1. OA T E TIME GROUP PROJECT 10073 RECORD I 2. LOCATION Cente::-vill(;, Ohic Civi1:..an 4. NUMBER OF OBJECTS S. LENGTH Or OBSERVATION 6. TYPE OF OBSERVATION Grouna '/isua1 9. PHYSICAL EVIDENCE 10. CONCLUSION Astro(Capellc.) 11. BRIEF SUMMARY AND ANALYSIS object zig -zag anci i:IO'Ie 7-u.::~ ::-C. t=-:t: obscrv:. t io:1. FTD SEP 63 0 329 (T OE) Pr~vloua ~diUon o f t h h form IUY b& ueed. 8. IF you sow the object ol NIGHT, what did you notc:e concerning the STARS ond MOON? 8.1 Sl Ak~ (C,c/e One): 8.2 MOON (C.m:le One): D~II moonl_i;ht d. Don't remember c. No moonlight -pitch dark d. Don't remember 9. What .... ere tile .,...other condetiona at the time you aow the objoC't? CLOUDS !Cude One): G,:. Clear alcy) c. Scotter.-d clr>VJ t d. Tht< ~ >~ he\l'Y cll)Ud WEATHER (Cirde One): b. fog, m1st, oc t.yht ralu c. Moderate or heavy rain e. Oon"t remember 10. The objt~ct appeared: (Circle One}. b . TrontpOtent e . Don't rernemb.r 11. If it oppeored ot o light, woa it brighter than the brlghteat ttors? (Circle One}: ~.!.iih--!.!1 c. About the aame b. Otmmer d. Don't lcnow 11.1 Compare brlghtneu to aorne common object: 12. The edgea of the object were: F uuy oc blurrd Like a brl~t star 5norply outlin~ Oon"t reme~ber 13. Did the ob1ect. (Circle One for each queatlon) Qe !-No Don't know ~ (ti~ Don't know Appear t o stand sti II at any time? Suddenly spe~ up and ruah awoy at any time? Y (t; Don't know Yo (~; Don't &cnow Qe_a_) No Don't &cnow c Break up en t o porta or explode? G1ve off smoke? Change bri~tneu? Yu \. No Don't know Yea \... ~) Don't know Ocn't lcnow Change shape? flosh oc flicker? g. Deaoppeor and reappear? U.S. AIR FORCE TECHNICAl. IHFORMATIO" Thia questionnaire ho1 been prepared 10 that you can yive the U.S. Air Force 01 much information as possible concerning the unidentified oonal phenomenon that you hnvo oLurve1i, Please try to answer as many questions as you pC'ssibly can. The information that y<:u g ivo w ill be used for research purposes. Your nome will not be used in connec;.tion with ony st~ter.teni~. conclusions, or publications without your permissior.. We request this personal Information tic that if It is deemed necessary, we may contact you for further details. 1. When did you see the object? Mi n utoo a ( Crcle One): 3. Time Zone: a. Eastern (Circle One): c. Mountain (Circl(l u ne): o~yli\lhr So: t" O <J)._Stc:J.,CJara : d. Pacific 4. Where were you when you sow the object? 5. How long was object in l ight? (Total Durotlon) ... ~ C a, Certain Lb. fairly certain_ 5.1 How was time In s ight determined? 5.2 Waa object in sight contlnuaualy? 6. What woa the condit ion of the alcy? Hour Minute c. Not very sure d. Just a gueu , 7. IF you aaw the object during DAYLIGHT, where woa the SUN located as y o u loc.l<~d ct the abi~t ? (Circle One): a, In front of you b. In bock of you c. To your ri~t d. To your lefr e, Overheod f. Don't remember FTD OCT 62 164 Thle form auparaed .. I'TD 164, Jul 61, whic h Ia obo ,lte 20. Do you th.in k you con estimate the speed o f th e object? (C ire /e One) IF you answered YES, the n what spee d would you ostin.ate"{ ------.. - 21. Do you think you con e s t imate how for away from you tht't object wos? (Circle One) @ No you answered YES, th e n how for away would you say it was? C\ . :J> -~- 22. Where were you located when )IOU sow the obje c t ? (Circle One ): Were yo1.1 (Citclo One) o. Inside a building b. In o car G;:ou tdoorJ In the busine-ss section of a cjty_1. ~" rh c r~:.fdenticil suctic..~ ~ o city?) c. In opc.n country~ide? d . Nl!tor on airfield? d. In an a irp lane (type ) Flyin g over o city? F ly :n{i ovor open country? Other ---- 24. IF you were MOVING IN A N AUTOMOBILE o r other vehicle at tho tame , then complete the followi9 qunt iona: 24. 