PROJECT BLUE BOOK

,
PROJECT ICO73 RECCRD
'DAEITE 07 LOCATION
12 A 68 13/04352 Youngstown, Chio (1Witness)
B. SOURCE 10. ICLUSION
Civilian INSUFFICIENT DATA FOR EVALUATION
4. NUMBER OF OSJECTS RJMSEN OF OSJECTS Information given to duty officer. Additional information requeitc VLSM 1oaregusbc
but not received as of 28 May 68. Ho may have seon a neteor but but not received as of 28 May 68. Ho may have seon a neteor but
C=o Ono but available information does not varrent such an eveluntion. but available inforeation does not varrent such an evnluation.
5. LENGTH OF Oesi ERVATION ATION 11. BRIEF SUMMARY AND ANALYSIS 11. BRIEF SUMWMARY AND ANALYSIS NOTE: See 12 Apr 68, Warron, Ohio.
5 Sccondo S Scconds The obcorver was driving Tho obeorver was driving his car when he si ghted an orange ball
6. TYPE OF CESERVATION for 5 seconds.
Ground-Visual Ground-Visual
. COURSE 7. COURSE
Not Rovorted Not Revorted
O. PHOTOS
D Yes
KNo
. PHYS DERCE
n Yos
No
FORM
FTO SEP 63 0-329 Provieue editlcas dl cis ferm mny bo acod.
AT

DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT.PATTERSON AIR FORCE BASE. OHIO 4S433
ATTN OF: REPLY TO TDPT (UFO)
UFO Observation 22 APR 1958
SUBJECT: 12 April 1968
Warren, Ohio 44420
Your name has been given to the Aerial Phenomena Office (Project
Blue Bookas being a witness to an unidentified flying object.
12 April 1968
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 sighting, would you please make a statement to this effect on the you please make a statement to this effect on the
attached form. The information which you provide will be used in The information which you provide will be used in
evaluating this evaluating this observation. Thank you for your assistance in this observation. Thank you f your assistance in this
matter.
ECTOR QUINTANILLA, Jr, Major, USAF 1 Atch
Chief, Aeria Chief, Aeria enomena Office AF Form 117 w/envelope AF Form 1l7 w/envelope
Aerospace Technologies Division
Production Directorate

U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prepared so that you can give the U.S. Air Force as much
informatian as possible concerning the unidentified aerial phenomenon that you have observed.
Please try to any questions as you possibly can. formation that you give will
conclusions, or publications without your permission. We request this personal information so
that i it is deemed necessary, we may contact you for further details.
1. When did you see the object? Time of day: 35
Hour Minutes
APR (Circle One):
A.M. or P.M.)
Doy Month Year
3. Time Zone: 3. Time Zone:
(Circle One) (Circle One): Eastern Eastèrn a. a. Daylight Saving
b. Centra! Central Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
Youngs Tolit Yonvas Of10
Nearest Postal Address City or Town State or County
.how long was object otal Duration) 5
Hours Minutes Soconds
.Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was rime in sight determined?
5.2 Was objeet in sight continuously? Yes _ No
6. What was the condition of the sky?
DAY NIGHT
Bright a.
b. Cloudy Cloudy
.IF you scw 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 d
FTD OCT 62 164 This form supersedes FTD 164, Jul 61, which is obsolete.

Pog ?
8.IF you saw the object at NIGHiT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight f
b. Atew--. b. Dull moonlight
c. Mony c. No moonlight - pitch dark
d. Don't remember .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
Hazy b. Fog, mist, or light rain
Scattered clouds c. Moderate or heavy rain
Thick or heavy clouds d. Snow
. e. e. Uon't remember Don't remember
10. The object appeared: (Circle One): 10. The object appeared: (Circle One):
. Solid o. Solid d.Asalight d. As a light
b. Transporent b. Transporent e. Don't remember e. Don't remember
c. Vapor Vapor
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 stars? (Circle One):
0. Brighter 0. Brighter c. About the same c.About the same
b. Dimmer 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 - a
Don't remember
Did the object: (Circle One for each question)
a. Appear to stand stili at any time? Yes No 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 ENe_ 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

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14. Did the obiect disappsor while you were watching it? If so, how?
15. Did the abieet move bahind 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 obiect move in front of something at any time, porticularly a cloud?
(Circle One): Yes No Don't Know. IF you answerad YES, then tell what
in front of: .
17. Tell in a few words the following things about the object:
a. Sound
b. ColorRANgEBALL
18. We wish to know the anaular size. Hold a match stick at arm's length in line with a known obigct and note how
much of the obiect is covered by the head of the match. If you had performed this experiment ot the time of the much of the obiect 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 coverad by the match head?
. 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 cn arrew beside the drawing to show the direction the object was moving.

(Circle One) Yes (No)
IF you ans wered YES, then 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. In the business section of a city?
Inside a building b. In the residential section of a city?
b In a car In open countryside?
c. Outdoors d. Near an airfield?
d.In an airplane (type) e. Flying ovar a city?
e.At sea
f. Other g.
24.1 What direction were you moving? ircle One)
a. North c. East e. South e. South g. g. West
b. Northeast b. Northeast d. Southeast f. Southwest f. Southwest h. Northwest Northwest
24.2 How fast were you moving? 30-5 miles per hour.
24.3 Did you stop at any time while you were looking at the object?
(Circle One) (Yo No
Did you cbserve the object through any of the following? -
a. Eyeglasses Yes No e. Binoculars Yes
b. Sun glesses Yes f. Telescope
c. Windshield Yes No g. Theodolite Yes
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

Pago 5
27. In the following sketch, imagine that you are at the point shown. Place 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 objoct 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.
73
60
NW NS
-15 15
S5
Draw 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 "g" at the end of the path, and show any changes in direction during the course. path, a "g" at the end of the path, and show any changes in direction during the course.
- ONF
Draw a pieture of how they were arranged, and put an crrow to show the direction that they were traveling.

19
Page 6
A c
1
10
Was anyore slse with you at the tima you saw the objoct? (Circle One) Yes (N\
31.1 iF you answared YES, did they sea the object too? (Circle One) Yos N
31.2 Please list their names and addresses:
32. Please give the following information about yourself:
NAME
Last Name First Nome First Name Middle Nama
ADDRESS WIRPEN WARREN 44/20 Ofi'd
Streat City City Zone Stote State
TELEPHONE TELEPHONE NUMBE NUMBE AGE AGE SEX SEX M1 11
Indicate any additional information about yoursalf, including any special experience, which might be pertinent.
33. When and to whom did you report that you had seen the object?
Day Month Yoar

Page 7
34. Date you com d this questionnaire: 12 AER
Day Month Yoar
35. Information which you feel pertinent and which is not adoquately covered in tha spacific points of the
questionnaire o a narrative explanation of your sighting.