PROJECT 10073 RECORD 1. D~"":'E-TiME GROUP 2. LOCATION Bc l.:.brcok, o:,io (2 Hitnessc:s) 3. ~;OtJRCE 10. CONCLUSION Possible ( AIRCit"r"'"i') 4. NUMBER OF OBJECTS 5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS 10 llinutes t.. TY!"[ OF OBSERVATION Ground-Yi.sual ? . PHYSICAL EVIDENCE Observe~s r.oted a r~d, oluc green lights on w~ Object that trave l ed :,v,;ard tr.c 5':! . O;;,ject wa s compared to a britiht light in a fom o: a. stnr t:-tat \'las rr.oving as if it v1as sui- veying ~1e ground bolO\;. At one tirr.e it appeared that the object s~O?~ed and de a circl e . fTD SEP 63 0-329 (TOE) Prevloue edltton of thl tooiD 111ay b u .. ci. U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you can give the U.S. Air Force as much information a s possible concerning t he unidentified aer ia I phenomenon that you have observed Please try to answer as many questions as you possib ly con. The information that you give will be used for research purposes. Your name will not be used in connection with any state ments, conclusions, or publications without your permission. We request this personal info rmation so that if it is deemed necessary, we may contact you for fu r ther details. 1. When d id you see the object? (Circle One): Month Year 3. T ime Zone: (Circle One): a, Dayl~ht Saving 0 Stan r(J (Circle One): Easte r c. Mountain d. Pacific 4. Wh~re were you when you saw the object? Neorest Postal Ad City or Town Stote or County 5. How long was object in sight? ( Total Durat ion) Hours Minute s Sec:onds o. ertain c. Not very sure b. Fairly certain d. Just a guo -;"' 5.2 Was objec t in sight continuously? 6. What was the cond it ion of tf,e s ky? 7. IF you sew the object during DAYLIGHT, where was the S UN located os you looked o t the obje c t ? (Circle One): a. In front of you b. In bock o f you d . To your left e. Overheod c. To your r ight f. Don't remember Thl~ form sup~r~rl FTn 11>4, J u l Ill. whlc:. I a obaolete . 20. Do you think you con estimate the speed o f the object? (Circle One) Yes No IF you answered YES, then what speed would you estimate? 21. Do you think you can estimate how far away Y,o,m you the object was? (Circle One) IF you a nswered YES, then h ow for away would you say it was?---------- 22. Where were you located when you saw th e object ? (Circle One): 23. Were you (Circle One) a. Inside a building \:~. In the residentiarsectio n of a city? ) <::-In open countryside? Lc, Outdoors :;> a. m on airplane (type) d. Near on airfield? e. Flying over o city? e. At sea f. Flying over open country? 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at th e ti me, then complete the following questions: 24.1 What direction were you moving? (Circle One) o , North c . East e. South g. West b. Northeast d. Southeast f. Southwest h. Northwest 24. 2 How fast were you moving? --------'' iles per hour. 24.3 Did you stop at any time while you were looking a t the object? (C ircle One) 5. Did you observe the object th rough any of the following? a. Eyeglasses '{Yes Binoculars b. Sun glasses Yes Windshield Theodolite Yes No d. Window gloss Yes 26. In order that you con give as clear a pict ure as possible of what you saw, describe in your own words a common object or objects which, when placed up in the sky, would give the same appearance as the object which y o u sow . Did the object disappear while you were watching it? If so, how? 15. Did the object move behind something at any time, particularly a cloud? (Circle One): No Don't Know. IF you answered YES, then tell what it moved behind: Did the object move in front of something at any t ime, particularly a cloud? (Circle One): Yes Don' t Know. IF you answered YES, then tell what in fron t of: Tell in a few words the following things about the object : 18. We wish to know the angular size. match stick a t arm' s length in line with a known object and note how much of the object is covered by the head o f th e match. If you hod performed this experiment at the t ime o f the sighting, how much of the object wou ld hove been covered by the match head? Drow a picture that wi II show the shape of the object or objects. Lobel and inc lude in y our sketch any dctai I~ of the object tha t you sow such as wings, protrusions, etc . , and especiall y exhaust trail s or vapor trails. Ploce on arrow beside the drawing t o show the di/ectio n the object was moving. 