PROJECT 10073 RECORD 1. OA1F. TIME GROUP 2. LOCATION 23 Sept 66 0430Z Dayton, Ohio ( one wi tnees) 3. ~;nur.ce 10. CONCLUSION (other} INSUiFICJr:t'4"r DATI\ FOR EVALUATION 4. NliHB[R OF OBJECTS 5. LENGTH OF OSScRVATION 11. BRIEF SUMMARY AND A~ALYSIS t .. T'I'PE OF OBSERVATION Ground Vist.:E.l 7, COU R5E 9. PtiOTOS ?. f'HYSICAL EVl~fNCE fTD Sf P 6 3 0329 (TOE) PNYiou edlUOfte of thl feNI ... ,, b u,.tl. U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you con give the U.S. Air Force as much information as possible concerning the unidentified oer~ol phenomenon that you have observed. Please t ry 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 statements, cone:! us ions, or publications without your permission. We request this personal information so that if i t is deemed necessary, we may contact you for further details. 1. When did you see the object? H our Minutes Month Yftar 3. Time Zone: (Circle One): a. tastern c. Mour.to in d. Poci~i: 4. Where were 'lou when you saw t he ob iect"? (Circle One): (Circle One): a. Daylight Saving b. Standard Nearest ?o;tol Address ()/ City or Town State or County S. How lor:g w~s object in sight? ( Totc:l Duration) Hours Minutes c. Certain c. Not very sure b. Fcirly certain d. Just a guess 5.2 Was obi~:~ !:1 s ight continuously? 6. What was the : :>r.d i t ion of the sky? a. Briqht a. Bright b. Cloud'/ 7. IF you saw the object during DAYLIGHT, where was the SUN located o~ you looked at the object? (Circle One): a. In fron1 of you b. In back of you d. To your left e. Overhead c. To your r ight f. Don't remember FTD OCT 62 164 ThA form 'UP~, ......... F m ,,. . Jill " whlc:l i nbsoleh . 8. IF you saw the object at NIGHT, what did you notic~ cc-ct-rnmg th e STARS and MOON? STARS (Circle One): M00\1 ( C ire le On~): a. Bright monn I igh t b. DuU monnl ight c. No moonlight -pifc~ dark Do.,'t remember d. Don't remember 9. What wer~ the weather condit;nns at the time you saw h.-nbiect? CLOUDS (C,c/e One): WEATHF.;; (Circle One): a. Clear sk" Fog, r"~i3t, or light r:Jin Scattere2 cloud~ Moder'1t~ nr heavy rain Thick or '-1eavy cbuds 10. The object appeared: (Circle One): d. As o light e. Den 't emember b. Tra;o, spc~.,t 11. if it op;:ecr~::1 cs a l igh~, was it brig r than the brightest !tors? (Circle One}: c. Brighter b. D immer c. About the so.,..~ d. Don't know Compare bri ghtn..,ss to some c~f':'lmon object: 12. The edges of rhe obie-c:t were: (Circle Or~) : c. Fuzzy or blurred b. Li!c~ r brii:jh t s t:lr c. Sharply outlined 13. Did the object: (Circle One for each question) a. Appear to stor"d still nt any time? Don't know Suddenly speed up and rush away at any time? c. Break up into parts ~r exolode? Don't know d. Give off smok Don't know e. Change bright.,~ss? Ye!IO Don't know f. Change shape? Yes Don't know g. Flash or flicker? Don't know Disappear ar.d r"oppecr? Don't know 14. Did the object di sopoeor while you were watching it? If so, how? 15. Did the obj~cr move behind something at any time, particularly a cloud? (Circle One): Ye~ No Don't Know. IF you answered YES, then tell what it move~ behind: 16. Did the o!,je.:t move in front of something at any time, particularly a cloud? (Circle One): Yes No Don't Know. IF you answered YES, then tell what 17. Tell in o few words the following th ing s about the object: 18. We w ish t o know the angular size. Hold o match stick at arm's length in line with a known object and note how of t he obiect is covered by th e head of the match. If you had performed this experiment at the time of the sight ing, h~w much of the object would hove been covered by the match head? 19. Draw o p icr:..!'e wi II show the shope of the object or objects. Lobel and include in your sketch any details of the objecr t you saw such os wings, protrusions, etc., and especially exhaust trails or vapor trails. Place an err ow oe s ide the drawing to s how the direction the obiect was moving. 27. In the following slcetch, imagine that you are at the point shown. Place an "A" on the curved I ine to show how high the object was above the horizon (slcy I ine) when you First sow it. Place a .. B" on the same curv.d I ine to show how high the object was above the horizon (skyline) when you lost sow it. Place an "A" on the compass when you First sow it. Place a "B" on the compass where you lost saw the object. 28. Draw a p icture that will show t he motion that the object or objects mode. Place an "A" at the beginning of the path, o " 8., ot the end of the poth, and s~.u .. -:.ny changes in direction during the course 29. IF there w-as MORE THAN ONE object, then how many were there?----------- Draw a picture of how they were orranged, 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 dotes and location. 31. Was anyone else with you at the time )'Ou sow the object? (Circle One) 31.1 IF ) '0:..1 answered YES, did they see the object too? (Circle One) 31.2 Pleose list their names and addresses: 32. Please g iv ' the following information about yourself: iddle Name TE LE PHO~E NUMBER. tndicote Ort)' additional information a bout yourself, including any special experience, which might be pertinent. 33. When and to whorr. d id you report that you hod seen the object? FTD (TD&'rR)ItJ. Wrigbt-Patterson AFB, Ohio 45433 30 September 1966 Reference your unidentified observation of 23 September 1966 The jnfozmation which we have received is not oufficient for eval-uation. Request you complete the attached F.rD Forrll 164 and return it in the envelope provided. We wish to thank you for reporting your observation to the Air Force. Sincerely, -.OR QUINTtuULIA, Jr Major, USAF ProJect Bl~ Book