PROJECT BLUE BOOK

C
PROJECT 10073 RECORD
1.' DATE: TIME GROUP 2. LOCATION
17 Jun 67 17/05302 Xenia, Ohio
3. SOUECE 10. CONCLUSION
Civilian INSUFFICIENT DACA FOR EVALUATION
4. NUMBER OF OBJECTS
1
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
30 minutes Observer stated tha t the object appeared to be a light.
6.. TYPE OF OBSERVATION Brightness of the object was compared to that of a star.
Object appeared to be brighter than the star. Edges of the
Ground Visual were fuzzy and lurred. The object had a roaring sound.
7. COURSE Color: not reported
North
8. PHOTOS
n Yes
No
9. PHYSICAL EVIDENCE
7 Yos
No -
FORM FORM
FTD SEP 63 0-329 (TDE) FTD SEP 63 0-329 (TDE) Previous editlons of thia form may  used. Previous editions of thia form msy  used.
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1 4
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Ohio 47 Gn.
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DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
A8Z. OHI0 43433
Data
179une 67
REPLY TO TDET/UFO
ATTN OF
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/05302
SUBJECT UFO Observation 17 June 67
1 3 JUL 1967
TO
Xenia, Ohio
Reference your unidentified observation. The information which
we have received is not sufficient for a scientific evaluation.
Request you complete the attached FTD Form l64 and return it in
the envelope provided. Thank you for reporting your observation
to the Air Force.
MES C. MANATT, COlOnel, USAF 1 Atch
frector echnology and Subsystems FTD Form 164 w/envelope

U.S. AIR FORCE TECHNICAL INFORMATION 7
1 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 hove observed.
Please try to answer as 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,
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: 00 30
Hour Minutes
17 JUN 67
(Circle One): A.M. or P.M.
Day Month- Year
3. Time Zone:
(Circle One): a. Eastern (Circle One):Ca Daylight Saving
b. Central Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
Home : Xenia Ohio
Nearest Postal Address City or Town State or County State or County
Total Duration) Total Duration) 30
Hours Hours Minutes Seconds
a. Certain a. Certain c. Not very sure
b. Fairly certain b. Fairly certain d. Just a guess
5.1 How was time in sight determined? WATCH
5.2 Was object in sight continuously? Yes No
6. What was the condition of the sky?
DAY NIGHT
a. Bright a_Bright
b. Cloudy b. Cloudy
.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
FORM
FTD OCT 62 164 This form supersedes FTD 164, Jul 61, which is obsolete. -

g. None a. Bright moonlight
b. A few b. Dull moonlight
c. Many C. No moonlight - pitch dark
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 a. Dry
b. Hazy b. Fog, mist, or light rain
c.Scattered clouds c. Moderate or heavy rain
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 e. Don't remember
c. Vapor
If it appeared as a light, was it brighter than the brightest stars? (Circle One):
0.) (0.) Brighter c. About the same c. About the same
Dimmer d. Don't know
11.1 Compare brightness to some commo
BEEP
12. The edges of the object were:
(Circle One)y a. Fuzzy or blurred (Circle One)y a.)F Fuzzy or blurred e. Other
6. b. Like a bright star
c. Sharply outlined 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. Diseppear and reappear? Yes No Don't know

Page 3
14. Did the objoct disappear while you were watching it? If so, how?
No
15. Did the object move chind 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 Y rES, then tell what
in front of:
TREES. DIRECTLY OVER IGA STORE
17. Tell in a few words the following things about the object:
a. Sound ROARING - LIKE AIR CONDITIONER
b. Color
18. We wish to know the angular size. Hoid 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?
DON'T KNOW
. 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.
1
/

(Circle One) Yes No
IF you answered YES, then what speed would you estimate?
(Circle One) Yes No
ONE BLOCK
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?
aInside 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.T What direction were you moving? (Circle One)
o. North .North c. East e. South e. South g. West
b. Northeast d. Southeast Southeast f. Southwest Southwest h. Northwest Northwest
24.2 How fast ware you moving? 24.2 How fast ware you moving? __miles per hour. _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 Did you observe object through any of the ect through any of of the following? following?
a. Eyeglasses Yes e. Binoculars Yes Yes No
b. Sun giasses b. Sun giasses Yes f. Telescope Telescope Yes No No
c. Windshield No g. Theodolite Yes No
d. Window glass Yes No h. Other
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.
SIMILA To BRIGHT BALLOON,
ES

Page 5
2. 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° A
60
NW NG
3 E
15 SW
SE
28. Draw a picture that will show the motion that the object or objects 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. path, a "B" 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? 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.
/
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Paga 6
30. Have you ever seen this, or a similar object before. If so give date or dates and location.
No
31. Was anyone else with you at the time you saw the object? (Circle One) Yos No
Yes No
31.2 Please list their names and addresses:
DOG ONLY,
32. Please give the following information about yourself:
NAME
First Name Middlo Name
Xenia Ohio
ADDRESS ADDRESS
City Zone Zone State
NUMBER F
TELEPHONE NUMBER AGE SEX
experience, which might be pertinent.
When and to whom did you report that you had seen the object?
Day Month Yoar
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Page 7
34. Date you completed this questionnaire: 1'7 Jun 67
Day Month Year
Information which you feel pertinent and which is not adequately covered in the specific points of the
questionnaire or a narrative explanation of your sighting.
1
.
)