PROJECT BLUE BOOK

PROJECT 10073 RECORD
DATE - TIME GROUP 2. LOCATION
X.Dayton, Ohio (1 Mitnoes)
17 May 1967 18/0305Z
MoDire 10. CONCLUSION e
Civilian Astro (VENUS) Vevy
NUBER OBJECTS VENUS was on a azimuth of
Che time of sighting,
. LENGTH OF OBSERVATION . LENGTH OF O3SE VATION 11. BRIEF SUMMARY AND ANALYSIS
brighter then the stars, and orange the stars, and orange color. color.
10 Minutes 10 Mnutes Object appeared looked for object 40 minutes object 40 minutes
Object did not Object did not disappear, but
1. TYPE OF 7. TYPE OF OBSERVATION OBSERVATION later, but was gone.
0T
Ground-Visual (3X) Ground-Visual_ (3X)
7. COURSE
.North North -
5. 5. PHOTOS
n1 Yes 01 Yes
X:No i.No
19. PHYSICAL DENCE
17 Yas
XENo
FORH 0-329 (TDE) Previous editicns of thie form may bo used,
FTD SEP 63
.

IUSUFF DATA 18 May 67
DEPARTMENT OF THE AIR FORCE
HEADQUARTEMS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PATTER3ON AIR FORCE BASX. OHIO 4S433
REPLY TO 24 May 1967
ATTN OF TDET/UFO
SUBJECT ervation , 18 May 1967
TO
Daytqu,Ohio 45417
Reference your unidentified observation. The information which
we have received is not sufficient for a scientific evaluation.
y   000 Request you complete the attached FTD Form l64 and return it in
the envelope provided, Thank you reporting your observation
to the Air Force.
CAMES C. MANATT, COlOnel, USAF 1 Atch
of Technology and Subsystems FTD Form 164 w/envelope FTD Form 1o4 w/envetope

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.
Plecse try to answer as s many questions as you possibly can. The information that you give will
be used for research purposes. Your name will not be used in connection with any statements,
conslusions, or publications without your permission. We request this personal information so
that if it is deemed necessary, we may contact you for further details.
Time of day: C 4 3
When did you see the object? Hour Minutes
18 MAY 6.7 (Circle One): A.M. or P.M.
Day Month Year
3. Time Zone: Eastern (Circle One):(a. Daylight Saving
(Circle One)Ca Central b. Standard
b.
c. Mountain Mountain
d. Pacific
e. e. Other Other
4.
WEsT wEs DAYION DAYTON 0H1O 0H10
Necrest Postal Address Necrest Postal Address City or Town City or Town State or County
50mnt
5. How long was object in sight? (Total Duration) Minutes Seconds
Hours
o. Certain c. Not very sure
. Fairly certain D. Fairly certain d. Just a guess
5.1 How wes time in sight determined?
5.2 Wos ebject in sight continuously? YesX No
DAY NIGHT
c. Bright a. Bright
b. Cloudy b. Cloudy
7IF you saw the objgct 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
FORM fend 164
FTD OCT 62 164 This form supersedes FTD 164, Jul 61, which is obsolete.

d. Don't remember
. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a.Clear sky Ca. Dry
b. Hazy b. Fog, mist, or light rain
E Scatrered clouds c.
d. Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One):
a. Solid d. As a light
b. Transparent iransparent e. Oonrrsmemuei Don't remember
c. Vapor
1If 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? (Circle One):
Ta. 1o. Brighter c. About the same
o. Dimmer Dimmer d. Don't know
11.1 Compare brightness to some common object:
th lar
1.The edges of the object were: 1.The edges of the object were: .
(Circle One):a. Fuzzy or blurred (Cirele One):/a.) Fuzzy or blurred e. Other e. Other
b. Like a bright star
e. Sharply outlined
d. Don't remember
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? 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 C No Don't know
f. Change shape? Yes No Don't know
g. Flash or flicker? aftetin Yes No Don't know
h. Disappear and reappear? Yes No Don't know

