302542493.pdf

|  1. DATE - TIME GROUP | 2. LOCATION  |
| --- | --- |
|  12 August 65 13/0445Z | Toledo, Ohio  |
|  3. SOURCE | 10. CONCLUSION  |
|  Civilian | A/C  |
|  4. NUMBER OF OBJECTS | No data presented to indicate that an a/c could NOT have been the cause of the report.  |
|  One |   |
|  5. LENGTH OF OBSERVATION | 11. BRIEF SUMMARY AND ANALYSIS  |
|  15 Minutes | Light in flight from North to West. Brighter than star. Erratic motion. Would fade out and reappear in a different place. Bright white. Slower than jet a/c.  |
|  6. TYPE OF OBSERVATION | Ground-Visual  |
|  7. COURSE | West  |
|  8. PHOTO…

12 Aug
13 Aug
12 Aug
A/C
12 Aug

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 detai…

Page 2

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
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. Solid
b. Tr…

Page 3

14. Did the object disappear while you were watching it? If so, how?
FAVER OUT & reappeared at different place.

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 NONE
b. Color BRIGHT WHITE

18. We wish to know the angular size. Ho…

Page 4

|  20. Do you think you can estimate the speed of the object? (Circle One) Yes No Not quite as fast as pt speed variable. IF you answered YES, then what speed would you estimate?  |
| --- |
|  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?  |
|  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  |
|  23. Were you (Circle One) a. In the business section of a city? b. In the resid…

Page 5

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.

More N to W

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, and show any ch…

Page 6

30. Have you ever seen this, or a similar object before. If so give date or dates and location.
NONE

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
1. PL TOLEDO, OHIO
2. RD " "
3. RD " "

32. Please give the following information about yourself:
NAME Last Name First Name Middle Name
ADDRESS St. PL TOLEDO, OHIO
TELEPHONE NUMBER AGE 16 SEX M
Indicate any additional information about yourself, including any special experience, whi…