30. Hove you ever seen this, or a similar object before. If so give dote or dotes and location . 31. Was anyone else with you ot the time you sow the object ? (Circle One) 31.1 IF you answered YES, did they see the object too? (Circle One) 31.2 Please list their names and addresses: 32. Please give the fQIIowing information about yourself: Lost No'"f Middle Nome TELEPHONE NUMBER AGE -'--/ G:JO! Indicate any additional information about yourself, including any special e xperience, which might be pertiuent . 33. linen and t o whora did y ou report that you hod seen the object ? Day Munth Yeor 27. In tho following sketch, imagine that you oro at the point shown. Plac e on "A" on the curved I ine t o show how high the object wos above the horizon {skyline) when you first sow it . P lace o "B" on the same curvcf l ine t o show how high tho object was above the h orizo n {skyline) when you lost sow it. Place on "A" on the compass when you firs t saw it. Place a "B" on the compass where you lost sow the object. 28. Draw o picture that will show the motion thct the object or objects mode. Place on "A" at the beginning of the path, a "B" at the end of the path, and s!ov~ .:.ny changes in direc t ion during the course. IF there wos MORE THAN ONE ob1ect, then how many were there? -t " ~ : / v f . l Draw a picture of how the y wer~ arranged, on:! put on a rrow to show the direc tion t liat they were tfaveling. 34. 'Date you completed th is questionnaire: 35. Information which you feel pertinent and whic h is not a dequately covered in the specific points of the questionnaire or a narrative explanation of your s ighting. r.cc: ,o. co~cLus\O~ cii1ian Jnsurricien~ da~a i ~. ~\H~e,C.R Of osJEC'TS '7,. 11PE Of oasER'i~l\Ol-4 Ground 'li.sua'l \ ?. rH'fS\CAL E'i\OE~CE Recc:J vci tclephonr c:1ll f rom nellbruol<, Ohio on 26 Oct 66. Last ni,Jht he s:n1 1 UF'0 ::1t Sp:a going SE. He w3s looking for a S<'tellit.c and 5'1.V a UFO. He "\1atch~(i i t for ten minu t.es. Color ,.,as red the n l7hi tc then blue to creen. Hi s neighbor sa\., it to. Sgt J ones asked .l f he vould co:n_?lctc a FTD Form 164, he replied y e s so Sgt Jones said he -...:ou ld s~nn tuo forms, one for himself aw~ one for lis neighlJor . FTD Forms 164 we r e sent on 27 Oct 66 8. IF you. sow the obJf' Ct o Nll:.Hi, what din you notice cc-c<-rntng the STARS and MOON? 8.1 S TARS (Circle Orr): o . None d. Don' t remember 8. 2 MOO'\J 'Circle Onl"): c-Q. -g;ight n:~oni"i9E) b. Dull moonligh t c. No moMi ight -p i tc-1, dark d . Don't remember 9. What we rr-the weot h ... r ::-oroclitions a t the time you sow he obje c t ? CLOUDS (Circle OmJ: c . Scattered cloudc: c . Mod~rntA or heavy rotn d. Thick o r heavy ::l1uds d. Snow Don': -:.!..,f''Tiber 10. The objec t oooeared (Cir::/e Om~): G Solid ) d. Ac; o l ght b. Transpa rent e. Don't re'Tieonber 11. If it apoeored os a lio~. w ee; it br~qhte rl,an tl.,e brightt-~ !'f~rs? (Ctrcle Qnp); o . Br i gh t N b . Dimmer c. About the S:l"I"C" d. Don't know 11.1 Compare brigh+r .. !' s t o some con""lon o!,ie c t : 12. The edges of the ol-e:-t we re : (Circle One): a. Fuzzy o r blurred b. L <... br-Jht star d . C ::ro ' rt- Mf'Mber 13. Did the ob1ect: (Ctrcle One (o r eoch aues tion) a , Ao;>eor t o stc:1d s t;IJ r t nry ti"'" ? b. Suddenly SO!)!'d uo ann ru o;h o woy o t any time? Don' t know Don't know c. Break ~D nt o norts .,, clCcdo.Jc' e. Change bro?"l.,-c;<, :- f. Change sh,;:,c? g. Flash or fltc lte., h. Disaon"or ard r"CI;"IOC'r-' Don' t kno w DCin 't know Don' t knov, Don't know o~n't kno w Don' t know 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 aerial phenomenon that you hove observed Please try t o answer as many questions as you possibly can. The information that you give will be used f or research purposes. Your nome will not be used in connect ion 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 detoi Is. 1. When did you see the o bject ? Ooy Month Year 3. Time Zone: (Circle One): Eastern c. Mountain d. Pacific 4. Where were you when you sow the obje ct? Nearest Postal Addreu 5. How long was object in sight? (T c tcl D uration) a. Certain Hour Minutes (Circle One): (Circle One): a Daylight Saving .._$t_ondar<b City o r T o w n Stote o r County c. Not very sure d. Just o guess 6. What was the c ondition of the sky? ('"~ -Br_l~htJ a;:-clo;dy 7. IF you sow the object during DAYLIGHT, where was the SUN locotc d as you looked at the object? (Circle One): a. In front of you b. In bock of you To your r ight d. To your left e. Overhead f. Don't remember Thl e form aup,.r .. df'a FTn 164, Jul 61, whlc~ Ia oba ol,.te 20. Do you think you con estimate the speed of the object? (Circle One) IF you onswere YES, t en w o t spec wou you estimate. _..