. PROJECT 10073 RECORD 11. DATi: TIME GROUP 2. LOCATION l 18 April co 19/0l45Z ! 3. SOURCE ~ Civilie.~ J 4. NUMBER o:= OBJECTS Centerville, Ohio 10. CONCLUSION Aircraft (Possible) S. LENGTH 0?= 03SERVATION 11. 5RI EF SUMMARY AND ANALYSIS ; 10 minutes 16. "iY?E OF CSSERVATION i Grow.J.d V:..3ual i, 7. COURSE iS. PHOTOS. 19. PHYSICAL ~VIDENCE Obse~ver noted bright object, triangular in shape, traveling to-;.:-a.~d. the east. Object had t'\TO green lights on bottom and t\,"Q ~iber lights on top. T".ae lights appeared tp protrude fro::. the object. Descri~tion is consistent with that of an aircraft. Pr~v!ous e=:uor.a ot thla form mny bo uaod, U.S. AIR FORCE TECHNICAL INFORMATION T his questionnaire has been prepared so that you can give the U.S. Air Force as much on as possible concerning the unidentified aerial phenomeno~ that you h.ave observed. Pleas~ try to answer as many questions as you ,ossibly can. The information that you give will be used for rese~rch purposes. Your name will not be used in connection with any statements, cone: Ius ions, or publications without your permission. We request this personal Information so that if it is deemed necessary, we may contact you for further details. 1. When did you see the obiect? (Circle One): Month Year 3. Time Zon~: (Circle One): a. (Circle One): c. Mounto in d. Poe: ific: 4. Where were you when you saw the object? wA~;tl UG"rc.'U rl.(.mp 61'11 o Nearest ?ostol Address. .5. How long wos object in 'sight? (Totol Duration) . '--Foir1y certain~ . City or Town State or County Hours Minutes c. Not very sure d. Just a guess 5.2 Was ob:e i n sight continuously? 6. What was the condition of the sky? a. Bri ht 7. IF you saw the object during DAYLIGHif-, 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 aupenedea FTD 164, Jul 61, which Ia obaolete 8. IF you saw the abiect at NIGHT, what did you notice concerning the STARS and MOON? 8.1 STARS (Circle One): 8.2 MOON (Circle One): a. None a. Bright moonlight c. moonlight -pitch dar d. on't remember d. Don't remem er 9. What were the weather conditions at the time you saw the object? CLOUDS (Cirele One): WEATHER (Circle One): b. og, mist, or I ight rain a. Clear Sky c. Scattered c I oud s c. Moderate or heavy rain d. Jhick or heavy clouds d. Snow e. Don't remember 10. The object ~;>;:>eared: (Circle One): rcnsparent e. Don' t remember 11. If it appeored .:s a light, was it brighter than the brightest stars? (Circle One): o. Brighter About the some d. Don't know 11.1 Compare brightness to some common obiect: l'he edges of the object were: (Circle One): o Fuzzy or blurred e. Other ly outlin~d Don't remem 13. Did the obiect: (Circle One for each question) Appear to stand still at any time? Don't know b. Suddenly speed up and rush away at any time? Don't know c. Break up into ports or explode? Don't know Give off smoke? Yes Don't know Change brightness? Don't know e. f. Change shape? Don't know Flash or flicker? Don't know h. Disappear and reappear? Don't know 14. Did the obiect disappecw while you were watching it? If so, how? 15. Did the object move behind something at any time, particularly a cloud? ( C i rc I e One ): Yes Don't Know. IF you answered YES, then tell what 16. Did the object move in front of something at any time, particularly a cloud? (C ire le One): Yes Don't Know. IF you answered YES, then tell what 17. Tell in o 7ew words the following things about the object: b. Color We wish to know the angular size. Hold a match stick at arm's length in line with a known obiect and note how the obiect is covered by the head of the match. If you hod performed this experiment at the time of the sighting, how much of the object would have been covered by the match head? Draw c pi:tu:-e ~ct wi II show the shape of the obiect or obiects. Label and include in your sketch any detai Is of the objec7 tt,ot you saw such os wings, protrusions, etc., and especially exhaust trails or vapor trails. Place an orrow ~side the drawing to show the direction the obiect was moving. 20. Do you think you can estimate the speed of the obiect? (Circle One) ,...