t:aceC.onia} Ohio p;TE TWt: GROUP PROJECT 10073 RECO~D 2. LOCATION 10. CONCLUSION Civilian Satellite (possible) 1 s. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AN:) ANALYSi S v 6. TYPE OF OBSERVATION Ground Visual Bx 0 . PHOTOS 9. PHYSICAL EVIDENCE ObserverG r.otcd blui:h -Fhit.e object t rave:.:..::..ne i n a southerly direc tion. !:.i tiol correspondence s::.id. alle.:;erl UFO went eaGt. Description is cor.sis~e a satellite sichtin3 . i=TD SEP 63 0-329 (TOE) Provlous owllo:;~ o f t:11: io= =-i' :..o u : o::. /)~ :J cno fOci...,, South. Uhi.o (Zip [ode) 44oj6 lYa"Clne.t ( hzupe;taba,. end. cJa.J ~)I 74 ~e.A .6i Jrai.uA c/.otJdA .go ..1Wl 0'1 ~ -----:~1 doon. IIXLO no-t. .ut VJPQJ !.~J.'. r:JO:tlurt o(. .6GXDPA: SiAai..gh.t path. :L~en. al.mo.o:t. ~ up. A bou:t a ]0 de.rr-ee 011.ffle f'JOHtf'.t a t!u.tl. {.i.JW.Ja1 no 1 o ~fleet. Li/Y~o d llli.NtDIII no 40-60 mi..le-6 an h.owr. z'ew dJ.J. w.ce~& be1u. w (16 !)D'.t 1110t1Wi CMJtlld: Si-aved GVt me pa:th. !l have ~e 4o ahove /l}oon ua6 not i.n vei.w Laud i..:J. . .:.:v ! Dr!2rl a 4ieo~rc:lvi.~/~ ,~:;intj c n a ~) .i.lzvi.Aitll~ cl.::xllli .fo.;_JW~.: 1Vo .6ecvu::h. ~ 0."~ a:t ih.at. :ti.me i.n no/-aM..a U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you can g ive t he U.S. Air Forc e as much information as possible concerning the unidentified aerial phenomenon that you have observed. Please try to answer. as many questions as you possibly con. The information that you give .will be used for research purposes. Your nome will not be used in connection with any stotemonts, conclusions, or publications w ithout 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 object? (Circle One): Day Month Year 3. Time Zone: a. ( t:osterri' b. Central (Circle O ne): b. t a n ai'cJ (Circle One): c. Mountain d. Pacif ic 4. Where were you when you saw the object? ftlacedoni a City or Town State or County 5. How long was obiect in sight? ( T otal Duration) Hours Minutes Seconds a. Certain c. Not very sure b. Ft:~irly certain d. Just a guess 5.2 Was object in sight continuously? 6. What was the condition of the sky? a. Bright a. Brigh t b. Cloudy b. Cloudy 7. IF you saw the object during DAYLIGHT, where was the SUN located as y o u looked at the object? (Circle One): a. In front of you b. In bock of you c. T o your r ight d. T o your left e. Overhead f. Don' t remember FTD OCT 62 164 Thla form auperaedea FTD 16 4 , Jul 6 1, which l o oba olete . 8. IF you saw the object at NIGHT, what did y ou notice concerni ng the STARS and MOON? 8. 1 STARS(CircleOne): b. A few d. Uon t remember 8.2 MOON (Circle One): a , Bright moonlight b. Dull moonl ight c;--:::No moo'nlight -pi tch dark\ d . Don't remember 9. What were the weather conditions at the time you sow the objec t ? C LOUDS (Circle One): a. Clear sky c._cS"cottereacloud~ r~ ~) d. Thick or heavy clouds 10. The object appeared: (Circle One): WEATHER (Circle One): b. Fog, mist , or light rain c . Modera te or heavy rain e. Don't remember d. As o light ransporent e. Don't remember 11. If it appeared as a light, was it brighter than th e brightest stars? (Circle One): a, Brighter c . About the some d. Don't know 11.1 Compare br ightness to some common object: 12. The edges of th e ob1ect were: (Circle One): a , Fuzzy or bl urred b. Like a bri~t star c.C'Shg;ply Ot,JtlineD d . Don't remember D id the object: a. Appear to stand still at any time? b. Suddenly speed up and rush away at any t ime? c. Break up in t o po"fs or explode? Give o ff smoke? Change brightness? f. Change shape? Flash o r flic ker? h. Disappear and reappear? (Circle On~ fo r each question) Don't know Don't know Don't know Don't know Don't know Don't know , N-o Don't know 14. Did the object disappear while you were watching it? If so, ho w? the object move behind something at any time, particularly a cloud? (Circle One): Yes Don't Know. IF you answered YES, then te II what 16. Did the object move in front of something of any time, particularly o cloud? (Circle One}: Don't Know. IF you answered YES, t hen 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 l ine with a known object and note how the object is covered by the head of the match. If you hod performed this experiment ot the t ime of the sighting, how much of the object Hould hove been covered by the match head? 19. Draw a picture that will show the shape of the object or objects. Lobel and include in your sketch any details of the object that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails. Place on arrow beside the drawing to show the direction the object was moving. 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 some curved line to show how high the object was above the horizon (skyline) when you lost sow it. Place on "A" on the compass when you first sow it. Place o "B" on the compass where you last saw the object. 28. Draw o picture that will show the motion that the object or objects made. Place an "A" at the beginning of the path, a "B" at the end of the path, and s!.u~ .:.;ny changes in direction during the course 29. IF there was MORE THAN ONE object, then how many were there?----------- Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling. 30. Hove you ever seen this, or a simi lor object before. If so give date o r dates and location. 31. Was anyone else w ith you at the t ime you saw the object? (Circle One ) Yes 31.1 IF you answered YES, did they see the object too? (Circle One) Yes No 31.2 Please list their names and addresses: 32. Please g ive the following information about yourself: F irst Name Name TELEPHONE NUMBER tndicate any addit ional information about yourself, including any special experience, which might be pertinent. and to whom did you report that you hod seen the object? 'PauL Allen SUJi.hev. D:~y Month 34. Date you completed this questionnaire: 35. Information which you feel pertinent and which is not adequately covered in the specific points of the questionnaire or o narrative explanation of your sighting