r' PROJECT 10073 RECORD 1. DATE TIME GROUP 2. LOCATION Oc:.l~1oori ~ Ohi o C:i. "~.d. lim 4. NUMBER OF OBJECTS 5. LENGTH OF OISIRVATION dJ -30 Se co!l:l s 6. TYPE 0~ OBSERVATION J.::o urrl-"(Ji su:;l 9. PHYSICAL EVIDENCE 10, CONCLUSION 11. BRIE II SUMMARY AND ANALYSIS reportGd wa s excess:.ve a "0 ~::: clnta indi c:1tcd a.s l1e.zy. )uso po~.~si bl; J./ c -~Ti ill aftcro~ .I''! H..: r . Speed ! ' :~-o~ t~rl f.:.. st e r t.h::L1 ~52 gi Shti:\:_; bu.t ci.:1.t a inmf;ici '1t far fij_ .. r.l RV2.lu-tio1o FTD SEP 63 0-329 (TOE) Preloua e41Uoea ol thla foaa ... , be uaed. 14. Dicl the obiect disappear while you were watching it? If so, how? Did the obiect ntOYe behind son1ething at any time, particularly a cloud? (Circle One): . Don't Know. IF you answered YES, then tell what 16. Did the obiect move in front of somethi at any time, particularly a cloud? Don't Know. IF you answered YES, then tell what 17 . Tell in a few words the following things about the obiect: b. Color---~ ~ We wish to know the angular size. Hold a match stick at arm's length in line with a known obiect and note how the ob;ect is covered by the head of the match. If you had performed this experintent at the time of the sighting, how much of the obiect would have been covered by the match head? 19. Draw a picture that will show the shape of the ob;ect or obiects. Label and include in your Jcetch any details of the obiect that you saw such as wings, protrusions, etc., and especiatly exhaust trails or vapor trails. Place an orrow beside the drawing to show the direction the obiect was moving. . 20. Do you thinlc you can estimate the ap .. d of the object? . (Circle One) Yes No ... \ IF you answered YES, then w at speed would you estimate? ------- 21. Do you thinlc you can estimate how far away from you the obiect was? (Circle One) 22. Where were you located when you saw the obiect? ( C ire le One): a. Inside a building b. In a car In an airplane (type) 23. Were you (Circle One) a. In the business section of a city? .--. ...... -rnrfier--idehti~tsitctton 0 a c. In open countryside? d. Near an airfield? e. Flying over a city? f. Flying over open coUntry? 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 24.1 What direction were you moving? (Circle One) c. East e. South g. West b. Northeast d. Southeast f. Southwest h. Northwest 24.2 How fast were you moving? .mi lea per hour. 24.3 Did you stop at any titne while you were loolcing at the obiect? (Circle One) 2S. Did you obserY the obiect through any of the following? a. Eyeglaases Yes Binoculars un glasses Yes No f. Telescope Yes Winclahielci Theodolite Window glass 26. In order that you can give as clear a picture as possible of what you saw, describe in your own words a common obiect or obiects which, when placed up in the sky, would give tha same appearance os the object which you sow In the following slcetch, imagine that you are at the point shown. Place an "A., on the curved I ine to show how obiect was above the horizon (skyline) when you first saw it. Place a "B" on the same curved line to show how high the obiect was above the horizon (slcyline) when you last saw it. Place an "A" on the compass when you first saw it. Place a 8" on the compass where you last saw the object. . 28. Draw a picture that will show the motion that the obiect or obiects made. Place an "A" at the beginning of the path, a "B .. at the end of the path, and show any changes in direction during the course. 29. IF there was MORE THAN ONE object, then how many were there?---------- Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling. 30. Have you ever seen this, or a similar obiect before. If so give date or dates and location. 31. Was anyone else with you at the time you saw the obiect? (Circle One) Yes 31.1 IF you answered YES, did they s" the obiect too? (Circle One) 31.2 Please list their names and addresses: 32. Please give the following infornNtion about yourself: TELEPHONE NUMBER IMicote any additional information ohout yourself, inclucling any special experience, which might be ~rtinent. I 33. When oncl to whom did you report that you had seen the object? U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you can give the U.S. Air Force as much information as poasib .. concevning the unidentified aerial phenon:enon that you have observed. Please try to answer as many queatlons as you possibly can. The infortnation that you give will be used for purpoaes. Your name wi II aot be usec:l in connection with any staten:ents, conclusions, or publications without your permission. We request this personal information so that If it Is deemed necessary, we contact you for further details. . 1. When did you s" the obiect? 3. Time Zone: (Circie One): a. Eastem 2. Time of day:----- (Circle One): (Circle One): a. D t Saving 4. Where were you when you saw the object? City Of' Town Stote Of County S. How long was object in sight? (Total Duration) Hour a Minute a o. Certain \!~ Fairly ';.vtai~ S.l How was tin:e in si.t determined? _ _f ----~W ..)J.~ 5.2 Was object in sight continuously? 6. What was the condition of the slcy? 7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the ob;ect? (Circle One): a. In front of you b. In bacic of you c. To yOAJr ri~t d. To your left t". Qv .. rhead f.. D"'n't rem .. mbet FTO OCT 62 164 Thle f .-.perd Pm 164, Jill 61, .tllclt &a obeolete 8. IF you saw the obiect at NIGHT, what did you notice concerning the STARS and MOON? 8.1 STARS (Circ:le One): 8.2 MOON (Circle One): a. Bright moonlight ~--R"o moonlight-pitch dar\ d. Don't reniemliir d. Don't rememi.er 9. What were the weather conditions at the time you saw the obiect? CLOUDS (Circle One): WEATHER (Circle One): b. Fog, mist, or light rain a. Clear sky c. Scattered clouds c. Moderate or heavy rain d. Thick or heavy clouds e. Don't ren:ember 10. The obi ect appeared: (Circle One): Cd: A;g l.i,;bt> b. Transparent e. Don't remember 11. If it appeared as a light, was it brighter than the brightest stars? (Circle One): ~ B ;_f;?J c. About the same b. Dimmer . d. Don't know 12. The edges of the obiect were: (Circle One): a. Fuzzy or blurred b. Lilce a bright star Sharply outlined Don't remember 13. Did the ,c,;.,ct: (Cu d e On~ for ~och qu tstion) a. Appear to stand still at any time? b. Suddenly speed up and rush away at any time? c. Break up into parts ot explode? d. Give off smoke' e. Change bridttness? f. Change shape? g. F lr.nh 01 fJ idcer? h. Disappear and reappar? Don't know Don't know Don't know Don't lcnow Oon' t kn(')oolf Don' t l<"ow Don't know 14. Did the obiect disappear while you were watching it? If so, how? Did the obiect mwe behind something at any ti , particularly a cloud? (Circle One): IF you answered YES, then tell what Don't Know. Yes Did the obiect move in front of something at any t , particularly a c: loud? (Circle One): IF you answered YES, then tell what Don't Know. 17 . Tell in a few worcls the following things about the obiec:t: 18. We wish to lcnow the angular size. Hold a match stic:lc at arm's length in line with a known obiect and note how the obiect is covered by the head of the match. If youhad performed this experiment at the time of the sighting, how much of the obiect would have been covered by the match head? 19. Draw a picture that will show the shape of the obiec:t or obiec:ts. Label and include in your slcetc:h any details of the obiect thot you saw such as wings, protrusions, etc:., and especiatly exhaust trails or J apor trails Place an arrow beside the drawing to show the direction the obiect was moving 20. Do you thinlc you can estimate the speed of the obiect? (Circle One) /ye;' No r) "I Do you thinlc you can estimate how far away from you the obiect was? (Circle One) Yes /'No"' IF you answered YES, then how for away would you say it was? -------- 22. Where were you located when you saw the obiect? (Circle One): a. Inside a building b. In a car d. In an airplane (type) 23. Were you (Circle One) a. In the business section of a city? (9 In the residential section of a city? c. In open countryside? d. Near an airfield? e. Flying over a city? f. Flying over open country? 