PROJECT 10073 RECORD CARD 2. LOCATION 12. CONCLUSIONS Was Balloon Centerville Ohi.o Probabl y Balloon 3. DATETIME GROUP 4. TYPE OF OBSERVATION Possibly Balloon E~T O<Gf.oun d-VI sua I GroundRodor 0 Was Aircraft P robobl y Ai rcroft GMT 22L0230Z 0 AI,.Visuol 0 Alrlntercept Radar Possibly Aircraft tXx!Nos Astronomi cat{t'~,.fo.JSrVoJ) 0 Probably Aatronomlcol (j(Ffo Civilian 0 Ponibly Astronomical LENGTM OP'.OBSERVATION HUMBER OF OBJECTS 9. COURSE 0 Other Insufficient Ooto for Evaluation 16 minutes 10. BRIEP' SUMMARY 0, SIGHTING 11. COMMENTS s tar- 1 ilte objects. Venus At'C tut~S, very bright this time and disappear rather after sunse t .. ATIC FORM 329 (REV l6 SSP S2) U. $. :A I R F 0 R C E T E C H H I CAL I H F 0 R MAT I 0 N S H E E T Thit questionnaire haa been prepared so that you con give the U. S. Air Force 01 much lnfCW"mation 01 poulble concerning the unidentified aerial phenomenon that you have observed. Pleaae try to answer 01 many queatlons as you pouibly can. The Information that you give will be u .. d for research purpo1 .. , and will be regarded aa confidential material. Your narne will not be used In connection with any stotementa, concluslona, or publications without your p.,miulon. We request thla p.nonal Information 10 that, If It Ia deemed neceuary, we may contact you for further details. When d id you see the object? 2. Time of day: ;</ ~ () (Circle One}: A.M. or P.M. Yeo 3. Time ao,.: (Circle OneJ:(f) Eottern b. Central c. Mountain (Circle One}: a. Daylight Saving 4. Whet'e W$re you when you sow th e object? l?etJJ c;R-J LLG: Neorett Poetol 1\ddre u City or Town Addlti'O-na l;;,;;a,k.: 5. Es tlmote l1ow long you sow th ob; C t. Hourt Minute Second S.l Circle one of the following to Indicate how certain you ore of your ontwer to Quutlon 5. ~ Fairly certain 6', What was the condition of the a~y? (Circle One}: d) Bright day I ight Dull daylight c. Bright twilight c. Not very sure d. Just a gueu d. Just a trace of daylight e . No trace of daylight f. Don't r.,m.,mber 7. IF you sow the object during DAYLIGHT, TWILIGHT, or DAWN, where was tho SUN located o s you looked at the object? (Circle One): a . In front of you b. In bock of you ~ To your right d. To your left e. Overhead f. Don't rememb"r ATlC FORM NO. !o4 ( lJ OCT 54) 8. IF you aaw the ouJect, at NIGHT, TWILIGHT, or DAWN, what did you notice concerning the STARS and MOON? 8.1 STARS (Circle One): 8.2 MOON (Circle One): o. Bright moonlight b. Dull moonlight e. No moonlight -pitch doric d. Don't remomb,.-;--I , ) ~ } d. Don't ~emember 9, Wa the object brighter than the b kground of the slcy? (Circle One}: b. No c. Don't remember 10. IF It was BRIGHTER THAN the sky background, was the brightness like that of on automobile headlight?: (Circle One) a. A mile or more away (a distant car)? b. Several blocks away? c. A block away? d. Several yards away? 11. Old the object: (C ircle One for each question) a. Appear to stand still ot ""'I time? (. Ye No Don't Know Yes @: Don't Know Yes Don't Know Don't Know e )(c; Don't Know Don't Know No Don't Know b. Suddenly speed up ancl rvah awa)l at any time? c. Break up into ports or uplode? d. Give off smoke? e. Cha nge brightness'/ f. Change shape? g. Flicker, throb, or pui~<Jte? 12. Old the object move behind ltHNt.,lng at anytime, particularly o cloud? (Circle One): Yes I' No/ Don't Know. IF you answered YES, then tell what 13. Did the object move In front of somethln at anytime, particularly a cloud? (Circle One): Yes o ~ Don't Knnw you answered YES, than tell what 14. D id the object appear: (Circle One}: a. Solid? 15. Dicf you observe the object through ony ~-\he following? a. Eyeglasses Yes ~ e. b. Sun glosses Yes ~. f. c. Windshie ld Yes ~ g. d. Window glass Yos f(!;ft h . h. T ro nJpor..,nt? Binoculars Theodolite 16. Tell In a few word the following thing obout the obJect. 17. Draw a picture thot wilt ahow the ahape of the obJect ot objecta. Lobel and Include In y04Jr ~etch any detail a of the object that you saw auch 01 wings, protruafona, etc., and eapecfally exhauat trolla ot vapor troll a. Place an arrow b.alde the clfowfng to ahow the direction the object woe moving. 18. Th. edgea of the obJect were: (Cirel~ One): a~Fuuy or blurred @.II" a bright.~, c. Sharply outllft.d d. Don't rem""&.' 19. IF there was MORE T~AN ONE obJect, then how mony were there? ---=~::::;:- _ , Draw a picture of how they were arranged, and put an arrow to ahow the direction that they were traveling. 20. Draw a picture tStot wlll show the motion thot the obJect or obJecta mode. Ploce on A et the beginning of the path, a s at the end of the path, ond ahow anY, change In direction during the courae. 21. IF POSSIBLE, try to guesa 01 eatlmote what the real alae of the object was In Ita longeat dlmenalon. 22. How large did the. object 01 objects oppear as compared with one of the following obJects held In t'h. honJ ond ot obout 01m's length? (Circle One): $. Heoc:f of o pin Sliver dollar h Bo .. boll Grapefruit Boalcetboll Half dollar 22.1 (Circle One of the following to Indicate how certain you ore of your answer to Queat.lon 22. o. Certain c. Not very sure b. Folrly certe ln d. Uncertol., 2-C. In ord" that you COft glvo oa cl" o plcturo po .. l~lo of whot you ow, we woul.l lll1o f you to l"'llno thot you coul.l contruct tho oltfoct thot you uw. Of whot typo MotOflol woultl you motco It? How lwgo would It le, on.l whot hope woultllt hovo? O .. ctllto In your own wd o ~ommon oltloct or o~toct which when ploco4 "' In tho lly would give tho omo oppooronco tho obJect which y.v w. Where were you lucoted when you sow the object? (C,ircle One): Inside a building c. utdoors In on a irplone 26. Were you (Circle One) In the business section of a city? In th ~ residential section of a city? In open countryside? Flying near an airfield? Flying over a city? Flying over open country? 27. What were you doing at the time you sow the object, and how did you happen to notice it? 28. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: Wha t direction were you moving? (Circle One) a. North c. East e . South g.' West b. Northeast d . Southeast f. Southwest h. Northwest 28.2 How fast were you rmv lng? ----------miles per hour. 28.3 Did you stop at any ti me while you were looking at the object? (Circle One) Yes No 29. What direction wera you looking when you first sow the object? (Circle Ona) a. North c. East e . Northeast d. Southeast Southwest h. Northwest What direction were you looking when yo u last sow the object? (Circle One) a. North c. East e b. Northeast d. Southeast h. Northwest 31. If you ora fami I ior with bearing terms (angular direction}, try t o es ti mote the number o f degrees the objact was from true North and also the number of degrees it was upward from the horizon (elevation). 31.1 'Nhen it fir:st oppeored: a. Fro m true North --d---;-:ff-"':"""i;a--degrees. From h orizon @i1ii<Ufetgrees. LJ 5 31.2 When it disappeared: t rue North ----------degrees. 32. In the following sketch, imagine that you ore ot the point shown. Place on A" on the curved line to show how the object was above the horizon (skyline) when you first sow it. Place o "B on the some curved line to show how high the object wos above the horizon (skyline) when you lost sow it. 33. In the following larger sketch place on A" ot the p:aition the object was when you first saw it, and a a at its position when you last sow it. Ref"' to smaller sketch as on example of how to complete the larger sketch. 34. What were the weather conditions at t he time you saw the object? 34.1 !1ftcUDS (Circle One} C lear sky c. Scatte red clouds d. Thick or heavy clouds e. Don't remember 34.3~THER (Circle One} ,mist, ot light rain c. Moderate or heavy rain e. Don't remember 34.2 WINO (Circle One} ~I ight breeze c. Strong wind d. Don't remember 34.4 TEMPERATURE (Circle One) e. Don't remember 35. When did you report to some officio I that you had seen the object? D o y Month Yeor 36. Was onyoM o ls with you ot the t ime you sow the object? (CircleOne} Yes ' No IF you answered Yt~ .Aid they u the object too? (Circle One} y;: ... ..} No 36.2 Please list their names and addresses: Was th is the first time that you hod se~n a object ot objects like this? (Circle One} Yes ( No 37.1 IF you answered NO, then when, wnero, and under what circumstances did you see other ones? 38. In yov opinion what d o you think tho ooject was ~:md what might have COU\&d It? 39. Do you think you can estimate the speeJ~,the object? (Circle One} Yes IF you answered YES, then what spee would you estimate? Do you think you can estimate how far away from you the object was? (Ctrcle One) Yes (!!;!J IF you answered YES, then how far away would you say it was? 41. Please give following information about yourself: Middle Nome -Stote City TELEPHONE NUMBER --: Please indicate any special educational training that you have had. o. Grode school . c f/1 J c . College S't=zt(..t_. e. e. Technical school ------------- Other special training------------ d. Post graduate ---------- 42. Dote you completed this questionnaire: Ooy Month Yeor