3. DATITIMI GROUP Locol 1200 QW PROJICT RECORD CARD 2. LOCATIOM Chicago, Illinois ._ TYPI Ofl OIIIRVATIOM - ~un .. Yieuel D AI,..Yiwol D Groun4Re4er D Alrlntereopt Retter 12. CONCLUSION I D Woe BolloOft D Prolto~lr Bolloon D PoeeiWr Balloon D Woe Aircraft a Pro~oltlr Alreroft PoeeiWr Aireroft D Woe Aetntnol eel D Y D P roltoW y A at reno"' I eel No Civilian D PoeeiWy Aetronomleol 7. LIMOTM OP ATIGN I. MUMIIa Ofl OaJICTI t. COURII D Other------------- ~ lneuffld.nt Dote,., Evoluotton 0 u .. nown ;;\A ... , 1m o l'J1~,;-l~il-t1,ii,.~co:o.iMMMiiMNTiiai""ID?o~ggfvveenn!lYwitne~s~s~:Ss:nnLC5t~:.~ , _ .. :... or cocoa color. Size through 'vindow. of car. Viewed looking E sufficient for e\"alua.tion. Could have be-.,.. A'riC PORM JB (aaY tt ... It) a cloud. Only 1 witness. Case listed as- ins~ficient data 16. Tell In a few words the following things about .the obiect 17. Draw a plctwe that will show.the.shapeof.the obiect or .obiects. La~l.and lne,ude.ln yourslcetch.any details of the oblect:that y~.sow such os wings, protrusions, .etc.,-.and especlolly.exhaust trails ot vapor trolls. Place an arrow.beaiCJe.the drawing toshow.the direction.the obiect:woa.movlng 18. The edges of .the ol>iect.were: (Circle One): a. Fuzzy or .blurred b. Like a bright star d. Don't remember 19. IF th~e was MORE:THAN ONE obiect, then how many were there? ('If/ E . Oh , 1..;-c J - . (2 /i./[: :/ Draw a pictw of how they.were arranged, .and put an arrow.to how.the dlrectlon.thanhey.were traveling. . 20. Draw a picture that will ahow the motion that the object or objecta.macle. Placean''Au at .the.beglnnlng of the path, :a 8" at the end of the path, .ancl.ahow.any change In direction during the courae. dldthe object:appear.to you as to an object. with which you .. are fonli liar? 22. We wl tolcnow.theangular.a,ize. :a match.aticlc.at arm' length In with a object.'and.note . how.much of.the object:is covered by. the head of.the match. If yo~ hod performed:thls experiment:ot the time of the sighting, .how much of the obiec.t would.hove been covered by the notch head? 23. Did the obiect.dlaappar:whlle you were watching It? If so, how? 24. In order that you can giv. 01 clea;:a pictwe as pc)aalble.of.what you:aaw, describe. In your ownwords a common object fit ol,jects.which, when placecl.up In the alcy, would give the s~me appearance.aa the obiect which you saw. i Where were you located when you sow the obiect? (Circle One}: o. Inside o building b. In a car Cl. n an airplane (type) e. At sea 26. Were you (Circle One) o. In the business .section of.a city? {]> In the residential sect~on of.a city? c. In open.countryslde? d. Near on airfield? e . Flying over a city? f. Fly_lng over open.country? ~7. What were yoU doe_ng at the time you sciw the obiect, .and how did you happen to notice It? 28. u=: you were MOVING IN AN AUTOMOBILE ~ other.vehicle at the time, then complete.the following questions: 28.1 What direction were you moving? (Circle One) Northeast 28.2 How fast were you moving? miles per.hour. 28.3 Did you stop at any time while you were looking at the object? (Circle One) Yes . No 29. What direction were you looking when you first saw the obiect? (Circle One) a. North East b. Northeast d. Southeast f. Southwest 30. What direction were you lc>oking when you .last saw the obiect? (Circle One) b. Northeast d. Southeast .g . West . h. Northwest I. Overhead f. Southwest 31. If you are familiar with bearing terms (angular direction), try to estimate the number of degrees the obfect.wos from. true North (thru east) and also the number of degrees it was upward from the horizon (elevation) 31.1 When it first appeared: a . From true North, degrees. b. From horizon degrees. 31.2 When it disappeared: a. From true North, degrees. b. From horizon degrees 34. What were the weather conditions at the tlnae you saw the obiec:tt CLOUDS (Circle.One) a.~!ar sk;> WEATHER (Circle One) b. Fog,.mlst, or light.raln c. Scattered clouds c. Moderate or .heavy rain d. Thiele or heavycloucla 35. When ancl to did you repott that,you had aeen the obiect? . Menth Yer 36. Was anyone elae with you at the timeyou ICIW the obiect? (Circle One) 36.1 IF you answeNd YES, did they '" the obiect .too? (Circle One) 36.2 Please list their names and addresses: 37. Was this the first time that you had seen a.n obiect or obiects lilce this? 37.1 IF you anawered NO, then when, where, and under what circumstances did you ... other ones? 38. In your opinion what do you thinlc the object .was and what might have caused It? P'O.