PROJECT 10073 RECORD 1. UA TE riME ~ROUP 2. LOCATION . ,., . l 5 U8'..!St co 06J04SSZ arren on, Cc Hultip e 4. NUMBER OF OBJECTS 10. CONCLUSION Probable ( &'1 tc.il i t..!) a, I.ENCTH 0~ ~ISIRVA'tiON He lrtll, IUMMARV ANO AHA~V.,15 6. TYPE OF 03SERVATION : Gr0und Visual 9. PHYSICAL EYlOEHCE Object appeared nG n star above 20 like a star. Ob,jcct just disappeared to mov~d in eratic .~er~' movements. FTD S E P 6 3 0-529 (TOE) Pl"nloae cUtiOfte of dtle tore ~ney tMt u .. d. Was bright white the North. Object 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 oerial phenomenon that you have observed. Please try to answer as many questions as you possibly can. The information that you give will be ~sea for research purposes. Your name will not be used in connection with any statenents, conclusions, or publications without your permission. We request this personal information so thot Jf it is deemed necessary, we may contact you for further details. 1. When did you see the obiect? 2. Time of day: Day . ./ Month 3. Time Zon~: (Circle One}:.-a!-_!:astern ~ Central -c: _, Mount:l in (Circle One): (Circle on <a:~ -Day I ight Saving ~;. Standard 4. Where wer~ y ou when you saw the object? NecresT Postal Address 5. How long wos object in sight? (Tot::ll Duration) ~ Certain c. Not very sure ~. Fo irly certain d. Just a g\ ess State or County 5.2 Was o!,i i;-: sight continuously ? 6. What was 6e ~=i~rt.on of the sky? (a.~ Bright .... Cloudy 7. IF you sa -~.;t during DAYLIGHT, where was the SUN located as you looked at the object? (Circle One): a. In front of you In back of you c. To your right d. To your left e. Overhead f.. Don't remember fTO OCT 62 164 Thla form auper .. dea FTn 164, Jul 61, which ia obaolete. 8. IF you saw 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): a. Bright moon I ight b. Dull moon I ight . 'No moonlight -pitch dark. 9. What were the weather conditions at the time you sow the obiect? CLOUDS ( C;rc/e One): [!':./Clear s ~Y c. Scctte d clouds d. Thick C :' neavy clouds WEATHER (Circle One): b. Fog, mist, or light rain c. Moderate or heavy rain e. Don't remember 10. The obj~c: t o ppeared: (Circle One): i ' ~. .A s a I i gh t e . -'On t remem er 11. If i~ a~peor~:: os o l ight, was it bri;h~r than the brightest stars? (Circle One): ro: 3ri ; hter c. About the same d. Don't know 11.1 Compere brightness to some c ommon object: 12. The edges of H-le o bject were: (Circle o..,~ ): a~ Fuzzy or blurre d 13. Did the object : . /"S. Like a briyht stor -C: Sharply outf ined d. Don't remember a. Appear to s tand still ot any time? b. Sudd~n ly s peed up and rush away at any time? c. Break up ir.t~ ports or explode? d. Give off s moke? e. Change bri;~tness? f. Change shape? g. Flash or fl ic:ker? h. Disappear and reappear? (Circle One for each question) Don't know Don't know Don't know Don't know Don't know Don't know Don't lcnow Don't know 15. Did the obj!!Ct move behind something atony-time, particularly a cloud? (C ire le One): it moved behind: rNo : Don't Know. IF you answered YES, then tell what Did the obie~t move in front of so":'lething at any time, particularly a cloud? ;;~:I a; ------~ ~e~- <-) ~ Don't Kno;: - h IF you ans:red YES, then tell what Tell in o few words the following th ings about the object: o. Sound I / / We wish to l(now. the angular size. Hold o match stick at arm's length in line with a known object and note how of the obiect is covered by the head of the match. If you hacf performed this experiment at the time of the sighting, hew much of the obj~ct would hove been covered by the match head? 19. Draw a pict'Jr~ mot will show the sh~pe of the obiect or obiects. Lobel and include in your sketch any details of the object rhot you sow such os wings, protrusions, etc., and especially exhaust trails or vapor trails. Place an crr ::~w ~sid~ the drawi ng to show the direction the obiect was moving 20. Do you think you con estimate the speed of the oLject? (C ire le One) 22. Where were you located when you sow the object? (Circle Onf! l: a. Inside a building b. In a cor Outdoors d. In on airplane (type) 23. Were you (Circle One) o. In the business section of a city? b. In the residential section of a city? rc.~' In open countryside? 'cf; Near an airfield? e. Flying over a city? f. Flying over ope(1 country? . 24. IF you were ,\'lOVING 1 N AUTO~CoiLE or other vehicle at the time, then complete the following questions: What d irection were you (Circle One) e. South g. West Nvr eost d. Sou east f. Southwest h. 24.2 How fest were you moving? .:~ _ . iles per hour. 24.3 Did you stop at any time wh i i e )''Ou were loo ot the object? (Circle One) Yes No Did you observf! t!,e object through :ny of the following? Eyeglcss~s Yes Binoculars Sun gl css ~! Yes No Windsn ie !d Theodolite Yes No Window c :oss Yes 26. In order that you con give as clear a picture as possible of what you saw, describe in your own words a common obiect or objects which, when placed up in the sky, would give the some appearance as the object which you sow In the following slcetch, imagine that you ore at the point shown. Place on "A" on the curved I ine to ahow how the obiect was above the horizon (skyline) when you first saw it. Place a "B" on the same curved line to show how high tL,e obiect was above the horizon (skyline) when you last saw it. Place an "A" on the compass when you brs t sow it. Place a "B" on the compass where you lost saw the object. .. ' ! 29. Dr~w a pie:;r~ that will show the motio"' that the obiect or obiects made. Plactt an "A" at the beginning of the path, a "B, -::lt the end of the poth, o:1c shu\1\o_ ~ny c'rnges i~; direction during the. c_ourse.. ( : . I -.-. 29. there wcs MORE THAN ONE o~ject, then how 1nany were there? ('- 2 1 .. (-) row a pic:tur~ cf L.,ow they were or~anged, and put on arrow to show the direction that they ware traveling 30. Hove you ever seen this, oro similar object before. If so give dote or dotes and location. 31. Was onyon~ ~lse with you at the time you saw the object? (Circle One) 31.1 IF yo\. answered YES, did they see the object too? (Circle One) Ple~se list th~ir names and addre~ses: ~ . ( . : 32. Please give th e following information o!:>out yourself: Last Name First Name TELE PHO~: NUMB Middle Name When and t o whorr. .:1 id you report that you hod seen the object? (_;rr5/lDilr s Day Month Year 34. Date you completed this questionnaire: 35. Information whic:h you feel pertinent and which is not adequately covered in the specific points of the quationnainr or c narrative explanation of your sighting