1. O.tiE Tt.~E C~OUP J ;,)IWCE 1. NUMBER OF 03JaCTS PROJECT 10073 RECORD 2. LOCATION C11:y-nho~a Fall3, Ohio 10. CONCLUSION Ona No Data tresented t o indicate object '''8.3 N<Jf an A/C. ~ . L ENGTH OF OSSERVATION 11. BRIEF SUMMARY AND ANALYStS 10 Ninutes f ,. TYPE OF 085~RVATION 9. PHYSICAL EVIDENCE Disc $aped object. ~IX :L1clude d haa:v-J clouds. Da-rk blue, aL~ost b~ck object. fTD SEP 63 03'29 (TOE} Prvloua ~dlt1ona ot thh t o ms aUl7 b u .. d. U.S. AIR FORCE TECHNICAL !~FORMATION This que.stionnf:Jira has ~en prepared so that- you can givC! the U.S. Air Fore~ as much informotion as possible concerning the unidentifiad oerial phenomenon that you hove obsttrved. PI ! O se ~ry to answer as many questions as you po:ssibly can. Tha informatio n that you give wi II bl) usd for rssearch purpose5. Your narNt will uot be U5ed in connection with any statements, c~ncluiions or publ ications without your permi~sion. W8 r~quest th h personal informotion so thot if it is deemed necsssary we may contact you for further detoi !.1. 1, When did you see tha object? 3. T im., Zone: (Circle One): a.~ Eas m \ c. Mounrain d. Pacific 4. Wnsre were you when you sow the obj:tct? (Circle One): A.M. (Circle One):-a .-Doy I ight Soving b. 'Standard Nearnt Postal Address 5. How long was object i:1 sight? (Torol Our otiun) a. c~rtain Cii:.-or Town (.2~-t4Jt Vt!t"t-SU~ d . Just a guess Stat~ or County S e cond.s 5 .2 Wos objad in sight continuously? 6. What was the condition of the sky? a. Bright _ . a. B right b. Clau"Jy b. Cloudy i l 7 . IF you sow tn~ object dur ing DAYLIGHT, wher~ wa .. t~e 3UN locot~d as y o ; lo ok.!d o~ tl,e obj~.tet? 1 (Circle One): a. In front of you b. In beck oi yo"' d . . To_ you~ t~ft c. Ov.,rheod t romt~tmbttr c. T o 1o ; r right 8 . IF you saw the obj~cr ot N IGHL what did y ou notic't ~;.oncernin:J th:! STAf(S end MOuN? STARS (Circli! One): 8.2 MOON (Circle On-,): a . Br iyht moon I i9ht b. DuiJ moon I ight c. No m~onlight -pitch dar k Don ' t r~member Don '1 r~membr 9. What were th e weather conditions at the time yCXJ saw the objttct? CLOUDS (C1rcl~ One): WEATHER (Circle One): o. Clear llky Fo9, mist, or light rai n Moderate or hitovy rain c . ~c.:Jtter~o : ou s c. Thick or heavy clouds,, d. Snow e. Don't rememb4tf Th!'t object O?pe<lred: (Circle One): , a. Solid d. As o l ight b. T rruupannt e. Don't remembet c. V .::Jpor 1 I . If it oppear~d c s a light, was it bri ghter than the brightest stars? (Circle One): a. Brighter c. About th., same b. Dimmer d. Don't know ll : r---compar9 brightness to some common object: 12. Th" ~ges of tn objact wera: (Circle. One): o. Fuzzy or blurred b. Like a brignt star ~--sr;~;p-ry-outl i-;;.o~ d . Don't ramember 13. Did the object: (Circle One fo r ecc:h que sHon) App.,o r to :otond still ato ny time? Yes Suddenly speed up a nd rush owc:y o t any time? Yes No Br.,ak up into parts or e x plod? Give of; s mol<9? Don't !mow Change br ij1ness? o n t .~now Chan~ shape? Don't know Fl.:1sh ::>r tllc Don' l Xnow h. Duoppc r a nd r.eopp.ar? Dun't know I J. Did tha ob i, c r disappeot whi It! you W!Jra wat ching it? If so, how? 15. Did the obtct move behind something ot any time~ part icularly a cloud? (Circl!t On~t): Don't Know. IF you answered YES, than tall what 16. Oid th e o o jc:t move in fr ont of something a t any time, particularly o cloud? ( C irc!tt One): No Don't Know. I F you answered Y ES, then ?e ll .,.,not 17. T<>ll in o f~w WOf'd.s the following things about tl,. objct: 18 . w~ wish to know the angular siu. Hold o match stick at arm's length in line witn o known o bject and not" how mu ch o f th e object Ls covered by the head of tha match. If you had performed ~his exp.,riment o t th e time of th ~ sighting, how much of the object would hove be.n covered by the match head? 19. Draw a picture that will snow the shape of the objct or objcts. Lob.l and include in your sketch any details o f th e objec:t ~hot you saw such as wings, protrusions, ete., and espeeiatly exhaust trails or vapor trails. Ploee a n .::rrow b.tside the drawing to show the din.etion th object w'ls moving 20. Do you th inl< you con ttstimate th e speed o f thet object? (Circl~ One ) . IF you onswr.,d YES, th.,n what speed would you estimate?-=-=-------- 21. Do you think you can estimate how fo r away from you the object wo~? (Ci:-cle One) IF you an:swe,d Y ES, then ho-N for a way would you say it was?--------- 22. Wh3" wsre you I o cot!!d when you saw the object? (C irc/e On~t ): Inside a b u iiding d. In an o irp lone (type) 23. Weret you (Circla One) In the bu1iness section of a city? In th., rasidential ction of o city? In open countryside? Netar on airfield? Flying over o city? Flying over open country? .1 24. IF you w~re MOVING IN AN AUTOMOBILE or other V!thic:le a t the time, then compl,.,te th e following quastion.s: 24.1 \'that direction were you moving'? (Citde One) b. Northsost d. Southeast f. Southwest h. Northwe l t 24.2 How fast were you moving? --------.Jmuilas per hour, 24.3 Did you stop at any time while you were looking at the object? (Cirde One ) Yos Did you observe the object through any of the following? Ey~glasses Yes - No e. Binoculars b. Sun glosses Yei f. Telescope Wincfsnittld Y0S No Window glo.u Yes 26. 1., order that you con give as clear a picture os possible o f what you s a w, describe in your own word s a common objact or objects which, when placod up in the sky, would give fhe some appearance os the obj~ct which you sa...,. In th~ follow ing sk~tch, imagine that you a rs a t t~3 point 3hown. Plnce on " A " en :h:: curv~d I ine t., -;ho'.Y how high t h e obj:tct was obov'.9 the horizon (:;k~tline) whdn you first saw it. Place a' 13" (;rl the :;om8 c urv'='d Iii"., t.) l shoo how hivh fne object wen obo'l'e th~ horizon (skylin ., ) wh~n you /ac;t Sl1W 1t tlloce an",.\'' o n the c ... r.!p.;; J wh~n you first ;iO W it. Place o "B" o n th e compass ..... here you last :;ow the obj~ct. 2'3. Dr:~w a picrure that will show the mct:on that the object 0( objects rnudt1. Pice~ Jn "AI -.IT tie b~Jinni ng or po :li, a " B" c~ th~ end of the path, and show any chongit~ in direction dvring the covr . IF thers wtls MORE THAN ONE object, then how many wer~ there? ----- Draw o picture of how they w~r~ arranged, and put on arrow to show th"!t clir,.,ctio n hot y r~ ~ro"elina. .JO. Hov~ you e"'er seen this, or a simi lor object before. If s o give date or dates a nd location. 31. Was anyone eise wirh you at the time you saw the object? (Circle One) 31.1 IF you "Jnswered YES, did they see the object too? (Circle One) 32. Pl3aJe give rhe following information about y ourself: Las t~cune F lrst Name Middle t-lame L.one S r attt TELEPHONE NUMBER f u~dicate any additional information about yourself, including any special experience, which might be pertinent. 33. Wh>tn and ro whom Jid you :-~pon ~hot you hcd -:.,.n rh .. ob jt!ct? M :~r.th Yaor 3 J . Dot" you compl~tted this questionnairt: 35. Information whic h you feel pertinent a nd which is not odequatsly eov8red in the spec if ic point 3 of thd quutionno i" or a narrative exp lanation o f your a ighting. 1orth :J.st. Th's qu;)sti.:>nnair~ ha~ bHcn pr~part.,J HO thea y o u con giv "' the lj,). Ai FcrcP CJ~ mJch informc:t:o;, :~s possib conceJrning th~ unidentifi c~d atJrio l ph~nomenon thor you h rwe olnerv erJ. Pl~cH '"'/ t.:> oi\sWef as many qu.,stions a!i y ou possibly can. Th8 information thor you qiv.e will b:, u H'.; h r :-o;:;~arch purpos~.:;. Your norn~ wi II c of be ust3d in conn.,ction with any stot.,ments, conciJs'~ns, or publicati on s without your p~rndssk>n. We rttque:st this personal mformotion so t;ict if r i~ deem~d nttca ssary, w-, moy co11toct yo'.J fo r furthar d<lta il'). 1. Wnon Jid f :u se e th~ objl)ct? 3. Tim" Zo-,e: '2. Time of d.:~y: ( Ci rei e On-3): S.,tt' o r C.,.hHY I 4. \'1!-l~r" w~He y ou v,h~ll y ou sa.-1 th.e obj~ct? City or Town N.,or8st P o:stol Addr.,s s 5 . Ho..v long wa~ obj~ct in sigh~? ( To tal Ow'ltion ) sl:):: ond i o. Certain b. Fairly certain 5.1 How wos tirN t in sight determined? 5.2 Was. ~bj~c; in sight continuously? a. Bright a . Brig~1t . b. -C:io~ b. C loudy b. In bcc\c or 'ft"IJ c:. To your r i 9~ t I _,.cr:"~IF you s o w ~he o b j.: c t u t NIGHT, .. .,hot did you notice c.:or,.;erni~lJ rh., STAr and MO~)N'; l B. I STARS (Circlt: On~): n . tlon., c . Mc :ty n. Brigh~ 1nvon! ig!H b. Dul l moonlight c . No moonlight-p i: c h dark d. Don' t r~rnamb"r 9. Whcr w.re tb ather c ondition at th tim~ you saw tha abicl? l CLOUDS (Cir- /e One): a . C leor s~y c. S:ct~er~c! ; louds c:?:l hJc!< or h~art cloul s-) WEATHER (Circle One): ~ b. l o g, mis~, or I ight roii]..l c . Modarat~ or h .... avy rain e . Don't rsmamber Th~ o bj.,ct O;l~ar$d: ( Circle One): a. !) d. As o I ight b. Tron$pCr~nt e. Doo't r~m~mber li it O,)p~or.!d c s a li:Jht, was it briglu-er tl,on th-, bright~:.at -;to r:;? (Circh On e ): a , Brighter b. Dirnms r c . Abou t th !t som& d. Dc n ' t !.:now J .l-:rCompor& brightne