PROJECT BLUE BOOK

UVEAVA
PROJECT 10073 RECORD
HUE GROUP 2. LOCATION
Cotcter 67 21/01004 Fairborn, Chio (3Witnesses)
3. SGECL 10. CONCLUSION
Civkiian Other: (CONFLICTING DATA)
4. NUMBER OF OBJECTS Observer told Duty Officer that time in sight was just an estinaje
Conflicting He alse told Duty Officer that there was only one object. On hi
l64, although he seems to describe only one object he indicated
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS that he saw two.
15 Minutes Observer sighted an orange light in the sky.
The object came
6. TYPE OF OBSERVATION from the west then turned and headed Nw. The object flashed
and flickered and no noise was heard.
Ground-Visual
7. COURSE CCIMENTS CONT'D: Form ll7's were sent to the t two witnesses
but they were not returned. WaP AFB is located in Fairh orn,
See Sunmary Ohio and usually has heavy air traffic. Notning was
t PHOTOS as being seeing frcm their control tower. Cul cherrco.itro Although the objc
wasam aircraft wasan aircr PRdIDE because of the xxxxxixrix ecause of the iwxx Altrough the objc1
0 Yes number of desere,ane) in tnel descre ane) in thel
XX No number of UFo's, it is listed as conflicting ditn. it is listed as confl ing dita.
9. PHYSICAL EVIDENCE 9. PHYSICA IDENCE
n7 Yes
No XNo
FORM FORU
FTD SEP63 0-329 (TDE) 0-329 (TDE) Prevlous ditiona of this form may bo oi. Prevlous ditiona of this form may bo o.i.

Pago 6
30. Hava you ever saan this, or a similor object bofore. If so givo doto or dotes and location.
31. Was anyone else with you at the time you saw the objoct? (Circle One) (Y03) No
31.1 IF you answered YES, did thay sea the object too? (Circle One) Ya2 No
31.2 Plecse list their names and addrossus:
32. Please give the following information about yourself.
NAME
Lost Name Middla Hame
ADDRE ADDRES
Strost Strost City City Zore Stote Stots
TELEPHONE NUMBER AGE SEX
Indicate any additional information about yoursel, including any special axoarionce, which might be pertinent. Indicate any additional information about yourself, including any special axoarionce, which might be pertinent.
33. When and to whom did you report that you had soan tha objact?
Day Month Yoar
11

Page 7
34. Date you complet estionnaire:
Day Month Yoar
35. Information which you feal pertinent and which is not adaquately coverad in
he specific points of the
quastionnaire or a narrative explanation of your sighting.
/ .
B11000

information as possit concerning the unidentified aerial phenomenon that you have observed.
Pleose try to answer any 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,
conciusions, or publications without your permission. We request this parsonal information so
that if it is deemed necessary, we may contact you for further details.
1. When did you see the object? 2. Time of day: 8:15
Hour Minutes
(Circle One): A.M. or P.M.
Doy Month Year
3. Time Zone:
(Circle One): a. Eastern (Circle One):
b. Central b. Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
OH1O
arest Postal Address ity or Town State or County
5. How long was object in sight? (Tetal Duration) STILL IN SIGHT AS OF 8.30
Hours Minutes Seconds
6/Certain c. Not very sure c. Not very sure
b. Fairly certain d. Just a guess d. Just a guess
5.1 How wos rime in sight determined? ESTIMATE
5.2 Was obleer in sight continuously? Yes No
6. What was the condition of the sky?
DAY NIGHT
a. 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
FORM
FTD OCT 62 164 This form superaedes FTD) 164, Jul 61, which is obsolete.

d.
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky Dry
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
a Thick or heavy clouds d. Snow
e. Don't remember
10. The object appuared: (Circle One):
.Solid d. As a light
Transparent e. Don't remember
c. c. Vopor Vopor
1. 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 srars? (Circle One):
a. Brighter c. About the same
D. Dimmer d. Don't know
11.1 11.1 Compare brightness to some common object:
12. The edges of the obiect were:
(Circle One): . Fuzzy or blurred (Circle One): g. Fuzzy or blurred e. e. Other
(6) Like a bright stor 6 Like a bright stor
c. Sharply outlined
i. Don't remember
13. Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes No Don't know
b. Suddanly speed up and rush away at any time? Yes No Don't know
c. Breok 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? No Don't know
g. Flash or(flicker? No Don't know
h. Disappear and reappear? Yes No Don't know
IL

Page 3
14. Did the obiact disappsar while you were watching it? If so, how? 3
No
15. Did the ebiact move bohind something at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answared YES, then tell what
it moved bohind:
16. Did the chiect move in front of something at ony time, porticularly a cloud?
(Circle One): Yes No Don't Know. IF you answered YES, then tell what
in front of: _
1
17. Tell in a few words the following things about the object:
a. Sound NONE
b. Color ORANGE
18. We wish to know the anaular size. Hold a match stick at arm's length in line with a known object and note how
much of the obiect is covered by the head of the match. If you had performed this expariment at the time of the
sighting, how much of the obiect would have been covered by the match head?
ALL
19. Draw a plcture that will show the shape of the object or objects. Label and include in your sketch any details
Place an arraw beside the drawing to show the direction the object was moving.
CIRCLE
C

21. Do you think you can astimate how for away from you the object was?
(Circle One) Yes No
22. Where were you located when you saw the object? Were you (Circle One)
(Circle One):
In the business section of a city?
a. Inside  building b In the residential section of a city?
In a car c. In open countryside?
c.) Outdoors d. Near an airfiald?
d. in an dirplane (type) e. Flying over a city?
e. At sea f. Flying over open country?
f. Other - g. Other
24. 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)
. North c. East e. South g. West
. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fost wore you moving? _miles per hour.
24.3 Did you stop at any time while you were looking at the object?
(Circle One) (Cirele One) Y=s Yes No
25.Did you observe the object through any of the following? 25. Did you observe the object through any of the following?
a. Eyeglasses a. Eyeglasses Yes e. Binoculars Binoculars Yes No
b. Sun glesses Yes f. Telescope No
c. Windsnield Yes g. Theodolite (No)
d. Windo-sicss Yes h. Other -
. 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 objec's which, when placed up in the sky, would give the same appearance as the object which you saw.
BALL
-

Pago 5
2. In the following sketch, imagine that you are at the point shown. Place ar "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 sama curved line to
show how high the objact was above the horizon (skyline) whan 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 Na
B E
15 3WW
93
.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 ghow any changes in direction during the course.
(B)Nw
W (A
29. IF there was MORE THAN ONE object, then how many were there? . ONE

Puga 6
30. Have you ever saen this, or a similor object balore. If so give date or dates ond locullon.
YES 7
31. Was onyone else with you at the time you saw the objsct? (Circle One) No
31.1 IF you answered YES, did they ses the object too? (Cirela One) Yos No
31.2 Pleasa list their names and addrasses:
FAIRBORN OHIO
32. Please giv oxmation gbeut yourself:
NAME
First Nome Middle Narie
ADDRESS SPRINGFIELD OHIO
City Zow Zov State Stot
TELEPHONE NUMBER AGE AGE 13 SEX M M
Indicate any additional informution about yourself, including informution about yourself, including any spacial axporlence, which might be pertinent. any spacial axporlnce, which might be pertinent.
WITNESS WITN SAW ) T ALSO) ALSO)
33. When and to whom did you report that you had seen ihe object? NO OTHER
Day Munth Year AGENCI

/
Page 7
questionnaire: 20 OCT 67
Day Month Yoar
35. Information which you fesl pertinent and which is not adequately covered in
quastionnairs or a narrative explanation of your sighting.

DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PATTERSON FORCE BASE, OHIO 43433
R3PLY TO TDPT/UFO DE018867
ATTH OP:
SUDJUECT: UFO Observation, 20 October 1967
TO:
Pl
Your r name has been given to the Aerial Phenomena Branch (Project
Blue Book) as being a witness to an unidentified flying object.
in the envelope provided. If you were not a witness to this sighting,
The information which you provide will be used in evaluating this
observation. Thank you for your assistance in this matter.
JAMES C. MANATT, Colonel, USAF JAMES C. MANATT, Colonel, USAF 1 Atch
Director of Production Director oduction AF Form 117 AF Form 117
10

DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PA FORCE OHIO 43433
RXPLY TO TDPT/UFO
ATTN 07:
October 1967 DE0x03997
SUDJECT: UFO Observation, 20
TO:
Your name has been given to the Aerial Phenomena Branch (Project
Blue Book) as being a witness to an unidentified flying object.
1967
would you please complete the attached AF Form ll7 and return it
in the envelope provided. _If you were not a witness to this sighting,
would you please make a statement to this effect on the attached form.
The information which you provide will be used in evaluating this
observation. Thank you for your assistance in this matter.
JAMES C. MANATT, COlOnel, USAF 1 Atch 1 Atch
Director of Production Director Production AF Form 117

