l . DATE TIME GROUP 3. SOURC..E PROJECT 10073 RECORD 2. LOCATION !ARYSVILLE, Ollie, JERO~, Ohio, HHE:SLE.RSBUPG, Ohio 10. CONCLUSION OTHER: SPIDER GOSSAJ.'!ER 4 . NUMBER OF OBJECTS .., tlt.i p le . 6. TYPE OF OBSERVATION i~round visual 9. PHYSICAL EVIDENCE Air fil led \7ith soft \vh i te tufts tha t looked like cotton. Silvery. La.nded in schoolyard .and surrou~ding area . FTD SEP 63 0-329 (TDE) Previous c:dltlon& of this f o rm m9y be u11ed. : .. T-:-!1 in a f >V.' worcl:; th o foll owing 1hing1 about thu objoct. I/, Dww ,, pk~J'-' thot will :;how th., shop~ of th., objnct or o bjech, lob, I und lnclu..J.., In y.:;J ~!<t3teh <" '! d :r-li... 1 t:Jf ~;,,., oble::t fnot you :;ow auch O'l '.Ying s , p ro?ru:JiOil!J, o tc., o"d ~.:JPiH.:k1lly ol<hou'\t troll:s or Vt'lpor ~r(11i , , PI P.; 1 en ,;;row b.'uidl' thO} drawing to r.how th~ <tinction tha ohj.:1d Wall rn,wlng. j V.i. Th~ ,_.,)gas o f the obiect ware: (Circla One): o . Fu:uy or blurr"d b. Ll'<<t a bright s tor (3'7'\Shorply outlir.~d d./ Dun' t r~memb"'r l 9. IF th!!tNt wo 3 MOR l: THAN ONE obj'dct, th't:!ln how many war~J th~ti'? /: Dro w a pictur~ o f how t(u,y Wit''" orrong~d, ond put on arrow to show thtr{Hr~ction thot they ware trav~lin~. I O nllt::~:!.i or ll51iii10 i e whnl thtt real :.it fl o f lhrl obj"}CI WO:I in ils iong~sl dirll)tUIOfl. IF f'USSIULE, try llr , lorv" dirltho r I ot uilout tl~m':; (Circle One): ohj~ct or objet. I s oppt!or oJ compor~J with one o f thP. fo l lo wina objuct J h,./d in th..-honr~ H,..a..J o f Hoi f clollr:Jr Si lvcr dol lor Oo<;<lball I. Gropofruit Bo:; b tl: o ll I ?:,. 1 (Chcfc On" ,.,f the f ollo:1ing to indicatf" l1('.1 C"tt'li, yoJ 'lr'! o f y our on";W~'' to Q uestio n 22. c:. f'lo t very !iiJro d. UncNtoin ~ Cerloin b. Foirly cc1 : oin objects disopp~or from vil!w? t Hflw din t h<" object or J1. lu <ordoor t hCII '/C>U con t]iVu 0:1 c:ltc r o piclo,r., u$ po-.:~lbl., nl ..,hat you $ O W, WIJ w oJid li!..e l o t you to lrnoglno 1h~r 'fr"ll o: r.on,!tucl th .. ohjc:t that you -.ow. Ol w lwt tyr o mot.,r>o l ..... ,uld Y"" mol.., i t ? Ho,., I'Jrge would It b , , and whd ~ho'!' wtuJ.I II hnv"? ()-:;crihct In your own word :c. o coonmnn nh1- c t c.or uhj,ct whic-h whttn plnc .. d ttp in the 1ky ovoiJIJ ;~I" I sr'""' 'J;lfhtoronc " o3 h., obj.,ct wl.ic:h y?u sJ W, b. In n c;{!r a. In t!1o lou;. in"s:l ";r;ti,>l ()f 11 ,,Hy? b . In th~ t~"-~itbn! inl !'.-Jclio) of 'J .;lly ~ In orsn c:otrnlrysidll? Flyinf! M!tr on oir~bld? , . h on oirr lu~'! c. Flyin9 ov~r o cit y? f. Fl)ing o'Vo r (.'f'\~11 ct.Htl y? IF you WfJre MOVING IN /\N AUl'OMOBiLE o~ ut:1er vehicle at th e time, thon completa th e f...,llowing ~.:)1:~1~3: Whot climc:t lon were yoJ moving? (Circlo One) ~!r;r th~ast Svulh'!,st f. Southw&st How fao;t wer" you 28.3 Did you !;top ot o;,y t irna h'hile you w~rc looking a t tha object? (Circle OM) Yos No Whot dir~cticn waro you looking wh~n rou fir:or :ww the object? (Circle One) t-lo r troo s t d. SoutheClsl NorthW-!S I What dir~dion w~ro you looking when ~he object? (Circle On'l) t brth E:<.! s t South~w::;t No rthw.e.st 31. IF you or<:! ftroilior w i lh b~ttritJ~ hmns (on!Julor Jir1ction), try t o cstill'Oie the number of degree'> th , objr'lct ~101 fr(Jrn true North and ol.;o th~ nurr.bt!r of d:urc~5 it wa.; u pward from th~ horiLon (<!levalic n ) . Whe n it !ir:;t upp)nrcd: ., a. From tru.g tlor t h _":_ _ J ,.grc Ps . b. Frt.'m hori-rc>n .. "J ,-_: dC'!)ft'~s. 31.2 When ir o:li~.nprcnr~d: u. F1N n tru') t-lorth ,_-_'\_u dl!grtr'ls . 1 l r: Ill )ln\J9T f>r I i !1 hI ro in If y~HI Otl;lVf';!red YI~S, diJ th"'y ~oJP !~u 1. I)), .. ; PI .. .,O$~ lht th.,lr ttomca un1 crld;3.\11:'3: ( C il'da On.,) IF you otuwttr~d fIO, th~n '"'hen, wharc, ol"d .;o. Uo jnu thin'< yCJu con c:otimolt-: l1ow fr;~r owo; frorn yo1J ,;,': cbjet:t wo:.'? I ' /l.lll ctn-:wfr"d YES, th~n how f or owuy ,,ould you !:CIY i~ wos? T ELEPHONe NUMBE \'/hat i:; your pr:;,s~ll P lo n s e i ndicats any special educational trainin g thC1t you hov.:1 had. t: . C ollea"-' 12. D 1t<J y-:>u compll' t.;lJ t!-o is qu~-;tionnoir..,: us;\.~ rts / d-tJ c) tit . .J U. S. A I R F 0 R C E T E C H N I CAL I H F 0 R )A All 0 N S H E E T This que:>t ionnair<t has been pr~par.,d so that you con give the U. S. Air Fore> as much information as possible concerning tllb unidantified aer ia l phcnomanon thiJ? you hove ob1erv, J. P loase try t o onswa r os many question:~ as you possibly con. Th., in fornYJtion t hat you giv will ba used for reseorch purpos s, and will be regarded os confrdential material. Your nom., will not be used in connect ion with any statements, conclusion:;, or puolicotions without your p~mission. W., roqu&st this personal information so that, if it is dct1med neces:;ory, we may contact you fo r furth !It detoi l:s. 1. Whctn did you see the object? 2. Time o f day: Month (Circle 011e): 3. Tim~ :zone: (Circle One); o. Eastern b. Central Moun to in d. Pacific 4. Wherct were you when you saw th.::: object? Add i t ionol re1norks: (Circle One}: a . Daylight Sa ing b. Standard City o r Town Stol8 or Country 5. Estimottt how long y ou saw the object. 5. 1 C ire/a one of the follow