PROJECT lG J73 ;~ ECOR~ ~1. OA.1F. l IME GROUP 2. LOCATION Kettering , Oi ' i I 3. !~OtJr.Ct:: Ci vilia n .1. Nli B( R OF OBJECTS ~;. LENGTH OF OBSERVATION 15 minutes t TYPE OF OBSERVATION Ground Visual I?. PHYSICAL EVIDENCE 10. CONCLUSION I NSUFFICIENT D . .;T/ 11. BRIEF SUMMARY A~m ANAL Y~IS f; TD S [ ? 63 0-329 (TOE) P=--vloua edlUona o f thh form mY b. ueed U.S. AIR FORCE TECHNICAl. INFO RMA TIC~ Thia questionnaire hal been prpared 10 that you can yive the U.S. Air force as much information as possible concerning the unidentified aenol pheno.-,'!enon that you hnvu oLfte"'i. Please try to answer 01 many questions as you possibly can. The information that yc,;u iive w:U be uaed for resarch purposet. Your name will not be used in connec.tion with any st~tt"teni:~, conclusions, or publicationa without your permission. We request this personal lnformt~tion 1c: that if it is deemed nece1sary, we may contact you fur further details. 1. When did you the object? ( C ,rc/e One): 3. Time Zone: (C lrde One): a. Eo stern b. Central c. Mountain d. Pacific 4. Where were you when you sow the object? (Circle One}; a. Daylight So.inn b. St0'1dord 5. How long wo1 oblect in sight? (Toto I Durotlon) a. Certain b. Fairly certain City or T on Houra Mlnutee c, Not very sure d. Just a guess 5.1 How was time in sight determined? -------------------- 5.2 Was obiect in sight continuously? 6. What was the condition of the sky? DAY NIG~I"P' o. Bright --tjr~ht b. Cloudy C oudrJ 7. IF you saw the objact during DAYLIGHT, whera was the SUN located os you look~d 'lt the ol,i~t? ( C Jrc:lo One): a. In front of you b. In bock of yOAJ c. To your ri~t d. To yovr left e. Overheod f. Don't remember f= TO OCT 62 164 Thle form eupened .. PTD 164, Jul 61, whtch obeDiete . 8. IF y o u ~aw the oL1ec.t of NIGHT, what did yoo notrc.e conc.orning the STAR5 and MOON? 8.1 ~ 1 Ak~ (C rrcle One): 8.2 MOON (C.ercfe One): 8ris#1t moonlight Don't remember Don't remember 9. What ,.,.,. tne v-eother c;ondetiona at the time you aaw the object? CLOUDS (C'~rde One): WEATHER (Circle One): a. C le<'~r aky b. f"og, m1st, Ot leght roiu c. Scotte:"d ch>l!J s c. Moderate or heavy rain e. Don't remember 10. The object appeared; (Circle One). A.a o light b, T rontpurent 11. If it appeared 01 o light, waa it brighter than the bright atars? (Circle One): c. About the same d. Dont lcnow 11. 1 Compare brightness to aome common obiect: 12. The edg.e of tne obiect were: t C do (;:,e) o. Fuzzy ot blurred b. Like a bri~t star '. arp y out I ine on t remember 13. D1d the obtect: a. Appear to stand atill at any tin:e? b. Suddenly speed up and ruah away at any time? c. Break up into part a or explode? d. G v off amoke? e. Change brig,tr,ess? f . Change shape? g. r loah Of fl iclc.,r? h. Daappear and rappear? (Circle One for each question) Don't lc"ow Don't "now Don't knew Don't lcnow Don't lcnow Don't know Don't &cnow Don't know 14. Did rh e obt.-,ct disapp!!a r whi lo y o u wert. ..Vo tchtng tt ? II s o , l ow? 15. Did the obiect move behind ~aometheng at any time, particuhuly a cloud'? (Circle Omt ): it moved behind: Don't Know. IF you .:J,, s werecl '( r:. , t httn t U ~hat 16. Did tho objeet move in front of mething at any tame, ptlrticularly a cloud? (Circle One): Yes No Don't Know. IF you answered YES, t t.:H w; , .. Jt 17 . Tell in a few words the following thin s about the obiect: 18. We wish to know the angular size. Hold a match sti-:k at arm~ length in lintt with a known obje:t and J<':r t .. ;,.,., much of the obiect is covered by the head of the match. If you had performed this experiment at ther tia:lJ; .. 1.~ sighting, how much of the object would have been covered by the match head' 19. Draw a picture that will show the shape of the obiect or obiects. Label and include in your aketch any det();li of the obiect that you sow such as wings, protrusions, etc., and especially exhaust troilt or vapor trail a Place an arrow beside the drawing to show the direction the object was moving. ::0. Do you th1nlc you can ftstutlote tna speerl of the object? (C ire le One) IF you answered YES, then what speed would you eatin.ote"f ----' .... 21. Do you thinlc you can estimate how far away from you thtt object was? (Circle One) Yes IF you answered YES, then how for away would you soy it woa? ------ _ 22. Where were you located when you sow the oblect? (Circle One): (i~ Inside o buildin$) b. In o car c. Outdoors d. In on airplane (type) 2:1. Were yo"' (Circl.., Ontt) a. ir: the business section of a city? lr. rh<~ residential s~ct;c,,, '171i a city? c. lr. Of>Cin country~ide? d. N"ar an airfield? e. Fl~ing over a city? f. Fly;n~ ewer open country? 2.-. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete t~e folfowit.g queationt: 24.1 What direction were you ..,ewing? (Circle One) a. North c. East b. Northeast d. Southeast f. Southwest h. 24.2 How fast were you moving? miles per hour. 24.3 Did you atop at any time while you were loolcing at the object? (Circle One) 25. Did you obarve the obiect through any of the following? a. Eyeglasses Binoculars Sun glasses Windshield g. Theodolite d. Window gloss 26. In order that you can give aa clear a picture 01 possible of what you saw, describe in your own wotdl a comm011 biect or obiects which when ploced.u In the s\cy, would give the some appearance as the obiect which } "OU aa~ In tn foi lowlnt akteh, lmogln that you ore at th potnt thown. Ploc em 'J... ' ~m tl-.t r.utv~ .. : I me-to ,,,., h~'* high the oblect waa above the horizon (skyline) when yw IJrs' sow lt. Ploc:t~ n "B or the t:JrM t;Ur~ed line ~(' thow how high the obiect was above the horizon (alcyllne) when yau last !luw it, Place un '~:on the tompas whn you ll"t sow lt. Place o "B'' on the eomJ'OII whr you /oJt aow the ch1ect. 28 . Draw a picture that will show the motion that the object or obiects mado. Place an .. A.' at the beginui:1g ot ine path, a ,.S" at the end of the path, and show any changes in direction during the -::lUr&e 29. IF thre was MORE THAN ONE obJect, then how "wany were there? - Draw a picture of how they were orran;d, and put on arrow to show the direction tnat they wer, traveling. 30. rlav;.t 'jfOJ&J .,., ~J~n thh, ~ 0 aimi lar obj,ct b.fetJ. .If 'o ~lv dot or do?tt <1nd lecQtion of f~sf +J~d; 31. Woa anyone elae with you at "- time you sow the obiect? (Circle One) 31.1 IF you onswerd YES, clid they the obiec:t too? (.Circle One) 31.2 PI" list their nausea end oddr: 32. ~lo give the followint lnfentatlon about younelf: P' I ret H'" Zorw Stato TELEPHONE NUMBER Indicate any odclitlonal lnfor~Mtlon about youraelf, Including any apeclol experience, which might b. pertinenr. 33. Whcen ancf to ~om did you report that you had n the object? 21 December Ui'O Observation, Kettering, Ohio YDQr unidentified observation ot 16 December which~ to the ~ty Officer a. Wright-Patterson The. 1n his report vas not su.f't1c1ent for evaluation. Re~et: you ccnplete the attached P'l"D Foxm 164 and it in the;. lope .. pz ovided. 2.\JleVish to thank you ~or xeporting your-observation to the .M.r.5:~orce DeGOES Colonel, USAP o-r TecbnologJ and Subsystems :S'1'D Pozsm 164 v/envelcipe