,1. ru .. : r TIME GROUP I :2. LOCATION ! i . NUt~(l.ER Of OBJECTS 10. CONCLUSION !observer reported sightir.g 1-:a.rch 67. ~o old to investigate. r-.~-:-L ENGTH OF OBSERVATION 11. BRIEF SUMMARY ANO ANAl. YSIS Object was y ellc-.v ldth a :-ow of red lights. Observer '\'ras \ratching fire":.:or!<s lv::en he observec! the ob j ect. He i I. l t?c OF 0 3SERVATION : Grour:1-Vi~al ; -.. COURSE observed it fo~ 2 1rinutss as it moved silently castvra.rd, the::l suddenly reverse~ direction as it picked up spa6d, then re~u~. ing to its origina~ course once again. Object moved slowly upward and out of sight. ' r lriT OS i ? . i'riYSICAL EVIOENCE r-TD SE P 63 0-329 (TOE) PNYioua adlUon o f thia form IDa:/~. uaad. U.S. AIR FORCE TECtiNICAL INFORMATION This questionnaire has been prepared so that you can give the U.S. Air Force as 'much information as possible concerning the unidentified aerial phenomenon that you have observed. Please try to answer as many questions as you possibly can. The information that you give will be used for research purposes. Your name will not be usecf in connection with any statements., conclusions, or publications without your permission. We request this personal information so that if it is deemed necessary, we may contact you for further details. _ . --. "' ~ . 1. When did you '" the object? 2. T ime of day: Hour Minvtea (Circle One): Time Zone: (Circle One): It: ~astern ( (Circle One): a. D~liaht Saving Stanaarcr; _ d. Pacific 4. Where were you when you saw the object? ::3tB.rmou n'J Fo .c~ st Cou.ntry Cl ub; Green shore Nea,.st Postal Adctr.s s City or Town S. How long was object in sight? (Total DurotiOft) a. Cettom c. Not very sure I b.: ~a!r'Y clfldl~ / d. Just a guess _ r{or+:b Care); na Stote or County How was time in sight determined? _.:;;Wu:?::..t.L.o.L.c'-'b-L--------------- 5.2 Was object in sight continuously? Yes X 6. What was the condition of the sky? 7. IF you sow the object during DAYLIGHT, where was the SUN located as you looked at the object? (Circle One): a. In front of you b. In back of you e. To your right d. To your left e. Overhead f. Don't remember FTD OCT 62 164 Thl fOPin euper .. d Fm 164. Jul 61, whlc:h 1 obaolte. 8. IF you sow the object at NIGHT, what did y o u notice concerning the STARS and MOON'? STARS ( Circle One): MOON ( Circle One): a. Bright moon I ight A few b . Dull moonlight No moonlight-pitch dark Don't remember t remember 9. What were the weather conditions at the time you saw the object? CLOUDS ( Circle One): WEATHER (Circle One): X a. Clear sk~ b. Fog, mist, or light rain Scattered c I oud s Moderate or heavy rain d. Thick or heavy clouds d. Snow Don't remember The object appeared: (Circle One): d. As a l ight b. Transparent e. Don't remember 11. If it appeared as a l ight, was it brighter than the brightest stars? ( C ircle One): a. Brighter c. About the some d. Don't know : 11.1 Compare brightness to some common object: 12. The edges of the obiect were: (Circle One): a. Fuzzy or blurred e. b. Like a bright star X c. Sharell outlined Don't remember Did th~ object: (Circle One for each question) a. Appear to stand still at any t ime? Don't know b. S uddenly speed up and rush away at a ny time? Don't know Break up into parts or e)(plode? Giv e off smoke? Cha nge brightness? Change sh(Jpe? g . Flash or fl icker? h. Disappear and reappear? Don't know 14. Did the object disappear while you were watching it? If sa, how? .~ 15. Did the object move behind something at any time, particularly a cloud? (Circle One): No Don't Know. IF you answered YES, then tell what it moved behind: - ' ... 16. Did the object move in front of something at any time, parHcularly a cloud? (Circle One): Ytts No Don't Know. IF you answered YES, then tell what 17. Tell in a few words the following things about the object: Sound none We wish to know the angular size. Hold a match stick at orm's length in line with a known object and note how much of the object is CCNered by the heod of the match. If you had performed this experiment at the time of tne sighting, how much of the object would have been covered by the match head? of the object would have been covered bJ th~ match head 19. Draw a picture that wHI show the shape of the object or objects. Label and include in your sketch any details of the object that you sow such as wings protrusions, etc., and especially exhaust trails or vapor trails. Place on arrow beside the drawing to show the direction the object wos mCNing. 