October 1953 | Mapleton, Maine
hound=inval
_y_ a oh a Le alk ow ; Fry 1 ; . 4a = # = ba “ry Rh : . 3s
To wound, Ox eks at 80 der ~laveilon 170 de he
wo
>
#
: §.% » i
AL! : aq ® i § 5 a 5 YE ’ a 3 | ph
a gi
GM
OCR recovered text quality varies — view PDF for accurate reading.
SATE - TIME GROUP | "2. LOCATION
| ag Ev, OHIO
from i De, He took pictures of UFo and
"Form 164 sant to VA
le. PHOTOS
he Lo Not received
[5 PHYSICAL BVIDENCE
| © Yes
> Ne
FORM
FTD sep 63 0.329 (TDE) Previous editions of this form may be used,
MS ts Be Ti its ym © deni |) abl ed ty Fan po tiplles Bate boli lib sal
| A TE PROJECT 10073 RECORD.
i he FID Form 164 sent to witness, not returned after 30 days
| one oT = fu. i ‘her L200 is received.
itness along with