302548366.pdf

|  1. DATE - TIME GROUP | 2. LOCATION  |
| --- | --- |
|  27 March 66 28/0415Z | Xenia, Ohio  |
|  3. SOURCE Civilian | 10. CONCLUSION INSUFFICIENT DATA FOR EVALUATION  |
|  4. NUMBER OF OBJECTS Three |   |
|  5. LENGTH OF OBSERVATION 5-10 Minutes | 11. BRIEF SUMMARY AND ANALYSIS There was insufficient data to make a proper analysis. An FTD Form 164 was sent but returned marked address unknown.  |
|  6. TYPE OF OBSERVATION Ground-Visual |   |
|  7. COURSE Varied |   |
|  8. PHOTOS ☐ Yes ☑ No |   |
|  9. PHYSICAL EVIDENCE ☐ Yes ☑ No |   |

FORM
FTD SEP 63 0-329 (TDE) Previous editions of this f…

Lt. Herman, 2130
Sunday evening scattering near Rifton

# 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 cont…

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14. Did the object disappear while you were watching it? If so, how?
3 got near to ground & then disappeared

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: some behind trees

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:
some went in front of a tower

17. Tell in a few words the following things about the object:
a. Sound no sound
b. Color l…

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8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?

8.1 STARS (Circle One):
a. None
b. A few
c. Many
d. Don't remember

8.2 MOON (Circle One):
a. Bright moonlight ?
b. Dull moonlight ?
c. No moonlight – pitch dark
d. Don't remember

9. What were the weather conditions at the time you saw the object?

CLOUDS (Circle One):
a. Clear sky
b. Hazy
c. Scattered clouds
d. Thick or heavy clouds

WEATHER (Circle One):
a. Dry
b. Fog, mist, or light rain
c. Moderate or heavy rain
d. Snow
e. Don't remember

10. The object appeared: (Circle One):
a. Solid
b. Transp…

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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? *faster than jets.*  |
| --- |
|  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? *about ½ mile.*  |
|  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 a city? b. In the residential…

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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.

at all agents angles.

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 s…

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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:
another a whole slew of relatives

32. Please give the following information about yourself:
NAME
Last Name First Name Middle Name
ADDRESS Route 22, Jamestown Road, Xenia
Street City Zone State
TELEPHONE NUMBER AGE 17 SEX F

Indicate any additional information about yourself, incl…

FTD (TDEW)
Wright-Patterson AFB, Ohio 45433
5 April 1966
APR 5 1966

Xenia, Ohio 45385

Dear Mr. [redacted]

Reference your recent unidentified observation of 27 March 1966. The information which we have received is not sufficient 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 Air Force.

Sincerely,

[Signature]

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