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 24.1 What direction were you moving? (Circle One) a. North c. East e. South b. Northeast d. Southeast f. Southwest h. Northwest 24.2 How fast were you moving? .mi lea per hour. 24.3 Did you stop at any tin while you were looking at the obiect? (Circle One) Yes 25. Did you observe the obiec:t through any of the following? a. Eyeglasses b. Sun glasses c. Winclshielcl d. Window glass e. Binoculars g. Theodolite In order that you can give as clear a ptcture as possible of what you :sow, det~c:ribe in your own words a common obiect or obiects which, when placed up in the slcy, would give the same appearance as the obiect which you saw 27. In the following slcetch, imagine that you are at the point shown. Place an "A .. on the curved line to show how high the object was above the horizon (slcyline) when you lirst saw it. Place a "B., on the same curved line to show how high the obiect was above the horizon (slcyl ine) when you last saw it. Place an "A" on the compass when you first saw it. Place a "8" on the compass where you fast saw the obiect. 28. Draw a picture that will show the motion that the obiect or obiects made. Place an "A" at the beginning of the path, a "8., at the end of the path, and show any changes in direction during the course. 29. IF there was MORE THAN ONE obiect, then how ntany were there? o_?....;; ... -=-------- Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling. 30. Have you ever seen this, or a similar object before. If so give date or dates and location. 31. Was anyone else with you at the tithe you saw the obiect? (Circle One) 31.1 IF you answerecl YES, did they IH the ol:aiec:t too? (Circle One) 31.2 Please list their oncl ocWreasea: 32. Please give the following lnforntation about yourself: TELEPHONE NUMBE lftdicate any additional informot;o" about yourself, including any special experie~ce, which might be pertinent. I 33. When and to whom did you report that you had seen the obiect? U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you can give the U.S. Air Force as much information as possible concerning the unidentified aerial phenomenon that you have observed. Please try to answer as many questions as you possibly can. The inforanation that you give will be used for research purposes. Your na will 110t be used in connection with any statements, conclusions, or publications without your permission. We requst this personal information so that if it is cleemecl necessary, w. may contact you for further details. When did you s .. the obiect? 3. Time Zone: Month Year (Circle One): a. Easte 4. Where were you when you saw the obiect? 2. Time of clay: Hour Minutes (Circle One): (Circle One): (c;.hy or Town State or County 5. How long was olaiect in sight? (Total Duration) Houu Minutes Second a. Certain c. Not very sure d. Just a guess S.l How was time in sight determined? _., J.~e:..c--II!I:;::SI :::, .._ ----- Fair y certa n 5.2 Was obiect in si~t continuously? 6. 'Nhat was the condition of the 1ky? 7. IF you saw the obiect during DAYLIGHT, where was the SUN located as you looked at the objct? (Cite/,. on .. )= Q. In nont of you b. In baclc of y~ FTD OCT 62 164 c. To your risjlt ..t, Qv4trhead f. Don't rernmber 8. IF you saw the obiect at NIGHT, what clicl you notice conceming the STARS ancl MOON? 8.1 STARS (Circle One): 8.2 MOON (Circle One): G:... Bright m~l ight b. u moon i t c. No moonlight - pitch doric d. Don't remember 9. What .. ,. the conclitiona at the tins yau saw the object? CLOUDS (Circle One): WEATHER (Circle One): Clear ale!} b. g, mist, or I ight rain Scattered clouds c. Moderate or heavy rain Th iclc or heavy clouds Don't rmmber 10. The obi ect (Circle One): b. T ranaparent Don t remmMr 11. If it appeared oa a light, was it lwighter than the brightest stars? (Circle One): a. Brighter c. About the sa d. Don t now 11.1 Compare bri9htnesa to some comntOn obJect: 12. The edges of the ot.fect were: (Circle One): a. Fuzzy or blurred b. Like a bright star c. Sharply outlined 13. Did the obiect: (Circle One For 8 CX:h qustion) a. Appear to stand ati II at any ti ? b. Suddenly speed up and rush away at any time? c. Brealc up into parts or explode? d. Give off smolcet e. Change bri.tnesa? f. Chanqe shape? ie F fosh 'Y fficlc.,? h. D isappear and reappar? Don't know Don't lcnow Don't know Don't know Don't know Don't lcnow a~n I t J.(nQW Dof' 't ~now