1. D'A T! TiME GROUP 4. NUMBER OF OIJECTS LENGTH OF OBSERVATION 10 SecoDda 6. TYPE OF OBSERVATION P~OJECT 10073 ReCORD 2. LOCATION NowcaneratowD, Obio 2 'iitneaa ~ 10. CONCLUSION Poaaible C&FT)- BRIEF SUMMARY AND ANALYSIS Object waa and on both aidea, round in the middle, with lights at top and a croaa). Purple-graJ color. Observer atate~ Just the body ot the object moved, ligbta Ground-Viaul were a tat lOD obaervlns object. Obaerver atated object-did not disappear wh 9. PHYSICAL EVIDENCE PNIoul odlUon of th&1 fora .. F bo ueed. 3. Date you co...,leted this questionnaire: 35. Information which you f"l pertinent and which is not adequately covered in the specific points of the questionnaire or a ive planation of your sighting. (MaJor Quintanilla/70916/mhs/ll Aug 67). UI'O Obaerva tion Newcomerstown, " Reference your JUly 1967 observation ot t-;!li~!, '.obJect'." Prior to reachin& our t1nal an un1dentit1ed conclusion need to know the exact date.. 'lbe initial report indicated sighting occurred on the night of July26, ~ questionnaire you completed indicated that the sighting occurred on JUly 20, 1967 We vould appreciate a note from you clarifying this discrepancy. MANA'l'r, Colonel, of Technology and SUbsystems DEfiARTMENT OF' THE AIR P'ORCE H&ADQUA .. TE"S fO .. E IGN TECHNOLOGY DIVISION ( AfSC) W"IGHT-PATTERSON AI" fO .. CE aAS&. OHIO .8.33 UFO Observation Newcomerstown, Onio 43832 Reference your July 1967 observation of an unidentified flying object. Prior to reaching our final conclusion on your sighting ~e need to know the exact date. The initial report indicated . the sighting occurred. on the night of July 26, 1967; however, the questionnaire you completed indicated that the sighting occurred on July 20, 1967. We would appreciate a note from you c l arifying this discrepancy. Technology and Subsystems U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared 10 that you can give the U.S. Air Force as much information as possible concerning the unidentified aerial phenomenon that you have observed. Please try to answer as many questions as you possibly can. The information that you give will for research purposes, Your name wi II not be used in connection with any statements, ccncluslons, or publications without your permission, We request this personal lt'\formation so that if it Ia deemed necessary, we may contact you for further detoi Is. 1. When did you see the obiect? 3. Time Zone: (Circle One): ~ tostern b. Central c. Mountain d. Poe ific 4. Where were you when you sow the object? 2. Tir,,e of day: " . (Circle One): or (Circle One): (a.') Daylight Saviny b. Standard Nearest Pastal Address C ity or Town State or County 5. now long was obiect in sight? (Totol Duration) Minutes Seconds a. Certain Not very sure Fairly certain d: Just a guess 5.2 Was obiect in sight continuously? 6. What was the condition of the sky? 7. IF you saw the obiect during DAYLIGHT, where was the SUN located as you looked at the obiect? (Circle One): a. In front of you b. In back of you c. To your right d. To your left e. Overhead f. Don't renlember FTD OCT 62 164 Thle farm eueereedu FTP 164, Jul 61, which le obeolete d. IF you saw the obiect at NIGHT, whot diff you notic" concerning the ~TAkS und MOON? 8.1 STAR~ (Circle One): d. Don't remember 8.2 MUON ((,cle One): a. Bright moon I ight ( b) Dull moonlight c. No moon I ight -pitch dar~ d. Don't remember ftty-. 'I 9. What were the weather conditions at the time you sow the object? CLOUDS (Circle One): HEATHER (Circle One): ( ) Clear sky b . Fog, mist, or I ight rain c. Scattered clouds c. .