1. OATE TIME GIOUII 4. NUMellt 0' OIJICTI 5. LENGTH 0' OUIRYATION 5 1il.nut e s 6. TYP! 0' OISIRYATION Grou.rx:l-Visua 1 9. PHYSICAL !YIDINCI 2. LOCATION Brookville, Ohio 10. CONCLUSION Data did not inidcate flight pi ttern, hotTever no indication tha.~ the object could HOT have peen caused by an aircraft, 11. IRIIfl SUMMARY AND ANALYSIS . Dull moonli'lt, many stars clear S.:y dry night. Object ap:eared a s a light rm.1ch brighter thon the s t3.rs. 1~otion included stationa.IY portion a.n:l ruddm burst of speed. Obj e c ~ dida~peared suddenly. Smal 1. Br.i ejl t 'h'hi t.e color. Ro~"".:i sl:~ pe Init ial observation at 45 des elevc.tion in SE, disap ""lce at f:fJ deg elevation f.il South. Fli.;ht in stre.ij1t line . B;aoolt( y, l. Lc \ [;, Ntrr tT dfS U.S. AIR FORCE TECHNICAL IN TIO..t- Thla questionnaire has been prepared 10 that you can give the U.S. Air Forc:e as much Information as possible concerning the unidentified aerial phenomenon that you hnve oLsetvti. Please try to answer as many question as you pcssibly can, The Information that yw aive wilt be used for re1earch purposes. Your name wUI not be usecf In connec:tion with any st~teln4tnS:at, conclusions, or publication without your permission. We request this personol lnfor~Ntion sc that if It Is cleem.d necesscary, we may contact you for further details. 'J. nme of da- 1. When dlcl you ... the ob;ect? (Circle One}: 3. Tine Zone: -6. Central c. Mountain : d. Pacific (Circle One}: 4. Where were you when you saw the obiect? ho.JI:!. Tf-{l H f!i::.t ,JJ . City 011 Town Stot or C.-.lttf 5. How long wea oltiect in sight? (Total Dwtlett) Houn Minute Not very sure c::~ Fairly certain ;;_, cl. Just o gue11 5.2 Was o~;ect in sight continuously? 6. What was the condition of the 1lcy? DAY NIGHT _. a, Bright CC!I- Bright ..> b. Cloudy - 6. Cloudy ~ 7. IF you sow the object during DAYLIGHT, where was the SUN located as you loolc~ci at the o.breet? (Circle One): a. In front of you b. In bode of ~ou c. To your ri~t d. To your left Overhead f. Don't remember FTO OCT 62 164 Thle for"' upenedee PTD 164. Jl.d 61, hlch le obaolete 8. IF you saw the obiect at NIGHT, what did yov notice concerning the STARS oncl MOON? 8.1 STARS (Circle One): 8.2 MOON (Circle Onel: No II -pitch cllc 9. What were the weather conditions at the tl~ you saw the oltiect? CLOUDS (Circle One}: d. Thiele or heavy cloucl 10. The oblect : (Circle Onel: cl. As ci lle'tt c. Vapot . WEATHER (Circle One}: og, mist, or light roln c. Moderate or heavy raJn 11 . If It a a lieftt, was it brighter than the brightest stars? (Circle One}: c. the IGiite cl. Don't lcnow c..,_. lwl a to ..,... oiJect: 1 l1lCAd ~0 J /q rl Z ,p-a 12. The edges of the obiect w.re: (Circle One =----oFt! ~p.......o,. ly outlinecl Did the object: (Circle One for each question) Appear to stand ati II at any time? (.Yes Don't lcnow Suddenly speed up ancl rush awgy at any ti Don't lcnow Brealc up into parts or explode? Yea Don't lcnow G h' off smolc? Don't lcnow Change bti--tneaa? No Don't know f. Change shape? Yea No Don't lcnow Flaah or fliclcer? Yes Don't lcnow Diaappear and reappe? Yes Don't know 14. Did the oblect diaappear while you were . ,atching it? tf ao, how? D J"JnPP~A-a-E .o ~ Gl 1) '~ E kJ L 't- 15. Did the object move behind something at any tinte, pcwticvlarly a cloud? (Circle One): . Yes C . No ) Don't Know. IF you answ.,.d YES, then tll what 16. Did the MIMt move In front of ,.,_thing at any time, particularly a cloud? Don't Know. IF you answered YES, th .... teU hat (Circle One}: Y .. 