U NCLASS1FiED .;uUHSF sout.:1 t o north .TO. Til u o:Jr 1 P~!CillOS ---GKJ.TCIC S Incident #118 'OLO'~ .-hi te _. : Zti 0rary A' 'IC Form 329 J Hove you ever seen this, or c simil . ...1ect before. If so g ive dote o r dote~ ond loco! ion. 3 i. Was anyone e lse w ith you ot the time you so w the object? (Circle One) Yes 31.1 IF you ans wered YES, dtd they see the obje ct too? (Circle One) Ye s No J 1.2 Please list their names and addresses: 12 ?!ease g ive th e following tnformohon about yourself. c. A L-I t=- Zone Stole Indicate any addttionol information about yourself, tnduding any special expertence, whch might be pertinent. .vhen and to whom d td you report that you hod se':!n the ob1ect? for n contrnued 20. Do you thmk you con e~timole the speed of he object? Ctrc/~ One) IF yoJ omv.,.r..-d YES, then who! speed would you estimate? _ 21. Do you 1htn~ > ou con e stimate how for owoy from you the object wo~? (Circle: On!!) you omwere Y , t en o w or owoy wou you so y wos? -1-l...;so.a~Ca-Utt--flc...:::;..>...:.\_ , 22. Where were you loco ted when you ~ow the object? (Circle One) o . lnsicie o bu.ld1ng 0 Outdoors d . In on oirplon~ (type) e . At st-o 23. Were you (Circle One) o . In the bu!>iness section of a city? In the residential section of a c ity? (3 In open countryside? d . N~or on oirf,eld? e. Flying over o c1ty? f . Flying over open country? 2 d. IF you were MOVING IN A ~ AUTOMOBILE or o ther vt-hicle ut the time, then co'nplcte the followmg questons: hat d irectton were you movtng? (Crrcle One) c. East e. Sou th b Nonheo~l d . Southeast f Southwest h. Northwest 2 4.2 How foq were you movng? milcs per hour. 24.3 Did you !.lOp ot ony time w htle you were looking ot the obje ct? Dtd you ob~erve the object through any o f the following? 0. Eyeglo~,rs b. Sun glo1.~es 't ('!. No f. Telescc.:~pe Windhi.-ld '( \ Theodolite Window glo!.~ Yes N o h. Other. '26 In order th a t you o..on gi"' ;~ cl~or o pcture o po~sible o f who..~t you sow, descnbl! in your o wn word .. o common ob1ec1 o r ob- lects which ~od cn ploccd up"' tl,e kf, wou d g:vethe ~ome oppeoronce as the obtect whic.h you sow. Official U.S. A.ir Fore C' l il/" GA.. e~ 14. Did lhe o b ject dt~oppeor while you were watching i1? If so, how? 15. Did the object move behind someth ing at a ny t ime, particularly o cloud? (Circle One): Yes ~ Don't know. IF you answered YES, then tell v.hat 16. Did the object move in front of somelhtng ol any time, particularly o cloud? (C ~rcle One) Yes Don' t know. IF you ans.wored YES, then tell what 17. Tt:ll in a ftw word~ 1he following things about the object: We wh to know the angular size. Hold o match stic k ot o rm's leng h in line w ith a known obtect and note h o w much of In c I obiect es covered b y th head of the match. If you hod performed the~ experiment at the-1ime of the sghting, h o w much c: I th~ ob,ecl would have been covered by the match head? Draw o picture that will ~how lhe shape of the object or objec ts. lobt"l al'd include in your )ketch any detail$ of the objc::: !' thul yov sow ~uch os ""' ng s, protusions, etc., and especially exhau~t trotls or vapor trails Place on arro w bestde the drowan~ to sho"" lhe direc.t on the ob1ect was moving 8. IF you sow the object ot NIGHT, what did you notic& concerning the STARS and MOON? 8 . 1 STARS (Circle One): b . A few 8 2 MOON (Cue/a One): o . Bright moonlight b . Dull moonlight Q No moonlight- p itch dark T. Don' t remember e Don't reme~b~er I #hot were the weorher condition o t the time you sow the object? h-tJ rQo~;'/;eq_. CLOUDS (Circle One,: o. C lear sky c. Scattered clouds d Thick or heavy clouds 0. The object appeared: (Circfe One): WEATHER (C1rc.le One): (Ci')Dry . b. Fog, mist, or light rain Moderate or heavy rain e . Don' t remember @As o light ~ T ronsporen t e. Do,' t rcmembf:r If 11 aopeored os o lic;ht, wos i t bnghter than :he br<Jhtest ~Iars? ( Circfe 011e): (:)Bngnter b . Dtmmer (1) About the ~ome d . Don' t know ll 1 Compare orightness to some common object : 2. ihe edges o f the object were: {Circle One): o . Funy or blurred .-:a btigftt,er _ f(.)snorply outlined ""cJ" Do"'' t r~membcr o.d the object: c . Apoeor to ;tor:1o sull o t onJ time? ::>. Suddenly 1o c v!) ono ru'n o I'IOY c t ony ltme? :. Breol< up nro oorts cr exolode? ~ G iv<3 ofhr.o~t"' Chong~ or<; r er.s? =. C~onge s~op~? ~ Flash or flic(er? r. Di">oppear cncl r~opo~or? (C1rcle One for each que~t!or.) t" Don't o<now Don't know Don' t '~r.ow Ccn' t ~no.., Don't ~ on Don t kn011 U. S. AIR FORCE TECHNICA L INFORMATION This q uestionnaire has been p repared so that you con g ive the U.S Air Force os much information as possible concerning the unidentiftod aerial phenomenon that you hove cb~erved. Please try to answer os many questions os you posstbly con. Tho information that you giv~ will be used for research purpo~as. Your nome will not be used in connection with any statements, conclusion~, or publications without your permission. We request thts personal information so that tf it is deemed necessary, we may contact you fo r further detail\ . 1. When did you see the object? 2 . Ttme of dey: 3. Time Zone: (Ctrcle One): o. Eastern c. Mountain (Circle One]: AM. (Circle On }: a . Daylight Saving b . Standard d. Poctfic 1.,...- 4. Where were you when you ~ow the object? Nearest Po\tol Addreu City or Town Sroe o r Coulllf 5. How long was object in sight? (Total Duration) c. N ot very sure b fairly certain d . J~Hol CJ 91JCSS 5 . 1 How was time in sig h t determined? -------- 5 .2 Was obiec: in sight continuously? 6 . Whet wos the cond tton of the sky? o . Brighr o . Cloudt 7. IF you ~ow rh .. :JOr"!::t d uin<J DAYLIGHT, wnl'lr~ wo\ th(! SUN locoed cs ou loo~ed o r :he ob1"c:? (Cirdo en ... ,: r'l . Jn front of you ::> 'n boc~e: of you To your ng,t d. To'/ourle:t e. Q,erhead f. Don' t remcr:1b~?r FTD OCT 62 164 T hs .. torm supus~?des FTD HH. JUI St. whsch s ... ob;;o:~tc. o1~r . dmtm s-tanrlif'ord -l.OV~r._ :Jg._, Ul !: t ~uvii Cc r:.: :,.j.Jl!::T-tla