302536014.pdf

|  1. DATE - TIME GROUP | 2. LOCATION  |
| --- | --- |
|  16 October 16/1050Z | Fairborn, Ohio  |
|  3. SOURCE | 10. CONCLUSION  |
|  Civilian | Astronomical (VENUS)  |
|  4. NUMBER OF OBJECTS | Venus at 10h 54.09 in East. This Astro Body in position of reported object with characteristics in the report. Case Evaluated as Venus.  |
|  5. LENGTH OF OBSERVATION | 11. BRIEF SUMMARY AND ANALYSIS  |
|  1 Hour 20 Minutes | Looked like 3 cell flashlight at 100 ft. Grew dimmer. Slow upward trend. Disappeared with dawn. No sound. Only light moving upward. Object in East.  |
|  6. TYPE OF OBSERVATION | …

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 the o…

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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
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. Transparen…

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14. Did the object disappear while you were watching it? If so, how?
As sun arose, the sky became too bright to distinguish object.

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: MOVED THROUGH BRANCHES OF TREE IN OTHER WORDS, THE VIEW WAS PARTIALLY OBSCURED BY TREE.

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 foll…

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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? _______________  |
| --- |
|  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 1ST SAW IT b. In a car c. Outdoors WENT OUT 1ST d. In an airplane (type) e. At sea f. Other _______________  |
|  23. Were you (Circle One) a. In the bus…

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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.

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 changes in dire…

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30. Have you ever seen this, or a similar object before. If so give date or dates and location.
NEVER

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:
FAIRBORN, OHIO

32. Please give the following information about yourself:
NAME First Name Middle Name
ADDRESS FOUR First Name MIDDLE Name
Street City Zone State
TELEPHONE NUMBER AGE 43 SEX M
Indicate any additional information about yourself, including any special experience, whic…

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34. Date you completed this questionnaire:
Day: 16
Month: OCT
Year: 64

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.

THIS FORM COMPLETED BY
FTD DUTY OFFICER AS PER PHONE
CONVERSATION WITH MR. ROMIE.