0 N~ ) 17 . Tell in a few word the following things about the obiact: 18. We wiah to lcnow the angular size. Hold o match aticlc at arms length in 'line with a Jcnown CJbiect ancJ rvtt<~ ~oN much of the oltiect is covered by the head of the 11'Qtch. If you had perforn:ed thia experiment at the th aJ tf:e how much of the o&,ject would hoYe been covered by the match head? 19. Draw a picture that will ahow the shope. of the obtect ot ot;iecta. Lobel and include In your alcatch ony detoila of the obiec:t that you aow uch 01 wings, protruaiona, etc., and eapecially exhaust trallt or vapar troila. Place on beside the drowi"g to show the direction the obiect waa moving 20. Do you th lnlc you can eathnate the ap .. d of the obtect? (Circle OneJ Yes IF you anawer.d YES, then what apeed would you estimate? -------- 21. Do you thlnlc you can eatlntate how far away from you the obiect wos? (C lrc/e One) IF you ans'"recl YES, then how for away would you say it was? ---- Whete were you locatecl when you Hw the oltfect? 23. Were yau (Circle O,.J In the busin section of a city? (C itcle One): section of o city? o. Inside a building In ~n countryside? d. In an airplane (type) Near an ie Flying over Flying over coUntry? 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the foiJowirt ions: 24.1 What direction were you IIMWing? (Circle One) a. North 1. Northeaat d. Southeast How fast w.re you mewing? ------....Jmilea per hour. Did you tit.., t (Circle One} While you,..,. loolclnt at the oltiect? Did you obaerve the obfect through any of the following? Eyeglasaes Binoculars Sun glass Windshield Theodolite Window gloat 26. In order that you can give aa clear a picture aa posaible of what you aaw, describe in your own words a COIMIOft obiect or obiecta which, when placed up In the alcy, would give the same apparance aa the obiect which you ao11s In the followl"' elletch, thet you the point 1ho111tn. Place on /.." on tf..e r.urv~ ltn. to ho. hlp the oltlect 1 alto the herla (1llyllne) when yw llrst aaw lt. Ploce tJ "8" on the 1:~nae c:ur~ line tt. ehow hlth the oblect at.Oe the horlaon (tkyllne) when ~ou ''"' ,.u .., it. Place an ''A'' on the compost whett you ''"' HW lt. Ploce "8" on the where you laJ, aow rhe ohject. 28. .Draw a pi~-will ahow th. motion that the.obiect or obiecu made. P.lac:e on "A a at the betlm51tJ of the path, Cl "8" at ........ of the path, ancl ahow'any chant in directi~ during the C~&e. 29. IF THAN ONI oltlect, how m1ny were there? _;_jl}j_t!ftp).=-._(';21 Draw o picture of how they wero and put on arrow to ahow the dire~tion that they were traveling 30. Hove you ever '"" this, a similar obiect bef If so give date 01 elates oncl locotlon. 31. Was anyone else with you at the t you aow the obiect? (Circle OnJ 31.1 IF you answered YES, clicl.they '"the oltiect too? (Circle OnJ . (Ye ::_, , No 31.2 PleoM ll1t their nome and_,.: 32. Please give the following lnfortMtlan obout LeatNeMe TELEPHONE NUMBER tncllcote an, .Wit I lnfmetlon about your1elf, lncluctint any I experience, which mifht be pertlneftt. 33. When and to ~hOin did you repcrt thot you had seen th_,. obiect? thla queat 35. lnf,..tl which rou fl pert ancl which Ia not ocle onMire narrative expleMtlon of althflng in the apeclflc polnta el the