PROJECT BLUE BOOK

PROJECT 10073 RECORD
1. DATE ·TIME GROUP LOCATION
12 Sept 67 12/04152 Dayton, Ohio 2
3. SOURCE 10. CONCLUSION
Civilian Atro CAPELLA) P0. Joat
4. NUMBER OF OBJECTS Capella was on an azimuth of 45 degrees, elevation of 22 deg,
1 at time of sighting.
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
10-15,minutes . Object was the same shape of 8 star. Changed colors f from
.TYPE OF OBSERVATION blue, green, and red basically a white light. Brightness
of object was compared to a burning sparklor. Object did
Ground Visual (BX) not disappeared whife watching.
7. COURSE
NE
8. PHOTOS
Yes
X7 No
.PHYS .PHY IDENCE
Yes Yos
No
FORM FORM
FTD SEP 63 0-329 (TDE) Previous editione of this form may be used,
8
p

- saw, a constant very bright
white light and a slight movement changing red and blue in color. -
First observed
the object in the North then moved rtheast. Mrs.
aidn't think - oouce
E ,
Since additional information was necessary we asked Mrs.   y if
she would complete a form on her sighting. She said that she would
be glad to do so. I Her address is:
Dey ton, Ohio

PROJECT 10073 RECORD
1. DAIF · TIME GROUP 2. LOCATION
Sup 67 21/00152 Dayton, Onio 3
3. LODECE 10. CONCLUSION
Civilian PoSSible (AIFCRAFT)
1. NUMBER OF OBJECTS No data presented
to indicate object could not have been ar
1. aircraft.
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
. Only information observer gave was it flashed or flickered
TYPE OF OBSERVATION red and white. He stated object disappeared over horizon
in 5 minutes or less.
Ground Visual
7. COURSE
West
8. PHOTOS TOS
n Yes
x No
9. PHYSICAL EVIDENCE
7 Yes
* No
FORM
FTD SEP63 0-329 (TDE) Previous aditions of this form may be used.
I

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 pos concerning the unidentified aerial phenomanon that you have observed.
Please try to answer as ny questions as you possibly can. The information that you give will
be used for rosearch name will not be used in conn nection with any statements,
conclusions, or publicat We request this personal information so
thar if it is deemed necessary, we may contact you for further details.
1.When did you see the object? Time of day: 2015
Hour Minutes
23 Sept (Circle One): A.M. or P.M.
Day Mbnth Year
3. Time Zone:
(Circle One) (Circle One) a. a. Eastern (Circle One): Daylight Saving (Circle One): Daylight Saxing
b. b. Central b. Standard Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
Daytoy
City or Town State or County
5. How long was object in sight? (Total Duration) 5 or le
Hours Minutes Seconds
a. Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determined? quees
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 6. Cloudy
7.IF you sow the abject 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. Overheed
c. To your right f. Don't remember
FORM

feage 2
8. IF you saw the object at NlGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
Dut Khoe
a. None Bright moonlight
b. A few Dull moonlight i
c. Many c. No moonlight - pitch dark
d. Don't remamber Don't remember
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky a. Dry
Hazy b. Fog, mist, or light rain
c. Scattered clouds. c. Moderate or heavy rain
d. Thick or heavy clouds d.s Snow
e. Don't remember
10. The object appeared: (Circle One): 10. The_object appeared: (Circle One):
a. Solid dAsotight dAsatight
b. Transparent e. Don't remember
c. Vapor
1. If it appeared as a light, was it brighter than the brightest stars? (Circle One): 11. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter a. Brighter c. About the same c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
12.The edges of the object were: dont Kuoc
(Circle One): a. F Fuzzy or blurred e. Other
b. Like a bright star
c. Sharply outlined
d. Don't remember
1. 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? Tes Don't know
d. Give off smoke? Yes Don't know
e. Change brightness? Yes Don't know
f. Change shape? Yes Don't know
g. Flash or flicker? redf white Yes Don't know
h. Disappear and reappear? Yes Don't know

Pog 3
1d. Did the obiect disdodeor whils you wars watching it? If so, how?
horiz0n
15. Did the obiect move brhind somathing at any time, porticularly a cloud?
(Circle One): Yes No Don't Know. IF you answared YES, then tell what
it moved behind; thee
16. Did the obiect mova in front of something at any time, particularly a cloud?
(Circle One): (Yqs) No Don't Know. IF you answered YES, then tell what
in front of: C2
17. Tall in a few words the following things about the object:
a.SoundNO
b. color Red  white.
1. 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 oerformed this exoeriment at the time of the
sighting, how much of the obiect would have been covered by the match head?
Sa me s/2e
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.

