302539493.pdf

|  1. DATE - TIME GROUP | 4 July 1965 04/0630Z  |
| --- | --- |
|  2. LOCATION | Dayton, Ohio  |
|  3. SOURCE | Civilian  |
|  4. NUMBER OF OBJECTS | One  |
|  5. LENGTH OF OBSERVATION | 15 Minutes  |
|  6. TYPE OF OBSERVATION | Ground-Visual  |
|  7. COURSE | East  |
|  8. PHOTOS | ☐ Yes ☑ No  |
|  9. PHYSICAL EVIDENCE | ☐ Yes ☑ No  |
|  10. CONCLUSION | Satellite (ECHO I) At 0136 ECHO I was over city during time of sighting from North heading SE.  |
|  11. BRIEF SUMMARY AND ANALYSIS | Object was moving from NW and then went toward North. It made a sharp turn toward East and disappeared behin…

JINES: CHECK SANCERIE SCHEDULE
THEN ME IF NOT ECHO, 11 OR RECT.
ECHO TO 0136
NORTHERN 25
HEADING 36

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 …

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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. Tr…

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14. Did the object disappear while you were watching it? If so, how?
Yes went over buildings out of sight

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 no sound
b. Color white light

18. We wish to know the angular size. Hold a match stic…

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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? *over 40 cars ft*  |   |   |
|  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…

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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.

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:

32. Please give the following information about yourself:

|  NAME | Last Name | First Name | Middle Name  |
| --- | --- | --- | --- |
|  ADDRESS | Street | Ave Kettering | City State  |
|  TELEPHONE NUMBER | ☐ | ☐ | ☐  |
|  AGE | SEX | M |   |

Indicate any additional information abou…

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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.

Note - reported object was moving from NW & then went toward North. It made a sharp turn toward EAST & finally disappeared behind buildings on horizon. Object moved in a "jerky" manner and did not follow a definite path as would a satellite. Movement appeared too jerky for aircraft & turns appeared too sharp. Object appeared at high a…