P ~OJECT 10073 RECORD 2. LOCATION .?airborn, Ohio 3. ::i'}tJf:r.!: 10. CONCLUSION 1 Ulilicn !1. Nlii~BER Or OBJECTS I .'i. LENGTH OF OBSERVATION 1 hour 15 ~inutea ( TYPE OF OBSERVATION Ground V1:;U9.l 8 . PtiOTOS 9. PHYSICAL EVIDENCE HISUFFIC:U::iT DATA FOR EVALUATION 11. BRIEF SUMMARY AND ANALYSIS SEE CASE FILE fTD SEP 63 0-329 (TOE) Prevloue editio n ofthh for=-ma!l b. u .. d. 3 4. Date you completed this questionnaire: Mont h Year 35. Information which you feel pertinent and which is not adequately covered in t he specific points of the questionnaire or a narrative explanation o f your sighting. llti"LY TO D E .. ART,.ENT OF THE AIR FORCE HE.t.OQUA,.T!:IItS I"OIIII[IGN TI!:CHNOLOGY DIVISION I A!'SC l W"IGHTII'ATTZIItSON AI" ,.OIItCI: iiiAtJI:. OHI O -4~"'33 UFO Observation Fairborn, Ohio 45324 Reference y~.)ur unidentified observation. The information \ihich we have received is not sufficient for a scientific evaluation. Request you complete the attached Fl'D Form 164 and return it in the envelope provided. Thank you for reporting your observation to the Air Force. JAMES C. MANATI' Colonel, USAF Director of Technology and SUbsystems F~D Form 164 v/envelope OE~ARTMENT OF THE AIR FORCi! HEAOQUART!:JitS P'OlltJ:IGN Ti!:CHNOLOGY OIV15ION I AJ'SC l WRIGHT ... ATT&IItSON AIR P'OJitC~ CIA!.U:. OHIO 44!54&33 UFO Observation , 4 June 1967 JUN 2 ~ 1967 Reference y(>Ur unidentified observation. 'The information wich we have received is not sufficient for a scientific evaluation. Request you complete the attached FTD Form 164 and return it in the envelope provid~d. Thank you for reporting your observation to the Air Force. JAMES C. MANA"IT, Colonel, USAF Director of Technology and Subsystems F~D Form 164 v/envelope U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you con give the U . S. Air Force os muc h information as possible concerning the unidentified aerial phenomenon that you have observed. Please try to answer as many question s as you possibly can . The information that you give will be u sed for research purposes. Your name w i ll not be used in connection w it h any s tatements, con c lu sions, or publications without your permission. We request th~-:: personal info r mation so that if it is deemed necessa ry, we may contact you for further details. 1. When did you see the object ? Minutes Hour (Circle One): Day Month Yea r 3. Time Z one: (Circle OneJ:c:P tost e rn b. Contro l c. Mountain d. Pacific 4. Where were you when you sow the obje c t ? (Circle O ne):f:)Daylighl Saving ?. Standard Nearest Pa:stal Address City o r T o w n State or County 5. 1-tow lon g w a s obje c t in sighr? ( T o ta l Duroroon ) Hours Minutes Seconds c. C il rtoin b . o~r y certarn c . Not very sure d . Justo gu e s s 5.1 Ho w was t ime in s ight dete rmined? -------------------- 5.2 Was object in sight continuously? Yes _ 6. What was the c ondition o f th e sky? a . Bright a. ~!_ight (b.Cio~dy~ 7. IF y ou saw the object during DAYLIGHT, where was the SU N located as y ou looked at the object? (Circle OnE): o. In front o f you b. In bock of y ou c . To your r igh t d. T o your left e . ov~,.h~cd f. D on' t remember Thla t~m a upersedea FTn . 164, jut 6 1, which is obs o l eto. 8. IF you sow the object at NIGHT, what did y o u notice concerning the STARS und MOON? 8.1 STARS (Circle One): d. Don't remember 8.2 MOON (Circle One): a. Bright moonlight b. Dull moonlight ca.-; _moonl~g!Jtl-pitch dark n 't-;;;;;,ember 9. What were the weather conditions at the time you sow the object? CLOUDS (Circle One): @clear sky '/-- c . Scattered c louds d. Thick or heavy clouds WEATHER (Circle One): b. Fog, mist, or li ght rain c . Moderate or heavy rain e. Don't ren1ember 10. The object appeared: (Circle One): a. Solid QAs a light b. Transparent c. Don't remember 11. If it appeared as a li ght, was it bri~hter than the brightest stars? (Circle One}: 0JBrighter c . About t h e same d. Don't know 11.1 Compare brightness t o some -:ommon object: (Circle One):_; .. , F uzzy o r blurred ~1 Like o briyht star c. Sharply out I ined d. Don't remember 13. Did the ob'Pct: a . Appear to stand still at any time? b. Suddenly speed up and rush away at any time? c. Break up into ports or explode? d . Give o ff smoke? e . Change brightness? f. Change shape? h. D l :;o;>p.:or and reuppear? ( C ircle One for eoch question) Don't know Don't know Don't know Don't know Don't know Don't know Den' t k.,o~ Did the object disappear while you were watching it? If so, how? Did the object move behind something at any t ime, particularly a cloud? (Circle One): fTNo {!_f-.. Da t Know. IF you answered YES, then tell what Did the object move in front of something at any t ime, particularly a cloud? (Circle One): Don't Know. IF you answered YES, then tell what in front of: Tell in a few words the following things about the object : We w1sh to know the angular size. Ho !d a match stick at arm's length in I ine with a known object o r.d note how much of the ob!ect is covered by the head of the match. If you had performed this experiment at the time of the sighting, how much of the objec t would hove been covered by the match head? Draw a pict ure th.!t wi II show the shape of the obje c t or objects. Lobe I and include in your sketch any detai Is of the object thor you saw such as wings, p rotrusion s , etc . , a nd especially exhaust trail s or vapor trails. Place on arrow beside the d ra wing to show the direction the object was moving. 20. Do you think you can estimate the speed of the object? (Circle One) Yes IF you answered YES, then what speed would you estimate?-------- 21. Do you think you con estimate how for away fr_om you the object was? (Circle One) Yes 0/J IF you answered YES, then how far away would you soy it was? --------- 22. Where were you located when you sow the object? (Circle One): 23. Were you (Circle One) a. In side o building b-In a cor a . In the business section of a city? @ In the residential section of o city? c. In open countryside? d. Near an airfield? ( c . Outdoors '-C In on airplane (type) e. Flying over o city? f. Flying over open country? 24. IF you were MOVING IN AN AUTOMOBILE o r other vehicle a t th e time, then complete the following questions: 24.1 What direc.tion were you moving? (Circle One) c. East e. South g. West b. Nort~ea,t d. Sout!-:eost f. Southwest h. Northwest 24.2 How fosr were you moving? ---------' i les per hou r. 2t.3 D id you <~op ot any time while you wee looking at the obj.,ct? (Circle Ote) Yes Di:f y~u cllserte rh object through ony or me following? Eyeglcs"es Binoculars a . Yes l No, e. b. Sun glos:;es Windshield Theodolite Window gloss 1o t y ou cnn !]iv (IS clecr o p ic tur':.: a s po;sibl., o f who r you ".cw, d~;crib!: in your own word:> o , , ..... ..,.,~" object or objects which, when placed up in the sky, would give the some appearance as the objoct which you sow . 2 7. In the follo wing sketch, imagine tha t yo u are a t the point sho .. ..-n. P la c e o n "A" on th e curved line t o s ho w ho w he objec t was above th e horizon (skyl ine} when y ou f i r s t sow it. Place o " B " on the some c urved line to show how high the objec t wa s abov e the horizon (sky l ine } when you last saw it. Pla c e on "A" o n the compass whe n you f irst sow it. Pla c e a " B " on th e compass where you los t s o w t he obje c t 28. Urow o picture that will s h ow tho mo tio n tha t the object o r ob jec ts mode. P la c e on "A" at the beginni n g of th e path, a "B" at the end of the path, and show any changes in d irec tion du r ing the course. 2 9 . IF r!-:ere wo::; tv-OR= T HAN ONE objec!, rher. how ma ny were there? ------------ Dra w c pict ure of how the y were orronyed, onJ put o n a rrow to :;t,ow the d ire c t ion that they we re traveling . 30. Have you ever seen this, or a similar object before. If so give d ote or dotes and location. 31. Was anyone else with you at 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 I ist their names and addresses: 32. Please give the following information about yourself: TELEPHONE N Middle Home Indicate on::' odclitional informat ion about yourself, including any sp~iol experience, which might be pertinent. When and to whom did you report t hat you hod seen the object?