1. OA TE TIME GROUP 2. L OCATION 9 _July 66 09/09002 Hamilton, Ohio 3. :iOIJRCE CONCLUSION Civilian INSUFFIC T DATA FOR EVALUATION NUMBER OF OBJECTS s. LENGTH OF OBSERVATION 11. BRIEF SUMMARY ANO ANALYSIS Not Re--ported ft. TYPE OF OBSERVA TION Ground-Visual 7 , COURSE 9. PHYSICAL EVIDENCE f=TO !.l:P (I) 0-329 (TOE) Provlouo odlllo n o or lhlo lono m a y b4 u .. d. B~nce your tmidenti.fied observation of' 9 July 1966. 'l'be iiltormation which we have rece-ived is not suf:ficient ~or 'eval.ua.tion. Request. you canplete tru:: attached FrD rorm l~ and retul."tt it in. the envelope' pro'l'ided . We wiah to thank youtor reportjog your observation to ~t ;:\': intozmation Vhich ve have received is not. su:fi'ic:tent- ~i ._for evaluation. Bequest you .cauplete. the attaclled F.rD '< J"mm 164. and return 1:t. in tbe' envel.ope_ provided ... vish to thank' you tor reporting ,your observatioo to 8. IF you sow the object 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): ~right moonlight b. Dull moon I ight c. No moonlight-pitch dark d. Don't remember 9. What were the weather conditions at the time you saw the object? CLOUDS (Circle One): WEATHER (Circle One): a. Clear sky b. Fog, mist, or light rain ()Scattered clouds Moderate or heavy rain d. Thick or heavy clouds d. Snow Don't remember 10. The object appeared: (Circle One): b. Transparent @As a light e. Don't remember 11. If it appeared as a light, was it brighter than the brightest stars? (Circle One): a, Brighter c. About the some d. Don't know 11.1 Compare brightness to some common object: 12. The edges of the obiect were: (Circle One): a. Fuzzy or blurred () Like a bright star c. Sharply outlined d. Don't remember Did the object: (Circle One for 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 c. Break up into ports or explode? Yes Don't know d. Give off smoke? Don't know Change brightness? Don't know f. Change shape? Don't know g. Flash or fl icker? h. Disappear and reappear? Don't know 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 will aot 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 s~ the object? 2. Time of day: o4CJO Hour Minutes . (Circle One): or P.M. 3. Time Zone: (Circle One): cr. c. Mountain d. Pacific 4. Where were you wh.,n you sow the object? (Circle One): a. Daylight Saving <Ii) Standard Ne crest Postal Aodre~s C ity or i own Stote or County 5. How long was ot,.ect in sight? (Total Duration) M inutes Sec:onds ~:JCertoin L(.' Fotrly certain 5.1 How was time in sight determined? c. Not very sure d. Just a guess 5.2 Was object in sight continuously? Yes _ 6. 'rth o t was me c ondition of the sky ? 7. IF you saw the object during DAYLIGHT, where was the SUN located as y ou lo oi(ed a t the o b ject? ( C ircl~ One): a . In front of y o u b. In back of you c. To your right d . To your left e. Overhead f. Don't remember FTD OCT 62 164 This form superud .. FTD 164, J u l 61, whic h la obsolete. 14. Did the object disappear while you were watching it? If so, how? 15. Did the object move behind something at any time, particularly o c loud? (Circle One): "(\'!s / No 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 . Tell in o 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 ooject is covered by the head of the match. If you had performed this experiment at the time of ths sighting, how rnuch of the object would have been covered by the match head? 19. Draw a picture mot will show the shape of the object or objects. Label and include in your s.ketch any details of the object that you sow such as wings, protrusions, etc., and especially exhaust trails or vapor trails. Place an arrow beside the drawing to show the direction the object was moving. 20. Do you think you con estimate the speed o f the o b ject? (Circle One) IF you answered YES, then what speed would you estimate? 21. Do you think you con estimate how for away from you the object was? (Circle One) Yes ~ IF you answered YES, then how for away would you soy it was?--------- 22. Where were you located when you saw the object? (C ire /e One): 23. Were you (Circle One) In the business section of a city? a . Inside a building (9 In t he residential s e ctio n of a city? b. In a cor c . In open countryside? Outdoors d. Near on airfield? d. In on airplane (type ) e. Flying over a city? e. At sea f. Flying over open country? IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 24.1 What dire ction were you moving? (Circle One) c . East e. South g. West b. Northeast d. Southeast f. Southwest h. Northwest 24.2 How !cs~ were f OU moving? -------.11 iles per hour. 24.3 Did you stop at c ny t ime while you were looking at the object? (Circle One } Did you observe the ob1ect through any of the following? Eyeglasses {;) Binocu Iars b. Sun glasses Telescope Yes No c. Windshield Yes g. Theodolite Yes No d . Window gloss 26. In order that you con give as clear a picture as possible o f what you saw, describe in your own words a common object or objects which, when placed up in the sky, would give the some appearanc e as the object which you saw 27. In the following sketch, imagine that you ore at the point shown. Place an "A" on the curved I ine to show how the object was above the horizon (skyline) when you first saw it. Place a "B" on the same curved l ine to show how high the object was above the horizon (skyline) when you last saw it. Place an "A" on the compass when you f irst saw it. Place o "B" on the compass where you last saw the object. 28. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the poth, a "B" at the end of the path, and show any changes in directio~ during the course. 29. IF there was MORE THAN ONE object, then how many were t here? -~.;;~;;-;,.-!::..,_.!...(V _ _ 4-....:.... _ Draw a pict ure of how they were arranged, and put an arrow to s how the direction that they were traveling. 30. Have you ever seen this, or a simi lor object before. If so give date or dates and location. 31. Was anyone else with you at the time you saw the object? (Circle One) 31.1 IF you answered YES, did they see the object too? (Circle One) 32. Please give the following information about yourself: First Name T e LEPHONE NUMBE Middle Name 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 object?