)d .Jwi.n,.~ (Circle ) t Ill or 29.1 IF 70\l anaverecl YES 414 tbe7 IM the object too~ (Cirole Onl) 1 (@ or . b 29.2 Please list their name an4 a4dr .. aeac Pl.ea:se add ta vhlcb ;you believe are important. Uae additional alze paper if neoe.!Sarf 4. How 41c! J'OU 5. When d.ld 7ou report to em official that JCN had n the objeott Moatb tear ,g. Wb~t were you douur at t~ tiM JOG aaw the object? !N beea do1D1 tor 30 aiautu befcaae you 1av the f'1 to lilt the aotiri.~ or actiritl, aM the 7. Were JOU acw!J18 1 t "' tiM vbUe JOU sav the object! (C !.role One) r ....... 111., thea OCIIIPlete ta. tolle 1111 7.1 Wbat d1Neti were JOU ~' (C !role oM) I t. S I)Utbweet d. Southut h. dorthwNt 7 .. 2 Haw fJ~st were you movin8? miles eer h )t,;r. Dt~ y .1u ~t~p nt 'ln"J titte ~1hile you war e l oo:<inz .1t a. What,.._ (Cirole 0.) t Yere TOQ taolrc vbea 7CN tint aaw the object? 8.1 What direotiOil were 7CN taoiq whea the object dtaappeared! (Cirole One) I a. ( Martaa'' b. Nartbat t. SoutbvM\ b. Northv .. , C .QAI ot the tollawilll to 1Diicate ball oertaia 7~ are ot 1~ anaver to the abaft wo (8 and 8.1) a. Certaill b. Frut, certa1a o. Hot Wl"f eure 4. Jt a IJUN 9. Y~e 7"" vearlnc eye sla vbea 7CN aav the object? (Circle One) 1 (.;!_ly cae ~g 10. Raw vaa the f)"1et aHa! (Cirole On \ t a. Thr vill!aw glaaa h. Thr w1 ndabltl4 Throup thecdolite . t. ThrO\llb JUD glall .. g. Throup .. ~ll-epa_o!j 11. Wba\ clo )oa r the obJ'' ~. Thr btaocNlara 1. TbJ'OUib teloope h. Other --- about; tba vea\her oonrlltioa. a\ the t!ae 7ou saw (Clnle 0.) U.3 WUfilliit (Cirole ate) b. Tal, taat,, CJII light raiza o. Hcclerate ~ bee97 ra!n e. Don't reme.ber 11.2 HOO {Circle OM) ~ArtRE (Clrolt ~..."r.e) b. S lig!lt bre~ Str-:-:tg wW_,... d. Den t t"e!"ler.tber Secoma 12.1 Cirgla Jill ot the toll011q to 1Jd1oate haw oerta!Jl yeN are of JGUr anlvtr to ~atloa 121 a. Oerta1D b . Fair~ ur ]J. Did the ot:jetJt looka (Cirole One) It"::IJZIItiD~? 14. D ld the objeot tat "C7 tiM r (C lrcle One tor each qu.tloe) . tM obJo'' 17. r! wu HW THAI Cltl obj eot, then :lany .1ers :hers l Drav a picture of haw the,r were arr~aged., acd put an an-ow to .a haw the direotion thq ~re tra-nling. 18, Did the objeot at "~ t!Ma 18.1 Mote behind s ? (C!rola One) Ill . DS, thea tell vbat 1\ mond 1S.2 Moft in troat of omthiDI' (Circle ODI) Ill , Ia ' tiS, thea tell t it mo&l 1n front. ot. 1~.) Blerd uith the baoqr~? (Circle One) 19. Hhicb ot the l'ollowiDI objeota ia about the ~ aize u tbe obJ eat 70U SR'W 1 (C lroJ.e One) I 0 !t~bsll Sma 11 a.lrpl.@ll , targe airplane:,; ~,. l rl D:lrillbii= ' Ot f 1 ~ dk 19.1 QJll ot tbe toll.awlna to iJdieate hov certaiJl l'0\1 are of '1'N" to Qulatloa 19, c. Not V8f7 SUI'e b. ll.a r"'~r certaill d. Uncertaia .... t>-.. r.,Uawilll thlqa about thl objeeta 20,1 Bell bilb t.be va itt tNt. 20,J tu v it ICdalt I*' 20,4 ~ -of till tcaU.cid.JII to ialioate baw oertaia )CU ue ot .... to tbe ca-etl01111 a. Certaia ". r-'1 i:l7 certaill 21. Hov die! t.he object duappear frcm view? (C ir~l One) ~ a , Suddenly o. Gr!!dually o. Other ----- 1, D~nt ~,-e,oer 25 . Drav a picture tha~ ....,111 ahaw the abape ot tbe objeot. Label azd 1ftolu4e Jatlr sketch 0.!13 .!etatl of thl obJect tbat 7CN aav aD! plaoe u arrcw bjd the cb'av1J21 to ab~ the cU.Notloa the object vaa 26. WtUI thla the fir tlme tbat JCN bave a an object like thia? (Circle One) 1 t ~ . Uo 26.1 'B JOU IJnM~el'ed NO, tb vbea, where, 1M under t~hat coadi".a. .. ID JCM .. op1Dt ca hat do 71 cau.ld 1t7 tM object waa ar.d what migbt haYe ZELEPHOIE rftlotBill What 18 your ~resent job? !~ar ot laat att.nduoe t thil .sehoa.l. 22. In the tollawinc eJcetoh, 1JDac1ne 7f1tW ere at the point shown. Place an A oa tbe line to ebw baw hip the object va1 abowe the barison vhen JCN ttr1~ aav it. Place a "D to show where it wu wheD vhen 7cn1 J.mS 1aw it. Y'lllr eye 2J. In tbe talluw tn1 '!ketch place aa A at the poeitioa the object val wb JCN tt.ret J!tW lt, eDt a "B at ita poaitioa vbell 7ou lut an it H~iz~n H~riz~D . 24. a piet.e Uta' vW abe tba oUoa tbat the objeot cle. Plaoe ~ A a' tbe ot ita ,.tb aDd a a at tbe end ot ita path 29. Waa else witb you at tbe U.. 7'0U 1av tbe object! (Circle One) 1 l''lll. ' or Ia 29.1 JF :you eavered IES did tbe7 tbi . objeot too7 Ple ad4 here a117 1\lrther o~ata vbicb 7CN believe are Use additlonl ~htl ot the .... ls paper if neoeasar,r. illportant. F.: CO LU~\.:: A'io Aai2 J_J.:::;;JCG 2 :;7 Afi:S OLOliAJ:O .S?.1!:lCS C~l.~ !..;c J.EDST/ CG ATRC SCOTt AFa ILL J .:r DIJCG C!lEWTAF RANDOLPH Afa SAN A~JTONIO ~rEX G~ll77G. ATT~J ATIAA-~C il.YO PT ~: J siNGLE i1ITALLI WHITE, BAT ~HAF~D o.,J::cr. siGHTED No zou i) o.~ LIGhTs. 15 .L~IL~S Fl..US, TEilP ~o, DEWPCI T ~o, ti IND SOUT~f 15 !C~CTS llheD d14 JCN see the object 1 1.1 Date a Da7 MODth Year ot dart .' L. . (Circle One) 1.3 'l'tme Zone a (Circle One) 1 a. F.-utrn b. r tlllt.rsl d. Pacific 1.4 .2a :Jt the tolla.q to 1Dd1oate how oertaiD )'OU are '7t'J~ 1.11"er to the ab~ question 1,2: b. -i !.r"l:3-certaiD c. Hot very sure d, Just a gueaa 2. Hhere did JGta the Clt7 or Toan J"'~ loeW vbea JOU v tbe object 1 (CirW OM)t Ina ide a but ldiDI d. ID an a rpl (Cirel~ Cne): .a. In the. bcsineas aset.ion J!' =! ~i b. In the resid~ntial se~tion of ~ ei~y~ e. In open c cuntr;s!d'? d. flyin~ nea= an a i=field? lJfa f'lt _ ag ''.i ~'1, alcual.e ZiZODa l. 3JSt:.:lated alr.e ot B4G in t~m ct fi71 .. :; wuk. c oatjeet &{-A"&r1:~ \io :Je a llcjl~ ~J 1 ;ru:fa ifi'h e :="1:1. t.l ot ursn.;e sl'.fin~ wi ows OD tho bo,~CD a1 ~ l;o ~ or -luible ttt :- 1la1t"!! rere~iftble. -~ct traT'tlla~ trou 30~:th'.lea't to rrar,he:~a " G,.. 1 ct jet ti~ ~ tn ~Jc (.: 1!.!ltl oy .rt~:r ~:t~ ealll.,attd) ~aYe bee!: O~tata . Illtell11a:10e Ctt1'Jtrr 1.:?~ :-11ot Trata!!l, iDiC Jol. !'JJJIUII! 1-'!soeld.z.. l2ftll ?Uot 1~, (lAtell.. Jtr1oe) Report su~ttea :Ate<l 4\PI'll 1 .uJ.e, Ill!llo1a 1 M -oo, CNw ,JJ~ JoRe, rlud.oli* ~. ..taate, !'ex Af FORM 1U PAR-T I ~o m I JUNIIM t COI."Tirf RUOIIT 1'10. AIR INTELLIGENCE INFORMATION REPORT ~,.. UU. (Jilt), Phue'z. .an.. tr d 18fonatia .-.ltw _. t7 ot la :a ->.~'$ npan ia teU..a ). l .. ~Io biUf tlllrlpU. ot - lta .u., .... 00101' 1.. 3TMatnDIII'Y ~e.IM'l'Cia 4. How did rou happen ~o notice the object? .., --------------~ ' When did rou repcrt to some otticial that 70\l bad seen the object'l ,0. Hhat tre you <lrllng at the time