-Aoderote or heavy rain d. Thic~ or heavy clouds e. Don't remember 10. The object appeared: (Circle One): c o.) Solid b. Transparent d. As a I ight e. Don't remember 11. If it appeared as a light, was it brighter than the brightest stars? (Circle One): a. Brighter c. About the same d. Don't know Compare brightness to some common object: 12. The edges of the obiect were: (Circle One): a. Fuzzy or blu:-red b. Like a briyht star ~ Shar!'IY out I ined d. Don't remember 13. Did the obiect: a. Appear to stand sti II at any time? b. Suddenly speed up and rush away at any t ime? c. Break up into parts or explode? d. Give off smoke? e. Change bri~tness? f. Change shape? g. F losh or fl ic~er? h. Disappear and reappear? (Circle One for each question) Don't know Don't know Don't know Don't know Don't ~now Don't know Don't know Don't know 1. Dlcl the ob.ec:t cliaaDoear while you were watching it? If so, how? N 15. Dlcl the obijttet move ~ind aom-.thing at any tim, parfieulttrly a cloud? (Circle One): Yea Don't Know. IF you answered YES, thn tell what 16. Did the obict move in frnnt of so,.thing nt any timtt, pertic:ulorly a clnud? (Circle One}: Yes \..Nc Don't Know IF you answerd YES, then tell what 17. T ttl! in a f.-.w words the followinq things about the obiect: We wish to know the angular size. Hold a match stick at arm's length in line with a known obiect and note how much of the obiect is covered bv thtt hend of the match. If you had Derformed this exoerinent ot the time of the sighting, how much of the ob!ect 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 sketch any details of the obiect that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails. Place an arrow beside the drawing to show the direction the obiect was moving. 20. Do you thinlc you can estimate the sp"d of the obiect? (C ire le One) IF you answered YES, then what speed would you estimate? , C) 0 \ 1 , . 21. Do you thinlc you can ettin.ate how far away from you the obiect was? (Circle One) \ Ye~1 No IF you answered YES, then how far away would you say it was? J-J...[_..[ .~..... _ 22. Where were you located when you saw the object? (Circle One): 23. Were you (Circle One) o. In the business section of a city? a. Inside a building (b.; In the residential section of a city? b. In a car ( c-; Outdoors d. In an airplane (type) c. In open countryside? d. Near an airfield? e. Flying over o 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) o. North c. East e. South b. Northeast d. Southeast f. Southwest h. Northwest 24.2 How fast were you moving? .Jmiles per hour 24.3 Did you stop at any time while you were looking at the object? (Circle One) 25. Did you observe the obiect through any of the following? Eyeglasses Binoculars Yes b. Sun glosses Telescope Yes c. Windshield Theodolite d. Window gloss 26. In order that you con give as clear a picture os possible of what you saw, describe in your own words a common obiect or obieets which, when placed up in the sky, would give the same appearance as the obiect which you sow. 27. In the following slcetch, imogi,e that you a.e at the point shown. Place or "A" on th~ curved I if'e to !how how high the obiect was above the horizon (slcy I ine) when you first sow it. Place a 'B o~ the sa~e curv~d I ine to show how high the obiect was above the horiron (slcyline) when you lost sow it. Place an A" on the compass whttn you I irs t saw it. Place a "B" on the compass where you lost sow the object 28. l)row a picture thc:~t wi II show the motion that the object or objects made. Place an "A" at the beginning of the path, a "B" at the end of the path, and show on~-:~a~9~in direc:tion during tht: course. 29. IF there was MORE THAN ONE object, then how many were there? ----------- Draw a picture of how they were arranged, onJ put on arrow to show the direction that they were traveling. 30. Hove you ever aeen this, or o similar obiect before. If eo give date or dates and location. 31. Woe anyone' else with you ot the time you sow the obiect? (Cirde One) 31.1 IF you onswer~d YES, did they see the obiect too? (Circle One) 31.2 Pleoae liat their name1 and addresses: 32. Please gi information about yourself: Middle Name City Zone State TELEPHONE N Indicate any additional information about yourself, including any special experience, which might be pertinent. 33. When and to whom did you report that you had seen the obi