302544808.pdf

|  1. DATE - TIME GROUP | 2. LOCATION  |
| --- | --- |
|  23 September 65 24/0315Z | Bellbrook, Ohio  |
|  3. SOURCE | 10. CONCLUSION  |
|  Civilian | A/C  |
|  4. NUMBER OF OBJECTS | Moving lights of this nature do not fall within the definitation of a UFO. No data presented to indicate that the lights could NOT have been A/C.  |
|  Two |   |
|  5. LENGTH OF OBSERVATION | 11. BRIEF SUMMARY AND ANALYSIS  |
|  15 Minutes for Both | Flickering light in flight from East to West and from West to East. Brighter than stars, and reportedly had erratic movement. White and possibly red at times. Witnes…

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?
Yes - like it most completely out of sight & the
responsible

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: Possibly a cloud

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: Can't know
b. Color: Bright white light …

4

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? Screwing first

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? Very high

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 residential section of a ci…

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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.

[Diagram: A-drossed line with a curved line labeled "Approved - A" and "A" at the top, and a curved line labeled "K" and "B" at the bottom, and a curved line labeled "A" and "B" a…

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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 and her
Brother-in-law
[Redacted]
[Redacted]

32. Please give the following information about yourself:

|  NAME |   |
| --- | --- |
|  Last Name |   |
|  First Name |   |
|  Middle Name |   |
|  ADDRESS |   |
|  Street |   |
|  City |   |
|  Zone |   |
|  State |   |

TELEPHO…