1. OATE TIME GROUP l . SOURCE Ci-.t:.lian 4 . NUMBER OF OBJECTS S. LENGTH OF OBSERVATION 5 ?Iinut e s 6. T YPE OF OBSERVATION pf'f:Jir}.t / Grour.d Se~ C.:.se File 9. PHYSICAL EVIDENCE PROJECT 10073 RECORD 2. LOCATION Barberton , Ohio 10. CONCLUSION PROSABLY AIRCRAFT 11. BRIEF SUMMARY AND ANALYSIS Ciea:r s h3.ped object F :peared e.:1d traveled into the ~:est t<li th0trt sound. S;"'ldll o~ject -..-ia.s s --lea-rin; lr.rt:'3r o:1e. It tre'tTeled "i.nto. the e:t::;7,' ..,,rhile larger oo,j'3ct '.i n t t-:-;3t. Cb; PCt, ob3erved e:~i:, night t:!.ne. Ver-J =- id spef?d. Esti.:~:-<.t~t;l~ .?1 ti tnce 6,cco ft. Prevtoua edition of thla f onD m a y ba uaed U. S .AIR FORCE TECHNICAL IHPORMATIOH SHEET (SUMMARY D~ TAl fn order that your Information may be flied and coded 01 accuretely ot possible, please use the foflowing spaee to write out o short description of tM r~eftt that you obstried. You moy rtt- peot Information that you have alreocly vlven In the queaU......m., w oclcl any further comw.nts, statements, or alcetchea thot you b.lleve are Important. Try te ,.,,,.t the detallt of the observa tlon In the ?rder fn whleh they oceurr.d. Addltlcnal poe-t o1 tM ..... II paper rrtay be attached If they are needed. (PI Prtm) {0. Hel Wrl,. In This Space) U. S. A I R ~ 0 R C E TECHNICAl IN F 0 R MAT I 0 H 5 HE E T Thi s quo.stionnoiro ho 1 bHn prepared ao that you con gi ve the U. S. Air For::,. (I~ r. t.11 lnfcwmotion o s po;sib!-t c oncerning the unid~tntlfiad aeria l p he nomenon thot >ou hon ,.,o .. <lrn. P ll!ose try t o on~"'~' os ma11y tjU~!ifion:s 0 5 you poHibly con. The information that yoJ -Jiv..-... iii bt~ u s e d fo1 t e1&<Jrch purpo.HHi , a nd will bo rogord8d o' confidential motcr iul. Your r o m'lt will or be u5ed in connection with any stotoments, c onclus ions, Of publications without your pOfrri~-:.ton. We t .>qvest !his personal infcrmo lion so that, If i t I s deemed necessary, w;, may contact 't"'-j,, further details. 1. When d id you ue the obj~ct? 3. TIme zone: (Circle Ona): Oo East$rn b. C3ntral PrJc I f ie: 4. Whert wert you w hn you sow th-e objl!ct? 2. Time of day: (Circle One): A.M. (Circle One): o. Daylight Saving b. Standard N41orest Poatol Addru C ity or T wn Stot~ o r Counlr y Add I t iona I r~morks: S. Estimate how long you liow the obj"cL 5 . 1 Circle one of th e following to indicate how certaIn you are of your answer to Question S . r . :H to In 6. What was rnct conditi a1 of th~ sky? (Circle One): a. Bright daylight b. Dull daylight c. Bright r,.,il ight () Not very sure d. Ju.st a guess d. J ust a trace of day I ight 9 No trace of daylight / f. Don't remember 7. IF you sow th e o b ject dur in g DAYLIGHT, TWILIGHT, or DAWN, where was the SUN locate d o,; you I:Jo~ed t he object? (Circle On~): o. In front of yo u d. To your left b . In bock of y ou e . Overhead c. To y o ur ri ght f. Don't re me mber B. I'= }'>t :o;r""' t' 1 .)ujPd, a t NIGHT, TWILIGHT, o r DAWN, what did you nofico concern ing tho:: ZTARS ond MOON? d. Don't remomb,.r 8.2 MOON (C irr:le On~): G. Bright moonl ig h t b. Dvll moonlight c:. No moonl ight-pitch diJr k d. Don't remember 9 . ,;,,., tl-'3 o':>iect brighte r than the background of the sky? c. Don't r emember 10. lF ir wo; BRIGH fER THAN the sky background , wos the brlghtne 5S like thot of on automobile he.,dllght?: (Circle One) a. A mile or more away (a distant car)? b . Several blocks away? c. A block away? d . Severa I yards away? D iJ !he object: (Circle One lor each question) c . A;:>peor t o stand still ot any time? No Don't Know b . Suddenly speed up and rush away at ony time? CE;J D o n ' t Know Breok up into ports or explode? D on't Know Give off s moke? Don't Know CJ. C~tonge bright ness? Don't Know Change shape? Ye s (No:) Don't Know g. F Iicker, th rob , or pulsate? Yes Don't Know 12. D 1d the ~bje ct move beh ind so!'Tlflthing at anytime, particular ly o cloud? ( C ire:'! One) : Yes @ Don't Know. IF you answered YES, then tell wnot 13. D id th e obj~ct move in front of something at a nytime, particulorly o cloud? (CrrcfP. One ): Yes G0 Don't Know. IF you answered YES, thon t e ll whot @Don't Know, 14. Did the object a ppe a r : (Circle One): a. Solid? b. Transparent? 15. Q ;.; ~OU obsP.rVe the object ~hrough any o f the following? o . ::/~glosse5 Ye s No e. Binoculars b. S n glosses Ye s No f. Telescope Yes No c. Win l:;hield Ye s No g . T he odolite ..J. '.~ irdow gloss Yes No h . 16. T\JII In a few words the following thing' about the object. 18. The edges of the object were: (Circle On): a. Fuuy or blurred b. Like a bright stclr @ Sharply outlined d. Don't remember 19. li: there was MORE THAN ONE object, then how mony were there? -~;;_...;:-;;;..~------------- Draw a picture of how they were arranged, and put an arrow to show th direction that they were traveling C'HlW c ~-i:rur" tl" 1l will ;hl')w t!o mol ion t hnt tl11,. objoct or objcc:ts modt:. Place o n "A o f t h o beginning r : In r(1th , o " U a t the e-nd or th'! pot!., on~ ~how any c hongl!!5 In cJif,~c.lion d uring tle couno. 21. IF POSSIBLE, try t o guess o r ostimote what the rea l s ize of the object wos I n Its longest dimensio n . 22. How larg~J did t he object o r obje cts oppear os compared with one of thl'! following objcts he/c/ in the l,n,d and a~ about arm' s length? (Circle One): o. Head o f 9 pin GJ Pea A?r,u..t/ ~ fe:) Quarrer 'r:' Half dollt:Jr g. Silver dollar h. Baseball I . Grapefruit j. Bo~ketboll 22.1 (Ci:cle One of the following to indicat e how certain you ore of your answer to Q uestion 22. o. C ertain y-b. Fairly certain c:. No t very sure d . Unc ertain 24. In o r d11r that you eon give os eleor o pictur., o s possible ol what you sow, we would l il!e ,or you to Imagine that you coul-J ccrHtruct the object that you sow. O f what type material would you ma"tt It? How Iorge would It b., and what shop' oui:J i t hovo? Des c ribe In your own w or d s o common obj.,ct or objttcls w"lch w httn pl"c.O up in the s!cy would giveth, Jt"ltn't o;~peor:lnce Ol h e object which you sow. 23. ::; "! ,. "'I} you locot!)d wh'!n you sow t ho obj~ct? a . In:. iJ..:-a build i no b. In o cc1r d. lncnoirplun., .,, AI o:;oo 26. Were you (Circle One) a . In tho b uslnlls3 or;~ctlou o f a city? b. In th~ ro~id,Jnt io I ~-.:c:t ion of~ cl tv? .~In oren countrysid..:l? Lc(. Flying near on airflciJ? e. Flying over o c ity? f. Flyi ng over open <:ountry? '.~hat W'Jro you doing ot th'.! t ime you s o w the object, and how did you happen to notico 28, I F you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following qv!utlon!: 28.1 What direction were you moving? (Circle One) a. North r;. Eo s t b. Nort heo!lt d. Southeast f. Southwest 28.2 How fast were you moving? ------------miles per hour. 28 .3 Did you stop at any t i me whil e you were looking at the object? (Circle On~) Yoes No 7.9. What dir ection were yo u looking when you first saw t he object? (Circle One) @ Northeast c . Eo s t d. Southeast f. Southwest 30 . What d irection were you looking when you lost s ow the o b ject? (Circle One) .. c . East e. South b. Northeast d. South'!ast f. Southwest h. Northwest h. Northwest CEi) Northwe~t 3 1. If you ore fa miliar with bearing terms (angul a r d irection), try to estimate the number o f degrees the objact 'N09 fr o m tru e North and also the number of degrees it was upward from the horizon (elevati on ) . When it firs t appeared: a. From true North------degrees. b. From horizon _ degrees. Wh:m it disappeared: a . From truOJ North------degrees. b. F rom horizon dF1grees. !n !h., fullowinQ !:ketch. tfT'IOgine thn! you or~ nl the: ~o1nt sho .... n. Pluce 1111 A'' on tlw curve-:!! in., to show I 1-1 h'l'' th~ oiJitc t .,..,os above the h.;r izor {skyline) when you ltrst sow : t . Pineo a "8~ on t he scu11r;, ctJrv~d 1; ... !') ,,;,.._,"' hvw hiuh "'" ohiPc t wo:; above tl>e horizon (d<ylin-.:) when you fast sow it. In the following larger sketch place on A" at th ~ po5ition th e object was when yo u fir~t sow it, ond a "8" or position when you lost sow it. Refer to smaller sketch os on example of how to complete the larger sketch. .:> wcolhtr condilions ot the time you sow th~ objact ? 3 ~ .1 C L O'jDS (Circf~ Ono) Q CltJcr ::;!<y d. Thick or hotJvy cloudJ e . Don't rl')rnember J ,i. 3 WEATHER (Circle One) or I i g h t rll In c. Moderate or heavy rain e. Don't remember of"' t '"am.,mo.,r 35. When d id you report to some offlelol that you had seen the object? -5- :16. Was anyone else with you at the time you saw the oblect? (C lrcle One) @ No 36. 1 IF you answered YES, did they , the object too? (Circle One) @ No 36.2 Plt!tase list their name 37. Was this the first t ime that you had seen an obiect or objects lik~ this ? IF you answered NO, hen when, where, and under w~at c ircumstanc e did you sei9 other ones? " j (C ircfe One) Yes 38. In your opinion what do you th ink the o b jec t was and what might hove caus~d i t? C:UA CA:-7-r- Jo. D.) ) ; ::linl< you con ~stimoto the spee d o f th., object? (Circle Or.~) Ye:; ~ IF y:;tJ an.>wored YES, thon w hat sp~ed would you .,:stimote? 40 . Do y ou thin~ you con estimate h ow fo r o woy fro m you the object was? (Circle One) IF you ens wered YES, th!tn how far owoy would you soy It wo s? 41. Please give the following Informat io n about yourself: Firat Nome T E LEPHONE NUMBER J/!J5-3 .y' 5CJ d) vf (a;.zf Please indicate any special educatio11al training thot you have had. Grade school o, e. Technical school High school Other special ttolnlng Post graduate 12. Date you completed this questionnaire: