t. LOCATION 12. COMCLUitONI Warren Toledo, Ohio a Bell" 15 Apr 6o a Pre~t.w, Locel_--...._.. O..UII .. Yiau.e a O..ouRRr D Woe Aircraft a ProltoWr Aircraft S. D Woe AatroneMI eel D Yea ' D ProltoWr Aat,.nolcel I Me Civilian D PoaaiWr Aatronondcel D lnaufflcleftt Doto for Evoluotlon 10 sec seven RotatiDs a UMnown IIIIP IUMMAIY Oft IIOHTINO 11. COMMIMTI Seven l s 1D. "V'' ion, size ot pea at Sillce obJects reappeared when the car a.ra's leasth tirst seen rotat1D8. Viewed tor retraced its path it is considered that 10 sec while dririDS 1D car. Retraced. ~ath. objects viewed were reflections ot lights after lights disappeared and lishts reappeare at right angles to the direction of 1n s tormation ADd sequence as before. motion. Pattern of "V" adds to the illusion that the obJects were rotating U. I. A I R P 0 R C I T I C H MICA L IMP 0 R MAT I 0 H S H I! I T Thle ttuettlonnolre haa Men preporecl that you con give the U. S. Air Force as much lnfNtiM possible concerning the unlclentlflecl aerial that you have oltavecl. frJ te onewer ny queatlons you possll.ly con. The lnformotlon thot you give will f reaMrch purpoaea, oncl will be reeorclecl 01 confidential lal . Your name will nof In cennectlon with an)' atotementa, conclualona, or publications without your pmlaalon. We requeat this peraonol Information thet, If It Ia dHmed neceaaory, we contact you f fwth cletolle. 1. When 414 ~- the olaiect? 2. Time of clay: (Circle One): 3. Time aone: (Circle One): a. Ea1tern (Circle One): b. Central d. Pacific Where were you when you 10w the obiect? Neor Poatol Ad.lr Cltr or Town Additional 5, Ea.timote how long you 1ow the obiect. 5.1 Circle OM of the following to Indicate how certain you ore of c. Not very sure b. Fairly certain d. Ju1t o gue11 6. What waa the condition of the 1lcy? Daylight Saving . Stote Of Country (Circle One): a. Bright daylight b. Dull daylight e of doyl ight c . B ri gh t tw i I i gh t 7. IF you saw the obiect during DAYLIGHT, TWILIGHT, or DAWN, where was the SUN located a1 you loolced at the obiect? (Circle One): a. In front of you In bock of you d. To your left e. Overhead c. To your right f. Don't remember ATIC FORM NO. 164 (13 OCT ~4) 16, Tell In a few words the following thing obout the oblect. it. Color ----- 17. Draw a picture that will 1how the shape of the oileet or obfecfl. Lobel and. Include In your sketch any detail of the obfct that you aaw auch cas wing, protru1lont, etc., and eapec 'ally eJChauat trail a or vapor trallt. Place on arrow bealde the drawing to ahow the direction the oblect was moving 18. The edges of the o biect were: (Circle One): a. Fuzzy or blurr.,d ( ,br Lllceobrlghtstar c. Sharply out I ineJ ' d. Don't remernhttr 19. IF there was MORE THAN ONE obfeet, then how mony were there? S ~v;#',.J Draw a picture of how they were arro'1ged, and put on arrow to show the direction that they were traveling. I. IF you aaw the ollc\ at NIGHT, TWILIGHT, or DAWN, what cfld you notice concerning the STARS and MOON? 8.1 STARS (Circle One): 8.2 MOON (Circle One): Br lght moonlight Dull moonlight N~ moonlight -pitch dark Don't remomlter Don't rememher 9. Was the ol:atect brighter than the baclcgrouncl of the slcy? (Circle One): (a, Yes c. Don't rememl.er 10, IF It woa BRIGHTER THAN the slcy lMaclcgrouncl, was the lwlghtness lllce that of an automobile headlight?: (Circle One) a. A mile or more away (a distant car)? b. Several bloclcs away? c. A bloclc away? d. Several yards away? 11. Old the object: a. Appear to stand still at any time? b. Suddenly speed up and rush away at any time? . c. Break up into parts or explode? cl. Give off smolce? e. Change bdghtness? 1: Change shape? g. F Iicker, throb, or pulsate? (Circle One lor eaeh question) No Don't Know No Don't Know {No. Don't Know t No Don't Know L No . Don't Know No Don't Know L No , Don't Know 12. Old the obiect move behind sontethlng at anytime, particularly a cloud? (Circle One}: Yes C No Don't Know. IF you answered YES, then tell what 13. Did the obiect move In front of something at anytime, particularly a cloud? (Circle One): Yes (No ~ Don't Knnw. IF you answered YES, than tell what 14. Did the object appear: (Circle One): a. Soild? b. T ronsporent? 15. Did you observe the obiect through any of the followlng\w a. Eyeglasses _Y.l!. No e. Binoculars b. Sun glasses Yes No f. Telescope c. Windshield Yes No . g. Theodolite c. Don't Know. d. Window glass Yf!u- No h. Other------------- Where were you lucated when you saw the obiect? 26. Were you (Circle One) (Circle One): a. In the bus inesa section of a city? b. In the residential section of a city? a. Ins ide a building c. In open countryside? Cl. Flying near an airfield?. b. In a car. c. Outdoors d. In an airplane e. Flying over a city? f. Flying over open country? 27. What were you doing at the time you saw the obiect, 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: 28.1 What direction wertJ you moving? (Circle One) a. North c. East b. Northeast d. Southeast f. Southwest h. Northwest 28.2 How fast were you moving? Did you stop at any time while you were looking at the obiect? (Circle One) Yes . No ~TIEi~tc6A P~7ZI .C A-Mtl ~ IIJ ~c. r S' 29. What direction were you looking when you first saw the obiect? (Circle One) b. Northeast o~tht,a{!, , f. Southwest h. Northwest 30. What direction were you looking when you last saw the obiect? (Circle One) b. Northeast d. Southeast . 1. Southwest h. Northwest 31. If you are familiar with bearing terms (angular direction), try to estimate the number of degrees the obie~t was from true North and also the number of degrees it was upward from the horizon (elevation). 31.1 When it first appeared: a. From true North . _ :z::: ~ degrees. b. From horizon ...a0.:..._. degrees. 31.2 When it disappeared: a. From true North _ / 8'0_ degrees. b. From hori::o n ----~.J-1:1# degrees. 20. Draw a picture that wLII ahow the motion thot the ol.lc~ ff! ol.lecta n.ade. Place on A et the laeglnnlnt of the path, a a at the encl of the P.th, and ahow any, chang In direction dwlng the courae. 21. IF POSSIBLE, try to 1 01 eatlnklte .what the real alae of the ol.fect waa In Ita longeat dhnenalon. 22. I low Iorge did the. obfect f/!6 olfects 01 compared with one of the following obfect. belfl lrt tlte and at a ~out ar~' 1 length? (Circle One): a. Head of a pin d. Nlclutt f. Half dollar I Silver dollar h. Baseball I . Grapefruit I Baslcetball lc. Other-------- 22.1 (Circle One of the following to Indicate how certain you ore of yow answer to Ques~lon 22. a. Certain c. Not very swe 1. Folrly certain d. Uncerta.ln 24. In order thot you can gl'le aa clear o picture oa poaall.le of what you aow, we would like for you to lrno1IM thot you could conatruct. the ol.lect thot you aaw. Of what type rnoterlol would you molce It? How Iorge would It lte, and .wh.at ahape would It have? Deaetll,e In your own wordt o ~ammon ol.fect or oltlecta which when placed up In the alcy would give the aome oppeorartee aa the obfect whteh you aow. 34. What were the weather conditions at the time you saw the obiect? 34.1 CLOUDS (Circle One) a. Clear sky c. Scattered clouds d. Thiele or heavy clouds . Don't remember 34.2 WIND (Circle One) a. No wind b. Slight breeze c. Strong wind d. Don't re1fl1mber 34.3 WEATHER (Circle One) 34.4 TEMPERATURE (Circle One) b. Fog, mist, 011 light rain c. Moderate or heavy rain e. Don't rementber e. Don't remember 35. When did you report to some official that you hod seen the obiect? I P lVI ~Y <.o Day Month Year 36. Was anyone else with you at the time you saw the obiect? (Circle One) (Yes 36.1 IF you answered YES, did they see the obiect too? (Circle One) Yes No 36.2 Please list their names and addresses: 37. Was this the first time that you hod seen on obiect or obiects lilce this? (Circle One) (Yes 37.1 IF you answered NO, then when, where, and under what circumstances did you see other ones? 38. In your opinion what do you think the obiect was and what might have caused it? ? A y 7 le,l'l.. AJ 32. In the following sketch, ienagine that you are at the point shown. Place an A" on the curved I ine to show how the obiect wos above the horizon (skyline) when you first saw lt. Place a "B" on the .some curved line to show how high the obiect was above the horizon (skyline) when you lost sow lt. . 33. In the following larger sketch place an A" at the position the obiect was when you first sa~ it, and a "B" at its position when you lost saw it. Refer to smaller sketch as an example of how to complete the forger sketch. 39. bo you thlnlc you can estimate the speed of the oblect? (Circle One) Yes IF you answerecl YES, then what speed would you estimate? 40. Do you thlnlc you can estlntate how far away from you the obiect was? (Circle OneJ Yes No IF you answered YES, then how far away would you say It was? C 1. Please give the followint Information al.ut yourself: Please Indicate any special educational training that you have hod. Grade school e. e. T echnicol school b. High school Other special training Post graduate 42. Date you completed this questionnaire: