1. DAlE TIME GltOUit 15 August 65 16/0itOS 4. NUMBER Of OBJICTI s. LI!NGTH Of 15 Minutee t.. TYPE Of OBSERVATION Grounl-Vis West then North 8. PtfOTOS 9'. PHYSICAL EVID!NCI PROJECT 10073 RECORD 2. LOCATION Thack ,,.... Ohio 10. CONCLUSION data to indicate that slghting could NOT have bee A/C. taft abmpt d1 e m dlrectton, 8111 the duration this re ela a Satellite. Witness has ade multi. Object aa bright as the stars cl. ose to it. I.Qoked likB a t star. Changed brit&lmese am appeared to stand still t.t ti.."!Bs tor about S secol'lis. No aourli. Looked like a star apprsared to be much closer. No trail. Cane from East and th 1 tu d North. Appeared to stop \tilED it changed directions. Speed vezy fast. At hiflt angle at elevati. at. \dtnees has nade mnl t.iple reports. Others in Psychological catego17. This report sufficiently clear to eval.utae, alth 1 the stopping duration was not; incluied and the duration. exces ve the general tone of the repcrt in v:isw of the wi. tnees inagina on 1a that an A/C was the likely culpa t. U.S. AIR PORCE TECHNICAL IHFORMA noM This questionnaire has been prepared so that you can give the U.S. Air Force as much lnfotntatlon as possible concernlnt the unidentified aerial phenon:enon that you have obHrved. PleaH try to anaww as many questions as you possibly can. The lnfotmation that you give will be usecl f re...-ch YOAJr name will t be used In cOMtectlon with any statements, ..... ""- .. conclual, pultlfcatl without salon. We,..,. .. this personal lnforavaatlon so . .r .. .: ... thatlfltls4ee-.l s-r, may yfor lis. . . . . Time Zone: (C ire/ One}: a. .C. Where were you when you saw the oltiect? (Circle One): a. Cdtttrt P.triGKCou.Jv{y J o#ta City or Town State or County 5. How long woa. olaiect itt sight? (Total Dwetion) c. Not very sure cectain , d. Just a .. . 5.1 How was tlnte in siFt clet.rmlnecl? ..Jl'-'..~iiBR~tJSU/: Wiltt~(J.1~c~i/=t: ~-~-~-- -5.2 Was oliect in si~t continuously? 6. What was rite condition of the sky? 7. fF you sow the ob;ect during DAYLIGHT, where was the SUN located as you looked at the obiect? d. To your )aft e. OYerhead f. Don't rememlter (Circle One): a. In front of you b. In baclc of you c. To your riP.t FTD OCT 62 164 Tlalo I' .. ur PTD 114. Ju1 11. wldela le oltoolete. 8. IF you saw the obiect at NIGHT, what did you notice conceming the STARS and MOON? 8.1 STARS (Circle One): 8.2 MOON (Circle One): t moonli ~ c. No moonlight - pitch darlc d. Don't rementber 9. What .,.,. the conditions at ihe tl111e you saw the obiect? CLOUDS (Circle One}: WEATHER (Circle One): b. Fog, mist, or light rain a.(lear alcy ) c. Scattered clouds . c. Moderate or heavy rain d. Thiele or heavy clouds d. Snow e. Don't ren:ember 10. The obiect appeared: (Circle One): b. Transparent c. Vapott 11. If it oppearecl as a light, wu it brighter than the brightest stars? (Circle One): a. Brighter 11.1 bri.tlllesa to The edges of the c*iect (Circle One): a. 13. Did the obiact: a. Appear to stand still at any time? b. Suddenly speed up and rush away at any time? c. Break up into parts or explode? d. Give off smolce' Change bridttness? f. Chonge shape? g. Flash or fticlcet? (Circle One for each question) ('fes) No Don't know Yes <IJg) Don't lcnow Yes ~ Don't know Yes . ~ Don't lcnow ('!ei) No Don't lcnow Yot gg) Don't know. Y Don't know h. Diaappear ancl Yes Don't lcnow 14. Did the obiect di while you were watching it? If so, how? 1 H ~ IV ~ {\ Nl l-Jlftfc.tJ 01MNt~R FoRn'p,Pii'oX, ~S2eol\lOS" To OR~GtA!,-IL TNrt=~s:ry, 15. Did the obiect l.hi~ something at any time, particularly a cloud? , (CIrcle One J: .. , , Don't Know; IF you answered YES, then t.ll what 16 . Did the obiect in front of something ot any tinte, particularly a cloud? Yes- --Don't Know. IF you answered YES, then tell what 17 . Tell in a few words the following thints about the obiect: 18. We wish to lcnow the angular size. Holcl a match sticlc at arnt' s lenlfh in line with a lcnown ol;ect and note how much of the ~ect-ia .cOttered by the he lid of the match. If you had perforn:ed this experiment at the time of the L r-1 R a J: s r-~ Tff ~ rtf rf r , -, P rr sSE o ,a k l3 e., r. ~ ~o 1< I D Hrft?o T?:> oT:ERM AI. s,zt=. 19. Draw a pictur. will show the shape of the obiect 01 obiects. Label ancl include in your slcetch any details of the obiect that yo., saw such as wings, prottuaions, etc., oncleap~ciatly exhaust trail a!' .,.P f!ails. Place art arrCIIW l.sicle the drawing to show the direction the oliect was rnotint , ;! ~ .:.-. : . J ( fl rl D w (AI v ' Plt-ctl ~9N~TLE/:f~F fi//1'/po~ ol3\F~cTCf1tvJj;FRotv1 (tfE:.ERsf Tflfl'/ T~/fN1: o!3:S~c( ff;J;O.t:ffNED /b >Top LvHf:N ;r e.f/M~lD 20. Do you thinlc you can estimate the speecl of the obiect? (Circle One) IF you answered YES, then what would you estlntate? 21. Do you thlnlc you con estl how far away you the obiect was? (Circle One} Yes @ . ~ YES, .. itien .... ow ,_ CIWOf wciuld you say It a. Inside a building bc!n~car) Cof\/VkRT, 131 I c. Outdoors d. In an airplane (type) a? ~'-tESS ISO -.2oo ~i_ilS ., . (Circle One J a. In the business section of a city? b. n the residential Mction of a ci . e. n open countryai e d. Near an ai ie ? e. Flying over a city? - f. Flying over open coUntry? g. Ql6lar L?a 7 ti IF you were MOVING IN AN AUTOMOBILE or oth..: vehicle at the tillle, th~ ~o...Piete the following ~estiona: 2.1 What direction were you mewing?. (Circle One} ~ -- f. Southwest d. Southeast 2.2 . How fast ing? -~----miles per hour. 24.3 Did you stop at any ti while you were loolcing at the obiect? . (Cirele One) 25. Dfcl you observe the obiect through any of the following? a. Eyeglaa ... b. Sun glasses c c. Wincllhlelcf e. Binoculars f. Telescope g. Theodolite h. NOtthwest ... . cf. Wlnclow glass 26. In order that you can give as clear a picture as possible of what you saw, describe in your own words a mon obieet or obiecta which, when placed up In the alcy, would give the same appearance as the obieet which you saw -f {J?~GHTN.!SS J.t tfL 1: t/rtRo To ,U f-T~,If)/Y!ttt!F In tht following slcetch, imagine that you are at the point shown. Place an "A" on the curved line to show how high the obiec:t was abcwa the horizon (slcyllne) when you lirst saw. it, Place a "8" 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 lirst saw It Place a "8" on' the compass where you last saw the obiect. 28. Draw o picture will show ttie motion the obiect or ob path, a "8 at the end of the path, and show any changes in direct Place an "A" at the l.ginning of the 29. IF was MORE THAN ONE obiect, then how many were there? Draw a picture of h.., they were arranged, and put an arrow to show the direction that they were traveling. 30. Have you ever sHn this or a similar obfect before. If so give date or datea and location. 31. Was anyone elae with you at the tl you saw the obfect? (Circle One) 31.1 IF you anawerecl YES, dicl they IH the obfect too? (Circle One) 31.2 Pleaaellst their ncnnea aM fll rti tJ s T ;vr~ e II fl"' "c. sIS 4:.1 R (j. rt~Ffc.K R ' Y, ot-l;o 32. Please give the following Information about yourself: SEX N~ l:J!-'- IMicate any ion allclut yourself, including any special experience, which might be pertinent. 33. When a~d to wh01n did you report t t you had seen the obiect? {? fpD/? {:S D { () //15- /.SZfl dc.tC:u.sr L7_6 .. ~ . StlJR;Ft~ ~.v1-1o ~-Nf<-<RM Oe~y Month Y-.ar Cor~ f/lc(0 r..uR~G.H r Pff/i.FtYs~N 34. Dote you completed this questionnaire: Jt'~tl4..S7 35. lnforntc~tion which. you feel pea tinent and which Ia not adequately coverecl In the 1 cific points of the qve1tlonnalre a explanation of your sighting . I. be. ttd,6/)