20. Do you think you can ostimate the speed of she object?
(Circle One) Yes No
IF you onswered YES, then what speed would you estimate?
21. Do you think you can estimate how for away from you the cbjeci was?
(Circle One) Yes No
IF you answered YES, then how far away would you say it was? Far and Righ
22. Where were you located when you saw the object? 23.Were you (Circle One)
(Circle One):
orin the business soction of a ciry?
a. Insida a building b.In the residential section of a city?
b.__In a car c. In open countryside?
c. Outdgors c. Outdgers d. Near an cirfield? d. Near an cirfield?
d. In an airplana (rype) d.n an airplan (ryp) e. Flying over a city? Flying over a city?
e. At sea f. f. Flying over open country?
f. Other _ f. Other. g. g. Other
24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complate the following quastions: IF you were MOvING IN AN AUTOMOBILE or other vehicle at the time, then complate the following questions:
Circle One) Circle One)
a. North c. East e. South 9. 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 wers looking at the object?
(Circle One) Yos No
2. Did you obsarve the object through any of the following?
a. Eyeglasses Yes No . Binoculars Yes No
b. Sun glasses Yes No f. Telescope Yes No
c. Windshield Yes No g. Theodolite Yes No
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
object or objects which, whan placed up in the sky, would give the same appearance as the object which you sow.
ball

Pag 5
27. In the following sketch, imagine that you are at the point shown. Plocs or "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 abject was above the horizon (skylina) 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° 730
60 o A
NW NT
AB3
15 3W
S
0
. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the 28. Uraw 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.
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.
FALSLO3ANAKANPA

Poge 6
30. Have you evar sean 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 Ona) Yos No
31.1 IF you answerad YES, did thay see the object too? (Circle One) 83 No
31.2 Pleasa list thair names and addrosses:
omay to
3
32. Please give the following information about yourself:
First Name Middlo Namo
ADDR AD Duy top 6 Okió Okó
Street City Zore Stct
TELEPHONE NUMBER TELEPHONE NUMBER N Nont AGE 13 AGE/2 SEX F
Saw one before
33.When and to whom did you report that you had seen the object?
23 Sept 62
Day Month Year

'
PROJECT 10073 RECORD /
1. DATE · TIME GROUP 2. LOCATION
29 Sep 67 30/00502 Dayton, Ohio 1
3. SOURCE 10. CONCLUSION
Civilian
1. NUMBER OF OBJECTS No data prese ited indicate that object was not an air-
1 1 craft. craft.
S. LENGTH OF OBSERVATION . LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
4 minutes Object was as brilliant white light with a deep color of
red coming dom from tie middle. Observer stated she could red coming dom from ti.e middle. Observer stated she could
to TYPE OF OBSERVATION not see a solid object, after she watched the object for a
Ground Visual Ground Visual few minutes, she turned around to note the time, when she
looked up, the object went straight up and disappeared.
7. COURSE
NE - W
8. PHOTOS PHOTOS
n Yes
D No
9. PHYSICAL EVIDENCE
n Yes
No
FORM
FTD SEP 63 0-329 (TDE) Prevlous editlons of thla form mny i used.
. .
3

A Parl avft
29 Sept67
QCT 10 1967
29 September 1967
Dayton, Ohio 45404
1 atch 1e4

(stro/ Capecial Capella on Az of 45 dy at El. 22 Deg
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 poss concerning the unidentified aerial phenomenon that you have observed.
Please try to answer as s many questions as you possibly can. The information that you give will
be used for research
conclusions, or publications without your permission. We request this personal information so
that if it is deemed necessary may contact you for further details.
F:1
1. When did you see the object? 2.Time of day:1215
Hour Minutes
12 Sept 67 (Circle One): A.M or P.M.
Day Year
3. Time Zone: Time Zone:
Eastern (Circle One): 6 Daylight Saving
b. Central Standard
C. Mountain Mountain
d. Pacific
e. Other
4. Where were you when you saw the object? 4. Where were you when you saw the object?
Ensley St Pa tn Ohio Ohio
Pea  tan
Nearest Postal Address State or County State or County
Total Duration) 10-15
Hours Minutes Seconds
Cortain c.Not very sure
.Fairly certain d.Just a guess
5.1 How was time in sight determined?
5.2 Was object in sight continuously? Yes No-
DAY NIGHT
a. Bright Bright
b. Cloudy GCloudy
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
e. To your right f. Don't remember
FORM
FTD OCT 62 164 Thie form supereedes FTD 164, Jul 61, which is obsolete.

information as possibl concerning the unidentified aerial phenomenon that you have observed.
Please try to answar iny questions as you possibly can. The information that you give will
be used for research pu urposes. Your name will not be used in connection with any statements,
conclusions, or publications without your permission We requestthis porsonal information so
that if it is deemed necessary, may gontact you for further detdits.
When did you see the object? Fime of day: 0750
Hour Minutes
24 Sect
(Circle One): A.M. or P.M.
Day Morth Year
3. Time Zone:
(Circle One): 4. α, Egstern Egstern (Circle One): Co. Doylight Saving (Circle One): Ca. Doylight Saving
b. Central b. Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object? ,
DA7/Dr OHLO
Neurest Postal Address City or Town State or County
5. How long was object in sigh otal Duration) 4
Hours Minutes Seconds
a. Certain c. Not very sure
b. Fairly certain d. Just a guess lsk
5.1 How was time in sight determined?.
5.2 Was object in sight continuously? Yes- No
What was the condition of the sky? J
DAY CNIGHT J
a. Bright a. Bright
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
ETD FORM 164
OCT 62 Thia ir randas ETT 154

poge2
8. IF you saw the object ot NIGHT, what did you notice concerning the STARS and MoON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
<0. None a. Bright moonlight
b. A few b. Dull moonlight 7
c. Many c. No moonlight - pitch dark
d. Don't remember ad. Don't remember
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 c. Moderate or heavy rain
d. Thick or heavy clouds Snow
* Don't remember
10. The object appeared: (Circle One):
a. Solid a. Solid d. As a light alight
b. b. Transparent e. Don't remember
c. Vapor
11. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
Brighter 6. Brighter c. About the same
b. Dimmer Dimmer d. Don't know d. Don't know
11.1 Compare brightness to some common object:
-
The edges of the object were:
(Circle One): a 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 Don't know
b. Suddenly speed up and rush away at any time? Yes 9999 Don't know
c. Break up into parts or explode? Yes Don't know
d. Give off smoke? Yes Don't know
e. Change brightness? Yes No_ Don't know
f. Change shape? es NO Don't know
9. Flash or flicker? Yes No Don't know
h. Disappear and reappear? Yes No Don't know

Paga 3
y
14. Did the obiect disapnaor while you wara watching it? if so, how?
deogenel anl ha
15. Did the obiect mova bohind samethina at any time, porticularlv 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, porticularly a cloud?
(Circla One): Yes (No Don't Know. IF you answered YES, then tell what
in front of: .
17. Tall in a few words the following things about the object:
a. Sound
b. Coloy_ ightl byhh
18. We wish to know the angular size. Hold a match stick at arm's length in line with a known obioct and note how
much of the obiect is covered by the haad of the match. If you had performed this experiment at the time of the
sighting, how much of the obiect would have been covered by the match head?
oil -
Place an arrow beside the drawing to show the direction the object was moving.
E
TAP27N2

(Circl One) Yes (No
IF you answered YEs, then how far away would you say it was?
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 6. In the residential section of a city?
b, In a car c. In open countryside?
c. Outdoors Outdoors d. d.Near an airfiald? Near an airfiald?
d. In an airplane (rype) d. In an airplane (rype) e. Flying over a city?
e. At saa e. At sea f. f. Flying over open country? country?
. Other F. Other 9. Other2on g. LomIUDAFG
24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then camplete the following questions: 24. 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 c. East e. South g. West West
. Northeast bo Northeast d. Southeast d. Southeast f. Southwest f. Southwest h. h. Northwest Northwest
24.2 How fast wore you moving? _miles per hour.
24.3 Did you stop at any time while you wers looking at the object?
(Circle One) Yes No
Did you observe the object through any of the following?
a. Eyeglasses Yes e. Binoculars
b. Sun glasses (22 f. Telescope Yes $\f\fra}$
c. Windshield g. Theodolite Yes
d. Window glass 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 appeorance as the object which you saw

Pas-5
27. In the following sketch, imagine that you aie at the point shown. Place on "" on the curved line to show how
high the object was above the horizon (skyline) when you first saw it. Ploce a "B" on tho 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.
90 730
60 S
A
NW NR
3
15 SW 36
28. Uraw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the .Uraw 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.
Vat il Vatint
29. IF there was MORE THAN ONE object, then how many were there?
Draw a picture of ho they were arranged, and put an arrow to show the direction that they were traveling.
J

