PRQjt.CT 1C073 RECORD C;.t~Ll : ?. LC'CA TI'JN N ':l or J.~y AFB, Cia. ; \2. C: C'tCLU~IONS ? ro b-::bl y Colli.'"" P o r. .,, ;,: y Ooll oof\ OATcTIJ..C C ROUP 1 4. TYf' E OF OD~CRVATIOP4 I %1 GI"'url ~-'V s v o l C.round Rod or Was AHc:roft P rob obi y A o r crolt Po '''bl r AorCrflft -s:-PHOTCf------I ' s"oUiiCE ----- ---:-. --: c Wos Astronumocof 0 Y 0 P robotl 'f A s t ronC\m o c ol m No I J.Ulitar.r I 0 Po!.Sobly "'''';)nOMICol ,-:-LEHCTH OF OD_S_E_R_V AT- ,-C-N------:.., 1-.-H-U-MDE P.-. -oF-OcJEc:rs-1 -,-.couqSE----- lflsuffocoent Ocrto for Eflluoti ot" lS.'\'"~ aocondD I One l Nort1.ilcGt ! Unlcnown ORIEl' SUMMARY Of $1CHTINC I" co~.MENTS Ten toot di ter metal ~pherc with copper- This ei~tiuB wes not raportod 1nh color. Object traveled from &n l 6even years attcr it ocourrcd. apparently etntion!.ir~' poD1 tion with a laree old to be r_f\N, value. . . oocillnt1o n to snnll o:Jc1ll~lt1on after 1 ncooloration. Obj~ct bed exhaust ot z16-i zas pnttorn. Object eppe~ed solid end wan ! sharply outlined. ~ ATIC PORM .Ut (REY 21 IEP Sl) U. S. A I R F 0 R C E T E C tl H I C A L I H F 0 R M A T I 0 H S H E E T This questionnaire ha a bnn ptepared ao that you can give tho U. S. Air F orce oa liluc:h lnfcunotion 01 pouiblo ccncorning the uniJ, ntified aerial phenomenon that you havo ob:hrv~. Pleas try to anawer at mony quutlona oa you poulbly can. The lnformotlon that you give will b~ uud for reseorch purposes, and will b., rogcudd oa conflde~tlol material. Your narne wllltHJI be uaed In co11nectlon with any atotemanta, conclusions, or publication without your peu"lulon. W roqueat this p.nonol Information 10 that, If It Ia do~med n)couory, we may contact yc.)u for 1. Wh,n did you ae the object? 2. Time of day: Dar Month (Circle One): (Circle Ono):~.'. ~a~t.,rn_ , b, Central (Circle One): c. Mountain d. Pacific a. Doyll~ht Saving b, Standard Noareat Poatol Addreu Adclltlonal romarks: City or Town Sta b or c..,untry 5. Estlmat h-ow long you Jaw tho objoct, M inute I Second 5.1 Circle one of the following to Indicate how C~>rtaln you are cf your anawer to Qu;tstlon S. o. Certain b, Fairly certain c. Not very suro CJust d ou.,;i ,~ 6. What was th conddicn of tho sky? (CI;cl., One): h;-da;ii9ht'J b. oL;n-ciayflch,-- c. Bright twi I ight d. Just a troco of doyl ight o. No tfaCIJ of daylight f. Don't remember 7. IF you sow the objoc:t during DAYLIGHT, TWILIGHT, or DAWN, whor" was thlJ SUN loctltod o; you l.:wkctl a t (Circle One): a. In front of you b. In back of you c. To your right Cd. To your lefy ";;:-overhead_. f. Don't rom~mber A 'tiC FORM NO. t64 ( U OCT $4) 8. IF you aaw the oufec\ at NIGHT, TWILIGHT, or DAWN, what did you notice concerning the STARS and MOON? 8.1 STARS (C lrcle One I: 8.2 MOON (C lrclo One]: Don't remomber o. Bright moonlight .,, Dull moonlight c. No moonlight -pitch darlc d. Don't remember 9. Was the obJect brighte r than the bac:lcgraund of the slcy? c , Don't remember (Cirr:le One]: ~ . 10. IF It wat BRIGHTER THAN the slcy background, was the brightness like that of an automobile h~adllght?: (Circle One] a. A mile or more away (a distant c:cr)? .,, Soveral bloclcs away? d. s~voral yards away? 11. Dlcl the object: (Circle One lor oach qutJstion} a. Appear to stand still at any tim~? ( Yo0 No Don't Know .,. Suddenly spoed up and rush away ot any tlma ? ~) No Don't Know c. Brook up Into parts or explode? Yes ~y Don't Know cf. Give off smoke? (Vii) No Don't Know Change brightness? w ~ 01 ')' ' r A '\JI ;;_. ~ C'f,Y) ~0--Don't Know f.' Change shape? _....Y ss (No Don't Know Old tha obioct move behind something ~t anytfma, particularly a cloud? (Circle OnaJ: Yes (f;> Dou't Know. IF you answered YES, the n tell what 13. Did tho object move fn front of some thing ot anytime, particularly a cloud? (Cirdo OnoJ: Yes @ Don't Knnw, IF you answered YES, than t o ll what l 14. Did tho object appoor: (Circle Ono): ?) b. Trans parent? c. Don't Know. 15. Did you observe tho obiect through any of the following? a. Eyeglasses Yos No e. b. Sun glasse s Yoa. No f. d. Window glass Yos No h. Binoculars Thoodolito 16. Tell In a few words tho following thing~ about the 17. DrC1w tJ plcturu that will show the shape of th" ubt~ct or oblocta. Lobel and ln-:lud.J In yovr "ke~c:h ttny cbtalls oF th~ obf'lct that you aaw auc:h as wings, pr otru' Ions, etc., and osp"clally exhaust trail a cr vapor t;o II n, Plac:o on a rrow beside th~ drawing to ahow th@ dlr\lc:tlon the obloct waa moving. (X hciL< ~ 18. Th~ odgos of tho objet! were: (Circle Onet): a. Funy or blurred b. Llk_, a bright stcr ('C~ Sharply out I ined d. Don't romarnber 19. IF th:tr\1 was MORE THAN ONE object, than how mony wero there? _ pictur& of how th~y wero orrang~d, ond pu' on arrow to show th., direction that thoy were. traveling. 