302538824.pdf

|  1. DATE - TIME GROUP | 2. LOCATION  |
| --- | --- |
|  6 May 65 07/0400Z | Brookville, Ohio  |
|  3. SOURCE | 10. CONCLUSION  |
|  Civilian | AIRCRAFT PWR  |
|  4. NUMBER OF OBJECTS | Data did not indicate flight pattern, however no indication that the object could NOT have been caused by an aircraft.  |
|  One |   |
|  5. LENGTH OF OBSERVATION | 11. BRIEF SUMMARY AND ANALYSIS  |
|  5 Minutes | Dull moonlight, many stars clear sky dry night. Object appeared as a light much brighter than the stars. Motion included stationary portion and sudden burst of speed. Object disappeared suddenly. Sma…

DAVID SHELL
BROOKVILLE, O. A/C
(NOT CASE OPS)

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…

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. Transparen…

Page 3

14. Did the object disappear while you were watching it? If so, how?
YES, DISAPPEARED SUDDENLY

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
b. Color BRIGHT WHITE LIGHT

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

Page 4

20. Do you think you can estimate the speed of the object?
(Circle One) Yes ☐ No ☑
VERY FAST

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 resi…

Page 3

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…

Page 6

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:
MRS. BROOKVILLE, OHIO (WIFE)

32. Please give the following information about yourself.
NAME
Last Name First Name Middle Name
ADDRESS
Street Brookville City Zone Ohio State
TELEPHONE NUMBER AGE 22 SEX MALE
Indicate any additional information about yourself, including any special expe…

Page 7

34. Date you completed this questionnaire:
Day: 6
Month: May
Year: 65

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.