-Yes) No IF you answered YES, then what speed would you estimate? . c,s~ MI'H 21. Do you think y ou con estimate how far away from you the obiect was? (Circle One) IF you answer~d YES, then how for away would you say it was? A httt.\t ~ ~"~ k_s 23. Were you (Circle One} Where were you located when you saw the obiect? (C ire le One): a. Inside a building a. In the business section of a city? b.c)he residential s~ction of a ci!y).) b. In a car cr-. Outdoors : d. In o n airplane (type) c. In open countryside? d. Near on oirfie ld? e. Flying over a city? f. Flying over open country? 1 24. IF you were MOVING IN AN AUTOMOoiL E or other vehicle at the time, then complete the following questions: 24.1 What direct ion were you moving? (Circle One} n . Nor!h c. East e. South b. Northeast d. Southeast f. Southwest h. Northwest 24.2 How fast were you moving? .miles per hour. 24.3 D id you s i o p atony time while you were looking at the obiect? (Circle One) 25. Did you observe t he object through o ny of the following? a. Eyeglcsses Yes No e. Binoculars b. Sun glasses f. Telescope Yes Windshield g. Theodolite Yes d. Window g!~ss d fc.,rH!~$ 26. In order that you con give as clear a picture as poss'ible of what you sow, describe in your own words a common obiect or objects which, when placed up in the sky, would give the some appearance as the obiect 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 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 obiect was above the horizon (skyline) when you last saw it. Place an .. A" on the compass when you first saw it. Place a "B" on the compass where you last saw tho obiect. 28. Draw a picture that will show the motion that the object or obiects mode. Place on "A" at the beginning of thtt path, o '' 6 '' at the end of the path, ~.nd show any changes in direction during the course. 29. IF there wos MORE THAN ONE object, then how many were there?- .,.( _ pi:n:re of how they were crr:mged, and put an arrow to show the direction that they were traveling. fOC-li.' tC Cl) . 8c.Hu)D 1'\r(E:R, PLAO~ "lfd)J2 rr 30. Have you ever seen this, or a similar obiect before. If so give date or dates and location. 31. Was any on~ e I se with you at the time you saw the obiect? (Circle One) 31.1 IF you or:swered YES, did they see the obiect toe? (Circle One) Please list their names and addresses: Hc.'!.lt#Y 32. Plea$e g ive tne following information obout yourself: Lc;ast Nome First Nome City Zone State Indicate any ~dditional information about yourself, including any special experience, which might be pertinent. 33. When and to whom did you report that you hod seen the obiect? 34. Date you completed this questionnaire: Information whic:h you feel pertinent and which is not adequately covered in the specific points of the questionnaire or a narrative explanation of your sighting. . U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you can give the U.S. Air Force as much information as possible concerning the unidentified aerial phenomenon that you have observed. : Please try to answer as many questions _as you JtOssibly can. The information that you give will be used for research purposes. Your name wi II not be used in connection with any statements, conclusions, or publications without your permission. We request this personal information so that if it is deemed necessary, we may contact you for further details. 1. When did you see the obiect? 2. Time of day: (Circle One): Month Year 3. Time Zone: (Circle One): a.(Eoste~ b. Centicl c. Mour.t c in d. Pacific 4. Where were you when you sow the object? Necrest Postal Address City or Town State or County 5. How long was object in sight? (Tor:::! Duration) Hours Minutes Seconds c. Not very sure b. Fairly certain d. Just a guess 5.2 Was ob.jec~ !n sight continuously? 6. What was the cor;dition of the sky? a. Brigh,t_ b. Cloudy 7. IF you saw the obiect during DAYLIGHT, where was the SUN located as you looked at the obiect? (Circle One): a. In front of you b. In back of you c. To your right d. To your left e. Overhead f. Don't remember FTD OCT 62 164 Thle form aupereedea FTD 164, Jul 61, whlch is obsolete. 8. IF you sow the obiect at NIGHT, what did you notice concerning the STARS and MOON? 8.1 STARS (Circle One): d. Don't remember 8.2 MOON (Circle One): a. Br i_gh_t~m~o...;:.o.:..;.n l~i ht b Dull moonlig~t..) . c. ~ o 111ght -pitch dark d. oont remember 9. What were the weather conditions at the time y04J saw the obiect? CLOUDS (Circle One): WEATHER (Circle One): a. Clear sky b. Fog, mist, or I ight rain ~Scattered cioudD c. Moderate or heavy rain d. thick or heavy clouds d. Snow e. Don't remember 10. T he obiec:r c~peared: (Circle One): b. l r~;n~?-=r~nt d. As o l ight e. o~t remember 11. If it appeared as a light, was it brignter than the brightest stars? (Circle One): a. Brighter c. About the same d. Dont know 11. 1 Compare brightness to some common obiect: 12. The edges of ~!1e obiect were: (Circle Q.,eJ: :. Fuzzy or blurred b. l i "" ~:gbt star =. ~arply out I in .. " d. Don't remember 13. Did the obiect: a. Appear to stand still at any time? b. Suddenly speed up and rush away ot ony time? c. Break up into parts or explode? d. Give off smoke? 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 Dont know 14. Old the obiect disappear while you were watching it? If so, how? ~-E-;, c;c,. SM~ll...ERJ Lt'c KEO LiKE. $rAR. J THE"'-' FA\)E\) }I.OA't~ 15. Did the object move behind something at any time, particularly a cloud? (Circle One): Yes Don't Know. IF you answered YES, then tell what Did the object move in front of something at any time, particularly a cloud? (C ir~ /e One): Yes Don't Know. IF you answered YES, then tell what 17. Tell i n c few words the following things about the object: 18. We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how much of the object is covered by the head of the match. If you had performed this experiment at the time of the how much of the object would have been covered by the match head? ALL cF oaJ \ 19. Draw a p ic~Jre t wi II show the shape of the obiect or objects. Label and include in your sketch any detai Is of the object th ::t you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails. Place en a~-,w beside the drawing to show the direction the object was moving. U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you can give the U.S. Air Force as much information as possible concerning the unidentified arfal phenomenon that you .have observed. Please try to answer as many questions as you ~tossfbly can. The information that you givo will be used for research purposes. Your narne will aot be used in connection wfth any staten:ents, conc:h.1sions, or publications without your permission. We requst this personal information so that if it is deemed necessary, we may contact you for further details. 1. When did you see the object? 2. Time of day: Day Month Year 3. Time Zone: (Circle One):(a.) Eastern b. Centr~l c. Mountcln d. Po~ i f i: e. Other (Circle One): (Circle One): a. Daylight Saving b. Standard 4. Wh~re we~ you when you saw the object? City or Ttwn State:. >r County ( Nearest Postal Address 5. How long wc:s object in sight? (i'otol Duration) Hours Minutes Seconds fa:> Certain c. Not very sure b. Fairly certain . l Just y gue1s . 5.2 Was ob,ect ~r. si~ht continuously? 6. What was the condition of the sky? a.\ Bright 7. IF you saw the object during 0 AYLIGHT, where was the SUN located as you looked at the obiect? (Circle One): a. In front of you b. In back of you c. To your right d. To your left e. Overhead f. Don't remember FTD OCT 62 164 Thle form euperaedee FTD 164, Jul 61, which ie obeolete. 20. Do you think you can estimate the speed of the obiect? (Circle One) Yes ( N;;) IF you answered YES, then what speed would you estimate? ------~. 21. Do you think you con estimate how far away from you the object was? (Circle One) IF you answer~d YES, then how far away would you say it was? --------- .22. Where were you located when you saw the object? 23. Were you (C;rcle One) (Circle One): a.'lnside a building _ _.. a. In the business section of a city? b.(!ntne-residentiQI section ~ iil"e c. In open countryside? d. Near an airfield? e. Flying over a city? b. In a car c:(uutdoors ; d. In on oirplcne