1 What direction were you 1noving? (Circle One) a. North c. East e. South y. West b. Northeast d. Sout heas t f. Southwes t h. Northw~st 24.2 How fas t were you moving? -.Jmiles per hour. 24.3 Did you s t o p a t any time whi le you were looking at the object? (Circle One ) 25. O ld you oburve the objct th rough any of the following? a. Eyeglass Binoculars b. Sun glouea Yea No f. Telescope Yea No Windshield Thoodollte d. Window g lau Yes 26 . In order that you can giv e aa clear a picture a a possible of what you saw, describe in your own worcfs o cOft'lmOf' object or ohj&ctl which, when p laced up In the sky, would give tho some appeoronco as tne obioct whlc:h ) 'OU ao"'" 20. Do you think you con estimate the speed of the object? (Circle One) IF you answered YES, then what speed would you ostirr.ote'( -------- 21. Do you think you con estimate how for away from you thl't object was? (Circle One) IF you answered YES, then how for away would you soy it was? ------------- 22. Whore wore you located when vou sow the obfoct? (Circle One): Inside a building b. In a car c. Outdoors d. In an airplane (type) e . At sea 23. Wore yo\J ( Cirdo Onft) In the business section of o city? lr. rhe residential s"ct;c.11 "r o city? In OJ)(O country~icle? N"or on airfield? Flying over a city? Fly ;n~ over open country'! 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at t h o t1me, then c omplete tho folfowil,q queMions: 24.1 What direction were you ~noving? (Circle One) c. East e. Sout h Y W,s, b. Northeast d. Southeast f. Southwest h. Northw.st 24.2 How fast were yOY moving? miles per hour. 24.3 Did you stop at any t ime while you were looking at the object? (Cirde One} Yes No 25. Old you observe the object through ony of the following? Binoculars b. Sun glaues Telescope Yo a No Windshield Yes g. Theodolite Yea No Window gloss Yes No 26. In order that you con g ive oa clear o picture as possible of what you sow, describe in }'OUr own wotcfs o cOMmOf' object or objecta which, when placed up In the sky, would give the some appeoronco as th e obiect which) ou ao~.W 14. Did the object d i soppeor while you were IOtch ing It? II so, how? 15. Did the object move behind somethmg at any t ime, porticui<Jrly a c loud? (C irc/e One): No Don't Know. IF you .:11\SWered YE!,, thnn tttll ..,hot it moved behind: 16. Did tho obieet move In front of ~pmerhing ot any t1me, porticulorly a cloud? (Circle One): No Don't Know. IF you ooswereo YES. t ., t+:ll wj,'Jt in front of: 17. Tell in o few warda the following things about the objt=ct: 18. We wish to know the angular size. Hold o match stid at arm~ length in l intt with a k11own \Jbjo::t on~ ~.l .. .,." much of the object is covered by the head of the match. If you hod pe~rformo.:l this ox .. erimont r.t the-ti.., .. ,; 1~-: s ight ing, how much of the ob;ect would hove been covered by t he match hood? 19. Draw a picture that w ill show the shnpo of the object or objects. Lobel and include in yuu1 a ketch any dote.; Is of the object that you sow such aa wings, protrusions, etc., and eapecio lly exhaust trail ' o r vapor trails. Place an arrow beside the drawing to show the direc.tion the object was moving. 30. Hove you ever seen thia, 01 a aimilor object before. If ao give dote or dotta and locotlon. 31. Was anyone elu with you at tt!e time you saw the object? (Circle One) 31.1 IF you answered YES, did they aee the object too? (Circle One) No 31.2 Pleoat liat their names ond addresses: 32. Plealt give the followlniJ lnfmotlon about your~elf: f' lrat Na"', Mld .. le NIM C ity Zol\e Stato TELEPHONE NUMBER Indicate any additional lnformetlon about yourulf, Including any sp.clol prlenc:e, which might be r-rtlntnr. 