302530607.pdf

PROJECT 10073 RECORD CARD

|  1. DATE | 3 Oct 63  |
| --- | --- |
|  2. LOCATION | Dayton, Ohio  |
|  3. DATE-TIME GROUP | Local 1910 GMT. 04/0010Z  |
|  4. TYPE OF OBSERVATION | ☑ Ground-Visual ☐ Air-Visual ☐ Ground-Reder ☐ Air-Intercept Reder  |
|  5. PHOTOS | ☐ Yes ☑ No  |
|  6. SOURCE | Civilian  |
|  7. LENGTH OF OBSERVATION | 30 Seconds Plus  |
|  8. NUMBER OF OBJECTS | One  |
|  9. COURSE | Manusvered  |
|  10. BRIEF SUMMARY OF SIGHTING | 1. Object described as twisted flame about size of A/C. Yellow. Moved to West and turned North. Speed of Jet A/C. Altitude same as A/C observed later.…

3 out
Two 3 out
Checked - called at 1925 Med

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 …

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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?
yes I would drop to the effect and they N

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 Looked like a yellow flame
…

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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? Speed of a jet  |
| --- |
|  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? Attitude "Same as the jets"  |
|  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? …

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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 some 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°

A - B

![img-0.jpeg](img-0.jpeg)

28. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the path,…

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30. Have you ever seen this, or a similar object before. If so give date or dates and location.
- NO -

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:
WIFE

32. Please give the following information about yourself:

|  NAME | Last Name | First Name | Middle Name  |
| --- | --- | --- | --- |
|  ADDRESS | Street | City | Zone  |
|   | Dayton | 14 | State  |
|  TELEPHONE NUMBER | AGE | SEX | Male  |

Indicate any additional info…

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34. Date you completed this questionnaire:
Day ___ Month ___ Year ___

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.