PROJECT BLUE BOOK

B
PROJECT 10373 RECORD
1. DATE · TIME GROUP . LOCATION
16 Dec 66 Kettering, Oio
. SOURCE 3. SOURCE 10. CONCLUSION 10. CONCLUSION
Civilian INSUFFICIENT DAT. CR EVALUATION INSUFFICIENT DAT. CR EVALUATION /
1. 4. NUMBER OF OBJECTS
One
5. LENGTH OF OBSERVATION 11. 11. BRIEF SUMMARY AND ANALYSIS
15 minutes 15 minutes SEE CASE
6. TYPE OF OBSERVATION
Ground Visual
7. COURSE
East
8. PHOTOS
Yes
XX No
2. PHYSICA VIDENCE
7 Yes
Xxx No
FORM
FTD SEP 63 0-329 (TDE) Previous editions of this form may bo used.
. .
-

0 ffie
U.S. AIR FORCE TECHNICAL INFORMATION
This questionnair has been propared so that you can give the U.S. Air Force as much
information as pos concerning the unidentified aerial phenoinenon that you havu obaerveii.
Please try to answe y questlons as you possibly can. The information that ycu give will
bo used for research name will not be used in connection with any statemienis,
conclusions, or publicati ns without your permission. We request this personal Information sc
that if it is deemed ne e may contact you for further details.
.When did you see the object? 2. Time of da!
Hour Minulas
16 Dee Dec 66 66
(Circle One): A.M. or P.M. P.M.
Day Month Yeur Yeur
. Time Zone: 3. Time Zone:
(Circle One): a. Eastern (Circle Une): o. Doylight Soving Daylight Soving
b. Central Central b. Standard
c. Mountain
d. d. Pacific
. Other
4. Where were you whon you sow the object?
Kettering Ohio
Naarest Postal Address City or Town Stata or County
15minute
.How long was bject in sight (Total Duration) asp
Hours Minutes Soconds
séilli
a. Certain c. Not very sure
. Fairly certain d. Just a guess siut
5.1 How was time in sight determined?
5.2 Was object in sight continuously? Yes +
What was the condition of the sky? 6. What was the condition of the sky?
DAY DAY NIGHT NIGHT
a. Bright .Bright b.
b. Cloudy
7.IF you sow the objoct during DAYLIGHT, whara was the SUN located as you locked a! the objest? 7.IF you sow the objact during DAYLIGHT, whara was the SUN located as you locked a! the obiest?
(Circla One): a. In front of you (Circla One): In front of you d.To your left d. To your left
b. In bock of you b. In bock of vou . Overheod Overheod
c. To your right f. Don't romember
FORM
FTD OCT $2 164 Thle form supersedes PTD 164, jul 61, whtch is obsoleto.

Page 2
8.IF you saw the object at NiGiiT, what did you nolice concarning the STARS and MOON?
8.1 STARS (C.ircle One): 8.2 MOON(Circle One): 7
None Bright moonlight
b. Atow b. Dull moonlight..
c. Many C. No moonlight - pitch dark
d. Don't remember d. Don't remember
. What were object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky 0. Dry
b. Hazy b. Hazy b. Fog, mist, or light rain B. Fog, mist, or light rain
c. Scolternd clouds Scorternd clouds c. Moderate or heavy rain Modarate or heavy rain
d. Thick n houry clouds Thick  houry clouds d. Snow
. Don't remomber
The object appeared: (Circle One). .The object appeared: Circle One).
o. Solid o. Solid d. As a light d. As a light
b. b. Tronspoient Tronspoiont e, e. Don't remember
c. Vapor
If it appeared as a light, was it brighter than the brightast stars? (Circle One):
a. Brighter c. About the same
b. Dimmer d. Don't know
11.1 Compars brightness to some common object:
.The edges of the object were:
(Cn.clo (ine) a. Fuzzy or blurred e. Other
b. Like a bright stor
c. Sharply outlined
d. Don'tremember .
Did the object: (Circle One for each question)
a. a. Appear to stand still at arry time? Appear to stand still at any time? Yes No Don't know Don't know
b. Suddenly speed up and rush away at any time? Yes No Don't know
c. Break up into parts or explodo? Yes No No Don't know
d. Give off smoke? Yes Don't know
. Change brightness? Change brightnoss? Yes Don't know
f. Change shape? Yes Don't know Don't know
9. Flash or flickor? Yes Don't know
h. Disappear and reappear? Yes Vo Don't know
W

Pugn 3
14. Did the object disappaar while you were watching it? 11 so, how?
no
1.Did the object move behind something at any time, particulurly a cloud?
(Circle One): Yos No Don't Know. IF you answored YEs, than teli what
it moved behind: √
(Circle One): Yes No Don't Know. IF you answered YES, the !l wis
in front of: _
17.  Toll in a few words the following things about the object:
a. SoundNone heand
h. Color whil
asond the head-
Draw a plcture that will show the shape of the object or objects. Label and include in your skatch any details
of ths 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.
sounded at botton objict remaied in sigt
top somded slowly.
bowls
blocks ligted (30 4).
bowls bouls

from you the object was?
(Circle One) Yes No
IF you answered YES, then how far away would you say it was? _..
22. Where wers you located when you saw the object? 2. Were you lo One)
(Circle One):
a. ir: the business section of a city?
o. Inside a building . In. tha residential sucticn si a city? 1
b. In a car c. In open countryside?
c. Outdoors d. Near an airfield?
d. In an airplane (type) o. Flying over a city?
e. At sea f. Flying over open country?
1. Other -_ g.
24. IF you we
a common
gbject or objects which, placed up -
hat with hat with

900
73"
30
$A,\B$
N
30, 30
2. Draw a picture that will show the motion that the object or objects made. Place an "A' at the boginning of the
path, a """ at the end of the path, and show any changes in direction during the course.
Draw a picture of how they were arrangsd, and put an arrow to show the direction that thoy wern traveling.
.

)7ge
in a Dec siue of Post but not ned oljiet wao
while
No
31 IF you answored YES, did thay se the objoct too? (Circle One) 8
No
31.2 Ploase list their names end addresses:
. Plaase give the following Infermation about yourself: .Plsase give the following infermation about yourself:
NAME NAME
Last Name Last Name First Name First Namo Middl Neme
ADDRES Ketteringg Ohio
Street Zone Stato
TELEPHONE NUMBER AGE 13 SEX M
reado a lot about aieafl. thio doeosol look like
any aicnaft
When and to whom did you repart that you had sean the objoct? When and to whom did you repaer you hod
Day Month Yoar

t.
TDET/UFO 21 December 1966
UFO Observation, 16 December 1966
Kettering, Ohio
1.1 Reference your unidentified observation of l6 December 1966
which you reported to the Duty Officer at Wright-Patterson AFB.
The information in his report was not suificient for evaluation.
Request you complete the attached FTD Form ló4 and return it in
the envelope provided.
2. We wish to thank you for reporting your observation to the
Air Force.
TB DeGOES ColOnel. USAF 7 Atch
1