33. When and to whom did you roport that you had n the obj$ct? In the following a ketch, Imagine t,ot you are ot the point shown. Place un '' J.." on \he r.urv~ I me. to a how ho~o~o high the object waa above the horizon (skyline) whtn yc.u llr~t sow lt. Ploctt 'l .. B .. on the I;JJM c;ur..-ad line 'r show how high th object was above the horizon (alcyllne) when you lost ~uw it, Place .:~n ' 'A' on the tompllu when you ''"' aaw lt. Place a "B" on the c:ompan whr you /cut a ow the ohject, 28 . Draw a picture that will ahow the motio n that the object or objects modo. Place on "A ' ar rho beginni:-tR ot ino path, o "8" at the end of the path, and show any changes in direction during tho ~ovr&o, 29. IF there was MORE THAN ONE object, then how many were thtre? -------- Dr~w a plc:tur of how they wert orron;td, and put an arrow to show tho cfiroct1on that thoy werrt trovuling 3.4. Oate you completed this questionnaire: 35. Information which you feel pertinent and which Ia not adequately covered in the apeclflc polnta of t h que1tJonnaJre Oil a narratiVe explanation of your lighting. J (!of",., (V ~9 ' /.:._ c,'i- r;:-rL1< r ecfl Q...ta..rv.L ~ t.Lcv~fl. ~;\ FTD (TDF!I'R) 1& lvright-Patteraon AFB, Ohio 45433 1 0 November 1966 Centerville, Ohio 45459 Ref~rence your ~identified observation of 25 Oc~ober 19~. The in.f'ormation which we he.ve received is not s uf:fici:.!nt .!.or valuation. Request you and your brother, Fred, comp~t~ L.de attached Fl'D Forms and return them in the envelope pro vided. \ole wish to thank you for reporting your obtJ<!rva-cion ';o cne Air f'orce. Sincei"'('ly, ~TOR QUINTA:IIIJ..A: Jr, ;:.fa~ or , USAF ~bief, Project 31 Book 8 . IF you sow the object at NIGHT, what did you notice concerning the STARS ond MOON? 8. 1 STARS (Circle One): 8.2 MOON (Circle One): a. None a. Bright moonlight b. Dull moonlight d. Don't remember c. No moonlight-pitch dark c-=-~on't reme. er.':> 9. What were the weather conditions at the time you saw the object? CLOUDS (Circle One): WEATHER (Circle One): b. Fog, mist, or light rain c. Scattered clouds c . Moderate or heavy rain d. Thick or heavy clouds e. Don't remembe r 10. The object appeared: (Circle One): b. T ronsporent e. Don't remembe r 11. If it appeared as a light, was it brighter than the brightest stars? (Circle One): c . About the same d . Don't know Compere brightness to some common object: 12. The edges of the object were: (Circle One): a. Fuzzy or blurred b. L iJ<e _a b ri.gh t stsJr tc ~ S.b_are!Y o_u_t I !_!le_U d . Don't remember 13. Did the object : o. Appear to stand still ot any time? b. Suddenly speed up and rush away at any time? c. "Breakup intoports o r expiOCieT----- d. G ive off smoke? e. Change brightness? f. Change shape? g. Flash or flicker? 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 know Don' t know U.S. AIR FORCE TECiiNICAL 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 possibly con. The information that you give will be used for research purposes. Your nome 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 you see the object? 2. Time of day: /g .:f.:;- Day Month Year 3. Time Zone: (Circle One): !2. t_g_ste.rn- b. Central c. Mountain d. Pacific (Circle One): (Circle On e): a. Daylight Saving b. Standard 4. Where were you when you sow the o bject? Nearest Postal Address City or T o w n 5. how long was object in s ight? (Total Oura t.on) Hours Minutes 6. What was th e condition of the sky? 1.. a. -Bright) State or County 7. IF you saw t he ob je c t during DAYLIGHT, where was the SU N located as y ou looked at the object? (Circle One): a. In front of y ou b. In bock of y ou c. To your right d. To y our left e. Overhead f. Don't remember 'fhl~ f orm ~tuper:~erl" J>T[) 164, Jul 6 1, which ;,. obsoletl' . 20. Do you thin k you con estimate the speed o f the object? ,F t3 1.. C... L 1 jc. L- (Circlc One) ~-;J No !---'v 1~ i ' f J IF you answered YES,