PROJECT 10073 RECORD CARD . 2. LOCATION 12. CONCLUSIONS 0 Was Balloon Beayercreek Ollie o Probably Balloon 3. DATE TIME GROUP '-------~r-.. ~TY==P~E~OF~Oia~S~E~R~VA~T~I:::O.=N=-.--------I Pout Wy Balloon Local ?l.OO lXGrounti-VIe.a o Gntun.tRaclcrr Ahc~oft 0 Proltaltly Air~oft -;--~GM T ======--.l.r--2:0 Aa .. va.,el o Alr-tnterc.,t Rod 0 Passlllly Al~oft S. P Was Astronomical Venus 0 Yet P~oltoWy Astronomical :to C1T11181l 0 PosalWy Astronomlcat 1. LENGTH OF.OBSEitYATIOM I. NUM8ER Ofl OBJECTS t. D Other D Insufficient Data for EYaluatlon 0 Unllnown aRIEF SUMMARY OF SIGHTING 11. COMMENTS Stationary object in Vest at 30 deg eleYBt Ob36rY&tioD on preYloua ntghta. Object des !bed as a solid llgbt. Just vent ou~. ATIC F O RM l l O (RP-V 16 !JI'P 5J) Venue ln reported position ~nly lover and setting at time of sighting. Object Yie wed on preYAv night~. C~ eY&luated as Venus 34. Date you completed this queat'ionnaire: 35. Information which you fHI pertinent and which Ia not odequately covered in the specific points of the questionnaire or a narrative explanation of your sighting Mdit1oaal tntoJUon 1a "HIIt1al for e9aln't10D ~ )c-r \bal4 :JCA t-be inclosed an4 ~ it to Bfl iiil 'hEW) 1D the lope pi"OY14ed. HreTOR ~t.Jl to the Air U.S. AIR FORCE TECHNiCAL. l~i-ORMATtOH This questionnaire has been prepared so that you can gjve the U.S. Air Force a~ much information as possible concerning the unidentified arial phenom6non Hs.:1t you hcvo \)hs"'""'d. Pleas~ try to answer as many questions as you possibly c:an. Tht~ informatio'11l'Jt you gi1 wiil be used for research purposes. Your name wi II nflt be us~d in C:nnectlon with tJ1Y stat.,ments, conclusions, or pyblications without your permission. We request thi5 per:;onal lnfonnatian s e that if it is deemed necessary, we may contact you fot further details. 1. When did you see th object? Day Month Year 3 . Time Zone: (Circle One):(a.; Eastern 'b. Centra I c. Mountain (Circle One): a . d. Pacific Daylight Scv tn!3 4 . Where were you when you saw the object? C I t y Of Town ~rot l)f' Cc,mty ! S. How long was object In sight? (Total Duration) a. Certain c. Not very sure b. Fairly certoin d. Just a guess 5.2 Was object in sight continuously? 6. What was the condition of the sky? b . Cloudy 7. IF you lOW the object during DAYLIGHT, where was the SUN locoted as y o:J loo~ed c.u tho o~\e=t~ a. In front of you b. In back of you c. To your right . (Circle One): d. To your left e. Overhead f. Don't rem~mber FTO OCT 62 164 Thl f~m up~tned .. Fro IIS4, Jul lSI , wht .. h b "h'ln1'" 14. Did the object disappeur while yau were watching it? if so, how? 15. Did the object move behind something at any time, pcu-ticularly a cloud'! (Circle One): Yes .; Don't Know. IF you nnswered YES, tt,en ~olJ what 16. Oid the objeet move in front of omethin.; at any time, particularly a "cloud? (Circle One): Yea No J Doo't Know. IF you answered YES, 'n(:t: htH what 17. Tell In a few worda the following things about tne obi tct: 18. We wish to know the angular size. Hold a match stick at arm's length in lir.e ...,ith o kn.~wn Jbjc' .-:nd i,C h t h~w much of the object is cover~d by the head of the fl\Ctch, If you had Rerformed thi~ experi "'arllt ut rMf; twe .:.J rhf.t sighting, how much of the object would have been covered by the match head? 19. Draw a picture that will show the shape of tne object or objects. Label and include in yaur os~<ttch ~ny detoih of the object that you lOW -such as wings, protrusions, etc., and especially exhaust traih or val'~ troii'S~ . Place an orrow betide tne drawing to shaw the dlrecflon the object was moving. 20. Do you think you con estimate the speed of the object? (Circle One) IF you answered Y es, then what speed would you estimatu? -------- 21. Do you think y.ou can estimate how far away from you the object was? (Circle One) IF you answered YES, then how far away would you 5ay it Has? -------- 22. Where were you located when you saw the object? (Circle One): a. Inside a building .. b. In a car f c . Outdoors 'a: In an airplane {ty!)e) 23. Were you .('Circle One} a. In the business sec:i.m ~fa ci1'1? ~In thct re~tldentiai !icct1on of a Ctty? (5;) In open cou"tryside? d. Near or, airfield? e. Flying over a city? 1 f.. Flying over ::>J'en c:cun~;y? 2d. fF you were MOVING IN AN AUTOMOBILE or other V3hicie ot the ti,.,,..., ~hen compb 7e (hu foHowing qL.~tf,Oft!;:. 24.1 What direction were yo~; moving? (Circle One) c. East e. South b. Northe.ast d. Southeast f. Southwest How fast were you moving?------ mils per hollr. Old you atop at ony time while you were looking at ,.,. object? (Circle One) Yes No l'l. H crti1wes: Old you observe th~ obieet through any of the following? eyeglasses Yes e. Binoculars b. Sun glasses f. Telescope Windshield Yes Theodolite Window glass Yes 26. In order that you can give as clear a picture as possible of what you ~ow, d~scribe in your ":''""f\ wvrr.:i~ , e::- .;..-; obiect or objects which, when placed up In the sky, would give tha same appearance as th3 abj.,ct '-41-:--:h i ()4J .if'"-~ In the following slcetch, Imagine that you are at the poi-;,~ sht:wn. Place a.\ 'i\ ' ~m th~ c urvetd !ine t Q ahow how hlth the obict was above the horizon (.skyline) when)'~ (Jrst aaw i1. Pl<~;lJ a "'8" 1}(1 e :l HI~ ,;,Jrvecl u~ tC\ . show how high the object was obove the horizon (alcyllne) whn you lo5t u;w !t. Ploeo ae, ".,., \)ll th~ comput.a when you llrst saw it. Place a "B" on the compass where you last saw the ob;"ct. 28 . Draw a picture that will show the motion that the obj.,ct or obiec:ts mcdr:. P k .ce .:::1 "' A'' :rt rhe b.gi,,nln; oS the path, a "S" at the end of th path, and show any chan~"!> in direci'ion clur i:1g trut1..ours~. . 29. IF there waa MORE THAN ONE obiect, then how many were thora? -------- ---- Draw a picture of how they were arranged, and put an arrow ?o show the directi'.)~ thea ~hey Wftre travell og. 30. Hove you ever seen this, or a simi lor object before. If so .Jive dote or dt:!feG and location. J II I j . tit f i Hit) (t- 31. Was anyone else with you at the time yoou saw the obiect? (Circle One) 31.1 IF you answered YES, did .they see the abiect too? (Circle One) 31.2 Please list their names and addresses: 32. Please give the following information about yourself: first Nome TELEPHONE NUMBER Mid~ lo Nom. Indicate any additional infcrmaticn about yourself, including any sp~lal experience, which might b~ pe: t ioent. 33. When and to whom did you repcrt that you had seen the obiftct?