Poge 6
30. Have you ever saen thia, or a similor objecr before. If so give dare or dotss cnd locailon.
No
31. Was anyane elsa with you at the time you saw the objact? (Circle One) Yos (N)
31.1 IF you answered YES, did they see the object too? (Circle One) Yas No
31.2 Please list their names and addresses:
32. Please give the following information about yourself:
NAME NAME
ame ime st Name Middla Name
DAYTON DAYTON OHIO
St Zore Zore Stna Stna
TELEPHONE NUMBER TELE PHONE NUMBER 13 17 - F F
AGE _ AGE SEX
33. When and to whom did you report that you had seen the object?
Day Month )
Yaar

1
U.S. AIR FORCE TECHNICAL INFORMATION 7
doe yon This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as poss concerning the unidentified derial phenomenon that you have observed.
Please try to ansy ny questions as you possibly can. The information that you give will
be used for research pe 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: Z:50
Hour Minutes
isridny (Circle One): A.M. or P.M
Day Day Month Year
3. Time Zone: 3. Time Zone:
(Circle One): a a) Eastern Eastern 6 Daylight Saving
b. Central b. Standard
c. Mountain
d. d. Pacific
e. Other
4. Where were you when you saw the object? 4. Where were you when you saw the object?
Drto bomir
sPostal Address City or Town State or County
5. How long was object in sight (Total Duration) a
Hours Minutes Seconds
Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determined? _ Trtiiod tin e plo0k
5.2 Was object in sight continuously? Yes No _
6. What was the condition of the sky?
DAY NIGHT
a. Bright Bright
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. Overhead
c. To your right f. Don't remember

penga 2
8. IF you saw the object at NlGHT, what did you notice concerning the STArS and MOON?
8.1 STARS (Circle One): 8.2 MOON(Cirele One):
a. None a. Bright moonlight Oppilale
b. A few b. Duil moonlight
c. Many C. No moonlight - pitch dark
D Don't remember
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky 0 Dry
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds Moderate or heavy rain
Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One):
a. Solid 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): 1. If it appeared as a light, was it brighter than the brightest stars? (Circle Ona):
Brighter . Brighter c. About the sarne
b. Dimmer Dimme d. Don't know d. Don't keow
11.1 Compare brightness to some common abject:
a plete fe ght
The edges of the object were:
(Circle One): Fuzzy or blurred e. Other s H 8
b. Like a bright star Dighites
c. Sharply outlined
d. Don't remember
.Did the object: (Circle One for eoch question)
a. Appeor to stand still at any time? Yes) No Don I know
b. Suddenly speed up and rush away at any time? Yes) No Don't know
c. Break up into parts or axplode? Yes No Don't know
d. Give off smoke? Yes Don'r know
e. Change brightness? Yes Don't know
f. Change shape? Yes 300099 Don't know
g. Flash or flicker? Yes Don't know
h. Disappear and reappear? Yes Don't know

te a ult ien abaghd
hyaxddajenid
15. Did the obiect move bohind somathing at any time, porticularly a cloud?.
(Circle One): Yes No Don't Know. IF you answared YES, then tell what
it moved behind; stsdler
16. Did the obiect movs 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. Tall in a few words the following things about the obiect:
0. Sound
b. Color
18. We wish to know the angular size. Hold a match stick at arm's length in line with a known obiect and note how
much of the object is covered by the head of the match. If you had performed this experiment ot the time of the
sighting, how much of the object would have been covered by the match head?
rad lijfite
CLNLLWL

(Circle One) Yes (No
IF you answered YES, then how far r away would you say it was?
22. Where were you located when you saw ths object? 2. 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?
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 9. Other
. IF you ware 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. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
242 .
Del ugt d
pihes Wodte
Eidg beet

Poga ?
8.IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One): 7
a. None Bright moonlight
b A few b. Dull moonlight
c. Many c No moonlight - pitch dark
d. Don't remember
9. What were the weather conditions at the time you saw the object?
WEATHER (Circle One):
a. Clear sky 6 Dry
b. Hazy b. Fog, mist, or light rain
c Scattered clouds c. Moderate or heavy rain 51
Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One):
a. Solid a. Solid As a light As a light
b. Transparent b. Transparent e. Don't remember e. Don't remember
c. Vapor
1. If 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):
0 Brighter c.About the same
b. Dimmer dDon't know 7212n3 22
11.1 Compare brightness to some common object: 11.1 Compare brightness to some common object:
1. The edges of the object were: O
(Circle One): Fuzzy or blurred e. Other
Like a bright star
c.Sharply outlined
Don't remember /
Did the object: (Circle One for each question)
a. Appear to stand I still at any time? Yes Don't know
b. Suddenly speed up and rush away at any time? Yes Don't know
c. Break up into parts or explode? Yes Don't know
d. Give off smoke? Yes No Don't know
e. Change brightness? es Don't know
f. Change shape? es Don't know
g. Flash or flicker? es Don't know
h. Disappear and reappear? s Don't know

Paga 5
27. In the following sketch, imagine that you are at the point shown. Place or "A" an 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 curvad 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 sgw it. Place a "B"' on the compass where you last saw the object.
90° B
75
60
A
45 NW N3
β 5
15 3W 3W 35 4
Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the 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 "g" at the and of the path, and show any changes in direction during ths course.
A
29. IF there was MORE THAN ONE object, then how many were there? -
Draw a picture of how they were crranged, and put an arrow to show the direction that they were traveling.
1

Poga 6
30. Hava you avar saan this, or a similor objucr bafern. If ao givs date or dutes and locallan.
7
31. Was anyone else with you at the time you saw the abject? (Circle One) Yes ND
31.1 IF you answered YEs, did thay see the object too? (Circle One) Yes No
31.2 Please list their names and addresses:
32. Please give the following information about yourself: 32. Please giv the following information about yourself:
NA NA
Middla Hame
ADDR ADDE tre A$ Ara{}$ Dhio Dhiio
Strear Strear fciy fcir State State
TELEPHONE NUMBER TELEPHONE E NUMBER AGE5 AGE S SEX Ii2l SEXI2
Indicate any addirional information about yourself, including any special axperience, which might be pertinent. .
<
33. When and to whom did you report that you had sean the objed
Iatiurdo: J30
Day C Mohth Yoar

x
7i
dbe ev the ply
in a Crag fabon Lit COLdN ne
C

Nearly Some rays
0.68

Where were you located when you saw the object? Were you (Circle One)
(Circle One):
a. In the business section of a city?
a.I Inside a building In the residential section of a city?
b. In a car c. In open countryside?
Outdoors d. Near an airfield?
d. In an airplane (type) e. Flying over a city?
e. At sea f.
f. Other g. Other
24.1 What direction were you moving? (Circle One)
a. North c. East . South g. West
. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? miles per hour.
simemt lookina at the ohiect?
.
Jume shepe ae a star.

when you first saw it. Place a "B"" on the compass where you last saw the object.
90° 75
AB
NE
9B
30
15•
Lraw 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.
2. IF there was MORE THAN ONE object, then how many were
Draw a picture of
)

Page 6
30. Have you aver saen 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) Yes No
31.1 IF you answered YES, did they see the object too? ircle One) Yes No
31.2 Please list their names and addresses:
32. Please give the following information about yourself: 32. Please gi following information about yourself:
NAME NAME Edwaird Edwaird
Last Name Last Name First Name Middl Name
ADDRESS Ohis Ohis -
Street Zone Stats
TELEPHONE NUMBER TELEPHONE NUMBER - ACE 22 ACE 22 SEX male male
No
When and to whom did you report that you had seen the object? Staff Duty Officer
12 Sep 67 FTD
Day Month Yoar Capt Clyde PRaleigh
W-P AFR. OLO

Orouza-Visual appeared to slowiy move nortkeast.
7. COJRSE ob ject for over an hour but did't think it was a star betiu-.
there wasn't any stars zout before the object appeered.
NE
o. PHOTOS
n7 Yos 7 Yos
SCSIC SCSiC
9. ?. PHYSIC PHYSICA EVIDENCE
0 Yes D Yes
No
FORM
FTD SEP63 O-RCP FTD SEA63O-:CA (TDE) Previowe odi.ions ol the form wsy Prevloue odiions cl th form wsy .03.
.
11

14/S67-
podiy161
ENT
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT.PATTERSON. AIR FORCE BASE. OHIO 45433
REPLY TO TDET/UFO
ATTN OF
SEP 27 1967
SUBJECT
TO
Mrs
Dayton, Ohio 45449
Reference your unidentified observation. T 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 to the Force.
AMES C. MANATT, ColOneL, USAF MES C. MANATT, ColOneL, USAF 1 Atch
birector echnology chnology and Subsystems FTD Form 164 w/envelope
1
/