20. Drdw o picture thnt wlll sf-tow the motion that the obiec~ ~>.r oblects maJe, Place an "A ot the beginning of the path, o a ot the end of the path, and show any, c:hangea In d lrectlon during the courae, 21. IF POSSIBLE, try to guess or eatlmot~ what the real ul zo of the o~lect wa11 In Its longest dimanslon. 22. How Iorge dlcl the obiect 9" obfeets opp'!tar O!l cumporod with on' of the following objecotl. bctfc11n tl1e hcmcl and ot obout crrn's length? (Circle One}: a. Hctud of o pin d. Nlcl<et ~ ,... Quarter f. Half dollor g. Sllv~r dollur h. Baseball I. Grapefruit f. Baske tba ll 22.1 (Cirdo One oF tho following to Ind ica te how certain you ortt of your an:l\vor to Qu:utlon 22. {a~/ Cortaln 'b: Fairly c erta in c. Not vory su-e d. Uncertain 23. How did the obiect or obfects disn;>pear From view? .fl.',, , ... t (:. 2-1. In crde r thot you can give aa cloor a plctur oa poull,le of what you aow, we would like l ot you to Imagine that you could conatruct the obJect thot you aaw. Of what typ~ mot rlo1 would you malce It? How lar;e would It be, ond whoot shop would It hove? Oeacrlbe In your own worde o ~ommon obJect or objocta which wh a n placed up In the sky would give th aame appearance oa the obfect which you aow, 25. Whore were you lucatod wlh:n you so,., the ohj..:c.t? (Circle One:): a. lnsido a building b. In a car c. Outdoors (d: / In on a lrpl one 26. Were yo u (Circle One } a. In tho bu:;incss section of a ci1y? b. In the residential section of a city? c. In opon countrysido? (!f.,l Flying near on airfield? e. Flying over a city? f. Flying over open country? 27. What were you doing at the time you sow tho object, and how did you happe n to notice it? 28. IF you were MOVING 'IN AN AUTOMOBILE or other vohicle at tho time, the n complete the fotlowitttJ quc;,:;tions: What direction were you moving? (Circlo Ouc ) a. North c. Eo s t b. Northeast d. Southco:;t f. Southwe s t 28.2 How fast were you moving? _z; t'y'C..J ----- mile s per hour. 28.3 Did you sto p at any time whi It: yo u were looking at the object? (Circle One) Yes (No.) 29. What direction were yo u loC'king whe n yol' first sow t ho object? (Circle One ) b. Northeast d. Southeast f. Southwest 30. What direction wore you looking wh~n you lost saw the object? (Circle One} b. Northeast d. Southeast f. So uthwest (h~, No rthwest (- Northwest c-h. ,Northw~st 31. If you are familiar with bearing term:; (angular direction), try to e s ti mat e tho nutnb~r of degree~ the object was from true North and also the numbe r of dcgr~cs it was upward fro m the horizon (clavation). 31.1 Whe n it first appeared: a. Fro m true No~th _ '~ </ -_ dogrecs. b. From horb~on _. ~.' . .> degrees. Wha n it disappcr:rcd: a. From tru~ North _!d ~ . c!corecs . b. From horizon 32. In the following slcetch, imagine t"at you oro at tho point shown. Place an A" on tho curvod line to show how object was above the horizon (skyline) when you lirst saw it. Place a s on the samo curved line to show how high tho object was above the horizon (skyline) when you lost saw it 33. In the following larger sketch place on A" at the position the object was when you first sa~ it, and a "B" at its position when you last sow it. Refer to smaller sketch as an example of how to complete tho larger sketch. 34. What were tho weather conditions at the time you saw the objoct? 34.1 CLOUDS (Circle One) (Ci.l Clear sky c. Scattered clouds d. Thick or heavy clouds Don't remember 34.3 WEATHER (Circle Ono} b. Fng, mist, or light rain c. Modoroto or heavy rain e. Don't remember 34.2 WIND (Circle One} a. No wind b. Slight broezo c.. c . ' Strong wind d. Don't remember 34.4 TEMPERATU?.E (Circle Ono) e. Don't rem~mber 35. When did you report to some official that you had seen the object? Ooy Month Y eor 36. Was anyone else with you at the time you sow the object? (Circle One} Yes 36.1 IF you answered YES, did they see the objoct too? (Circle One) Yes No 36.2 Ploo!>e li:;t their names and addresses: 37. Was this the first time that you hod seen an object or objects like this? (C lrcle One) CY~;,; . No 37.1 IF you answered NO, then when, where, and under what circumstances did you s e e other ones? In your opinion what do you think the object was and what might have caused it? 39. bo you thlnlc you con estlmote the speed of the obfoct? (Circle One} Yea No IF you an1wered YES, then what tpoed would you estimate? o. Do you think you can estltnote how for away from you the obJect was? . IF you answ.,ed YES, then how far away would you soy It was? 1. PIQase give the following Information obout yourself: TELEPHONE NUMBER Plo~so Indicate any apoc:lal educ:ational training that you have had. Grad, school T echnlcal school lt. High school c. College Other special training Post graduate 42. Dote you completed this questionnairo: