PROJECT 10073 RECORD 1. DATE TIME GROUP 2. LOCATION 21 April 66 22/0l OZ lti.amisb..lrg, Ohio {1 \{itness '~ 10. CONCLUSION 4. NUMBER OF 03JECTS 5. LENGTH OF OSSERVATION 11. BRIEF SUMMARY AND ANALYSIS 3 Hinut e s 6. TYPE OF 03SE~VATION 9. PHYSICAL EVIDENCE Observer stated tha. t tile object looked like aircraft lights but that he thought that the speed of the object ~ras faster than r) jet aircraft. The li~t l-tas round and red in color. Observe~ was :L11 a. moving car at the time of the sighti.'l'lg. The total duration of the sighting \ras three minutes \rhich doe s not indicate a spaed greater than that of a jet aircrai't. FTD SEP 63 0-329 (TDE) Previoua edition o! thl form may be ued. U.S. AIR FORCE TECHNICAL INFORMATION This 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 . Please try to answer as many questions as you ,ossibly can. The Information that you give will be used for research purposes. Your name will 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? 3. Time Zone: Month Year (Circle One): a. E,a_&_t_ern c. -Mounto1n d. Pacific: (Circle One): (Circle One): a~ Daylight Saving {!f.!) Standard ' City or ~,wn State or County 5. How long wos object in sight? (Total Duration) Hours Minutes Seconds c. Certain . c. Not very sure ~) Fairly certain . Just a guess 5.2 Was ob!ect i:1 $ight continuously? 6. What was the condition of the sky? 7. IF you saw the object 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 Thla form aupereedea P1n 16,, Jul 61, which ia obsolete 8. IF you saw the obiect at NIGHT, what did you notice concemlng the STARS and MOON? 8.1 STARS (Circle One): t ~ Don't remember 8.2 MOON (Circle One): a. Bright moonlight b. Dull moonlight . ~ No moonlight - pitch darlc ~)Don't remember . 9. What were the weather conditions at the time you saw the obiect? CLOUDS (Cirele One): WEATHER (Circle One): a. Clear sky b. Fog, mist, or I ight rain Scattered e I oud s c. Moderate or heavy rain d. Thick or heavy clouds d. Snow e. Don't remember 10. The object appeared: (Circle One): ~As a light b. Transparent e. Don't remember 11. If it appeared os a light, was it brighter than the brightest stars? (Circle One): o"";\ Brighter c. About the same --u. mmer d. Don't know 11.1 Compare brightness to some common obiect: 12. The edges of the object were: (Circle One): a. Fuzzy or blurred b. Like a bright st::r ~ Sh:2rply out! ined {!_ Cj U /V Y d. Don't remember 13. Did the object: a. Appear to stand still at any time? Suddenly speed up and rush away at any time? c. Break up into parts or explode? . d. Give off e. Change bridltness? f. Change shape? g. Flash or flicker? h. Disappear and reappear? (Circle One for each question) . Don't know Don't lcnow Don't lcnow Don't know Don't know Don't know Don't know Did the obiect 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 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? (Circle One): Yes Don't Know. IF you answered YES, then tell what 17 . . TeH in a 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 the object is covered by the head of the match. If you had performed this experiment at the time of the sighting, how much of the object would have been covered by the match head? Draw a pic~._r~ th:t will show the shape of the object or objects. Label and include in your sketch any details of the objec~ tnat you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails. Place an crr~w ~s:de the drawing to show the direction the object was moving. f.;}tyc-r'.t) 20. Do you thinlc you can estimate the speed of the obiect? (C ire le One) 21. Do you think you can estimate how far away from you tho obiect 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 obiect? (Circle One): 23. Were you (Circle One) a. In the business section of a city? a. Inside a building b. In the residential section of a city? ~j In a car c. Outdoors ({)In open countryside? ,. .. d. Near an airfield? &J ~ 'l-L~{l"'\. d. In on airplane (type) e. Flying over a city? f. Flying over open country? . 24. IF yol.i were MOVING IN AN AUTOMOSlLE or other vehicle at the time, then complete the following questions: 24.1 What direction were you moving? (Circle One) b. Northeast f. Southwest 24.2 How fast were you moving? ---1--------mi les per hour. 24.3 Did you stop at any time while you were looking at the obiect? (Circle One) No Did you observe the object through any of the following? Eyeglasses Yes B inocu Iars Sun glosses Yes No f. Telescope c. Windshield Theodolite Window glc:s s h. Northwest In order that you can give as clear a picture as possible of what you saw, describe in your own words a common obiect or obiects which, when placed up in the sky, would give the same appearance as the obiect which you saw. (j J V v [llJV o.r ~ 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 obiect was above the horizon (skyline) when you l;rst 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 the obiect. 28. Ore"" a p i: tv re that will show the m~ion that the obiect or obiects made. Place an "A" at tho beginning of the pctn, a "~" at the end of the path, and show any changes in direction during the course. 29. IF there was MORE THAN ONE object, then how many were there? _(_?. ;,...} _ Draw a pict1.1re of how they were orranged, and put an arrow to show the direction that they were traveling. tflA.-C..i~ If so give date or dates and location. 31. Was anyone ~lse with you at the time you saw tbe obiect? (Circle One) 31.1 IF you :nswered YES, did they see the obiect too? (Circle One) 31.2 Please list their names and addresses: 32. Please give t he following information about yourself: Lost Nome irat Nome T:: LE PHONE NUMBER - Middle Nome Indicate any additional information obout yourself, including any special experience, which might be pertinent. 33. When and to whom did you report that you had seen the obiect?