2. LOCA T!O~ l2/0945Z lli.r-.c:l, O:Uo Civili.:.:J. ~. NUMBER Of OaJECTS : !>. LENGTH OF OBSERVATION 6. TYPE OF OBSERVATION ~ ~:ot repo;;::-t.ed . a. PtiOTOS 9. PHYSICAL EVIDENCE 10. CONCLUSION INSw~FICIEr~ DATA FOa EVALU~TIO~ .... Fo:t":J. ~64 scu t ~.::> ob::e:-ver ove:: 6o days a so whe:il fo:"t3 1~ f-TD S!:P (.J 0-329 (TDE) ;r.,vlo u dlliona o ! thle form ruy D uaaG. ~. I F you saw the object ot N 1L",HT, whot d 1n Y''u notice concern inq the ~I /d~ S r.md MOON '.J 8.1 STAR~ (Circle One): o. Bright moonlight b. Dull moonlight d. Don't remember ~: ~o moonlight -p itch dark ~..-Don't remember 9. Whet were the weather condaticns at tne t ime you saw the object? CLOUDS (Circle One): a. Clear sky (c:' 'Scattered clouds d.,,Th ick or heavy clouds HEATHER (Circle One): b. Fog, mist, or l ight rain c. Moderate or heovy rain e. Don't remember 10. The object appeared: (Circle One): 1 a. Solid (d./As a light r b. Transparent ._....e. Don't remember I c . Vapor J 11. !fit appeared as a light, was it brighter then t he brightest stars ? (Circle On~): (i:~r i ghter c. About the some d. Don't know 11.1 Compare brightness to some common object: 12. The edges of the object were: (Circle One): a. Fuzzy or blurred h., ,Like a briyht star ~ Sharply outlined d. Don't remember 13. Did the object: (Circle One for each qu,stion) Appear to stond sti II at any t ime? Dont know b. Suddenly speed up and rush away at any time? Yes :No Don't know Break up int" parts or explode? Do n't know Give off s moke? Don' t know Change bri;htness? Dcn't know f. Change shape? Don'r know g. Flash or flicker? Ch., Don't kr:o""' h. Disappear and reappear? Don't know No 14. Did the obier:t 1 S. Did ~h~ obier: (Circle On i t moved t,-o. 16 . Did the obieet (Circle On in front o ' Te ll in a few 18. We w ish to kr .. much of the ee; .. - p I'J "J~ J "" ..... , ...... ~ S~""""lthinq ct a ny tim~. oorticul~rly o clo ud? IF you answered YES, then tell what ~ -?nt -:;' waomething at orw tim~. Darticulrn lv a clo"d? D on't Know. IF you answered YES, t hen tell wh:tt r'lg thin gs about th!! object: :-~--'JJ ,-:;, s z~. Hold a match stick ot arm's len~th in line w ith a known ob;ect a nd note ho' -~ .-:: ":JY th e h ead of the mntch. If you had oerformed this exo-triment a t ~e !ir-"e ~; -.--.. ?~ ~ct would have ~en covered by the match h ead? 19. Dra w a pictJr of t;,e obil!ct - Piece an arr c .... , ::;'1~ =h e shape of the object or objects. Lobel and include in your sketc h any d e tails -.--.y~ :o.r=:l a s wings, protrusions, etc., and especially exhaust trails or vapOf trail s . ----~ -:II!!" ~' :;wing t o show the d irecti on the object was moving. 20. Do you thinlc you con estimate the speed oF the object? (Circle One) IF you answerd YES, then what speed would you estimate?-------- 21. Do you thinlc you can estimate how far away from you the obiect was? (Circle One) Yes IF you answered YES, then how for away would you say it was?--------- 22. Where were you located when yOAJ saw the obiect? (Circle One): a. Inside a building b. In o cor fc i O~tdoors ?. In an airplane (type) 23. Were you (C;rcle One) a. In the business section of a city? &">In the residential section of o city? c. In open countryside? d. Near on airfield? e. Flying over a city? 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) a. North c. East e. South b. Northeast d. Southeast f. Southwest h. Northwest 24.2 How Fast were you moving? ---------~miles per hour. 24.3 Did you stop at any time while you were looking at the object? (Circle One) 25. Did you observe the object through any of the following? Eyeglasses Binoculars b. Sun glasses f. Telescope Yes Windshield Theodolite d. Window gloss 26. In order that you can give as clear a picture as possible of what you saw, describe in your own words o common object or objects which, when placed up in thft sky, would give the some appearance as the object which you s ow. 27. In the following sketch, i mogine thot ycu ate at the point ~hown. Place or " A " on th" Cl/TV , ... d r in~ fo show how high the obiect was above the horizon (skyline) when you first sow it. Place o '"B" O!'\ t he sume c.urved lin~ to show how high the object was above the horizon (skyline) when you last sow it. Ple1ce an A" on the com~os5 when you first saw it. Place a "B" on the compass where you last saw t hr. object. 28. l)raw a picture that wi II show the motion that the obiect or objects mode. PI ace on "A" at the beg inning of the ~ path, a "B" at the end of the path, and show any changes in direction during th~ course. 29. IF there was MORE THAN ONE object, then how many were there? Jv . r O~)F Draw a picture of how they were arranged, on.:l put an arrow to show the direction that they were traveling. 31. War. areyon els with yCJ at the time you ~ow the ob~\lct? (Circlt:J One,) ~ 31.1 IF you answred YES, did they see ~hAl object teo? ( Circl'l On~) 31.2 Ploase list their names and addreJses: 32. Please give the following information about yourself: ADDRESS ,.; TELEPHONE NUMB Indicate 011y additional information about yours~lf, including any spectol :J~u.ad .. mca, \'tHch ::nght be p~rtiner.~. 3 3. When ar1d to whom did ou repOt"t ~ha~ 'fO U had seen ih\l obj ct? PROJECT 10073 RECORD I ~7/uJl~tjZ 2. LOCATION 16 JuJ. 67 17 I o4ooz ~yton, Ohic 13. :H)IJi'rt: 10. CONCLUSION 1 i. NUt~eER OF OBJECTS I') LENGTH OF OSSERVATION 10 minutea t .. TYPE OF OBSERVATION Ground Visual ,7. COURSE 8, PHO.TOS l 9. PHYSICAL EVIDENCE 11, BRIEF SUMMARY ANt ANALYSIS Obocrv~r s'bted th~t tho object cppe.:t.red o.s a light. 'l"oe brightnesa <f the o!lj~ct vas ccmp;lred to that ot a. gtar. Brightness \i:\~ the ~bout the Z:'\4.0. Object a edges vere like tl1ooe of a bright stlr. Object h:ld not my d1:~t1nct &O\Illd ot 1 ta own. Color: bright light. r-TO S E P 6 3 0-329 (TOE) Prevlou edltlone o f t hl form ma1 ~ u .. d.