302546661.pdf

|  1. DATE - TIME GROUP | 2. LOCATION  |
| --- | --- |
|  3 January 66 04/0320Z | Burbank, Ohio (2 Witnesses)  |
|  3. SOURCE | 10. CONCLUSION  |
|  Civilian | Satellite Prob. Adv. plane  |
|  4. NUMBER OF OBJECTS |   |
|  One |   |
|  5. LENGTH OF OBSERVATION | 11. BRIEF SUMMARY AND ANALYSIS  |
|  5 Minutes | Object appeared in the NNE and disappeared in the SSW on a straight and level course. Object appeared as a white light. No wings, or exhaust and no noise was observed. Observer was in a moving auto at the time.  |
|  6. TYPE OF OBSERVATION | After checking map and observers sketch it was…

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 possible concerning the unidentified aerial phenomenon that you have observed. Please try to answer as many questions as you possibly can. The information that you give will be used for research 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 o…

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14. Did the object disappear while you were watching it? If so, how? YES
IT CAME FROM NNE AND DISAPPEARED SSW ON A STRAIGHT, DIRECT COURSE

15. Did the object move behind 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 object 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 object:
a. Sound NONE THAT WE …

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|  20. Do you think you can estimate the speed of the object? (Circle One) ☑ Yes ☐ No IF you answered YES, then what speed would you estimate? 500 MPH ESTIMATE ONLY  |
| --- |
|  21. Do you think you can estimate how far away from you the object was? (Circle One) ☑ Yes ☐ No IF you answered YES, then how far away would you say it was? 5 MILES ESTIMATE ONLY  |
|  22. Where were you located when you saw the object? (Circle One): a. Inside a building b. In a car c. Outdoors d. In an airplane (type) e. At sea f. Other ___________  |
|  23. Were you (Circle One) a. In the business section of…

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27. In the following sketch, imagine that you are at the point shown. Place an "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 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.

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 "B" at the end of the path, and show any changes in dire…

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30. Have you ever seen 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? (Circle One)
☐ Yes ☐ No

31.2 Please list their names and addresses:
MY WIFE
CHIPPEWA LAKE, OHIO

32. Please give the following information about yourself:

|  NAME | Last Name | First Name | Middle Name  |
| --- | --- | --- | --- |
|  ADDRESS | Street | City | Zone  |
|  |   |   |   |

TELEPHONE NUMBER 4 AGE 48 SEX MALE

Indicate any additional inf…

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34. Date you completed this questionnaire:
Day _____ Month _____ Year _____

35. Information which you feel pertinent and which is not adequately covered in the specific points of the questionnaire or a narrative explanation of your sighting.

WE SAW A BRIGHT WHITE LIGHT TO OUR LEFF AND AHEAD. AT FIRST WE THOUGHT IT MIGHT BE AN AIRPLANE, BUT IT WAS TOO BIG AND IT SEEMED TO GET LONGER, PROBABLY BECAUSE IT WAS GETTING CLOSED. IT WAS NOT AN AIRPLANE. WE SLOWED DOWN TO WATCH IT. IT WAS ON A DIRECT COURSE, STAYED AT THE SAME HEIGHT, GOT BRIGHTER AS IT GOT CLOSED AND THEN DISAPPEARED FLYING …

FTD (TDEW)
Wright-Patterson AFB, Ohio 45433
6 April 1966

Chippewa Lake, Ohio 44215

Dear Mr. [redacted]

Reference your unidentified observation of 3 January 1966. The information in your letter is not sufficient for evaluation. Request you complete the attached FTD Form 164 and return it in the envelope provided.

We wish to thank you for reporting your observation to the Air Force.

Sincerely,

HECTOR QUINTANILLA, Jr, Major, USAF
Chief, Project Blue Book