PKOJECi 10073 ;u:coRD , 2. LOCATIO N i .. :JA I- "i ihiE Gi:WU? 110. CONCLUSION . ! : r:St.i7?IC IZI\'T DATA 70.~ Z'! ALU! .':'IO_. ~-NUMB=:R Or 03JC:CTS l ~-Lcf'.GIH OF OaScRVATlON It . TYPe o F oasc:RVATION PhYSIC AL E VIDeNCE 11. BRIEF SUMMARY AND ANALYSIS SE::: CASE FIJ.E Provloua edlUon;a ot thla torm IDAO:f be u .. d 31. Wa onyoM alu wit h you at ,.._e tim~ you sow the objact? ( Ci rcle On11) 31.1 IF yCiJ onsw!trod YES, dld t hy aee the obj@lct t oo? (Circlt On~) 31.2 PI .,,. list ti-Htir na mes ond oddrttues: TELEI'HONE NUMSE tmtlcote ;ny ecfdltlonol lnfor,.tlon obout yourulf, lneluding any apKiol exprlnc.J, ~h:h mig~t b. p4rtiMnr . 33. Wh~tn al"'d to ...mom dld YOY ,,,.,t that you hod linn th oojact? Month Yo01 lnf()(tn<Hion which yov foel pertinent and wh ich io not odeqvot~ly covor"td in the Gpoeclflc point.. :~f th. que3tionnolra Of a norrotiv explanation of your alahting. DE?ARTMENT OF THE AIR FORCE H::::AOQUART.!~S FOi't~ICN T C:CHNOLOCY OIVISION ( AFSC) WRICHTPATTRSON AIR F ORCE BASE. OHIO 4!:S433 UFO Observation Reference y(1Ur unidentified observation . The information W'hich W'e have received is not sufficient for a scientific evaluation. Request you complete the attached FTD Form 164 and return it in the envelope provided. Tnank you for reporting your observation to the Air Force. ... J.:l;:t.t.ES C. MANA'IT, Colonel, USAF r;oirector of Technology and Subsystems F?D Form 164 "'/envelope Received call from :.:rs c0ncerning her sir-:~ting. aid th"l t she S.::l.'tJ a round silver P,lm.; in the sky. '"'as traveling to,,ard the northc~st ~nj mo.ring rather object aopeared to be goim~ dO\m behind so::te trees. she \o~oul::l complete :my forms sent to ~er. F'orm 'tT'lS sent on 27 F'eb 67. 'l'he obje as follO\Ts: Fairborn, Ohio 1-'I.:UJI.:CI IUU/J IH:CUIW l. DAH TIM!:: GROUP 2. LOCATION 0 Feb 6? c/o~ :~oz: ?c:::. ~Lr'tJo:oll. Cilio one Nlll'o\LP OF OBJECTS LENGTH OF OBSERVATION Tl'PE OF OBSERVATION Ground Visual doi\'!1\~ard ~. Ptt oros 10. CONCLUSION Aircr.-' ft. ),,osdblP( 11. BRIEF SUW.\ARY AND ANALYSIS Observ e r was st~r 'om tching whe n she sa\-.' a bright lihht csccndin.r; tO'.o;ard ':.'? Ali'S. I t v1as onJy a Ught ani s!1e nev~r saw D red or g reen light l lV.e airplane~ h:wc, f..ll of a the bri -:ht 'fl~1itc lit;ht. disappear~d. The Hitnesso as seen this before but this is the firs t time she has reported it to the j,ir force. A landing aircr<f t Hith bri.~ht le:mdine li,Jhts coul d h o.ve accounted for the o ighting. l ?o PHYSICAL EVIDENCE f TD SCP 6J 0-329 {TOE) Prevloua edltlon of t h l form c a y bo u .. d Thlo qu;utlonnair ho b.~ ~,otM n ' hof yew c o n yiv~ th., U.S. Air Forcf't a l mvch information a:s pouible coM.,.II\g tn.t unld.entlfiad 041rio l phnoll'leno n 'hot you hn v u oLs.rv&ti, Pl.lot ~ry to OtU'.ur aa ~ t;JiUHMI at you poa~ibly ccn. Th~ in10tmotlon th<at yuu giv!t will b uHd fct r~UOt~h put~MI. Y~ f\48 will not b.a V$~ i" cunn'tc.ticn wHh ony 'lt:Jt8"~otnS:), conclusl~:a, Of' pv~lleot!Oftl .. lthout v~ p.wmluion. w.., r:t~st this Pft"onol lt,form.:>tlon sc that if it Is d .. m~d MeeUQty, w~ l'l'IGY cOMtact you for furth., det.aih. 1. When did you :SfH th~ oltjet? 3. Tim. Zone : ( Cird Onh o .. EoJtr,. c. Mouft+oh (Circltt vn): a. Ooyli\:lht So :oo b.;-Storldord d. Pocifle ~ o. Otn., j ut Poetel A~.a.eu 5. How long WOI object in sight? ( Total Dvrotl~) o, Cortoln b. Fairly c :trtoin C i t y or To""" c. Not 'VfJry sut d. Just ~ guus Mlnvta Second 5.1 How woa tiJM In si~t dtetmlned? ------------------- 5.2 Wos object In sl!;ht cOfttl,.uously? 