302546522.pdf

|  1. DATE - TIME GROUP | 2. LOCATION  |
| --- | --- |
|  17 December 1965 18/C215Z Sabina, Ohio |   |
|  3. SOURCE Civilian | 10. CONCLUSION A/C Pro A/C  |
|  4. NUMBER OF OBJECTS One | No data presented to indicated object could NOT have been A/C.  |
|  5. LENGTH OF OBSERVATION 2-3minutes | 11. BRIEF SUMMARY AND ANALYSIS Object appeared as a red light which was flickering. There was a main red light and on occasion three other lights. One was a small green light. Object was travelling very fast and it seemed to be at a low altitude. No more info given.  |
|  6. TYPE OF OBSERVATION Ground-Vis…

10 Dec 65
18/0612 E
20 Oct 65
10 Oct 65
2130 17 Dec 65 FTD Duly Office

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 necessar…

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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 - CLIMBED IN ALT AND PASSED OUT OF SIGHT OVER SABINE

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 RED (MAIN OBJECT OR LIGHT) WITH A GREENLIGH…

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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? 200' of closest approach

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 reside…

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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.

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

![img-1.jpeg](img-1.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, a "B…

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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 Middle Name

ADDRESS
Street Washington Courthouse Ohio
City Zone State

TELEPHONE NUMBER AGE 25 SEX M

Indicate any additional information about yourself, including any special experience, which might be pertinen…

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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.