Pt10JECT 10073 RECORD CARD 2. LOCATION 12. CONCLUSIONS c i . nc Lt n n t i, Ollio ~. TYPE OF oaSERVATION Wos BtJiloon Probob l y B alloon Possl bl y B a lloon Wos Airctafr Pro bob I y Ai rc:roft Po ui bl y Ai rc:rc.h 0 Ground-Ro~or Was Astronomi col Probably Astronomical Possibly Astronomical 7. L.EHGTH OP OEUcAVATIO~ a. NUMaER OF OBJECTS 9. COURSe 0 In suffi dent Dot a for E'toluotio n a U nknown 1; n1inutcs one 10. BRit: P SUMMARY 0, SIGHTING Ole ohject, slze littlo larz e r than bas:!ball, round w/fuzzy or blU.1"l'Hd e dges, color orange w/tnil, object n.ppcarod VCl'Y high 10 to 15 miles, no sound and disappeared below hotizon .. ATIC FORM 32t (R~V 2a SZP 52) 11. COMMENTS Int')rvie w learned that. this observer firmly b c lives l n UFO' s and that the y ha v c ::1 bas e on Lhe nlOOJ1~ Claims to h~tvo so e n ~ i m i 1 :1 r o I) j c c t 1 ~ y cars ago near SL. Louis, Mi~!;Ottri. l'robable a/c sigl1ting llascd on d ll r a t i on an d d o::; r.,; r i D t l on U. S. A I R F 0 R C E T E C B H I CAL ll'H:: 0 R MAT I 0 H S H E E T (SUMMARY DATA) In order that your information may be filed and coded as accurately as possible, pleosa use the following space to write out o short description of the event that you observed. You may re peat information that y ou have already given in the questionnairl!t, and odd any further comment s , statements, or sketches that you believ~ are lrnportant. Try to present the dt)toils of the observa- ti on in t h., order in which they occurred. Additional pages of the some size p op8r may be attached if they ora needed. (Do Not Write in This Space) U.S. AIR FORC E Tl:CHc4~ 'A.L . IN,i-ORMA)10l'\ S,..E - This questionnaire hos been pr o po.ed 1~o !hot you c:an g ive the U. S(Air F orce as much informat ion as possibl~ concerning tht] unidentified ot:riol phenomenon t hat you hove observed. Please try to answer os many questions as you possibly con. The informa ti on that you give w i l l b.., usod for r~s!Xlrch p urposes, and w i ll be rogorded (IS confident ial material. Your namo will not be used in connection with any stotements, conclusions, or publications without your petrni5sion. We request t hi s personcd information s o that, if it is de~rned necessary, we may contact you for further details. l. When d id you see the object? (Circle One): 3. T ime zone: (Circle One): o. Doylight Saving U .. Stan ord (Circle One): o. Eastern Moun to in 4. Where were you when you saw t h(; object? eorast Pos tol Address City or Town State o r Countr y Additional remarks: 5. Estimate how long you sow rh e object. \._ . Minutes Seconds 5.1 Circle one of the following to indicate how certain you ore of your a nswer to Q uestion 5. a. Certain b. Fairly certain 6. What was the cord iti en of t he sky? (Circle One:): o . Bright daylight b. Dull daylight c, Bright tw iIi gh t c. Not very sure d. Justo guess d. Jus t a trace o f day! ight e. No trace of daylight .::.. - f. Don ' t remember 7. IF you sow the object during DAYLIGHT, TWILIGHT, or DAWN, where was the SUN located a s you looked at the object? (Circle 011e): a. In front of you t b. In bock of y o u c. To your right d. To your le ft c . 0'1crhcod f. Don't remember A.TIC FORM NO. 164 ( 13 O C T ~tl) 8. IF you saw the object at NIGHT, T WILIGHT, or DAWN, what did you notice concerning the STARS and MOON? STARS (C ire/a One): 8.2 MOON (Circle One): a. Bright moonlight b. Dull moonlight c. Ma ny v c. No moonl ight -pitch dark " . .- d. Do:1't rerneiTibe r d. Don't remember 9. Was the object brighter than the bocl<ground of the sky? (Circle One): c. Don't remember 10. IF it wos BRIGHTER THAN the sky background, was the brightness like that of an outomobi le head I ight?: (Circle One) a. A mile or more away (o distant cor)? b. Severo I blocks away? c. A block away? d. Severo I yards a'!"ay? , j 11. Did the object: o. Appear to stand still a t any time? b. Suddenly speed up and rush away ct any time? c. Break up into part s or explode? d. Give off smoke? e. Change brightness? f. Change shape? g. Flicker, t hrob, or pulsate? (Circle One for each question) No . Don't Know No Don't Know No Don't Know No Don't Know Don't Know Don't Know Don't Know 12. Did the object move behind something at anytime, particularly o cloud? (Circle One): Yos {N;.) Don't Know. IF you answered YES, then tell what it moved behind: 13. Did the obje~t move in front o f something at anytime, particularly o cloud? (Circle One): Don't Know. IF you answered YES, than tell what 14. Did the object appear: (Circle One): a. Solid? ' b, Transparent? c. Don't Know, Did }'OU observe the object t hrough any of the fo llowing? Eyeglasses No e . Binoculars b. Sun g losses Yes Telescope Yes c. Windshield Yes g. Theodolite Window glass Yes No 16. Te ll in a few words the following things about the object. Drew a picturet that will show the shape of the object or objects . Lobel and include in your sketch ony d(:tails CJf the object that you saw such as wings, protrusions, otc., and especially ~xhoust trail!> o r vapor trail!:. Pice(' on arrow be s id e the drawing to show the direction the object was moving. 18. The odges of the object were: (Circle One): a. Funy or b lurred t-- b . likeobrightstor c. Sharply out I ined d. Don't remember 19. IF th~re was MORE THAN ONE object, then haw many were there? c:;. ' ~ t..'' Draw a picture of how they were arranged, and put on arrow to show the direction that they wer traveling. 20. Draw a picture t hot will show the motion that the object or objects madct. Place o n "A at the beginning of the path, a "B at the end of the path, a nd show any changes in directio n during the course. 21. IF POSSIBLE, try to guess or estimate what the real size o f the object was i n its longest dimension. 22. How large did the objEtct or objects appear a s compared with one of the following o bjects held in the hand and at about arm's length? (Circle One): Head o f o pin g. Silver dollar Basel:tall. Grapefruit Basketball Half dolla r 22.1 (Circle One of the following t o indicate how certain you ore of yout onswer to Question 22. a. Certain c. Not v<ery sure b. Fairly certain d. Uncer~ain 23. How did the object or objects d isoppecr from view? ~o----=:--.... ".:...::..'~-~:!../- In order that you can g ive as clear o picture os possible of what you aaw, we would l ik e for you to Imagine that yo u cou ld construct the object that you sow. Of what type motsrlal would you make !t? How Iorge would It be, and what shap~t would It have? Oucrlb In your own words o cnmrnon object o r obfects which when placed up In the sl<y would give the s ome appearance as the object which you ~ow. 25. Whe re were yo u locate d wh~::n you $OW the obj~ct? (Circle One): 26. Were you (Circle One) o . In t he b us ines::; sect ion oS a city? o. Inside a bui lding b. In the residentia l section of o ci1y? b. In a car c. In open countrysida? c . Outdoors d. Flyin g nea r an airfield? d. In em o lrplo,,e e . Flying ove r 'a city? e. At sr,o f. F lying ov"'r open countr1? What were you doing a t the ti me >'OU s ow tht~ object, a nd how di d you happen to no tice i t? IF you wrJrc MOVING IN AN AUTOMOBILE or o th'!r ve hi c le a t the time th~n complete the following q u!':;timts : 28. l What direction we re you moving? (Cirdo One ) a. North c. Eas t e. South g. West b. Northeast d. Southeast f. Southwest h. Northwest 28.2 How fast w~re you moving? miles per hour. Did you sto p at any time while you we re looking at the object? (Circle One) Yes 29. What direction were you looking when you firs t s a w the obj-::ct? (Circle One) a. North c . East e. South g. Wost 30. What direction were you looking w hen you lost sow the ob ject? (Circle One) e. South g. Wcs t b. Northeast d. Southeast f. Southwest h . Northwest 31. If you ore fomdior with bearing terms (ongulor direction), try to estimott: the nurnber o f degrees the obj~ct wns om true North a nd also t he nu mber of degrees it was upwa rd from t he horizon (olevo t ion). 31.1 When it first a ppeared: a. From true North --------dcorces b. From h ori7.on _ degree:;. 31.2 When it disappeared: a. From frue North ------dcgrot:s. b. From horion degrees. 32. In the following sketch, imagine that you ore at the point shown. Place on A" on the curved line to sho'" how high tho object was above the horizon (skyline) when you first saw i1. Place a "B" on the same curved li ne to show how high tho object was above the horizon (sky I ina) when you last sow it. In the following larger sketch place an "A,' at the position the object was when you first saw it, and a position when you lost sow it, Refer to smaller sketch as on example of how to complete the larger sketch. . 34. What were the weather conditions at the time you sow the object'? 34.1 CLOUDS (Circle One) a. _,C lenr s ~Y- c. Scattered c louds d. Thick or heavy cloud s e, Don't rl.!m~mber J,-L3 WEATHER (Circle One} b . Fog, mist, or light rain c. M-:>darote or heavy ro in e. Don't r emember :34.2 WIND (C irclc One} o, No wind b. Slight bree-z~-- c. Strong wind d. Don't rP. member 34.4 TEMPERATURE (C ird o One) h. Cool c. D on't remember 3.5. When did you report to some official that you hod seen the object? Was anyone else with you at the ti me you saw the object? (Circle One) No IF you answered YES, did they sec the o bject too? (C irc/e One) Yes No 36.2 Please list their names a nd .:~ddresse5: 37. Was this the f irst time that you hod seen on object or objects like this? ( C irc:le One) Yes i(9 37.1 IF you answered NO, then when, where, and under what circumstance s d id you see other onas? 38. In your opinion what do yov think the object was and what might hove caused it'{ 39. Do you think you con e s t imat e t he s pe ec/ of the objec t ? (Circle One) IF you answered YES, then what speed would you e s tirnute? 40. Do you t h ink you ca n est imate how for away from you the obj e c t was? ( C;rc!e One) IF you answe red YES, t hen how far a way wo uld you say it was? First Name iddl e Name TELEPHONE NUMBER~--------------- Pleo_;;e ind ica te any special e d uc a t ional train ing that you hove had. Grad~ school High schoo l Post g raduate . Other special tra in in g-------------- 42. Do te you compl~ted t hi.s questionnaire: Month Yea r