302530386.pdf

PROJECT 10073 RECORD CARD

|  1. DATE | 2. LOCATION | 12. CONCLUSIONS  |
| --- | --- | --- |
|  15 September 1963 | Dayton, Ohio | ☐ Was Balloon ☐ Probably Balloon ☐ Possibly Balloon  |
|  3. DATE-TIME GROUP Local 2039 CMT 1600135* | 4. TYPE OF OBSERVATION ☐ Ground-Visual ☐ Air-Visual ☐ Ground-Radar ☐ Air-Intercept Radar | ☐ Was Aircraft ☐ Probably Aircraft ☐ Possibly Aircraft  |
|  5. PHOTOS ☐ Yes ☐ No | 6. SOURCE civilian | ☐ Was Astronomical Meteor ☐ Probably Astronomical ☐ Possibly Astronomical  |
|  7. LENGTH OF OBSERVATION 2 minutes | 8. NUMBER OF OBJECTS one | 9. COURSE NE  |
|  10. BRI…

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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 observed. Please try to answer as many questions as you possibly can. The information that you give will be used for research purposes. Your name will not be used in connection with any statements, conclusions, or publications without your permission. We request this personal information so that if it is deemed necessary, we may contact you for further details.

|  1. When did you see t…

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

8.1 STARS (Circle One):
a. None
b. A few (just put tailings)
c. Many
d. Don't remember

8.2 MOON (Circle One):
a. Bright moonlight
b. Dull moonlight
c. No moonlight -- pitch dark
d. Don't remember

9. What were the weather conditions at the time you saw the object?

CLOUDS (Circle One):
a. Clear sky
b. Hazy
c. Scattered clouds
d. Thick or heavy clouds

WEATHER (Circle One):
a. Dry
b. Fog, mist, or light rain
c. Moderate or heavy rain
d. Snow
e. Don't remember

10. The object appeared: (Circle One):
a…

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14. Did the object disappear while you were watching it? If so, how?
By breaking up into solid pieces and finally disintegrating and beating from over.

15. Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes ☐ No ☑ Don't Know. IF you answered YES, then tell what it moved behind: _______________

16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes ☐ No ☑ Don't Know. IF you answered YES, then tell what in front of: _______________

17. Tell in a few words the following things about the object:
a. Sound …

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20. Do you think you can estimate the speed of the object?
(Circle One) Yes No
IF you answered YES, then what speed would you estimate? 2000 mph

21. Do you think you can estimate how far away from you the object was?
(Circle One) Yes No
IF you answered YES, then how far away would you say it was? 2 miles

22. Where were you located when you saw the object? (Circle One):
a. Inside a building
b. In a car
c. Outdoors
d. In an airplane (type)
e. At sea
f. Other in front porch, being NE

23. Were you (Circle One)
a. In the business section of a city?
b. In the residential section of a city…

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27. In the following sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how high the object was above the horizon (skyline) when you first saw it. Place a "B" on the same curved line to show how high the object was above the horizon (skyline) 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 saw the object.

90°
75°
50°
45°
30°
15-1,5

28. Draw a picture that will 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, …

1016

30. Have you ever seen this, or a similar object before. If so give date or dates and location.
1939. Enclosure was false. I expect that the
molecule could be a jet plane passing through the main base.

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:
My wife, Mrs.
She saw it first, and called my attention to it.

32. Please give the following information about yourself:
|  NAME | Last Name | First Name | Middle Name  |
| --- | ---…

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34. Date you completed this questionnaire:
Day: 15
Month: Sep
Year: 68

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

I think the object disintegrated before reaching the ground, whenever it (or stoppers) partly reached its resting place.

This form was filled out by Capt de Leon, FSD duty officer, while answering over the telephone with Mr. Biddemeyer.