~,.(.:..;......;:-:.;. ' \./_ 21. Do you think you can estimate how for away from you the object was? (Circle One) IF you answered YES, then how for away would you say it was?--------- 22. Where were you located when y ou sow the object? (Circle One): 23. Were you (Circle One) o. In the business section o f o city? G: "j~ the residential section of o cityp a. Inside o building b. In a cor c. In open countryside? Outdo;;V d. Near on airfield? d. In on airplane (type) e. F lying over o city? e. At sea f. Flying over open country? 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 24.1 What direction were you moving? (Circle One) c . East e. South g. West b. Northeast d. Soutneost f. Southwest h . Northwest 24.2 How fast were you moving? _,, iles per hour. 24.3 Did you sto p at any t ime while you were looking a t the object? (Circle One) Yes No 25. Did you observe the object th rough any of the following? Binoculars Eyeglasses b. Sun glosses f. Telescope Yes Windshield Yes Theodolite Window gloss 26. In order that you con give O!> clear o picture as possible of wha t you sow, describe in your own words a common object or object s which, when p laced up in the sky, would give the some appearance as the object which )'OU sow . 14. Did the object disappear while you were watching it? If so, how? 15. Did the object move behind some~hing at any time, particularly a cloud? (Circle One): Don't Know. I F you answered YES, then te ll what it moved behind: 16. Did the object move in front of s omething at any t ime, particularly a cloud? (C irc/e One): Yes Don' t Know. IF y o u answere d YES, then tell what in front of: 17. Tell in a few words the following things a bout the object: We wish t o know the angular size. Hold a match stick at a rm's length in line with o known object and note how much of the object is covered by the head of t, e match. If y ou hod performed this experiment a t th e time of the sighting, how much of the o b ject would hove been covered by the match head? -, , . 19. Draw a picture that wi ll show the s!1ope o f th e obje c t or object s . Lobel and include in your sketc h any details the object that y o u sow such os w ings, pro trusions, etc., and especially exhaust trails or vapor trails . P la c e an arrow beside th e dra wing to sho w the d irection the object was moving . 30. Hove you eve r seen this, or a similar objec t before. If so g ive dote or dotes and location. 31. Was anyone else with you a t the time you sow the object? (Circle One) 31.1 IF y ou answered YES, did they see the object too? (Circle One) 31.2 Please li s t their names and addresses: 32. Please give the following information about yourself: Lost Nome F irst Nome TELEPHONE NUMBER Middle Name Zone Stote tndicote any adnitionol informa tion o!:>out ycuself, including any special experience, which might be pertinent . '.Vhen and to whorr. did you t cport that you hcd seen the object ? Ooy Mo nth 27. In th e follow ing sketch, imagine that you ore at the point shown. Place on "A" on the curved I ine t o show how high the object was above th e horizon (skyline) when you f irst sow it. Place a "B" on the some curved line t o show how h igh the obje c t wos above the horizon (skyline) when you lost saw it. Place on "A" on the compass when you firsf saw it. P lace a "B" on the compass where you las t s ow the object . 28. Draw a picture that w i ll show the motion that the object o r obje c t s mode. Place on "A" at the beginning of the path, a '' B'' at the end _.,_h e path, ond !>!avn ... ny ::honges in dirac.t1on during the cour s e . 29. IF there was MORE THAN ONE o bte ct, then how many were there? 6 \ L I C' . Draw a picture o f how they were arranged, on.:! put on arrow t o show the direc