. Did the ebject 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:
.Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes 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:
a. SoundA
b. Color
.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?
.Draw a picture hat will show the shape of the object or objects. Label and include in your sketch any details and include in vour sketch any details
of the objeer 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.
atiltl C2
-

22. Where were you located when you saw the object? 23Were 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? lep
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. Other g.
2.IF 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)
a. North c. East e. e. South g. g. West West
b. Northeast . Northeast d. Southeast d. Southeast f. Southwest Southwest h. Northwest Northwest
24.2 How fost were you moving? 24.2 How fest were you moving? miles per hour.
24.3 Did you stop at any time while you were looking at the object?
(Circle One) (Cirele One) Yes No
25. Did you observe the object through any of the following?
a. Eyeglasses Yes No e. Binoculars No
b. Sun glasses Yes No f. Telescope No
c. Windshield No g. Theodolite Yes No
d. Window gless 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.
NO
L

30° E
15° SW
path, a " at the end of the path, and show any changes in direction during the course. path, a "" at the end of the path, and show any changes in direction during the course.
Comn Comr ther, ltyotoft osltyentofilt
KC wot wot
29. IF there was MORE THAN ONE object, then how many were there? 7ifon0
L dh
-

Page 6
.Have you evar seen this, or a similar object before. If so give date or dates and location. .
N 0
3. Was cnyone ise with you at the time you saw the object? (Circle One) Yes No
31.1 IF you answered YES, did they see the object too? (Circle One) Yes No
31.2 Pleese list their names and addresses:
Hubord
Sime oddhias
-
32. Please give the following information about yourself:
NAME
Last Name First Name irst Name Middla Najhe Middla Najhe
ADDRESS 2OAD 2OAD DPyTON,0H/O
Street City Zone 151 State Zone 15State
TELEPHONE NUMBER AGE 41 SEX FMALE SEX FEMALE
SAYS SHE FORESEES VISIONS 11 HEK
DEEAMS. DEEGMS. NO 07HER@) 0THER@)
.When and to whom did you report that you had seen the object?
Miy
Day Month Yoar
Cont Host

Cide olsd of fo
Kubordslly
5 m bfou salling
lesod the lie tm n conty nito on till i C
Wet Doyton Wst Doyton C, C,
/
.

LOCATION
19 May 67 Varied Dayton, Ohio
3. SOURCE . CONCLUSION
Civilian Possible:: AIRCRAFT
NUMBER OF OBJECTS
1
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
3 minutes Observer sighted an object that he first thought was a star
5. TYPE OF OBSERVATION but than he noticed that it had two beams at angles from its
bottom, and was moving toward the clouds. At this time the boccom, and was moving toward
Ground Visual Ground Visual object was under the clouds. About 20 minutes later he sigte object was under the clouds. About 20 minutes later he sigte
7. COURSE another similar object from near the same place. another similar object from near to same place No noise
was heard.
N to NNW COMMENTS: Observer stated that a helicopter would look sim-
8. PHOTOS . PHOTOS ilar to the object. Wright-Patterson AFB is located near Wright-Patterson AFB is located near
Dayton and usually has numerous aircraft departing and on
Yos approack. The witness was sent a ll7 but failed to return approack. The witness was sent a ll7 but failed to return it n it
XXNo There is nothing to indicate that the object could-nct have
9. PHYSICAL VIDENCE IDENCE been an aircraft. Ther is not real data on second sighting been an aircraft. Ther is not real data on second sighting
Yes howecer, sihce it is similar to first it too nay have been an
XXNo aircraft.
FORH FORW
FTD SEP63 0-329 (TDE) FTD SEP 63 0-329 (TDE) Previous editiona Previous editiona of
.

1
PROJECT 10073 RECORD
. OATE YIME GROUP 2. LOCATION
2 Tsy 67 27/0500 Dayton, Ohio
10. CONCLUSION
Civiilan Astro (NOON) e
L. NUDBER OF OGJECTS
2 Moon on Azimuth of l40 degrees at elevation of 25 degre s.
.. LENGTH OF OBSERVATION 11.
5 tinutes Observer stated that the object was a light. First ap: earing
1 1YPE OF OBSERVATION dim and then gradually growing brighter and brigater. The
object was bright object was bright or nge. Object brightness was Object brightness s compared to compared to
Ground Visual that of the moon. that of the moon. Edges of the object were sharply sharply outlined.
COURSE COURSE Sound: silent. Sound: silent. Color: Color: oright, very brigh oright, very brigh orange and al- orange and al-
most red.
isionary
.FHOTOS
xC No XC No
9. PHYS.CAL EVIDENCE
7
xNo X No
FORA FORA /
- md

Astro (Ven) of 2956
Honee n A2
L 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 gerial phenomenon that you have observed.
Please try to answer as many questions as you possibly can. The information that you give will
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? Time of day: 2305 CD S 1
Hour Minutes
17 MAj 67 (Circle One): A.M. or P.M.
Day Month Year
3. Time Zone: 3. Time Zone:
(Circle One) Eastern (Circle One) a. Daylight Saving
b. Central b. Standard Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object? 4. Where were you when you saw the object?
NORiH DAyjOA NORiHf PAbjON OH1O OH1O
Necrest Postal Aadress Nearest Postal Aadress City or Town City or Town State or County
5.How long was Total Duration) 40 1
Hours Minutes Saconds
a. Certain c. Not very sure
b. Fairly certain
5.1 How wes time in sight determined? 2300-2340
5.2 Was object in sight continuously? Yes X No
What was the condition of the sky?
DAY NIGHT
a. Bright a.
b. Cloudy b. Cloudy LOPIHWEST CLEAK
where was the SUN located as you looked at the object?
(Circle One): in front of you d. To your left
b. In back of you c. Overhead
c. To your right f. Don't remember
FTD OCT 62 1164 FORM
This form supersedes FTD 164, Jul 61, which is obsolete.

information as possible concerning the unidentified aarial phenomanon that you have observed.
Plecse try to answer as many questions as you possibly can. The information that you give will
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.
-2
2. Time of day: 1:00
1. When did you see the object? Hour Minutes
26 My 1967 (Circle One): A.M. or P.M.
Day Mont Year
3. Time Zone: Eastern (Circle One): o. Daylight Saving
(Circle One): @ b. Standard
b. Central
c. c. Mountain Mountain
d. Pacific
e. e. Other
4. Where were you when you saw the object?
Payton Dayton Ohis (Monty Ohio (Mont
City or Town State or County mey
Nearest Postal Address Necrest Postal Address
object in sight? in sight? (Totel Duration) (Totel Duration) 25
5. how long was 5. How long was Hours Minutes Minutes Seconds
a. Certain Not very sure Not very sure
b. Fairly certain d. Just a guess d. Just a guess
5.1 How was rime in sight determined? _
5.2 Was cbjeer in sight continuously? YesX No
6. What was the condition of the sky?
DAY NIGHT
a. Bright Bright
b. Cloudy Cloudy
7.IF you sow 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. Overheod
c. To your right f. Don't remember
FORM 164 Thie form superaedes FTD 164, Jut 61, which is obrolete.
FTD OCT 62

e. Don't remember
c. Vapor bright alarge.
11. if it appeared as a light, was it brighter than the brightest stars? if Circle One):
a. Brighter c. About the sore c. About the sorne
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
isbeigh eared with the motn
12.The edges of the object were: 12. The edges of the object were:
(Cirete One): o. Fuzzy or blurred e. Other
b. Like a bright star
6 Sharnly outlined
Don't remember
1. Did the object: (Circle One for coch question)
a. Appear to stand still at any time? Yes No Don't know
b. Suddenly speed up and rush away at any time? Ye5 No Don't know
c. Break up into parts or explode? Yes No Don't know
d. Give off smoke? Yes No ①on'tknow)
e. Change brightness? No Don't know
f. Change shape? No Don't know
g. Flash or flicker? Yes No Don't know )
h. Disappear and reappear? Yes NO Don't know

