PROJECT 10073 ReCORD DATE Tl.~: CROUP Hamilton, Ohio 3. SOURCE 10. CONCLUSION Civ i lian Insuficient evalua t.icm NUMBER OF OBJECTS 5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS Wi t hout. exact dace s.i.ghtiug p ossibl e . 6. T Y.PE OF OBSE~YATION PHOTOS ll. 7. PHYSICII\L EVIDENCE FTO SE? 6 3 0-329 (TOE) P~vJoua edltlona o f thla f orm may b" u,.1.d, evaluation 8. IF you sow th~ object at NIGHT, what did you no rice concerning th e STARS and M OON? 8.1 STARS (Circle One): Dcn' r rem~mber 8.2 MOON (Circle One): a. Bright moon I ight Dull irtoonlight c. No moon I ight -pitch dark Don' t remember 9. What were th e weather conditions at the time y o u sow the object? CLOUDS (Circle One): \VEATHER (Circle One): . a. C lear s~y b. Fog, mist, or light rain c . Scotter~d clouds c. ,\.\oderate o r heavy rain d. Thick ':lr heavy c lauds e. D-on't remember 10. Th!t obj<!tCT Oj)peored: (Circle One): td, As a light b. Transparent e. Don't rem~mb!tr 11. If i t appeared as a light, was it brighter than th~ b r ightest stars? (Circle One): \a .. Brighter c. About the s o me b. Dimmer d. D on't know J 1.1 Compors brightness to some common object: T he e d ges of th~ object were: (Circle One): a . Fuzzy or b lurred Like a bright star c. Sharply outlined d. Don't rememb~r Did the object: (Circle One for e c1eh que;;tion) Appear to stand still at any t ime? Yes Don't know Suddenly speed up and rush away ot any t ime? Don't know Break up into ports o r explode? Yes 'No Don't know Give off smoke? Yes Don 'r know . Change brightness? Yes D on' t know Change shape? Don't know g. Flash or fl ickt:r ? Yes No Don't l<:1ow Disoppeo.-and reappear? Don' t know U.S. AIR fORCE TEC1tHCAL INFORMATION Thi~ GUestionn~ire has been prepared so that -you con give the U.S. Air Fore~ as much in for mation as possible concerning the unidentified oeri.ol phenomenon tha t you hov~ observed Please try to answer as many questions as you possibly can. The inforrn~tion that y o u give will be used f::>r research purposes. Your name will not be used in connection w Hh any statements, conclus ions, or publications without your permi~sion. We request thi5 personal information s o that if it is deemed necessary, we may contact y o u for further details. 1. Wh~n did you Stl& the object? 2. Time of day:_ : 4. Wh:tre wer~ you when you saw the object? N"ar~tst Postal Address City or Town Sto~& o r County 5. How longwas object in sight? ( Toto! Dur o rion) Hours Minut&s o. Certain c. Not very sure b. Fairly certain d. Just a guess 5.2 Was object in sight continuously? 6. What was the condition of the sky? a. B r ight o. Bright ;.. 7. I F you saw the objact dur ing DAYLIGHT, where was the SUN locot~d as you looke d at the o bject ? (Circle On!!t); a. In f ront of you b. In back of you c . To your ri gh t d. T o your left e. Overhead f. D on't rerr:ember 14. Did the object disappear while you were watchin g it? If !.O, how? 15 . Did the oSj~c~ move behind something a t any time, particularly a cloud? (Circle One ): Don't Know. IF you answered YES, t hen tell whet 16. Did t he object move in front of something at a ny time, particularly o cloud? (Circle On~): Don' t Know. IF you a n swered YES, then tell wha t in front of: 17. Tell in o F~w words the following things about the o bject : 18. We wish to know the angular size. Hold a match stick a t orms leng th in line wit h a known object and not~ how much of the object is c overed by the head of the match. If you hod performed this exper iment a t the time of the 5ight ing, how much of the object would hove been covered by the match head? Dr a w o pic~ur'! mot w il l show t h e shape of the object or objects. Lobel and include in your sketch a ny derails of th~ obj~c~ ;~o~ you saw such as wing~, protrusions, etc., and especially exhoust trail s o r vapor trails. Place an arrow beside the drawing to show the direction the object was moving. LO. Do y ou ~hink y o u con e stimat~ the speed of th~ object? (Circle One ) Yes No IF you answ~red YES, then what speed would y ou e s timate? 21. Do y ou ~h ink ;,u can estimate how far away from you the obj!tct was? (Cir-:1~ One) Yes IF y o u cn.>w.,red YES, then how far awa y would you soy it was?-~- : _ 22. Where wer.., you located when y ou sow the object? ( Circle 0f't! ) : a Inside o ~l.lilding d. In o n orr?lone (typ~) e . At sea 23. Were y o u (Circl~ On:::j a . In the b us iness s ection of a c ity? b. In the res identia l secti o n o f a city? c. I n open comtryside? d . Near on airfield? e. Flying over a ci;y? f. Flying over open countr;? 2.1. IF you w~re .\.OVING IN A N AU TOM0i31L E or other vehicle at the time, then complete th~ fo llowin g qu..,,;iion3: 24.1 \ that direction were you moving? (Circle One) a . North . c . East e . Sou~h g . Wast b . Northeast d . S o u th&ast f. Southw~st h. N orthwe;St 2~1.2 How fast w~re you moving? -----------' i les per hour, 24. 3 Did you stop a t any time while you wertJ loolcing at the object? (Circle One) 25. D id you observ'! th'! object through any of the following? a . Eyeglasses Yes No e . B inocula rs Ye s No b. Sun glass!!s Yes No f. T ~lescop~ c . Windshi o Th..:odol it" Wi11do w g tos; 26. In order that you con g ive as clea r a pictur~ a s possible .,f what y o u saw, descnbe in your own w ords a c ommcn object or objects wh ic h , when placed up in th e sky , w ould g iv e rhP. sarr.e appe a ra nce a:> th~ obje c t wh k!1 you s t:H. 30. Have you ever seen this, oro s imilar object before. If s o g ive dote or dates and location. 31. Was anyone else with you at the time you saw the object? ( Circle One ) 31.1 IF you answered YES, did they see the object too? (Circle O n e ) 31.2 Please list their names and addresses: 32. P lease give the following informal'ion about yourself: F irst Nama Mid d I!! Name Zo,. State Indicate any additional information about yourself, including any special experience, which might be pertinent. 33. When a n d to wh:lm did y ou report that y ou hod s.t?en the 0 bject? Month Yea r 34. Date you completed this questionnaire: Day M()nth 35. Information w h ich you feel pertinent and which is not adequot~ly c overed in the specif ic p o ints of th.- quutionnair rx a narrative explanation of your sighting. 't :i.gh t -Patter.:;on AF-:') Ohi o !r;!~33 Dcat> Miss Refe r-ence your unidC!ltified obser-n1tion ln t ':lc S'.l..:t:ner of 19o5. T'.nF~ .lnfor:.t..,tion con t8ined it1 you..:-letter l!:: not sufficier~:i:. .fo: '=;:;.lu'lLjon. Requ.~s you cor.ri:tE: t:1e attoclv= FTD Form 16!~ a:-:1 return it in t!~e enve lo?e provided. AJ: r Force. ~Hnr.crely,