14. Did tho objact disappear while you werc ratching it? If so, how?
AR iecute Comg
1. Did the object move behind somothing at any time, particulurly a cloud?
(Circle One): Yes No Don't Know. JSW E, than tall what
it moved behind: Bdbd
1. Did the objoet move in front of spmething at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answered YES, the. #! wiat
in front of:
•:…
17. Toll in a fow words the following things about the object:
a. Sound_Oo
b. Color_ b. Color_.__ Blueuhite Blue ubite
8.Wo wish to know the angular size. Hold a match stick at arm's length in line with a known ubjost and n '
much of the object is covered by the head of the match. If you had performed this oxperiment at ths tirn: i i.s
sighting, how much of the object would have been covered by the match head?
Similae iv sice to wocual sfae
. Draw a picture that will show the shape of the object or objects. Label and includo in your sketch any details
of the object that you saw such as wings, protrusions, etc., and especially exhaust trails ar vapor trails.
Place an arrow baside the drawing to show the direction the object was moving.
Stac shape
Stac slape

IF you answered YES, then how far r away would you soy it was?
22. Whore were you located object?
(Circle Ona):
a. in: the business section of a city?
Inside a building E3 In the residential section oi a city?
b. In a car In open countryside?
C. Dutdoors d. Near an airfield?
d.In an airplane (type) . Flying over a city?
. At sea Flying over open country?
1. Other . g. g.
24. IF you wer MOVING I N AUTOMOBILE or other vehicle at the time, then completo the questions:
24.1 What direction were you moving? (Circle One)
. North c. East South y. 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 ware looking at the object?
(Circle One) Yos No
2.Did you observe the object through any of the following?
Eyoglasses Yos . Binoculars Yes
b. Sun glasses Yes f. Telescope Yes ②9
c. Windshiald g. Theodollte Yes
d. Window glass Yes h. Other
2.In order that you can give as clear a picture as possible of what you saw, describe in your own wor a common
StAIC StAIC-
Ea
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90°
60
NW NU
A
30 30,
2. . Draw a picture that will show the motion that the object or objects made. Place an "A'at 28.. Draw a picture that will show the motion that the object or objects made. Place an "A'at the beginning ot sho
path, a "B" at the end of the path, and show any changes in direction during the course.
3 E
S
1 -
1

jag0 6
30. Havs yow ove soon this, or a similar objsct bafars. If so giva date or dares and location.
7
DO
Y No
31.1 IF you answered YEs, did thoy sae the objoct too? Circle One) Yo No
31.2 Ploese list their names ond addrosses:
Pleass give the fellowing Inf&rmation about yourself: 32. Pleass give the fellowing infemation about yourself:
NAME NAME
Lost Name est Name Name Middlo Nome
Civeioli atid atd
ADDRESS
City Zone State
TELEPHONE NUMBER AGE 29 SEX
lal experionce, which might bo pertinenr.
Fir Test Enge *
Exper  d e -
When and to whom did you ropert that you had ssen the object? When and to whom did you ropart that you had ssen the object?
FTD FT0
Day Month Your Your
D.O. 7Ti 66
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FTDTDETR)
Wright-Patterson AFB, Ohio 45433
16 November 1966
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cincinnati, Ohio
Dear M
Reference your recent unidentified observation of ll November
1966 which you reported to the Duty Officer at Wright-Patterson
ArB.  The information which we have received is not sufficient 8
for evaluation. Request you complete the attached FTD Form 164
and return it in the envelope provided.
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