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PROJECT 10073 RECORD CARD

1. DATE 2. LOCATION 12. CONCLUSIONS
0 Was Bailoon
28 Apr 64 Miamisburg, Ohio O Probably Balloon
3. DATE-TIME GROUP 4. TYPE OF OBSERVATION ~~" Eessity Battiéon
O Was Aircraft
Local — #) Ground-Vi sual O Ground-Redor Probably Aircraft
GMT 29/ 02502 D Air Visual 0 Air-Intercept Rodar |Q Possibly Aircraft
'S. PHOTOS 6. SOURCE ick Was Astronomicod tar/ Plane
0 Yes 1 Probably Astronomical
10 No civiiian 0 Possibly Astronomical
7. LENGTH OF OBSERVATION 8. NUMBER OF OBJECTS | 9. COURSE  —- o rateee aoe eee
icient o for Cvaiva
15-20 mins, still insight one Istattonary GF knee)

ic. BRIEF SUMMARY OF SIGHTING

Light brighter than a searchlight about like «a
right star. Obj moved was stationary changed
rightness and flashed and flickered. Ball or
eircle glowing and fsding. White light only
bserved. Still in sight at time of report.
jimilar to searchlight. Stationary at 5 deg
slevation. Aximuth not reported.

ATIC FORM 329 (REV 26 SEP $2)

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11. COMMENTS

Azimith not included. Obj has obser-
vational charactcristics of an Astro
hedy such as Venus. No positive iden-
tifieation with specific body since the
nzirmth wns omitted. Sufficient data
presented to indicate an Astro obser-

vition and sighting placed in this
otorory.

U.S. AIR FORCE TECHNICAL INFORMATION

This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possible concerning the unidentified aerial phenomenon that you have observad,
Please try to onswer as many questions as you possibly can. The information thar you give wil!
be used for research purposes. Your nome will not be used in connaction wiih any statements,
conclusions, or publications without your permission. We requast this personal information so

that if it is deemed necessary, we may contact you for further details, :
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1, When did you see the object? 2. Time of day: af Ce eet
: Hour Minutes
me fee Lf) Oe te eS (Circle One): A.M. or = POM
Day Month Year
;

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3. Time Zone:

(Circle One): a, Eastern (Circle Gae): co. Doylight Seving !
b. Central éb, Standerd a
¢c. Mountain =e
d. Pacific
e. Other _..

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4. Where were you when you saw the object?

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bd s ) A Pa ——_ Pon. a a
Nearest Posta! Address City of Town Sitges of County

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5. tow long was object in sight? (Total Duration) eee eee eae ws i
Hours Minutes Saconds :
a. Certain c. Not very sura
ib. Fairly certain d. Justa guess i
5.1 How was time in sight determined? By Soh ST |:
5.2 Was object in sight continuously? Yes i. Nee.

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6. What was the condition of the sky?

DAY NIGHT
a. Bright a. Bright
b. Cloudy (b. Cloudy

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7. IF you saw the object during DAYLIGHT, where was the SUN located a5 you jooked af the object?

(Circle One): a. In front of you d. To your Inft
b. In back of you e. Overhead
c. To your right f. Don’t remember

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FORM
FTD oct 62 164 = Thie form supersedes FTD 164, jul 61, which Is obsctese

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8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?

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12,

13.

8.1 STARS (Circle One): 8.2 MOON (Circle One):

‘a. None : a. Bright moonlight
b. A few b. Dull moonlight

c. Many : ¢. No moonlight — pitch dork
d. Don't remember “d; Don't remember

What were the wecther conditions at the time you saw the object?

CLOUDS (Circle One): WEATHER (Circle One):
a, Clear sky ‘a. Dry |

b. Hazy ; b. Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow

e. Don’t remember

The object appeared; (Circle One):

a, Solid d. Asa light
b. Transparent e. Don't remember
c. Vapor

\f it appeared as a light, was it brighter than the brightest stars? (Circle One):

_@. Brighter c. About the same
b. Dimmer d. Don't know

11.1 Compare brightness to some common object:

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The edges of the object were:
(Circle One): a, Fuzzy or blurred e; -Oiher =

b. Like a bright stor
¢. Shorply outlined

d. Don’t remember

Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes No Don’t know
b. Suddenly speed up and rush away at any time? Yes No Don’t know
c. Break up into parts or explode? Yes No Don’t know
d. Give off smoke? Yes No Don’t know
e. Change brightness? Yes No Don’t know
f. Change shape? Yes No Don’t know
g. Flash or flicker? Yes No Den’? know
h. Disappear and reappear? Yes No Don't know

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14. Did the object disappear while you were watching it? {if so, how?

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15. Did the object move behind something at any time, particularly a cloud?

(Circle One): Yes No } Don't Know, IF you onswered YES, then te!! whot
; Se
it moved behind; __EE

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A = seen

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16. Did the object move in front of something at any time. perticularly a cloud?

(Circle One): Yes ‘No. Don’t Know. iF you answered YES, ther sald what
in front of; SME cre

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17. Tell in a few words the following things about the sbject:
a. Sound ates a Med ON at Bh “ ; “ine =
2, Color a) pe eae Ve a mms Se AS Ti

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13, We wish to know the ongular size. Hold a match stick af arm's length in jine with « known abisct und aera how

much of the object is covered by the head of the march. |f you had performed this expecimant at the tims of ths
sighting, how much of the object would have been covered by the match head?

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19. Draw a picture that will show the shape of the object or objects. Labe! and include in vou sketch an, dercils
of the object that you sow-such as wings, protrusions, etc., and especially exhaust trails or vapor trciis,

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Place on crrow beside the drawing to show the direction the object was moving.

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20. Do you think you can estimate the speed of the object?

(Circle One) Yes No

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21. Do you think you can estimate how far away from you ths object was?

IF you answered YES, then what speed would you estimare? od: |
(Circle One) Yes “ No’ |

IF you answered YES, then how far away would you say it was?

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22. Where were you located when you saw the object? 23. Were you (Circle One)

(Circle One):
|

a. In the business section of a city?
‘a, Inside a building | “by. In the residential section of a city?
- Ina car c. In open countryside?

Outdoors [ d. Near an airfield?

jn an airplane (type) 2. Flying over a city?

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At sea f, Flying over op2n country?

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24. |F you were MOVING IN AN AUTOMOBILE or other vehicle at the tite. then compiate the foliowing questions:

24.1 What direction were you moving? (Circle One)

/ (Fee, Oe ow 1) Or cOectreetaseuenes
.

a. North c. East e, South gy. West
b. Northeast d. Southeast $, Southwest bh. Northwest
24.2 How fast were you meving? niles per hour,

24.3 Did you stop at ony time while you were looking at the object?

(Circle One) Yes No

a ———— ——— —_—_ —_—_— mae

25. Did you observe the object through any of the following?

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a, Eyeglasses Yes No e. Binoculars Yes No
b. Sun glasses Yes No f. Telescope Yes No
c. Windshield Yes No g. Theodolite Yes No
d. Window glass Yes No h. Other ee

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26. in order that you can give as clear a picture as possible of what you saw, describe iin your awn ‘sorcs u commer:

.

object or objects which, when placed up in the sky, would give the same appearance as the obiect which you sa-¢

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27. in the following sketch, imagine thot you ore at the point shown, Place on “A” on the curves line to show how
high the object was above the horizon (skyline) when ycu first sow if. Piace  ‘'B’’ on tha zame curved line to
show how high the object wos above the horizon (skyiine) when you fast saw it. Plo:e an ’’A’’ on the compass

when you first saw it. Place a ‘°B”’ on the compass where you /ast saw the object,

90°

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28. Draw a picture thot will show the motion that the object or objects mada. Placa an “a” at she heginning of the
path, a '’B’’ at the end of the path, and show any changes in direction during the courze.,

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29. IF there was MORE THAN ONE object, then how many were there? BP EOP
Draw a picture of how they were arranged, and put an arrow to show the diraction ria? they ware traveling,

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30. Have you ever seen this, or a similar object before. if so give date or dutes and location.

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31. Was anyone else with you at the time you saw the object? (Circle One) Yes No
31.1 IF you answered YES, did they see the object too? (Circle One) Yes | No

31.2 Please list their names and addresses:

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32. Please give the following information about yourself;

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First Name Middle Name

ADDRESS

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Street City Zore Si ate

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TELEPHONE NUMBER ___ | AGE... SEX /

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indicate any additional information about yourself, including any special experience, which might be pert rent,

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33. When and to whom did you report that you had seen the object?

-

Day Month Yeor

34, Date you completed this questionnaire:

35. Information which you feel pertinent and which is not adequately covered in the specific points of the
questionnaire or o narrative explanation of your sighting.