PROJEC r 10073 R CCO~D CAI<D j 2. LOCt. TIO' Hichr.:onc1, Tcx~::; : 4 . TYJ'E O F Oil~l ;~VATION Hlch r.ch :>ol s i~tulont 1. t OIC.:TH Of-~il~EP.VATION ~ 8. NdliC[R OF OGJECH ; 9. C OURS 1~ neconda 10. CRI!:F ~UMIMRY OF !IICHTING CCJW.\ENTS CUNC L l.;!:IICitl S Wo ~ Gollr.."tl Proboblt Bulloon P o nilly U..,lln'ln Atr'" r ,,!r p ,ob:l:_l y llircrnft Wo~ .1\:;trolle>trlt c<.! Probc bl y A.tronorli..:ol ' b l A t'Tit, O~SI y H'<hllllCI'IliCC '-"-.AJ ' In svrli ct,.nl Unkno.,.,, Duto fo r [volvo tton Po3aibly lt-ctcor -except ob~crvcr been ouccrvinz o::tcoro. Ob:;crvcr :1u<1 "0cc :1 Clc~.r ni~;h t . loo::int; :r o:c. 1 .ct.cor:i . 23. In the follo\.zina slcetch place on "A" at the position the object uas uhen JOU first sa\f it and a "B" at its position vmen you lnst s<ut it. 24. Drlnr a picture that \rill sho'\-r the motion that the object made. Place nn "A" at the beginninr; or its path. and a "B" at the e~d or .its Pj)h c Drau a picture that will shoH the shape of the object. Label and includd in your sketch any details of the object that you s aH and pl~ca an arroY-r beside the drm:ring. to shovr the direct~ the object vras moving. SEC'i'I0H E 26. lln.s this the firct t i!ttc tha t yon have seen an obj ect like this? (Circle One): ~ or 26.1 IF you nnstrered NO, then 't-Jhen> vlhere, n.nd unde r v1h:::tt conditions did 27. In your opinion 1vh a do you think the object l rao nnd 11hat mi ght h~vo c nv sed TEJ .. EPHONE J'I!U~ffiER tnla.t is your prcoen 29. Was anyone else l-Jith you at. the time you. snH the object? (Circle One): Ye s 29.1 IF you ans"rered YES, did they s ee the object too? (Circle One): Ye s 29.2 Please list their names and ~ddrepsc1: (}r. ) ; 1 t ,L-tJ-}-t.e.J )0. Pleas e add h ere any furthe r comm~nts \7hich you be:~licve aro important. Use additional sheet~ or the same size pcpcr if ncccsnory. Date object was observed Time object was first seen I ,?ta !!:it":J tl, 3.: l ~ .li. .. .!~ .. --C:..:>~ c - Place from which you observed the object l?tkket PtJt 4-Z:i -v ::c Ho'rt was object observed (nalt~d ey~ binocular's , etc.) \lhnt were you doing when the ob ject \ias first observed? 0<-YC.dad_,. Wha t attracted your attention to the object'! 7. Puth of object. Direction from which object appeared (deprecs or direction) _ b. Direction in which object disappe::red (d e grees or direction) Elevation object ap'learcd (degreos above horizon) - ---------- d. Elevation object disappeared (degrees above horizon) object (nt.rair,ht and level , urchcd, etc.) I bhape of flight path of f'. liOH cit. obje c t uisappear (grow dil.1ner, go ou t sudJenly, etc. ) Len th of time the objer,t was observed .J.:l,"-?(.rtry ... /_.J... ,/<~-~---- 9 . Description of object. g. uld object perform any maneuvers, if ao describe ------ ----- Did object make any sound, if so describe ,/~-. - i. Here nny tails or trails Deen? j. Draw sketch. 11. Clouds. \Jere any cloudn in sky at time of observntlon? If s o , hou r.Luch of' sky \m.s covered (overcast, scattered, etc.) b. 0.!.:3 object pas::. above, beloH, or ncar any clouds? J,.ny details that cannot be fully explained by the.! a boV(! quc2tions . S HAY ~ L')52 TAH.\FLY, Now J (>rr;~, TE~JTAT!Vh OBSERVERS QUESTIOIHJAIRE \Ihen did you sec the object: 1. 2 Time or Day: _Jj~. t- 1.3 Time Zone: (Circle One)t 1,. Central d. Pacific (Circle One ) c. ltountain (Circle One): n. ~;yligh~ s~;~ b. s =tanaara 1.4 Circle one or the follouing to indicate hol:T cert ain you nre of your ansuer to the above question 1.2: a . CeE~l!~ b. Fairly certain c. Not very nure d. Junt a eness 2. \'Jhere \rare you 'Nhen you saw the PostjU Address C~ty or 'lr..._m .. - State-. Co~ntry j, ~Jhere 'TtiOfe :yuu located uhcn youvnau the object: ircle One): a . Ju~ .. a building b. n a , c aiY d. In o.n nirplana ),1 \r!ere you: (Circl e One): a. In the busjn er;s s0.ction of o. city? In the re~;idcnti2l section of a city? In open COUtltrysidc? Flyir1g near an ai. rficld? Fly:l.ng over a c:i.ty? Flylnc over open count;>:? you happen to notice object? some official that you had seen the object ? 6. Wha t '\o7ere you d ing at the time you stnr the object? lIhnt h nd you been oing for the 30 minutes before you sm1 t he ob ject? Try to list t he activity or activities and the approximat e amount or t ime spent on e ac h 7. \lere you moving at any t ime '\1hile y~u sa\tJ the object? (Circle One): IF you anslrered YES, then complete the follo1dng questions : 7.1 "That direction ner e you movinz? ( Circle One): a . North )l..,. ltoT.,~heast a.-Southeast e . Sou-th f. Sout.hlTe~t h. ~rorthl-ient 7. 2 HoH fast uer e you movi ng? A 0 mi les per hour. 7. 3 Did you stop at any t ime tJhi.le you lJer o l o oking at the object? ( Circle One): . Yes 8, What direction lrer e you looking '\rhen y ou fir~t om-1 t he object? (Circle One) : i\lorthea~t f~ , tht-Test !' or thwest 8.1 ~lhnt dir ecti on t;cre you loold:1g (Circle One ) 1 a. Nor t h d. Sou t heast the ob j e c t diDu.ppea r c d? 8. 2 Circle one of t ho follorrl.ng to indica t o hovr cer t a:i n you are of your anstrer t o t he nbove que s t ion and p r e ceding que ::;tion ( 8 ancl a. ~Certain b. 1-'airry ce r tain c. Uoli very sure d. Jus t a guess tJere yol\ lvearl ng eye glasseD l7hen you s aH ;the ob j ect? (Circle One): HOH H~S the obj ect (Circle One): Th r ough t-rindot-r glas s e. Throue;h theodolite Th rough uindshiel d . Throu gh ~unglasaes c. Throu gh binoculars g . <....1Jlt.9u~h on.en s lfa'cp rl. Through t elescope h. Ot he r 11. '\~J'hat do you r eJ1lembe r about the lre a ther c oncli tions a t the time you savr thg CLOUDS (Circle One ) 11.3 d . Thi c k o r haa'\.-y clouds \'JE.A. TH:CR (Circle One) a . nr.,y.J b. og, f!ti:.;t , or l ight rain c. Noclera te or heavy raln d . Snot-r e . Don' t r etnemb e r e . Don't rememb er \rJI ND ( Circle One) 11.4 TEHPERl\. TURE (Circle One) Sliel1t breeze~ c. Stron~ uind c. d. Don't rememb er d. e. Don't r emember SECTI0i.'I C 12. Es t i mate hotJ long you s aH the obje c t ? 12.1 Circle one or the f'ollou!ng to i ndicate hoN c ertain you o.re of your antaJer "'Eo Question 12: Fairly sur Not very sure Jus t a eueso 13. Did the object look: (Circle One) Transparent ~t-cS /!,. t:f.'f.>!::':.J- 14. Did the object at any timet (Circle One for each qltestion) Change direction? ChanBe speed? Change size? Change color? Break up into parts or Give orr smoke? Ch:mge brightness? Flicker, throb Remain motionless? Don't knou DOn ' t' lmmr Don t lmot.J Don It knou c/ vc..Ui.C.t..r."-Ci-i " 'C.L.\. Don't knou Don' t kno1o~ t kno~.y /.. (Circle One): Yes No Don't knot-r <./t:[,--. Did the object give off a lieht? lS .1 IF you answered YFS l1hat was the color of the light? ~\f..J.4t,...:.. N-r. ~ Tell in a few ~Prds the follo1dng things about the object? U -J v vv I F there 'tms NORE THAN ONE object, t hen ho~r many Here there? .& (rr J - Draw a picture o r ho~r they were arranged and put nn arrot7 t o shot.r }ne direction they uera traveling . _ 13.1 l1ove behind SOlllething'? (Ci rcle One ) Ye s ITo Don't knot-r IF you ans tJere d YES, the n tell lrhat 1 t moved b ehind. 18.2 Hove in front of soil,ethine? (Ctrclc One ) /Ye~ IF you anstrercd YES, then t ell 1.:Jha t it. muvcd in front. of. 13.) Blend \.fi th the baclq~ro\md? ( Ci rele One ) Don't knoH 19. vJhich of the follotrine objects is about. the s vme actu<ll size as the objec t. you s~nv? (Circle One) : r. Automobile g. S-:nnll airplnne ~aoketbn Lo.rec airpl a ne c1. :teYcie Hheel i. Dirigible Of.fica desk 19.1 Circle one of the follOld.ng t o ind:i.cat e hoH c ertai n you a r e of your nns11er to Quention 19. n. (Cert0~.1 c. Not very cure b. 1 ~ . cert0in d. Unce r t2in 20. Try to tell the follo~Jing t hi n;:s "bout the object: {}cu. I~ . ..e:-e..l.-<-- 20.1 HoH high above the earth Has i t ? f e e t . 20.2 HoH far uas i t from you? feet or .es. 20,) HoH fant l-JLI.S it e oine ? rni les p e r hour. 20.4 Circle one of 'the follo\rin~ to i nd.lcate hou c ertain you ~.rc of your anst:el to the above qnes tions: a. Certain c. l'!ot v ery su r e b. Fairly c ertain d. Jus t a gu s 21. HoH di d the object disappear from vietJ? ( C.irclf! One): d. Don't remember SECTIO:,r D In th<=> fol!O'l.'Yine sketch, i M:Jeine your eye ~tt the point sho, ~n. Pl ac e ~n on t ha curve d line to shou hou hie,h the object t~d.s ab~vc the hod zon ( s ky l1.ns ) uhcn you firs t sa"H it. Place a to s hmJ 1her e i t 1In.3 trhen you l aot saH it.