PROJECT 10073 RECORD CARD 2. LOCATION 12. CONCLU StOHS aa B alloon Gn.ithcr:}burg , ':::u-1 nj_ Probably Balloon l. DATE T IM! GROUP .. TYPE Otr OBSE RVATION tl'-Waa Airc raft X:tJ Ground Vlauol 0 GraundRodar Probably Aircraft 0 Pouibl y Aircraft Air- VI aual 0 A l rlntercept 5. P HOTOS 0 Waa Aatranamica l 0 Proba bly Aatranomicol 0 Possibl y Aatranomlccal L E NGTH 0' OBSERVATION HUMB! R 0' OBJECTS COURSE 0 O ther Insuffic i ent Dcrta for E va luation 0 Unlcnown BRIE' SUMMARY 0, liGHTING ATIC POJIM 3a (JI&V 2f JUt 12) U.S. AIR FORCE TECHNICAL .INFORMATION SHEET This questionnaire has been prepared so that you can give the U.S. Air Force as much information os possible concerning the unidentified aerial phenomenon that you have observed. Please t.ry to answer os many questions as you possibly con. The information that you give will be used for research purposes, and will be regarded as confidential material. Your nome willnot be used in connection with any statements, conclusions, or pub I icotions without yo~r permission. We request this personal Information so that, if it 1s deemed necessary, we may cont.act you for further detoi Is. (Circle One): o. In front of you In back of you c. To your right d. To your left e. Overhead f. Don't remember aR~O 164 This form supersedes A TIC 164, 13 O c t 54. 8. IF you saw the object.at NIGHT, what did you notice concerning rhe STARS and MOON? 8.1 STARS (Circle One): 8.2 MOON (Circle One): a. Bright moon I ight b. Dull moonlight \._.,No moonlight-pilcl: Jz:k 5Tt '-""'-C.:....<:.. ~rT d. Don't remember Don~t remember 9. The object appeared: (Circle One): {3) As a light b. Shiny Don't re1114mber 10. If it appeared as a light, was it brighter than the brighteststars? 11. Did the object: (Circle One for each question) Appear to stand still at any time? Don't Know Suddenly speed up and rush away at any time? ~-; Don't Know Break up into parts or explode? Don't Know Give off smoke? Don't Know e. Change brightness? Don't Know Change shape? Don't Know Flash or flicker? Don't Know Disappear and Don't Know 12. Did the object move behind something at any time, particularly a cloud? IF you answered YES, then tell what (Circle One): . 13. Did the object .move in front of something at any time, particularly a cloud? (Circle One): Yes &~ Don't Know. IF you answered YES, then tell what . 14. Did the object appear: ro:: Solid b. Transparent c. Vapor d. Don't Know (Circle One): Did you observe the object through any of the following? Eyeglasses e. Binoculars Sun glasses f. Telescope Windshield Theodolite d. Window glass Tell in o few words the following things about the object. a. Sound ;(/QI_,Q 17. Draw o picture that will show the shape of the object or objects. Lobel.ond include In your sketch any details of the object that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor tralla. Place an arrow beside the drawing to show the dlrection.the object was. movin;. 18. The edges of the object were: (Circle One): a. Fuzzy or blurred ilce a bright star c. Sharply outlined d. Don't remember e. Other LJ /1, I TC 19. IF there waa MORE THAN ONE object, then how many were there? ;....;i;,._,~.f_q~---------- Oraw o picture of how they were arrangecl, and put on arrow to -show the diredion that they were traveling 20. Draw a picture that will show the motion that the object or objects made. Place on ''A .. at the beginning of the path, a .. B .. at the end of the path, and show any changes in direction during the course. 21. How large d id the object appear to you as compared to an object with which you are familiar? 22. We wish to know t he angular s _ize. Hold a match stick at arm's length In line with a known object.ond note how much of the object is covered by the head of the match. If you had performed this experiment at the time of the sighting, haw much of the object would have been covered by the match head? C. 1-c 117"'-t= 23. Old the object di sop pear while you were watching it? If so, how? / , 1. 24. In order that you can give as clear a picture as possible of what you saw, describe In your own words o object or objects which, when placed up In the sky, would give the same appearance as the object 26. Were you (Circle One ) 25. Where were you located when you s ow t he object? (Circle One}: a._ In t he business sec t ion of o cit y? (b: ln the residential section of o city? Inside a building b. In a car c. In open countryside? Outdoors d. Near on airfield? In an airplane (type) e. Flying over o city? At sea f. Flying over open country? ~7. What were 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 qu.stions: 28.1 What d irection were you moving? ( Ciu:le One) f(j /J- c. East e. South b. Northeast d. Southeast f. Southwest 28.2 How fast were you moving? ..:..-----------miles per ho ur. 28.3 Did you stop atony time whi le you were looking at the object? ( Circle One ) 29. What direction were you looking when you first sow the object? ( Circle One) b. Northeast 0southeost f. Southwest 30. What d irection were you looking when you last sow the object? (Circle One) a . North c. East e. South h. Northwest h. Northwest i. Overhead h. Northwest i. Overhead 31. If you are fami liar with bearing terms (angular direction), try to estimate the number of degrees the object was from true North (thru east) and also the number of degrees it was upward from the horizon (elevation). When it first appeared: a. From true North b. From horizon When it disappeared: a . From true North degrees. In the following sketch, imagine that you ore ot the point shown, Place on A on the curved I ine to show how high the object was above the horizon (skyline) when you first sow it. Place a "B on the some curved line to show how high the object was above the horizon (skyline) when you lost sow it. 33. In the following larger sketch place on A" at the position the object was when you first sow it, and cr "B" at ita position when you lost saw 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 saw the object? CLOUDS ( Circle One) WEATHER (Circle One) ~'Clear sky b. Fog, mist, or light rain c. Scattered clouds c. Moderate or heavy rain d. Thick or heavy clouds e. Don't remember 35. When and to whom d id you report th'at. y ..... had sun the object? Ooy Month Yoor 36. Was anyone else with you at the t ime you saw the abject? ( Circle One} 36.1 IF you answered YES, did they s .. the object too? (Circle One) 37. Was this the first time that you had seen an object or objects like this? (Circle One) 37.1 IF you answered NO, then when, where, and under what circumstances d id you s" other ones? 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 speed of the object? (Circ:le One) No IF you answered YES, then what speed would you estimate? 40. Do you think you can estimate how far away from you the object.was? (Circle One) Yes IF you answered YES, then how far away would you say It was? 41. Please give the following information about yourself: TELEPHONE NUMBER Zo!' 1 Stote Indicate any additional information about yourself, including any education, which might:be pertinent. 42. Date you completed this questionnaire: