PROJECT 10v7:l ~ ECORD 1. DATF. TIME GROUP 2. Blacklick, Olti" Ulll! .,.inlhess 3. :>OIJIKE i. NW~BER OF OBJECTS CONCLUSION 1)/ 'i'.\ F'OH JWALUATION !J. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND AN-.L''~.5 Varied SEE CASE t.. TYPE OF OBSERVATION Ground Vi ouol JJ. P HOTOS ? . NIYSICAL EVIDENCE .li"rD ( TDRI'R) Wrigbt-Patterson AFB, Ohio 2 August 1966 Blaekl1ck~ Ohio Rererence your unidentified observation of 18 June 1966. Tbe information which we have received is not su:f'f'icient tor eft.luatioo. Request you canplete the attached F"rD Form J.64 and return it in the envelope provided. We Visll to thank you for reporting your observation to the Air Force Sincerely , QUnJTANIT.iA, Jr, MaJor, Project Blue Book U. S. AIR FORCE TECHNICAL IHFORMATION Thi s questionnaire has been prepared so that you can give the U.S. A ir Force as muc h informa~1on 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 nome wi II "ot be used in connection with any statements, conclusions, or publications w ithout your permission. We request thi s personal information s o that if it i s deeme d necessary, we may contact you for further details. 1. When did you see r,e object? 2. Time of day: (Circle One): ~onth Yeor Z o ne 1 1me ( C ircle One ); Daylight Saving Central b . :L Pac i f ic ._ ry o r Town 5tote or C ounty 5. ~ow long "01 ob, ec-, -s lTotoi Dt.r::rl!o n 1 H~urs M rnuttt, 5 e conds c. Not v e ry sure Jus t a guess 5.2 Was obte c n s 191t conr nuously? 6. What was rne condittcn oi ~he sky? o . or~gnt 7. IF you sow th e object duflng DAYLIGHT, where was the SUN located as you looked a t the object? ( C trcle On e ) a. In front of you b. In bock of yov :.:. To your r~ght d . To yovr left e. Qverheod f. Don't remembe r 8. IF you s o w t h e o b ti"Ct a NluHT, what dtd y o u nottc e CC'~:Nntng the 5TARS ond MO()r-.. 8.1 STARS C.rc/e Or~l: d . Don't remember Ctrcle On.-): o. Br~ght moonltght b. Dull moonltght c. No moc-nloght -pttc~ dark @ Don' t remember 9 . What werf' th e "'I!'Clt., :o,.,c-litions at the t ime yoo sow h,. object? WEATHF.~ ((orcle One): '@ Clear s kv c. Mod~r,t~ or heavy r a n I c. Scattered ::I :ll.:! ~ d. Thick o r h e o vy : ?u-:s d. Snow l 10. The object oo~ared Co:::.~ tl. Tronsoornt 0 j,._ 0 ltght e. Don' t rerrember :i . O o n ' t know 13. Did the o bt ect o. Aooeo r '.:> ste"''d st ' -t n,y t tme? b. Sud.:le" " s~ed uc :l"''-ru s l, a way a t o n y f. C hnnqe s.,o~? g . Flash .,, rl e ke " Cucle One f o r ecx:h ouest-ion) Don't lcnow Do n ' t know Don't know Dc-n't know Don't kn 0"' Don't k no w Don't know Do n ' t know Did tne object d isappear while you were watching it? If so, how? Did the object move behind something at any time, particularly a cloud? (Circle One): Don't Know. IF you answered YES, then tell it moved behin d : D1d the object mov~ in front of something at any time, particularly a cloud? (C irc/e One): Don't Know. IF you answered YES, then tell what in front of: Tell in a few words me fo ll o..,ing th i ngs about the object: 1 B. ~e wish to know the ong~o.lcr SIZe. Hold a match stick at orm's length in line with a known object and nott' n o .... .,uch of the ob1ec t r s :::~vered by the head of th e match. I f y ou had perform.,d this experiment at the ti~re o' s tghtin g, how much O' ~e cb1ect would hove been coversd by the match head? )row a p 1cture that w ill s now tl-e she~ of the object or objects. Lobe I and include 1n your sketch any det a I" of the object that you sow sue), as wings, protrusions, etc., and especially exhaust trails o r vapor trails. Place on arrow b.:stde ..,e drawing to show the direction the object was moving. ut'c. 1-JV J 20. Do you think you con estimate the spee d of th e object? (Circle One ) Yes No , . IF yo.J answered YES, then what speed would y ou estimate? ----1-V--L.b:l.'::;;..._-.:..\ _\ ~ ;' 21. Do you think you con estimate how for away from you the object was? (Circle One ) Yes IF you answered YES, then how far away would you say it was? --------- 22. Where were yov loccred when yoo sow the object? (C ircle One): Inside a budding b. In o cor ' Outdoors In on airplcM (ty::>e} 23. Were you (Circle One) In the business section of o city? In the res identic I sectio n of o city ? In open countryside? Near an airfield? Flying over o city? Flying ove r open coontry? 24. I F y ou were MOVING ' " -\N ~UTOMOB1LE or othe r v ehicle ot the time , then complete the follow ing questions : Whar d~rec.ton .,...,~ 1'loving ? ( Circ le One ) a. North c . East South g W'!lst d. Southeast f. Southwest h . North ~ost How fast ..,ere ycv '"'0".,. g? miles per hour. Did vou s top aT """ rme ...,r, i le you ...-ere looking ot the object? (Circle One ) you obse rv e tne oo ec 'l"rough any of the follow ing? o. Eyegla s s e s Binoculars Yes b. Sun glosse s Ye s No f. Telescope Yes Windshi e ld Y~s Th eodolite Yes Window g loss In order that you can g ive o s clear a pictu re os possible of what you sow, describe in yo~r own words a common . obtect or obtecrs which, when placed up in th e sky, would give the some appearance as the o bject wh1ch you sa ..... 27. In the follow ing sltetch, imag ine t hat you ore a t the point thown. Place on " A " on th e cur ve d l 1n e to show hn n1gh t he object wa s above t h e hor iz on ( skyline ) whe n you firs t s ow it . Place a "S" on the some curv d 1,.,., ro how how high t he obje c t wa s above t he horizon (skyline ) when you lost saw it . P loce a n "A" on the compau when you f irst saw it. Place a "S" on t h e compass wh e re '/OV lost sow the object. 18 Jrow a picture that w'd shew .,. mot1on that t he ob1ect or obje cts mode . Place on " A' ' at the beg1n:1ing of tr .. octl'l, a "8" ot rre e nd :i -.e ::10th, and !.Lu .. ~ny .:honge s ,n d~rect:on dur1ng the cours e . ! 29. F l rotr e wl'ls MORE T -.A"< :)t-o;: cbjecr. the n r ow mony we'e there? -------- )row a ptcture of 10'-' ev '*tt' e orro nge d , =r,j put on a rrow to show the dire ction at t h a y ;.erJJ trov, l i.,g . 30. Hove you ever seen th i s , oro similar obje c t before. If so give d ote o r dotes and location . 31. Was anyone e lse with you o t the time you sow the o b1ec t ? ( Circle One) 31.1 IF you answered YES, did they see the object too? ( Circle One) 31.2 Please list t he ir names and addresses: .J,A5r3A-N'r) 32. Please grve t n e folle w ing '"!formation obout yourself: F irst Nome Middle No,..,. TELEPHO NE NUMB;::;, lndrcote a ny o drlrt oncH "'or--otton obour vourself , il"c luding any specrol exp~rience, which might be p..,., r t!'lt 3 3 . ..Vhe n end r., .... no~ d id you reoort that you hod seen the ob1 e c t ? 3.t. Dote you c ompleted th i s quest ionnaire: O o y Month Year 35. Information which y ou feel p ertinent and which is not adequately cov e re d in t he specific points of th stionnaire or a narrative explanation of your sight ing. w.s D. BA.tJSltlTH