PROJECT 10073 RECORD 1. DATE TIME Gf<OUP 4. NUMBER OF OSJ:CTS 5. LENGTH OF 06SeRVATION 45 Hinutes ~. TYPE CF OBSERVATION 9. PHYSICAL E VIDENCE 2. LOCATION Tetlcrs,~lle, Ohio (3 \'litncsses) 10. CONCLUSION Other (CCNFLICTING DNrA) 11. BRIEF SUMMARY AND ANALYSIS . Objec t appeared as a pulsating glowing \'mite and red light. Thiel-: or heavy cloud s were r eported. Observer stated that tl e I objec~ .,:as traveling faster than the fastest jet plane also stated that it \'las in view for 45 Joinutes. These tl<~O sta.te:iients aro conflicting and makes it vertualy impossible o r.12.k~ a proper analysis. Therefore this case is files under. he categor.y OONFLICTL~ DATA. . F TO S E P 6 3 0-32Y (TD 2) Prnlo111 :l1Uon of t.Me form IDAY b u .. d U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so rhat you con give the U.S. Air Force as much tion as possible co~cerning the unidentified aerial phenomenon that you have o~served Pleou try to answer as many questions as you ~tossibly can. The information that you give will = be used for research purposes. Your name will not be used in connection with any statements, conelus ions, or publications without your permission. We request this personal information so that i f it is deemed necessary, we may contact you for further details. 1. When did you see the object? Doy Month Yeor 3. Time Zone : (Circle One}:G~)os~ b. Cenr:-"!t c. Moun~:Jin d. Poe ii 1c Hour Minutes (Circle One): (Circle One): a. Daylight Saving c-:- Sfonaafd'-) 4. W~ere were y ou when you saw the obj~ct? Nearest Postal Address City or Town State or County 5. How long was object in sight? (Total Duration) Hours Minutes a. Certain c. Not very sure c b. Fairly certal;- ) d. Just a guess 5.2 Was ob:e:T ir. sight continuously? Yes v No 6. What was th~ eond it ion of the sky? a. "'Bright :-cloucJy) 7. IF you saw th e object during DAYLIGHT, where was the SUN located as you looked at the object? (Circle One): a. In front of you b. In bock of you c. To your right d. To your left e. Overhead f. Don't remember FTD OCT 62 164 Thla form auperaedell FTD 164. Jul 61, which la obaolete 8 . IF you sow the object at NIGHT, what did you notice concerning the STARS and MOON? 8.1 STARS (C ircle One): 8.2 MOON (Circle One): a. Bright moonlight .. b. Dull moonligt::h~t _ A"c: --No-mooni1Qht-pitch da;t-. - CJ;-oon 'trememb--er -- Ga. Non,_.~ d. Don' t remember 9. What were the weather conditions at the time you saw the object? CLOUDS (Circle One): WEATHER (Circle One): a. Cleor sky b. Fog, mist, or I ight rain c. Moderate or heavy rain e. Don't remember c. Scattered c I oud s ~ lck or h~ovy cloud ) 10. The object c ppeared: (Circle One): b. Tron sparent Q As o light .. ) e. Dor; ' r remember If it a ppeared as a light, was it brighte r than the brightest stors? a. Br ighter d. Don't know ... - Compare brightness to some common obiect: L The edges of the object were: (Circle One): (Circ:le One ): a. Fuzzy or blurred 13. Did the object: b. Like a bright s t or C ' Sli"arply outli n:!!) d. Don't remember a. Appear to s tand still ot any time? b. Suddenly speed up and rush away at any time? c. Break up into parts or explode? d. Give off s mo ke? e, Change brightness? f. Change shape? g. Flash or flicker? h. Disappear and reappear? (Circle One for each question) Don't know Don't know Don't know Don't know Don't know Don't know Don't know Don't know 14. Did the object disappear while you were watching it? If so, how? 15. Did the object move behind something at any time, particularly a cloud? (Circle One): Yes ~o/ Don't Know, IF you answered YES, then tell what 16. Did the o~!eet move in front of something at any time, particularly o cloud? (Circle One): ~) No Don't Know. IF you answered YES, then tell what 17, Tell in a few words the following things about the object: 18. We wish to know the angular s ize. Hold a match stick at arm's length in line with a known obiect anc:l note how much of the object is covered by the head of the match. If you had performed this experiment at the time of thet sighting, how much of the object would have been covered by the match head? 19. Draw o pi~rure that will show the shape of the obiect or obiects. Label and include in your sketch any details of the object thot you saw such os wings, protrusions, etc., and especially exhaust trails or vapor trails. Place an cr?w beside the drawing to show the direction the obiect 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? flf}t/ c:.t1 .Si t!'t<. 21. Do you thin'< y ~..: can estimate how for away from you the object was? (Circle One) Yes IF you answered YES, then how far away would you say it was? --------- 22. Where were you located when you saw the object? (Circle One): 23. Were you (Circle One) a. In the business section of a city? Inside a building b. In the residential section of a city? ( c.ln open ca~ntryside?-:, d. Near an aartlelcl? -- ,n-ane;irplc:ne (type) e. Flying over a city? f. Flying over open country? i 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 24.1 What dire:tion were you moving? (Circle Ono) d. Southeast f. Southwest h. Northwest 24.2 How fast were you moving? miles per hour. 24.3 Did you stop at any time while you were looking at the object? (Circle One) 25. Did you observe t he o:,jeet through any of the following? Eyegloss~s Binoculars Yes Sun glosses Yes Windshield Yes g. Theodolite Window glass Yes h. In order that you con give as clear a picture as possible of what you saw, describe in your own words a common obiect or objects w!-l ieh, when placed up in the sky, would give the same appearance as the object which you sow-~ 27. In the following sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how 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 an " A" on the compass when you first saw it. Place a "B" on the compass where you lost saw the object, 28. Draw a picture that will show the motion that the obiect or objects made. Place on "A" at the beginning of the path, a "6" at the end of the path, o nd show any changes in direction during the course. 29. IF there was MORE THAN ONE object, then how many were there? ----------- Draw a p ic:ture of how they were crronged, and put on arrow to show the direction that they were traveling 30. Have you ever seen this, or a similar obiect before. If so give date or dates and location. 31. Was anyon~ els~ with you at the time you saw the object? (Circle One) 31.1 IF you cnswered YES, did they see the object too? (Circle One) 31.2 Please :ist their names and addresses: . 32. Ph~ose give th o following information about yourself: Lost Name Firat Name T!:LE PHONE NUMB Middle Nome Zone State Indicate any additional information about yourself, including any special experience, which might be pertinent. 33. When and to whom did you report that you had seen the abject? Day Month Year