-M oaa7 DEPARTMENT OF STATE Division of Languaae Services TllANSLATOlt'S SUNNAR.Y OF COMMUNICATION Date of Communication: Addressed to: Name and address of writer: Substance of writer's statement: September 14, 1961 The writer states that she flaw in the air w.l thout wing a am wheels and w1 thout noise. DEPARTMENT OF THE AIR Cl FICII 0/P TH& .-c:Nn'AIIY 3 October 1961 Your letter ot er llt.th saed to the President of the United States baa been ref'erred to this ottice. Your interest in describing the object you is appreciated. I have enclosed a queat1onmire which you may fill out in order to provide ua w1 th more tion. You may mail the completed questionnaire in the enclosed pre-addressed enve ope. ~.I.AIIoAI.ol"' , T. COLEMAN, JR. Major, USAF UFO Project Officer Public Infonmii. tion D1 vision Office of Information U.S. AIR FORCE TECHNICAL .INFORMATION SHEET This questionnaire has .b .. n prepared so that you can give the U.S. Air Force as much information . as possible concerning the unidentified .aerial pheno1nenon that you have observed. Please try to answer as many questions .. as you possibly .can. The Information that you givewlll be used for research purposes, and will be regarded as confidential material. Your name wlllno; be used In connection-with any statements, .conclusions, or publicatlons.withouf yoyr permission. We request .this person~l lnfornNtion so that, if it 1s deemed necessary, We n10y con.act you f~ further details. 1. When did youe the obiect? ~2. Time of :day: . (Circle One): 3. Time Zone: (Circle One): o. Eastern b. Central c. Mountain d. Pacific 4. Where were you when you sow the obiect? Neareat Postal A dres Additional remarlcs. 5. How long was obiect in sight? 5.1 How ~as time in sight determined? 6. What wos the condition of the.:slcy? City ar Tow.n Seconcl c. Not very sure d. Just o guess 7. IF you sow the obiect during DAYLIGHT, where was the SUN located as you looked at the obiect? (Circle One): a. In front of you b. In bock of ~ou c. <ro.y our rig t *) d. To your left e. Overhead f. Don't remember l~o 164: This form supersedes A TIC 164, 13 Oct 54. 8. IF you saw the obiect.ot NIGHT, what did you notice.concernlng the STARS.and MOON? 8.1 STARS (Circle One}: 8.2 MOON (Circle One}: 9. The obfec:t. (Circle One}: a. As a light a. Bright moonlight b. Dull. moonlight No moon light -pitch .doric Don't renlemb., d. Don t reaw:m* 10. If It appeared as a light, was it brighter tha~ the brightest ataia? 11. Did the obiect: (Circle One for each question) a. Appear to stand sti II at any tinae? b. Suddenly speed.up and rush away at any th11e? c. Brealc up into parts or explode? d. Give off smolce? e. Change brightness? . f. Chang~ shape? g. Flash or flicker? h. Oi sappear .and reappear ? 12. Did th obJect move behind somathing.at any time, particularly a cloud? Don't Know Don't Know Don't Know Don~t Know Don't Know Don~t Know Don~t Know Don't Know (Circle One): Yea ~ No .... Don't Know. IF you answered YES, .then.tell what 13. Did t~e obiect .move _in front of someth at any tinse, particulcrly .a . cloud? .. I (Cir le One}: . Yes /No. Don't Know. IF you answerecl YES, then tell what Don~t Know Did the obiect.appear: (Cirele One): b. Transparent :c. Did you observe the obieet through any of the following? Eyeglasses Binoculars b. Sun glasses Windsnteld Theodoltte Window glass 8. IF you saw.the object.at NIGHT, what did you notice.concerning the STARS.and MOON? 8.1 STARS (Circle One): 8.2 MOON (Circle One}: d. Don't remember 9. The ol,jec:t. (Circle One}: a. As a light a. Bright moonlight b. Dull.moonllght . c. No moonlight -pitch .dark :d. Don~t remember 10. If .It appeared as a light, was It brighter tho~ the brightest stars? Did the obiect: (Circle One for each question) Appear. to stand still at any tinae? Don't Know Suddenly speed.up and rush away at any time? Don't Know Break up into parts or explode? ~'-~g) Don't Know Give off smolce? Don't Know e. Change brightness? Don't Know f. Change shape? Don!t Know Flash or flicker? Don!t Know 0 i sappear. and reappear ? Did the obfect move behind something .at any time, particularly a cloud? (Circle One): Don't Know. IF you answered YES, .then tell what 13. Did the obiect.move .in front of somethf_ng at any tinte, particularly.a .cloud? .. (Cir~le One): . Yes /N_9 Don't Know. IF you answered YES, then tell what 14. Did the obiect.appear: . (Circle One): b. Transparent :c. Vapor d. Don~t Know Did you observe the obieet through any of the following? Eyeglasses Sun glasses Wind5nield Window glass Binoculars Theodolite