1. DATE TIME GROUP l. :;our.ce PROJECT 10073 RECORD Toledo, Ohio CONCLUSION NUMBER OF OBJICTI s. LENGTH Ofl OBSIRYATION 11. BRI!fl SUMMARY AND ANALYSIS 20 minutes 6. TYPE OF OBSERVATION Observer stated all they noticed was a light} which appeared as nothing ffl6~e than a navigation light but steady. Object was in a slow mot.ion or .stationary pattern. Sparks falling Ground Visual downward from beaneth it. Object disappeared when aircraft -.--c-o_u_R_SE---------.------~ approached. Observer stated that the object was identified as a balloon in the morning paper. 8. Pt~OTOS 9. PHYSICAL IYIDBNCI U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you can giwe the U.S. Air Force -as much information as possible concerning the unidentified aerial phenomenon that you have observed. Please try to answ as ntany questions as you possibly can. The inforntation that you give will be used far research purposes. Your name will not be used in connection with any stateneents, conclusions, or publications without your permission. We request this personal information so that if it is cleemecl necessary, we may contact you far further detai Is. 1. When did you s" the obiect? (Circle One}: Time Zone: (Circle One): a. f'lstern (Circle One}: a. Daylight Saving b. Central c. Mountain d. Pacific 4. Where were you when you saw the obiect? Nearest Postal Address Cit)' or Town State or County 5. how long was obiect in sighr? (Totol Duration) c. Not very sure b. Fairly certain 5.1 How was time in sight determined? d. Just a guess 5.2 Was obiect in sight continuously? 6. What was the condition of the sky? 7. IF you sow the ob;ect during DAYLIGHT, where was the SUN located os you looked at the obiect? (Circltt One): a. In front of you b. In baclc of you c. To your ris#tt d. T o your left e. Overhead f. Don't remember FTD OCT 62 164 Thle Ia,. ~ JPTD 164, Ju& 61, whlch le obeolete. ~. IF you saw the obiect at NIGHT, what did you notice concerning the 5 TARS und MOON? 8.1 STAR~ (Circle One): d. Don't rememl.r 8.2 MOON (Circle One): ~Bright moonlight Y. Dull moonlight c. No moonlight -pitch doric d. Don't remember 9. What were the weather conditions at the time you saw the obiect? CLOUDS (Circle One): c. Scattered clouds d. Thick or heavy clouds 10. The obiect appeared: (Circle One): d. As a I ight HEATHER (Circle One): Fog, mist, or I ight rain Moderate or heavy rain Don't remember Transparent e. Don't remember 11. If it appeared as a light, was it bdghter than the brightest stars? (Circle One): a. Brighter @About the same d. Don't know Compare brightne~s to some com"'.,~ ~bjec . 12. The edges of the obiect were: (Circle One): a. Fuzzy or blurred e. Other b. Like a bri~t star c. Sharply out I ined d. Don't remember 13. Did the object: (Circle One for e ach .qu'tstion) a. Appear to stand still at any time? Don't know b. Suddenly speed up and rush away at any time? Don't know Don't know Don't know Don't know Don't know Don't !<now c. Break up into parh or explode? d. Give off smolce? f ..t / ,.,1 /. e. Change bri~tness? .. ~ ./~ ~ f. Change shape? . g. Flash or fl idcer? - " . h. Oi 'appear and reappear? Ye s No 14. Did the obiect clisaDD while you were watch i,g it? If so. how? 15. Did the obiect ;nove ~.hind aome,.,in~ at any time, porticul~rly a cloud? (Circle One): Yes Don't Know. IF you answered YES, then tell what 16. Did the obittet mft'J in front of somethin any timtt, particularly a doe..td? (C ;rcle One): Yes Don't Know. IF you answered YES, then tell what in front of: 17. T ttl I in a fe.., words the following ings about the obi 18. We wish to know the an"ular siz ... Hold a match sticlc at arm's length in line with a known obfect and note how much of the ob;ect is covered bv the head of the match. If you hod perfartted this ex:orhnent at the time of the 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 i~lude in your sketch any details of the obiect thet 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 think you can estimate the apeed of the obiect? (C ire le One} IF you anawerecl YES, then what apeed would you estitnate? .....;.... -+--,'-- 21. Do yau thinlc you can estin~ate how far away frosn you the obiect was? (Circle One} IF you answered YES, then how far away would you say it was? P /11, ~ . 22. were you located when you saw the obiect? (Circle One): a. Inside a building d. In an airplane (type) 23. Were you (Circle One) In the business section of a city? In the residential section of a city? In open countfytide? Near an airfield? e. Flying over a city? f. Flying over open countyy? 2~. IF you w.re MOVING IN AN AUTOMOBILE or other vehicle at the time, then complet. th. following questions: 24.1 What direction were you moving? (Circle One) e. South g. West b. Northeast d. Southeast f. Southwest h. Notthw.st i les per hour. 24.3 Did you atop at any time while you were looking at the obiect? (Circle One} Did you observe the oa,iec:t through any of the following? a. Eyeglasses Binoculars Yes No b. Sun glasses f. Telescope Yes N Windshield Theodolite Yes Window glass 26. In ordef' that you can give as clor a picture as possible of what you sow, describ. in your own wor~s a common obiect 01 obiec:ts which, when placed up in the slcy, would give the same appearance as the obiect wnich you saw In the following slcetch, hnagine that you ore at the point shown. Place a,. "A" on the cutvecl I ine to show how high the obiect was above the horizon (slcyline) when you first sow it. Place a "B" on the some cu,ved line to show how high the object was above the horizon (slcyline) when you last saw it. Place an ... A" on the compass when you first saw it. Place a "B,. on the compass where you last sow the ob;ect. 28. L.lraw a picture that will show the motion that the obiect or obiects made. Place an "A .. at the beginning of the .. path, a "B" at the encl of the path, and show any changes in direction 'during thw course. 29. IF there was MORE THAN ONE obiec:t, then how many were there? Z:: _ the directi that they were tr. vel i ng. If :ao giv e 1 and location. 31. Was anyone elM with you at the tin:e you saw the obiect? (Circle One) 31.1 IF you anawerecl YES, did they '" the obiect too? (Circle One) 31.2 PleaM list aclclreaaea: 32. Please give the following information about yourself: Firat Name C ity Zone TELEPHONE NUMBER-------- Wilen ancl ta whCIIII did yau re t thj~ you had seen the object? D u y .'A..,ntl, YMH 34. Date you completed thit questionnaire: 35. lnfornsatian which you f .. l pertinent and which is not adequately covered in the specific pointt of the .,ettionnaire or a .,.,..,. explanation af your sighting.