PROJECT 10073 RECORD CARD 2. LOCATION 12. CONCLUSIONS J lcve l onc , Ohio 0 Was Bali-n 0 Probably Bali-n L}:) D 'If 0 Was A.ircroft Local-------------'O"Groun4-Visual 0 Grovnci Aodor "'0/1 c; 10.. . - -C,l 0 Probably Ai r croft S. PHOTOS SOURCE 0 Was Astronomical 0 Probably Astronomical 0 Pouibly Astronomical 7. LENGTH OP 08SUVATION 10. BRIEP SUWI&ARY OP SIGHTING I . NUW8ER OP OBJECTS 9. COURS! 0 In suffl ctont Data for Evoluoti on 11. COMMENTS t AT1C PORW U9 (R&V 26 IIU' Sl) 39. Do you think you con estimate the speed of the object? (Circle One) IF you answered YES, then what speed would you estimate? 40. Do you think you con estimate how far awoy from you the object was? (Circle One) Yes No IF you answered YES, then how for away would you soy It was? 41. Please give the following information about yourself: C ity Zone Sex /4/J li: Indicate any addit ional information about yourself, including any education, which might be pertinent. 42. Dote you completed th is questionnaire: 21 U.S. AIR FORCE TECHNICAL INFORMATION (SUMMARY DATA) . b f ' l d and coded as accurately as possible, pleose use information may In ordet t at your h d . t ' o of the event that you observed. You may re t ite out o s ort escr~p I n the following space wr . . h t'o noire and odd any further comments, h h e already given '" t e ques I n , . peat information t at you av . T to present the details of the observo- k h that you believe ore Important. ry h-.J statements, or s etc es . I f the some size paper rroy be ottac .v h d ' n which they occurred. Addltlona poges o tlon 1n t e or et If they are n .. ded. (PI Print) (Do Not Writ In This Space) APP,q,c.//a-o Bed~ord Heights , Ohi o Aero Space Technical Intelligence Center Wright Patterson Field Dayton, Ohio Dear S!r : I ~uld like t o request the necessar y f orms a nd procedure i n repc~!cg aeria : ?henomeoa, or unidenti f ied ob Jects . Very Truly Yours U.S. AIR FORCE TECHNICAL .INFORMATION SHEET This questionnaire has been prepared so th a t you con gi"e the U. S. Air Force as much information as possible concerning the unidentified aer ial p he nomenon thot you hove o bserved Please try to answer as many questions as you possibly con. T h e information that you give wi II be used for research purposes, and wi ll be regarded as conf idential material. Your nome will not be used in connection with any statements, conclusions, or publications without your permission We request this personal information so that, if it 1s deemed necessary, we may contact you for further details did you e the object? T ime of day: Dey ( C ircle One): 3. Time Zone: "\ (C rrcle One ):<Q! Eastern..) b. Central c. Mountain d. Pacif ic 4. Where were you "'hen you saw the object? City or Town Stole o r Country Additionolremarlcs : S/rrl/vy /17 D.RI'/'-i/N<; T/1BLE TR t tf"i/V S. How long wos object in sight? ~ . S. 1 How was time in sight determined? a. Certain b. Fairly certain Not ver sure ust a guess 6. What was the condition of the sky? 7. IF you sow the object during DAYLIGHT, where was the SUN located as you looked at the object? d. To your left e. Overhead f. Do n't remember af?.~o 164 This rorm ~upersedes A T IC 16 4 , n Oct ~I. 8. IF you saw the object ot NIGHT, what d id you not ce concurru'lg rne STARS ond MOON? 8. 1 STARS (Ctrcle One): 8.2 MOON (Circle One): o. Briqht moonlight b. Dull moonlight No moo n I ight -p itch d oric d. Don't remember Don't remember 9. The object appeared: (Circle One): a . As o light b. Shiny ~ Doric d. Don't remttmber 10. If it appeared as a light, was it brighter than the brightest stars? 11. Did t he object: ( C ircle One for each question) a. Appear to stand still at any time? b. Suddenly speed up and rush away at any t ime? c. Breolc uo into ports or explode? d. Give off smolce ? e. Change br ght ness? f. Change s"o;>e? g . ar-" or flicker? II~ C,IVIAit; OFI' J.l,q"r h. Di soppecr ~no r eappear ? Don't Know Don't Know Don't Know Don't Know Don't Know Don't Know Don't Know Don't Know 12. Did the object '"'Ove be hi nd somethi ng at any t ime, particularly a cloud? ( Circle One ) eYes) No Don't Know. !:>ehrnd: t9 Q~lr.:I..G TO MY !i'Lt;,HT,. IF you answered YES, then tell what zr/~ OA.J~c.r-s L7. 13. Did t h e obje c t move rn front of something at any t ime, ~orticulcrly a cloud? ( C ircle One}: Yes @ Don't Know. IF you answered YES, then tell what 14. Did the o b je c t appea r : ( C ircle One): (0. Solid) b. T ronsporent c. Vapor d . Don't Know Did you observe the object through any o f the following? a. Eyeglasses Binoculars b. Su n glosses c . Windshield Theodo l ite d . Window gloss 16. Tell in o few words the following th ings obout the object. b. Color A.r /iTrAch'tEO. ??f"~ c:.oL.oR WR.r /J t.d7Z OR~KcR /?NO 17. Drow o picture that will show the shape of the object or objects. Lobel ond include in your sketch ony details of the object thot you sow such os wings, protrusions, etc., ond especially exhaust trails or vapor trolls. Place a., arrow beside the drawing to show the direction the object wos moving. KE17118V!IIJIN F)~ 06SERY0 O/IJcT - 7 TINE R80I.IT 2Af/N', :;' J <>8.1CT WNr BENII'IP 81.1/LDIWG ~:.... 8VII.OIN<; RT TI(IS .smmco TlmN liT TH/3 POI~T , -.. (JIJJCT lfr THI~ /"'I~T WIU IN R~ ~-.:--, 61/NI( IINIJ IIPPEAII0 Vh'.11JII81.E L .... : VNIJDfSIPE IIPPRifD IISIF IT WLIIG.J - -~"' _ ,: -_ ,/ II( II WI9VY NOTION. l!A'E HERT ' F/AOIJ:Ir!ON IN THE Rill 18. The edges of the object were: (Ci rc:le One): a . Fuzzy or blurred b. Like a bright sta r t remember 19. IF there wos MORE THAN ONE object, then how many were there? _ Draw a pi cture of how they were arranged, and put an arrow to show the direction thot they were traveling 20. Draw a picture that will show the motion that the object or objects made. Place an "A" ot the beginning of the path, a "B" at the end of the path, and show any changes in direction during the course . 21. How Iorge did the object appear to you as compared to an object with which you are familiar? D1 Pt-;:, c.ljt. r ra {) e rcR."11WF 22. We wish to lcnow the angular size. Hold a match stick at arm's length In li,. with a known object ond note how much of the object is covered by the head of the match. If you had performed this experiment at the time of the sighting, how much of the object would have been covered by the match head? 23. Did the object d isappear while you were watching it? If so, how? In order that you con g iv e as clear o picture os possible of what you saw, describe In your own words o object or objects which, when p laced up In the alcy, woul-::1 give the same appearance oa the object which you sow. /9N) r/J IIW \ I r Rpr4:FA~EP D V19L Where were you located when you sow the object? Were you (C~rcle One) (C ircle One): In the business sec tion of o city?:) Inside a buildini) In the residential section of o city? In open countryside? Near an airfield? In an a irplane (type) e . Flying over a city? Flying over open country? What were you doing at the time you sow the object, and how did you happen to notice it? Gt.tONCU' T~l.K/.v~ IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: What d~rection were you moving? (Ci,cle One) b. Nortne cst 28. 2 How fast were you moving? miles per hour. D 1d you s o;:, ot any t ime while you were looking ot the object? f C,rc'e One) What d irectiol" .... ee y ou looking when you first sow the object? (Circle One) b. Northeast d. Southeast f. Southwest What direction were you looking when you lost sow t he o'>ject? fCircle One) f. Southwest If you ore familiar with bearing terms (angular direction), try to estimate the number of degrees the object was from true North (thru east) and also the number of degrees it was upward from the horizon (elevation). When it first appeared: From true North From horizon 39 When it disappeared: a. From true North From horizon 2,0 degrees. 32. In the following sketch, imagin e thol you ore o t th e pomt shown. Place an A " on the curved I ine to show how high the obje c t was above the hort zon (sky l ine ) whe n you l trst sow it. Place a "B on the s ome curved line to show how hig h the o b ject wa s obovt: the hor~zon (skyline ) when y ou lost sow it. In the fo llawrng lcrser s ketch p lace on "A" a t th e pos it ron the obtect was when you f irst saw it, and a "B ot posit ion whe n yov os r sew i t. Re fe r to s maller s ketc h os an example of how to complete the larger sketch. 34. What were the weather conditions at the time you sow the obje ct? CLOUDS (Circle One) WEATHER (C,c/e One) Ca. Clear skU b. Fog, mist, or light rain c. Scattered clouds c. Moderate or heavy rain d. Thick or heavy clouds e. Don't remember 35. When and to whom did you report that y.. had seen the object? 36. Was anyone else w ith you ot the t ime you sow the object? ( Circle One) @ No 36.1 IF you answered YES, did they sM the object too? (Circle One) 36.2 Please list t he ir names and addresses: 37. Was th is the ftrst time that you hod seen on object at objects like this? (Circle One ) 37. 1 IF you answered NO, then when, where, and under what circumstances did you SMother ones? 38. In your opinion what do you think the object was and what might hove caused it?