PROJECT BLUE BOOK

PROJSC
:. DATE . TIME GROUP LOCATION
sJn6 c1/03 Toludo, Ohio
. SOURCE 10. CONCLUSION
CiviLin Vii Possible (SATaLLita) Zcho 1 tnr
. NUMBER OF OBJECTS . NUMBER OF OBJECTS Ecko Echo I was over tEn-v7. at o3sez heading Ss. was over itEn-v7t at o3bez heading Ss.
.. L econ time Soho II was ovor 11-ioN at O3ve2 hoedine S, ut II was over M-ioN ab O302z lieedine S, ut
,. LENGTH OF O3SERVATION LENGTH OF O3SERVATION 11. BRIEF S SUMMARY AND ANALYSIS
2CO XCC Oblecte appeared ss e wiite sser. Oosorvers wor: Gosorvers wor:
t.. TYPE OF OBSERVATION TYPE OF FOBSERVATION nouse when they oosarved the obleet. ts natd a nouse when Shey coserved the obleet. Tt latdd
Crommelis,al Croaiiis.al sighted from tne btts location bus objeet was tord g li t sighted from tne otte location bus objeet was
7. COURSE norizontial are s ste norizontial are s ste SE. SE.
1 - 12
.
8. PROTOS
Yas
M No
2. PHYSICAL EVIDENCE
17 You
1J No
FONS
PTD SEPGS 0.329 (TDE) Provious editions of this form may bo used.
.

mick the same might at orchont
1i00AM.
was peen
my hueéinsd ot the
The ehiven aclock n
ahin walked out to the yaud and lo
husband and we
This stur '!
and Thin int the
Eant by That Time
whick deiln't lelf much but o cnld ,1
th 11 hulsating

she
to she Thinka we shald wfati
at fist me Thought we werl
pane me atThe
same iighling wa
after midnight. Te
cistinn - 7 in Ta is
may a lonial
Etales, Sambehlh,Kichean
Sevicerely
F

This questionnaire has been prepare that you can give the U.S. Air Force as much
information as pos ncerning the unidentified aerial phenomenon that you have observed.
Please try to ar any questions as you possibly can. The information that you give will
be used for res r name will not be used in connection with any statements,
conclusions, or publicutions without your permission. We request this personal information so
that if it is deemed we may contact you for further details.
2:
1. When did you see the object? 2.Time of day:///30
Hour Minutes
30 June 1967 (Circle One): P.M.
A.M. or
Day Month Year
3. Time Zone:
(Circle One):C. Eastern (Circle One): a. Daylight Saving
b. Central Standard
C. c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object? 4. Where were you when you saw the object?
TOLEGO TOLEDO OHIG OHI6
Nearest Postal Address City or Town State or County
5.How long was object in sight (Total Duration) 15?
Hours Minutes Seconds
a.Certain c. Not very sure
b. Fairly certain d. Just a guess
5.2 Was object in sight continuously? YesX No
6. What was the condition of the sky?
DAY NIGHT
a. Bright
b. Cloudy 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
FTD FORM
OCT 62 164 This form supersedes FTD 164, Jui 61, which is obsolete.

Pngn ?
.IF you sow the object at NIGHT, what did you notice concerning the STAkS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
b. A few b. Dull moonlight
c. Many c. No moonlight - pitch dark
d. Don't remember .Don't remember
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
Clear sky Dry
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One): . The object appeared: (Circle One):
a. Solid Solid d As a light
b. Transparent b. Transparent .Don't remember
c. Vapor Vapor
1If it appeared as a light, was it brighter than the brightest stars? (Circle One): If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter About the same
b. Dimmer b. Dimmer d. Don't know Don't koow
11.1 Compare brightness to some common object:
12. The edges of the object were:
(Circle One): Fuzzy or blurred e. OtherlTH BINCCULARS
b, Like a bright star PULSAT∠D-
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

Pnqe 3
14. Did the object disappear while you ware watching it? if so, how?
15. Did the object move brhind 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 whar
in front of:
17. Tall in a few words the following things about the object:
a. Sound_ SA.NONE
SAME A5 A5 5TAR-WN1 5TAR-WNI TC
b. Color
8. We wish to know the angulor size. Hold a match stick at arm's length in line with a known abject and note how 18. We wish to know the angulor 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?
SAME SIZE AS STARS IN
19. 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.
NE. FADED
C 7
o
c 7 -
BIG AUE CAST
LIPPER ↑
N
BEGIN
W n. BCK E
S

Yes Fo
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 In the residential section of a city?
b. In a car c. In open countryside?
a Outdoors d. Near an dirfiald?
d. In an airplane (type) Flying over a city?
e.At sea f. Flying over open country?
Other
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? (Cirele One)
a. North c. East e. South West
b. Northeast Southeast f. Southwest h. Northwest
24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No
2. Did you observe the object through any of the following?
a. Eyeglasses Yes e. Binoculars Yes No
b. Sun glasses Yes f. Telescope Yes No
c. Windshield No g. Theodolite Yes
d. Window glass Yes No h. Other
26. In order that you can give as clear a picture as possible of what you saw, describe in your own words a common
. 8
ASTAR.

show how high the object was above the horizon (skyline) when you lost 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• 73
A
NW
30
-15 =5 S5
S
L.raw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the . Lraw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the
path, a "β" at the end of the path, and show any changes in direction during ths course. path, a "β" at the end of the path, and show any changes in direction during the course.
C
A
29. IF there was MORE THAN ONE object, then how many were there?
Draw a picture of how ythey were arranged, and put an arrow to show the direction that they were traveling.

"*
Paga s
30. Have you ever sean this, or a similar objeer before. e give date or dales and lecatian.
ee SiXLPYS S.Y 4L 71.4C
31. Was anyone else with you at the time you saw the object? (Circle One) Yos No
31.1 IF you answered YES, did they see the object too? (Circle One) $Y^ No
31.2 Please list their names and addresses:
POAD
SYL SANIA,OH
32. Please give the following information about yourself:
NAME
Last Name First Name Middla Nome
ADDRESS ADDRESS SYLVANIA OHI0
Streat City Zona Zona Stot Stot
TELE PHONE NUMB TELEPHONE NUMBE 41 SEX F F
Indicate any additional information about yourself, including any spacial exoarience, which might be pertinent.
NOTHING.
RLY REALESTATESALESMAN
AVD OFFICE WORKER.
33. When and to whom did you report that you had sean the objear?
1 JULY 1917
Day Month Year
PROJEGT BLUE 300K AFTER CALLIVGLOCAE
POLICe.

questionnaire or a narrative explanation of your sighting.
July 7, 1967-
dcond objict nighted 1by both my h heband and
myely n from 2 Cocotion bot
Rongonll Sonth Eant.
moring
C o
0 o
o 0 → →
G
FADE
S.E.

3
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVIBION (AFSC)
WRIGHT.PATTIRSON AIR FORCE
REPLY TO TDET/UFO
ATTN OF
SUBJECT. 1 8 JUL 1967
UFO Observation
TO
Chio
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 for reporting your observation
Force.
JAMES C. MANATT, COlOnel, USAF JAMES C. MANATT, COlOnel, USAF 1 Atch
Director of Technology Director of Technology and Subsystems FTD Form 164 w/envelope