PROJECT 10073 RECORD 1. DA'TE -TIME GROUP 4. NUMBER OF OBJECTS 2. LOCATION Xenia, Ohio 10. CONCLUSION INSUF'F'ICimT DATA FOR EVAWATION 5. LI!!NGTH Of' OBS!RVATION 11. BRIEf' SUMMARY AND ANALYSIS 5-10 Hinutes 6. TYPE OF OBSERVATION Ground-Visual. 9. PHYSICAL EVIDENCE Then was insufficient data to make a proper analysis. Ail Fl'D Form 164 was smt but returned marked address unlmoll. FTD SE P 6 3 0-329 (T!JE) PrnlC)fte diU- C)f U\la r-.. ma:r t>. u .. d. FTD (TO-E\v/UFO ) WRICHT-P H AFB, OHIO 454 33 UNITED STATES AIR FORC~ ?1 ?2. OFFICIAL BUSINESS Y<a t. l .. FTD JUL 61 383 Tbl. ,_ .......... ATIC p-Mr. 313, ciMMI D.c eo. ~ell ~ttolttt.l U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you con give the U.S. Air Force as much information as possible concerning the unidentified aerial phenomenon that you have observed. Please try to answer as many questions as you JtOSsibly con. The information that you give will be. used for research purposes. Your nome will Dot 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? 2. Time of day: ~l'r------ 3. Time Zone: (Circle One): a. Eastern <b:LJ;entrol) c . Mountain d. Pacific 4. Whers were you when you sow the ob ject? (Circle One): (Circle One): a. Daylight Saving b. Standard cf(y or Town I State or County 5. How long was objl!c t in sight? (To ta l Duration) Hours Minutes Seconds o. C4.1rtain c. Not very sure b. Fa,rly certain c~.-.rosra~ 5.1 Hew wcs t ime in s ight determined?----------------------- 5.2 Was object in sight continuously? 6 . What wo~ the condition of the s ky? 7. IF you sow t he object dur ing DAYLIGHT, where was the SUN located as you looked at the object? (Circl.~ Onl':): a . In front o f yov b. In bock of you c. To your right d. To your left e . Overhead f. Don't remember FTD OCT 62 164 Thia f~m a uperaedea FTD 16~. J u l 61, which Is obaolete . Did the obje.ct disappear while you were watching it? If so, how? 15. Did the object move behind something at any t ime, particularly a cloud? (Circle One): q;;; ~ Q. ,_Bon't Know. IF you answered YES, then te.ll what it moved behind: Did the object move in front of something at any time, particularly a cloud? (Circle One): IF you answered YES, then tell what in front of : 17 . T.,JI in a few words the following th ings about the ob ject: We wish to know the angular size. Ho ld o match stick at arm's length in l ine with o known object and note how much o f the oo1ec: is covered by the head of the match. If you had performed this experiment ot the time of the s ighting, how much of the object would have been covered by the match head? Drow a p icture that wi II show the shape of the object or objects. Lobel and include in your s~etch any details of the object that you sow s uch as wings, protrusions, etc., and especially exhaust trails or vapor trails. Place an a rrow beside the drawing to show the d ire.ction the object was moving. J JJ: ruUe 8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON? STARS (Circle One): 8.2 MOON (Circle One): Bright moonlight b. ew b. Dull mo<;~!!!.ight-=- c. No moonlight-pitch dark Don't remember d. Don't remember 9. What were the weather conditions at the time you saw the object? CLOUDS (Circle One): WEATHER (Circ:le One): a. Clear sky .=Fog, mist, or l ight rain c. Scattered clouds c. Moderate or heavy rain d. Thick or heavy clouds e. Don't remember 10. The object appeared: (Circle One): d. As a light b. Transparent e. Don't remember 11. If it appear~td as o light, was it brighter than the brightest stars? (Circle One): a. Brighter c. About the same b. D imiT'er d. Don't know 11.1 Compare bnghtness to some common. object: 12. The edges of th~ obiec:t were: (Circle One): o. Fuzzy or blurred b. Like a bright star c. Sharply out I ined d. Don't remember a . Appear to stand stil l at any time ? es No Don' t know b. Suddenly speed up and rush away ot any t ime? Yes No Don't know c. Break up into parts o r explode? Yes No Don't know d. Give off smoke? Yes No Don't know e. Change brightness? f. Change shape? g. Flash or flicker? h. Disop~ar and reopp-.or? Don't know Don't know Don't kno" 20. Do you think you can estimate the speed of the object? (Circle One) IF you answered YES, then what speed would you estimate? ------- 21. Do you think you can estimate how far away from you the object was?_ tJ (Circle One) ~D No IF youoanswered YES, then how far away would you say it was?--------- were you located when you saw the object? (Circle One): 23. Were you (Circle One) a. In the business section of a city? a. Inside a building b. In the residential section of a city? {Qin a car <S)In open countryside? c. Outdoors d. Near on airfield? d. In an airplane (type) e. Flying over a city? f. Flying over open country? 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 24.1 What d irection were you moving? (Circ:le One) e. South g. West Northeasr d. Southeast f. Southwest h. Northwest 24.2 How fast w~re yQu moving? _-.... zt.--0~-------~miles per hour. 24.3 D id you .itOp a t a ny time while you were iooking at the object? (Circle On~) 25. Did you observe the object through any of the following? a. Eyeglasses Yes e. Binoculars Yes No b. Sun glasses (;)Windshield Theodo~ 'J! ~ No d. Window gloss Other~.A 4:<"~ oti L'l. ' 26. In order that yo u con 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 some appearance as the object which you saw 27. In the following sketch, imagine that you ore at the point shown. Place on "A" on the curved line to show how high the object wa$ above the horizon (skyline) when you first sow it. Place o "B" on the some curved line to , show how high the object was above the horizon {skyline) when you last sow it. Place an "A" on the compass when you first sow it. Place o "B" on the compass where you last sow the object. 28. Draw a picturs that will show the motion that the object or objects mode. Place an "A" a t the beginning of the path, a " S " 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 o picture ot how they were arranged, and put on arrow to show the direction that they were travel ing. 30. Have you ever seen this, or a simi lor object before. If so give date or dates and location. 3 1. Was anyone else with you at the time you saw the object? (Circle One) 31.1 IF you answered YES, did they see the object too? (Circle One) 31.2 Please list their names and addresses: Middle Name T:: LE PHONE NUMBER rndie:::te any odditono l information about yourself, including any special experience, which might be pertinent. 33. When and to whom did you report that you had seen the object? Month Y oar FTD (TDEW) Wright-Patterson AFB, Ohio 45433 5 April 1966 Reference your recent unidentified observation of 27 reb 1966. The information Which we have received is not suffi- cient for evaluation. Request the members of your family who observed the unidentified object fill out the attached FTD Forms 164 and return them in the envelope provided . We wish to thank you for reporting your observation to the Alr Force. :ancerely, /-.trt~C'TDR QUINTANILLA, Jr, Major, ChL~r, Project Blue Book