3. OATETIME GROUP S. 'PHOTOS 7. LENGTH OP.OBSERVATION 10. BRIEF SUMMARY OF SICHTINC PROJECT 10073 RECORD CARD 2. .LOCATION 12. CONCLUSIONS L TYPE OF OBSEkti~A~T~IO~N~---------1 D PoaaiWr 8o&laa1t D Woe Aircraft D Grounci-Viaual D Ground-Radar 0.:. ProltaWy AJr"alt 0 Ai ... Visuel 0 Air-Intercept Reel D PoaaiWy Aircraft I. NUMBER 01' OBJECTS 11. COMMENTS D Aat"lcel D ProltaWy A .. ,. .... acel D PoaaiWy Aatue~talcol Two r:in1:ooiuts of light, bri~hter than star w/blua cast, flashing toti~ther. Flight Test had two a/c out test- ing anti-collision lights. One or both of ~hese a/c is probably what was sighted. ATIC POIUI l2t (RaY 21 UP 12) TECHNICAL tNFORMAliOtl (SUA,MARY DATA) In order that your Information ma be f the following pace to write out a sho~l des');ld and coded as accurntoly os possible, please us nave a rea y glv 1 th . . u may re peat lr.formation that you L I d ptlon of the event that you obu.rved .,,,. statements, at sketches that you believ en n e questionnaire, ond odd nY further c<omments onh In the order In which they occurred e ; - po~ant. Try to ~resort the details of the observa: I ey are needed. 'tcna pages of the same size poper moy be attached (Co Not W.ite ;,, This Space) Cft'u;? of-/ U. S. A I R F 0 R C E T E C H HI CAL I H F 0 R MAT I 0 H S H E E T Thlt queatlonnolre ha1 been prepared 10 that you can give the U. S. Air Force 01 much Information as poaslble concerning the unidentified aerial phenomenon that you hove ob1erved try to onawer 01 mony questions as you poulbly can. The Information that you give will fOt. research purposes, and will be regarded 01 confidential material. Your nome will nat be used In connection with any statements, conclusions, ot publications without your pmlulon. We request this personal Information 10 that, If It Ia deemed neceasory, we may contact you for further details. When did you see the object? Time of day: (Circle One): A.M. 01 3. Time aone: (Circle One): t Saving (Circle One) Eaater Where were aow the object? Ye.-v /~ ctf!Le; City or Town State or Country Additional remarka: 5. Ea'tlmote how long you 1ow the obiect. 5.1 Circle one of the following to Indicate how certain you are of your answer to Queltlon 5. c a:;:c.,;; ~ c. Not very sure certain d. Juat a gueu 6. What wa1 the conditie11 of the 1ky? (Circle One): a. Bright daylight b. Dull daylight c. Bright twilight d. Just g;trol;; d9.(! lght :No trace o d vliilht' f. Don't remember 7. IF you 1ow the obiect during DAYLIGHT, TWILIGHT, or DAWN, where waa the SUN located oa you looked at (Circle One): a. In front of you d. To your left b. In back of you e. Overhead c. To your r lght f. Don't remember ATIC FORM MO. 164 ( U OCT ... ) 8. IF you saw the oufec~ at NIGHT, TWILIGHT, or DAWN, what did you notice concerning the STARS and MOON? 8.1 STARS (Circle One}: 8.2 MOON (Circle One): d. Don't remember 9. Was the obJect brighter than the baclcground of the alcy? (Circle One): a. Bright moonlight b. D~ILf!loonllght . _ c c. No m .!.1..1Jght ~.PrtchJf~!.lc ~ d. Don't remember c. Don't remember 10. IF It waa BRIGHTER THAN the alcy baclcground, was the brlghtneu like that of an automobile headlight?: ~ ~ (Circle One) a. A mile Of more away (a distant car)? , a, .4?~ b. Several blocka away? - A ~ c. A bloclc away? .r --/. d Several yards away? ---/ e. Other 11. Old the obJect: a. Appear to atand still t1f any time? b. Suddenly speed up and rush away at any time? c. Break up Into ports or explode? d. Give off smoke? Change brightness? f. Change shape? g. Fflclcer, throb, or pulsate? 12. Old the obJect move behind something at anytime, particularly a cloud? Don't Know Don't Know Don't Know Don't Know Don't Know (Circle One): Yea Don't Know. IF you answered YES, then tell what 13. Old the obfect move fn front of something at anytime, particularly a cloud? (Circle One): Yea Don't Knaw. .IF you answered YES, than tell what 1~. Did the obiect oppeor: (Circle One}: o. Solid? b. Transparent? c. Don't Know. bid you observe the obiect through ony of the following? Eyeglasses Yea Blnoculara Yes Sun glasses Teleacope Yea Windshield Theodolite Window glass Yes h. Other 16. Tell In a few words the following thln;a about the oblect. liJe o or _ 17. Draw a picture that will show the shape of the object or objects. Lobel an.:llnclucle In your a~etch any details of the oblect that you aow auch aa wings, protrualons, etc., and ospaclally e)(hauat trolls or vapor trolls, Place arrow bealde the drawing to ahow the direction the obfect waa moving. 18, The edgea of the object were: (Circle One}: a. Fuzzy or blurred ~ dt~ Other -------------- b. Like a br lght star c. Sharply outlined d. Don't remember 19, IF thero was MORE THAN ONE oblect, then how many were there? Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling 20. Draw a plcturelhnt wlfl show the motion that the obiec~ or obfech made. Place e~n A ot the b.glnnlng of the path, a a at the end of the path, and ahow anY. changes In direction dwlng the course. 21. IF POSSIBLE, try to guen or estimate what the real alze of the obiect waa In Its longest dlmenalon. 22. How farge did tho obiect ~ obiects oppear at compared with one of tho following objec.t. held Itt the lranJ and at about ar~' length? (Circle o,.J: a. Head of a pin I Sliver dollar h. Baaebalf Dime ~ I Grapefruit --t!: c t t?ZJ I Baa~etball f. 'Half dollor (Circle One of the foffowln9 to Indicate how certain you are of yow answer to Queatlon 22. ,;:c~r;aln :::::> c. Not very awe b. Fairly certain d. Uncertain 23. How did tho obloct or objects disappear from view? In or4or that you con glvo aa clear a picture oa poulltlo of what you eaw, wo woulcl like fot you to lmotlno that you could conatruct tho oltfoct that you aow. Of what typo motorial woulcl you moko It? How largo woulcl It Ito, oncl what ehapo would It have? Ooacrll:to In your own words o ~o'"'"o" oltloct or oltfocta which when placed up In tho alcy woulcl glvo tho aaMo appearance tho obJect which you tow. 25. Where were you lucated when you saw th1s object? (Circle One): a. Ins ide a building d. In an airplane 26. Were you (Circle One) a. In the business section of a c ity? b._Jo,.the cesidentJaJ s~ion of a city? U:.Jn open countryside?) d. F I ying near an airfield? e. Flying over a city? f. Flying over open country? 27. ere you doing at the time you saw the object, and how did you happen to notice it? 28. IF you were MOVING "IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: What di~ection were you moving? (Circle One) a. North c. East b. Northeast d. Southeast e. South_/ :SOuthwest 28.2 How fast were you moving? .....;-S=~c!J~----miles per hour. Did you stop at any time while ou were looking at the obiect? (Circle One) .... ..---Yes No b. Northeast Southeast f. Southwest 30. What direction were you looking when you last saw the object? (Circle One) a. North c. East b. Northeast d. South cost f. Southwest h. Northwest h. Northwest 31. If you are familiar with bearing terms (angular direction), try to estimate the number of degrees the object was from true North and also the number of degrees it was upward from the horizon (elevation). 31.1 When it first appeared: a. From true North tJ b. From horizon ., >n " 31.2 When it disappeared: j"'O o a. From true North ~ degrees. b. From horizon ._...l,oC -degrees 32. In the following sketch, imagine that you ore ot the point shown. Place an A" on the curved line to show how high the object was above the horizon (skyline) when you first saw it. Place a e on the some curved l ine to show how high the obiect was above the horizon (skyline) when you last saw it. 33. In the following larger sketch place an "A" at the position the obiect was when you first sa'! it, and a a" at Its position when you last saw it. Refer to smaller sketch as an 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"lear slcv c. Scattered clouds d. Thick or heavy clouds e. Don't remember 34.3 WEATHER (Circle One) '--.h.. ;--'l)g, mist, Of light rain c. Moderate or heavy rain e. Don't remember 34.2 WINO (Circle One) b Slight breeze c. Strong wind d. Don't remember 34.4 TEMPERATUP.E (Citcle One) e. Don't remember When dldZyou report to some official that you had s~he object? Day Month Year 36. Was anyone else with you at the time you saw the obiect? (Circle One) Yes Qo::::J 36.1 IF you answered YES, did they see the object too? (Circle One) Yes No 36.2 Please list their names and addresses: 37. Was this the first time that you had sHn an object 01 objects like this? (Circle One) Yes no .) 37.1 IF you answered NO, then when, where, and under what circumstances did you see other ones? dzht fu4., _, 38. In your opinion what do you think the object was and what might have caused It? 39. Do you think you can estimate the speec/ of the object? (Circle One) Yes C..NJ IF you answered YES, then what speed would you estimate? 40. Do you think you can estimate how fa~ aw~l:~rom you the object was? (Circle One) Yes N_V IF you answered YES, then how far awQ.y would you say it was? 41. Please give the following information about yourse TELEPHONE NUMB Please indicate any special educational training that you have had. a. Grade school / e. e. Technical sch~ol ---- -------- c. College ~ f. Other special training _-!..A..!..Vo..ll:o::..-------- 42. Date you completed this questionnaire: