1. DATE TIME GROUP 4. NUMBER Oi= OSJECTS 5. LENGTH OF C3SERVATION 10 minutes 6. TYPE OF OBSERVATION Ground Visual 9. PHYSJC~L EVtO!NCE PROJECT 10073 RECORD 2. LOCATION Englewood, Onio 10. CONCLUSION Astro (Venus) a/ ..,.--l 11. BRIEF SUMMARY AND ANALYSIS Observer was looking out a window towards the east when noted object much brigh1.cr than largest star or satellite witness has ever seen. 'fhe observer watched for only 10 minutes and failed to watch long enough to see how object disappeared. While observer war.ched object it remained stationary. Object appea~ed slightly oval with no visible protrusions. August 1966 received is not sufficient Reference your unidentified observation information which we have you cornplete the attached FTD for eva~uation. Request 164 and retw-n 1 t in the envelope provided . We WiSh. to thank you for rel)orting your Sincezei.Y, OR QUuiTA!fiTJA, 'Jr, MaJor,. USAF Chiet, ProJect Blue Book observation 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 th~ unidentified aerial phenomenon that you have observed .. Please try to answer as many questions as you possibly can. The informatjon that you give will be uled 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 y ou see the obiect? 3. Time Zone: (Circle One): ~ t: c s~ern (i> Cent"cl -C: Meun~cin (Circle One): (Circle One): a, ..... Daylight Saving d. Standard 4. Where were y ou when you sow t he : oiect? 1-fearest Pcstol Address City or Town 5. How 1ong -.was object in sight? (Toto! Duration) Hours Minutes a. Certain c. Not very sure b. Fairly certain d. Just a guess Yes ~No 5.2 Was ob:ec~ in s ight c:ontinu:)us!y? 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 ris#1t d. To your left e. Overhecxl f. Don't remember FTD OCT 62 164 Thla fm aupenedea FTO 164, Jul 61, which ia obaolete 8. IF you sow the object at NIGHT, what did you notice concerning the STARS and MOON? 8.1 STARS (Circle One): 8.2 MOON (C;rcle One}: a. Bright moonlight_....,,..... Dull moon I ight- No moonlight-pitch dark Den 't remember d. Don't remember 9. What were the weather conditions at the time you saw the obiect? CLOUDS (Circle One): WEATHER (Circle One): Clear s:.ry b. Fog, mist, or light rain Sc:atter~d c I oud s Moderate or heavy rain Thick or .,eavy clouds d. e. Don't remember 10. The object oppeored: (Circle One): . ~-. As a light / e. !:.on 't remember b. Transp e~t 11. If it oppao~c cs a lisht, was it bds-:-~ .. than the brightest stars? (Circle One): (~' S"ighter b. ::>immer c. About the same d. Don't know 12. The edges ef t~e :bject were: Fuzzy or blvr:-~d ::i. Likeobriyhts~ar c . Sharply out I ined (Circle One): :1. d. Don't remembe"' Did the object; (Circle One for each question) Appear to stcnd still at any time? Don't know Suddenly s;:>eed up and rush away at any time? Yes Don't know Break uo inrc ports or explode? Yes Don't know Give off s moke? Yes Don't know Change br ightness? Yes Don't know Change shape? Don't know Flash or flicker? Don't lcnow Disappear and reappear? Don't know 14. Did the object disappear while you were watching it? If so, how? 15. Did the-obiect move behind something at any time, particularly a cloud? (C ire !e One J: Ye~ Don't Know. IF you answered YES, then tell what it mov~d behind: 16. Did the object move in front of something at any time, particularly a cloud? (C ire /e One): Yes , N3-' Don't Know. IF you answered YES, then tell what 18. We wish te l<now the angular s ize. Hold a match stick at arm's length in line with a known obiect and note how muc:h of 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 o ~ictur~ rh c:t will show the shape of the obiect or objects. Label and include in your sketch any details of the obiect r+-c r 70u sow such as wings, protrusions, etc., and especially exhaust trails or vapor trails . Place on orr~ oeside the drawin g to show the direction the obiect was moving 20. Do you think you con estimate the speed of the object? (Circle One) Yes IF you answered YES, then what speed would you estimate? --------. . 21. Do you thin~ y ou con estimate how for away from you the object was? (Circle One) Yes (l!c;a IF you answered YES, then how far away would you say it was? ----------- Where were y~ located when you saw the object? 23. Were you (Circle One) (C ire le One j; In the business section of a city? Inside o Suilding (f -In the residential section of a city? b. In o car open countryside? Near an airfield? In an airplane (type) e. Flying over a city? f. Flying over open country? 1 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 24.1 What : !rection were you movi:1;? (Circle One) c. Ecst e. South b. Northeast d. Southeast f. Southwest 24.2 How f::st ""ere you moving? miles per hour. 24.3 Did you st:lp ct any time wh i :e you were looking at the obiect? (C ire /e One) 25. Did you e!:>serfe he c:,ject through o~y of the following? Ey~glcsses Yes No e. Binoculars Yes Sun g losses f. Telescope Yes Windsh ii!!IC:: Theodolite , Y4 Window ; i=ss Yes No h. h. Northwest 26. In order that you can give as clear a picture as possible of what you sow, describe in your own words a common ' object or obj~cts which, when placed up in the sky, would give the same appearance as the object which you saw. I 27. In the following sketch, imagine that you are at the point shown. Place on "A" on the curved line to show how high the obiect was above the horizon (skyline) when you lirst 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 sow it. Place a "s on the compass where you last sa~ the obiect 28. Draw o pie!"..:r~ that will show the r."otion that the obiect or obiects made. Place an "A" at the beginning of the path, a "B at the end of the path, c.,d s!1v~ ~ny changes in direction during the course. 29. IF there was MORE THAN ONE objec:t, then how many were there? ----------- Draw a pictu~ cf how they were arranged, and put an arrow to show the direction that they were traveling. 30. Have you ever seen this, or a simi lor object before. If so give dote or dates and location 31. Was anyone else with you at the time you saw the obiect? (Circle One) 31.1 IF you answered YES, did they see the obiect too? (Circle One) 31.2 Please list their names and addresses: 32. Please give the f information about yourself: NAME _.....j TELEPHON= N Indicate any additional information about yourself, including any special experience, which might be pertinent. 33. When and to whor:-: did you report that you had seen the object? Day Jonth Year Dote you completed this questionnaire: Information which you f"l pert' d I onent an which is not ade t I queat onnaire "' a narrative explanation of your sighting. qua. y CoYered in the specific polnta of the