Nuly
20Ose
perbi
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT.PATTERSON AIR FORCE BASE. OHIO 45433
REPLY TO TDET/U
ATTN OF:
0
SUBJECT UFO Onservation
TO
Springfiela, omo 45504
Nererance your unidentified observation. The information which
Reguest you complete the attached FTD Form l64 and ret rn it in
the ervelope provided. 'Tnank you for reportins. go:r observation
to the Air Force.
MES C. MANATT Colonel, USAF 1 Atch
rec cor of Technology and Subsystems FiD Fore 164 w/envelope
+
Sod rilo
TE

Please try to answer ny 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? 2.Time of day:
Hour Minutes
(Circle One): A.M. or P.M.
Day Month Year
3. Time Zone: (Circle One): 9. Daylight Saving
(Circle One): a. Eastern 6. Standard
b. Central
c. Mountain
d. Pacific
e. Other Other
4. Where were you when you saw the object?
Neares' Postal Address City or Town State or County
(Total Duration) Total Duration) 15
Hours Minutes Minutes Soconds Soconds
. Certain c.Not very sure c. Not very sure
.Feirly certain .Fairly certain d. Just a guess
5.1 How was time in sight determined?
5.2 Was object in sight continuously? Yes No
6. What was the condition of the sky?
DAY NIGHT
a. Bright 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
To your right f. Don't remember
FORM
FTD OCT 62 164 This form supersedes FTD 164, jul 61, which is obsolete.
11I

Pngs7
8. IF you saw the object at NIGHT, what did you notice concerning the STARS ond MOON?
8.1 STARS (Circle One): 8.2 MOON(Circle One):
a. Nons a. Bright moonlight
b. a forw Dull moonlight
c. Many C. No moonlight - pitch dark
d. Den't remember Don't remember
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
0.) Clear sky @ Dry
b. Hiazy b. Fog, mist, or light rain
c. Scattered clouds C. Moderote or heovy rain
Thick or heavy clouds d. Snow
e. Don't remember
10. The cbject appeared: (Circle One):
Solid d.As a light
5. Tronsporent 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 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: .The edges of the object were:
(Circle One): a. Fuzzy.or blurred e. Other
b. -Like Like a bright stor
3 Sharply outlined
2 Don't remember
13. 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 rime? Yes No Don't know
c. Break up lnto 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
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

Poge 3
If so, how? co. whilewe
1/
15. Did the abiect move bahind samething at any time, particularly a cloud?
(Circle One): Yes N Don't Know. IF you answered YES, then tell what
it maved behind:
i6. Did the obiect 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 obiect:
1 -1
b. Calor L
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 obiect is covered by the head of the match. If you had parformed this experimant at the time of the
sighting, how much of the obiect would have been covered by the match head?
.Draw a pieture that will show the shape of the object or objects. Label and include in your sketch any details 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. of the osject 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.
2
_

21. Do you think you can estimate how far away from you the objoct was?
(Circle Ono) Yes No
IF you ans-ered YEs, than how far away would you say it was?
22. Where were you located when you saw the object? - Were you (Circle One)
(Circle One):
a. I Inside a building b. In the residential section of  -
b. in a car c. In open countryside?
c. Outdoors) d. Near an airfield?
d. In an cirplane (type) e. Flying ovar a city?
e. At saa f. Flying over open country?
f. Other 9. Other
24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the fo
24.1 What direction were you moving? (Circle One)
a. North c. East e. South g. Hes
b. Northeast d. Southeast f. Southwest h. Nrth
24.2 How fast were you moving? _ miles per hour.
24.3 Did you stop at any time while you wore looking at the object?
(Cirele One) Yes No
25. Did you observe the object through any of the following? 2. Did you obsarve the object through any of the following?
a. Eyeglosses a. Eyeglosses Yes e. Binoculars Yos Yes No
b. Sun gizsses Sunois Yes No f. f. Telesco Telescope Yes No
c. Windshield g. Theodolite Yes No
d. Window giess Yes No h. Other
. In order thar you can give as clear a picture as possible of what you saw, describe in
object or objects which, when placed up in the sky, would give the same appearance .
.

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 objact 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
73
60
5 o NW wa
30
-15
SS,
2.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.
NW.h
29. IF there wos MORE THAN ONE cbject, then how many were there?
Draw a picture of ho ey were arranged, and put an arrow to show the direction that they were traveling.