20. Do you th ink you can estimate the speed of the object? (Circle One) IF you answered YES, then what speed would you estimate? 50- 8 0 mph 21. Do you th ink you con estimate how far away from you the object was? (Circle One) IF you answer~-YES, then ~ow far away would you say it was? 3/4 --l milQ 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 24.1 What direction were you moving? (Circ:le One) Northeast< d. Southeast f. Southwest h. Northwest 24.2 How fest were you moving? _,, iles per hour. 24.3 Did you stop at ony time while you w~re looking at the object? (Circle One) Yes Did you observe the ob;ect through any of the following? a. Eyeglasses Yes No e. Binoculars Yes No b. Sun glosses Windshield Yes Theodolite d. Window glass Yes No h. Other 26. In order that you can give as clear a p icture as possible of what you saw describe in your own words a common object or obiects which, when placed up i11 t he s ky, would give the s ame appearance as the object which you saw. possibly a plane fuselage '.'I i thout ri n g s , and with the vviri.rl 0 ws glo:;ing red. 27. In the following slcetch, imagine that you are at the point shown. Place an "A" on the curved line ta show how the object waa abwe the horizon (slcyline) when you first saw it. Place a "B" on the some curveclline to show how high the object was above the horizon (skyline) when you 'last saw it. Place an " A" on the compass when you first sow it. Place a "B., on the compass where you last saw the object. Draw a picture that will show the motion that the object or objects mode. Place an "A" at fhe beginning of the path, a "B" at the end of the path, and shu~ \lny changes in dire.ction during the course. IF there was MORE THAN ONE obiect, then how many were there? _.....;...f_\ b _ Draw a picture of how they were arranged, and put on arrow to sho'tl( the direction that they were tr.aveling 30. Have you ever seen this, or a similar object before. If so give dote or datas and location. 31. Was anyone else with you at the time you saw tha object? (Circle One) 31.1 IF you answered YES, did. they SM the object too? (Circle One) 31.2 Please liat.their names and acldresaes: . I was with a group of b oys, watching fireworks, and I don't r emember who they were 32. Please giva the following information about your5elf: First Nome Middle Ham ADDRESS Gret?nsboro Indicate any additional information about yourself, including any spec::ial experience, which might be pertinent. I h a v e a small t e lescope, ~hich I use occs.sionally , so I an familiar v1i th he stars & meteors, etc,._ IhcanF:find no natural .Pheno:n-=na ,;,hich coincides w~tn t e u o-r saw. 33. When and t o whom did you report that you had seen the object? Month Yea r to ~;right Patt~rson AFB 34. Date you completed this questionnaire: 35. Information which you fNI pertinent and which is not adequately covered in the specific points of the questionnaire or a narrative explanation of your sighting. ~:hen I sa'i'l this U~0 I was 'j\Ji th a g roup of boys. .': e were watching fire,''orks, which wen~ to our East. I noticed t he UFO to the North, but s aid no~hing to no one. I observed it for 2 minutes as it moved silently eastward, then suddenly reversed direction as it picked up speea, then assuming its original course once again i t moved slowly upwards and out of It was v ery large, and v1as yellow or orange, with a row of red lights at i t s perimeter. The sky w9.s clear, and some what lit u p from the fireworks. The UFO was about a mil e away, at tr8eto:y level. don't cl3im that the UFO wa s extra t errestrial, but its size and pattern of :flight woul d suggest that it was not a c onvention'?l craft.