6 . What w:.1 tn condition o f t h slcy? a. Br loht b. Cloudy b. Cloudy ( CIrcle 0,. ): o, !n front of you b. In bcx!c of ytJU c. T t} yt:Nt rldtt d. To your J.,ft Overhecd f. oOf\t ro~!'nb.r B. If-ynv '>ow tho ob1 ct nl N1Gii1, whOT did y0t.1 no11~., conc,min~ ;~ .. ST~RS .,nrl MOON? d. Don't r~m.,mbar 8.2 MOON (C.ucl~ One): o. BriGht mOQIIIa~ht b. Dull moonli~ht, . c. No moqnl igl,t -p itc h c!CIIIC 9. What .,...,,e ti1 e .,_eoth&r c.ondttioos at th~ t im you :ow the objt'C't? CLOUDS (Cude One): o. Cleor sky h. li\l t y c. Scofte d cloud s d. Tht< ~ ''~ hell~y cf~ud~ WEATHER (Circle One): b. Fog, m i'lt, 01 lq,,ht rolrc c . Modera te or heo-.,y ro in e. Don't remember 10. The objflct appear~d: b. TrofliSpcJiellt ( Circle Ono). W A a a l ight o . Don't rom.mb.r c . Vop~lf 11. If it appeore.d 01 o light, woa It brighter than the brightest ators? (Clrcl'tl On ): c. Ahout th a a me d. Don't know (("do 1;,.,, ) o. F u.ny or blurred b. Li~e a briynt ator ~' Sharply outllnd d. Don't remember 13 . Did the obt<tct: Don' t know DOI"'t know Dcn't know Don't ~now Don't lcnow Don't !mow Don't !mow 14. Did th' o b 1ect d i-.nppoor while you.,,,., :otchinr:J t' II 'd), l1ow? 15. Did tho obje c t move behind somethng at ony time, port.culurly a c loud'? ( C trcle Ont!}: No Don't Know. IF y.:.u Jr1SWered Y[~., lh~11 tc1H .,.ho t it moved beh ind : 16. D id tho obj4et movtt in front o f Gpmothlng a t any ttme, pflr ticulorly o cloud? (Circle One): Don't Know. IF you answerer' YE~ t'-~ . 17. Tt'll in a few words t he f o llowing thing!> about t he object : We wish to know t h e angula r size. Hold a match stick a t orm'o; length in lint' with o kr~own vbjo:t onC. 1:. .. ,,., much of the object is covered by the head of t he match. If y o u had p~rformed this experiment ~t t h & ti,.: ' .: -: sighting, how much o f the obje c t would hove baen covered by t ho match head? 19. Draw o pic ture that will show the 'hope o f the object or objects. Lobel and include in yvu1 sketch any deto:l$ of the object t hat you saw such a s wings, protr usions, e t c . , a nd asp eciolly oxhaus t troih or vapor trail~. Ploco a n arrow bes ide t h o drawi ng t o show the dire c tion the object was moving . 20. Do y ou t hink you can est imate tho ~pearl o f the object? (Circle One) IF you answered YES, then what spead would you estin.ote~ ------ - 21. Do you thin!< y ou can est imate how for away from youth~ o b ject wos? (Circle One) IF you answered YES, t h e n how fa r a way w ould y ou soy i t was?-- --------- 22. Whe re wer y ou locottt d whe n y ou s ow the obje c t ? (Circle One): o. Inside o buildin g b. In a cor d. In on airplane (type ) 23. Were you ((,do One ) a . in the busine-ss sec tion of o crty? b. Jr, rhc: residentia l soct ic.l .:.i c city? c . In op t.n country~ide ? d. N"ar an airfield? e . Flying over a city? f. Fly.n~ over o~n country'~ 24. IF you w~r MOVING IN AN AU TOMOBILE o r other vehicle a t th e time, t hen complete t h e follow i, ,g quulin~: 2A.l Whet d ir$ction were y o u ~noving? (Circle One) a . N o rth c. Eas t b. Northeast d. Sout hsast f. Sou thwest h. Northwut 24.2 How fast wer~ you moving?----- miles per h our 24.3 D id you a1op ot a ny time while you were looking at t he object? (Circle One) 25. Old y o u observe t h e object through any o f the following? a . E yeglauu e. B in oc u lars Yes Wind~hield g. Theodolite Window glass 26. In a rdor that you can give as clear o picture 01 p ossible o f what you s a w, d.,lcribe in your own wordlt o c0f9'1m0f' obj;,ct or objects which, when ploc~d up in t h e sky, would g iv e the some appearance a s t+,., o b j.ct whld. )'OU o"'.1 In -f ollowing a!tl h:h, lmc~ln t hot y ou Of(t a t th~ p olflt ,l,.,wn . Pie ce' ()t'l "J...' ' or. th~ r.urv.,,.: lt(l(. t o s}'lo'H no .... high ::-n obj~ct 'WOJ .1bovt.t t h!J hOflz~ (s !ihO' how high th8 o b ject wos obov~ t he horizon (;Icy I Ina ) when yo u las t 'luw it. Pice" .111 ' ~: on t ho torrpr.JH when you,,,, aaw 1~. Ploca c "B" 01'1 thfl ~ompcan wnr )'OU la.Jt a o w tht oh( .. Ct. 28 . . Draw o p icture thot will show t he motion that the object o r o b jecrs modo . Place on ''A' ' or the. b.aolnui.11J u t rhe path, a "B" ot ths ~nd of the path, and show any changes in d irection during the ~cur~e. 29. IF thr~ wa MORE THAN ONE oblct, then how mony wr thr? ------------- Draw o picture of h ow thy wr arranged, and put on arrow to a how the d irect 1on that t h " Y w~r" trovuling.