PROJECT 10073 RECORD t. DATE TIME GROUP 2. LOCATION Ohio (East.mont) 3. SOURCE tO. CONCLUSION I Civilian Satellite (ECHO II) 4. NUMBER OF OBJECTS HO II, 2110 EST west of city 22 deg above horizon moving NE. Two 2d ob.1ect proba~v was one of the more than '30 visable satellite~ 5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS orbiting the earth. Object appeared as a white light. Traveled about the speed oj 6. TYPE OF OBSERVATION jet. Observer stated that it looked 'like a sate]Ji te. 28 miT later another satellite was observed. Ground-Visual Northerly and SE 9. PHYSICAL EVIDENCE FTO SEP 63 0-329 (TOE) Prel- edtUOfta ol thle fona may be ueed. U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you con give the U.S. Air Force as much information as possible c oncerning the unidentified aerial phenomenon that you hove observed. Please try to answer as many questions as you ,ossibly can. The information that you give w ill bet used for research purposes. Your name will DOt be used in connection with any statements, conclusions, or publicat,ions without your permission. We request this personal information so that if it is deemed necessary, we may contact you for fu rther details. 1. When d id you see the object? Hour Minutes (Circle One ): Da y Month 3. Time Zone : (Circle On e): r' n (Circl e One): a. Daylight Saving o.-central b. Standard c . Mountain d. Pacific 4. e re were you you saw the object? C it y or T o w n State or C o unty 5. How long wa s object tn sight? (To tal Duration} Hours Minutes S econds c. N ot very sure d. Just a guess 5.1 How wcs t ime in s ight determined? _.ft:..;.J...;;r.._ 5.2 Was object in sight continuou sly? Yes ~ No _ 6 . What WO.i the condition of t he s ky ? 7. IF you s ow the object d uring D AYLIGHT, where was the SUN located os you looked o t th e object? (Circle On.,): o. In fro nt o f you b . In bock of yoll d . To your l_f t e. Ovarheod c . T o your right f . Don't reme mber T h i a form aupersedes FTD 164, Jul 61, which ia o b s o lete . 8. IF you sow the object at NIGHT, what d id you notice concerning the STARS and MOON? 8.1 STARS (Circle One): 8.2 MOON ( Circle One): /bright moon I ight ~Dull moonlight ;;! von't remember c. No moonlight-p itch dark d. Don't remember 9. What were the weather conditions at the time you saw the object? CLOUDS (Circle One): WEATHER (Circle One): ~Clear sky GJory b. Fog, mist, or light rain c. Scattered clouds c. Moderate or heavy rain d. Thick or heavy clouds e. Don't remember 10. The object appeared: (Circle One): \....-(" Transparent <1/As a light e. Don't remember 11. If it appeared os a light, was it brighter than the brightest stars? (Circle One): a. Bru~hter (!;}About the some d. Don't know Compare brightr.ess to some common object: The edges of The o bject were: (Circle One.lc)Fuz:zy or blurred o. Like a bright star c. Sharply outlined d. Don't remember Did tlle obiect: (Circle One fo r each question) a. Appear to stand still at any time? Don't know Suddenly speed up and rush away at any time? Don't know Break up into parts or explatie? Don't know d. Give off smoke? Don't know e. Change brightness? Don't know Change shape? Flash o r fl ic ker ? on t =<now h. Disappear and rctappeor? Don't know Did the object disappear while you were watching it? If so, how? Did the object move behind something at any t ime, particularly a cloud? (Circle One): Don't Know. IF you answered YES, then tell what it moved behind: Did the object move in front of something at any time, particularly o cloud? rcle One): Yes Don't Know. IF you answered YES, then tell what in front of: Tell in a few words the following things about the object: We wish to know the angular size. Ho ld a match stick at arm's length in line with a known object and note how ch of the object is covered by the head of the match. If you had performed this experiment at the time of the sighting, how muc h of the object would hove been covered by the match head? Drew a p ic t ure that wi II show the shape of the object or objects. Lobel and include in your sketch any details of the object thor you sow such as wings, protrusions, etc., and especially exhaust trails or ~opor trails. Place on arrow beside the drawing to snow the direction the object was moving. 20. Do you think you can estimate the speed of the object? (Circle One) IF you answered YES, then what speed would you estimate? '",,...)L....:::._..,;;;;;'--..._1 _ 21. Do you think you can estimate how far away from you the object was? (Circle One) IF you answered YES, then how far away would you soy it was? .2=-:'J::::::,-..:...)-J'~""''"''--6=-_ 22. Where were you located when you sow the object? (Circle One): 23. Were you (Circle One) a. In the business section of a city? o. Inside a building b. In a car &In the residential section of a city? c. In open countryside? d . Near an airfield? e. Flying over a city? d. In on airplane (type) e. At sea 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) n . Nor~ c. East e. South g. West b. Northeast d. Southeast f. Southwest h. Northwest 24.2 How fast wer, you moving? ---------' iles per hour. 24.3 Did you stoP o t any t :me while you were looking at the obiect? (Circle One) D id you observe the ()biect through any of the following? Eyeglasses Binoculars b. Sun glasses f. Telescope Yes No c. Windshield Yes Theodolite . Yes d. Window glass 26. In order thot you con give as clear o picture as possible of what you saw, describe in your own words a common object or objects which, when placed up in the sky, would give the same appearance as the object which you saw. 27. In the following sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how I high the object was above the horizon (skyline) when you first saw it. Place a "B" on the same curved line to show how high the object was above the horizon (skyline) when you lost saw it. Place on "A" on the compass first saw it. Place a "B" on the compass where you lost saw the object. 28. Draw a picture that wi II show the motion that the object or objects mode. Place on "A" ot the beginning of the path, a ''B" a t lhe end of the path, and show any changes in direction during the course 29. IF tnere was ,"t\CR.E THAN ONE object, then bow mo~ were there?~----------- Draw a picture of how they were arranged, and put on arrow to show the direction that they were traveling. 30. Hove 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 t ime you sow the object? (Circle One) 31.1 IF you answered YES, did they see the object too? (Circle One) 31.2 Please list their names and addresses: 32. Please give the following information about yourself: First Name Middle Nome City Zone State T:::LEPHONE NUMBER-------------- Indicate ony additional information about yourself, including any special experience, which might be pertinent. 33. When and to whom did you report that you hod seen the object? Month Year