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
sighting, how much of the object would have been covared by the match head?
cocxed.
19. Drew a piature 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.
flowving frosh thes gap.
re NevC onethe
f

roev hipkr up it evas.
22. Where were you located when you sow the ohject? . Vere you (Circle One)
(Circle One): a. In the business section of a city?
inside a building In the residential section of a city?
b. in a car In open countryside?
c. Ourdoors D Near an airfield?
d. In an airplane (iype) e. Flying over a city?
e. At seo f. Flying over open country?
6. Other g. Other
24. IF you ware MOVING IN AN AUTOMOB!LE or other vehicle at the time, then complete the following questions:
24.1 What direction were you moving? (Circle Ona)
. North c. East . South g. West
. Northeast Southeast f. Southwest h. Northwest
24.2 How fest ware you moving? miles per hour.
24.3 Did you stop at any time whils you were looking at the object?
(Circlo One) Y=s No
.
25. Did you absarve the object through any of the following? 25.Did you absarve the object through any of the following?
o. Eyaglosses Yes c. Binoculors Yes Nd
b. Sun glasses Yes f. Telescope Yes No
c. Windshield Yes g. Theodolite Yes No
d. Window gioss Yes) No h. Other
26. In order that you can give as clear a picture as possible of what you saw, dascribe in your own words a common
object or objects which, when placed up in the sky, would give the same appeorance as the object which you saw.
Nhmoon

when you first saw it. Place a "B" on the compass where you lost saw the object.
90 75
60
NW NE
AorB
15 3W
sg
AcB
2. Drow a picture that will show the metion that the object or objucts made. Place an "A" at the beginning of the
path, a "B" at the end of the path, and show any changes in direction during the course.
._ in cstoe.
29. IF there wes MORE THAN ONE object, then how many were there?
Draw a pleture of how they were orranged, and put an arrow to show the direction that they were traveling. Drow a ploture of how they were orranged, and put an arrow to show the direction that they were traveling.

on 7
31. Was anyore else with you at the time you saw the object? (Circle One) Yes (N
Yos No
32. Please give the following information about yourself:
NAME
Last Name Fifst Nams Middle Nare
ADDRES ADDRESS Dayon Daylon 10 10 Ohio
Stroat City Zone Zona Stcro
TELEPHONE TELEPHONE NUMBER NUMBER AGE AGE 20 sEx fenale SEx feale
Indicate any additional information about yourself, including any spacial experience, which might be pertinent. Indicate any additional information about yourself, including any special experience, which might be pertinent.
33. When and to whom did you report that you had seen the object?
ZriMaj26 Map 1967
Day Month Year

starteX
ared
awound the
month of m year.

.
DEPARTMENT OF THE AIR FORCE
HEADQUARTERB FOREIGN TECHNOLOGY DIVISION (APSC)
WRIGHT.PATTIR3ON AIR FORCE DASX. OHIO 45433
REPLY TO TDET/UFO JUN 1 3 1967
ATTN OF:
SUBJECT
TO
Dayton, Chlo 45410
Reference your unidentified observation. The information which
we have received is not sufficient for a scientific evaluation.
Request you complete the attached FTD Form 164 and return it in
the envelope provided. Thank you observation
to the Force
o
1 Atch
and Subsystems FTD Form 164 w/envelope
Director
.
220/
22/1.30

U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prepared so that you can give the U.S. Air Force as much
infarmation as possible concerning the unidentified gerial phenomenon that you have observed.
Please try to answer as ny questions as you possibly can. The information that you give will
be used for research urposes. Your 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.
1.When did you see the object? Time of day:
Hour Minutes
(Circle One): A.M. or P.M.
Day Month Year
3. Time Zone:
(Circle One): a. Eastern Daylight Saving
b. Central Standard
C. c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
Necres: Postal Address City or Town City or Town State or County
5. how long was object in sight? (Tatel Duration)
Hours Minutes Seconds Seconds
. Certain c. Not very sure c. Not very sure
b. Fairly certain d. Just a guess d. Just a guess
5.1 How was time in sight determined?
5.2 Was abieer in sight continuously? Yes No
6. What was the condition of the sky?
DAY NIGHT
c. Bright a. KY
b. Cloudy 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. Overheod
c. To your right f. Don't remember
FORM
FTD OCT 62 164 This form supersedes FTD 164, Jul 6l, which is obsolete.

9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky a. Dry
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds Moderate or heavy rain
d. Thick or heavy clouds Snow
e. Don't remember
10. T The object appeared: (Circle One):
a. Solid d. As a light
b. Transparent e. Don't remember
Vapor
1. If it appeared as a light, was it brighter than the brightest stars? (Circle One): ircle One):
a. Brighter Brighter c. About the same c. About the same
b. Dimmer b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
2.The edges of the object were: 12.The edges of the object were:
(Cirele One): o. Fuzzy or blurred e. Other
b. Like a bright star
c. Sharply outlined
d. Don't remember
Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes 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 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

a. Clear sky a. Dry
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds
Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One):
o. o. Solid d. As a light
b. Transparent Transparent e. e. Don't remember
c. c. Vapor Vapor
. If it appeared as a light, was it brighter than the brightest stars? 1. If it appeared as a light, was it brighter than the brightest stars? (Circle One): (Circle One):
a. Brighter/o2ormt a. Brighter f2ommt c. About the same
b. Dimmer . Dimmer d. Don't know
11.1 Compars brightness to some common object:
1.The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
b. Like a bright star
C. Sharply outlined
o. Don't remember
.Did the object: (Circle One for each question)
15M2c Uintit
a. Appear to stand still at any time? Yes No Don't know
b. Suddenly spesd 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 smake? Yes No Don't know
e. Change brightness? Yes No Don't know uble
f. Change shape? Yes No Don't know
g. Flash or flicker? C Yes No Don't know deare
h. Disappear and reappear? Yes No Don't know

Page 3
14. Did the object disappear while you were watching it? If so, how?
15. 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. IF you answered YES, then tell what
in front of:
17. Tell in a few words the following things about the object:
a. Sound d.Sound
b. Color
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
sighting, how much of the object would have been covered by the match head?
1. Draw a pleture that will show the shape of the object or objects. Label and include in your sketch any details 19
of the object that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails.
Place an arrew beside the drowing to show the direction the object was moving.
√
3

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?
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) e. Flying over a city?
e. At sea f. Flying over open country?
f. Other _ g. Other
24.1 What direction were you moving? (Circle One) 24.1 What direction were you moving? (Circle One)
c. North a. North c. East c. East . South e. South g. g. West
4 b. Northeast b. Northeast d. Southeast f. f. Southwest h. Northwest Northwest
24.2 How fast were you moving? 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) (Cirele One) Yes No
25. Did you abserve the object through any of the following? 2Did you abserve the object through any of the following?
a. Eyeglasses a. Eyeglasses Yes Yes e. Binoculars e. Binoculars No
b. Sun glasses . Yes No f. Telescope
c. Windshleld Yes No g. Theodolite No
d. Window gless 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 sow.

Page 5
27. 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 NS
E
Wis
15° SW
SS
S
28. Oraw a picture that will show the motion that the object or objects made. Place an "A A" at the beginning of the
path, a "B" at the end of the path, and show any changes in direction during the course. path, a "B" ot the end of the path, and show any changes in direction during the course.
29. IF there was MORE THAN ONE object, then how many were there?
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling. Drow a pieture of how they were arranged, and put an arrow to show the direction that they were traveling.

Poge 6
0. Have you ever seen this, or a similar object before. If so give date or dates and location.
1
3. Was anyone eise with you at the time you saw the objoct? (Circle One) Yes No
31.1 IF you answarad YES, did they see the object (Circle One) Yes No
31.2 Please list their names and addresses:
Please give the following information about yourself:
NAME Last Name First Name Middlo Name
ADDRESS ADDRESS
Street City City Zone State
TELEPHONE NUMBER TELEPHONE NUMBER AGE AGE SEX
Indicate any additional information about yourself, including any special experience, which might be pertinent. experience, which might be pertinent.
When and to whom did you report that you had seen the object?
Day Month Year

Page 7
d this questionnaire: 26 Manth
Day Year
35. Information which you feel pertinent and which is not adequately covered in the specific points of the questionncire or a narrative explanation of your sighting.
215.fmis5
DpyTo
callad FTD agole t gurd alot
a OFO 034 26 222f67
the She coid id the the wonld
be lony to GuMuez FuMueZ
gentaie gentie.
ORYTEN O110 45116

CDST
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. IF you answered YES, then tell what
in front of: _
17.Te!l in a few words the following things about the object:
0. Sound L a. Sound
b. ColorC
8.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. 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?
. Draw a pisture thst 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.
10

(Circle One) Yes No, opp
IF you answered YES, then how far away would you say it was?
22. Where were you located when you saw the object? 2Were you (Circle One)
(Circle One):
In the business section of a city?
. Inside e building Unvidl 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) e. Flying over a city?
e. Af sea f. Flying over open country?
f. Other g.
24.1 What direction were you moving? (Circle One)
a. North c. East e. South g. West
. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? miles per hour.
(Circle One) Yes No
25. Did you observe the object through any of the following?
c. Eyeglosses Yes No e. Binoculars Yes No
b. Sun glasses Yes f. Telescope No
c. Windshisld Yes No g. Theodolite
d. Windowgioss 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 sow.
No

T
Pag• 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 line to
when you first saw it. Place a "B" on the compass where you last saw the object.
90.
75"
60°
45° NW NG
c
E
B
L15° -15° Sw SW
SE
S
path, a "g" at the end of the path, and show any changes in direction during the course.
29. IF there was MORE THAN ONE object, then how many were there?
Draw apicture of how they were arranged, and put an arrow to show the direction that they were traveling.

Pago 6
0. Have you ever seen this, or a similar object before. If so give date or dates and location.
NO 7
31. Was anyone alse with you at the time you saw the object? (Circle One) Yes No
Circle One) Yos No
31.2 Please list their names and addresses:
and polecenioa
Please give the following information about yourself:
NAME Last Name First Nare Middl Name
ADDRESS ADDRESS PA6EMANOR OH1O
Streat Streat City Zone Zone State State
-
TELEPHONE NUMBER TELEPHONE NUMBER AGE 23 23 SEX MALL SEX M7AL.E
Indicate any additional information about yourself, including any speci experience, which might be pertinent. xperience, which might be pertinent.
-
cnllg fom Drik cntly fon Dwii
When and to whom did you report that you had seen the object?
17 Mo 67
Day Month Year
Cpt Nelal Dt ffee F1D

Page 7
34. Date you completed this questionnaire: 17 My 61
Day Month Year
35. 1 Information which you feel pertinent and which is not adequately covered in the specific points of the
questionncire or a narrative explanation of your sighting.
Cme UPAFB
Dui .thotr nfs
wabeot Duik

PROJECY 1UOT3 RECORD
1. DATE - TIME GROUP 2. LOCATION
18:67 c035 Diyton, Cilo
3. SOURCE O. CONCLUSION
*
18:8 InuVicient t Duta
NUMST ROF OBJECTS
164 not rsurned
S. LENGTH SF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
toutes I
Sh3 CASE FILE Sh2 CaSE FiLE
OF OBSETVATION OF OBSERVATION
VEAY
7. COORS1 7. COORS2
3. PHOTOS
b. Yos br Yes
9. PO"SiCAl EVIDenCE 9. Po"SiCaL EviDencE
D Yes a Yes
No
FOR.
- ".
.