1. DAITE TI~E GAOUft 4. NUMIER 0' OIJICTI 5. LENGTH 0' OISI.YATIO~ 5 Mintiiea 6. TYPI! 0' OIH.VAT10M Ground-VU.ual 9. PHYSICAL EVIDINCI 2. LOCATION Stoneham., 2!a.ssachusetts 10. CONCLUIION SATEIJ.ITE Report received in 1965. Sighting has all characteristics of a SateJJi te observation. EaiO schedules net, retained over one .re~. 11. 111' IUMMA,.Y ANO ANALYSIS Brf8ht star moving from. the NE to sE. Ap}:Bared as light t':lnbi. Very hi~ in sq. No sound. DJSappeared a~er the horizon. Gave ap~arance of stopping and going, stopping and l:)ing. U.S. AIR FORCE TECHNICAL INFORMi."fiOii Thia questionnaire has be.n prepared so that you con give the U.S. Air Foree o much information as possible concerning the unidentified aerial phenomenon that you ht1v obseNi. Please try to onawet as many questions as you possibly can. The. information that Y'-'Y g ive wiJI be used fOf reaeorch pYrposs. Your nome will not b used in conne<:tion with any t'lttw .. ni~, conclusions, or publications without your permission. We rqust this personal lnform:~tion sc th<at if it is deemed necessary, we may contact you for further details 1. When did you IM the object? {Circle One): 3. Time Zone: (Circle One): CO: ~ast~rN c. Mountain d. Pacific 4. Where were you when you sow the object? City 01 Town Sfote Of Co4.1M1 S. How long wo oblect in sight? (Totttl Durathwt) Hovre Minute Seco~ o. Certain c. Not very .,... . b. Foirly certain 5.1 How was titM In sight determined? d. Just o guess 5.2 Was ob;ect in sight-c:ontinuousfy? Yes V No I 6. What was the condition of the slcy? a . Br ight 7. IF you saw the ob;ect during DAYLIGHT, where was the SUN located as you lock~d a~ the obis~t? (Cirr:le On-s): a. In front of you b. In bode of y O(J T Y04If' ri~t d. To your left e . Ov ~rh"' od f. Don ' t remem~ FTD OCT 62 164 Thl lOPm u..-tt P'TD 164, J u l 61, wttleh l a obolete, 8. IF you saw the object at NIGHT, what did you notiee concerning tne STARS and MO~? 8.1 STARS (Circle One): 8.2 MOON (Circle One): a. Bright moonlight '-Q.. L)ull moonliglit-:> c. No moontight ..: pitch dark d. Don't remembet . 9. What weN the weather ccncjiticna at fhe tf~ ycu taw the obiec:t? CLOUDS (Circle One): a.(CI~r a~ . c. Scattered clouds d. Thiele or hea~ clouds WE. ATHER ( C ire Je One): ;" og, mist, or light roin c. Moderate or heavy rain Don't remember The obiect opp.ared: (Circle One): a;~-~ light~ Don't remembef b. T ranapor~t 11 .If It oppMred as a light, woa it brighter than the bri,hiest stars? (Circle One): a. Brighter G;: At;~ rile so.ft!_) b. Oimmr d. Don't lcnow 11.1 Compote brlghtn to oiM c~m...on c*fect: 12. The .dgee ot ihe object were: Did the obiect: (Circle One for each queatlon) Appear to -stand atill atony time? No Don't know Suddenly speed up ond ruah oway at any tiiM? CJ.yl No Don't know Br-oalc up into ports or explode? Don't lcnow d. Give off smoke? Don't lcnow Change bfig,tneu? (i!:!) No 00ft't lcnow Change shape? Ve t Don't lcnow Flash M fliclcttr? Don't lcnO'IIf C i '~ PP"Qf' and r~ ppeat? 14. Did the object diaappear while you were .~atching it? U so, how? 15. Did the obiec:t move behind something at any time, particularly o cloud'? (Circle One): Yes Don't Know. IF you llnaw..-ed YeS, then tll what 16. Did th ~iect move ln front of ~mething at any time, particularly a cloud? ' (Circle One): Yes. ~ Don't Know. IF you anaw.,ed YES, the,, tttH whut 18. We wish to know th angular size, Hold a matcn stick at arm's length in 'line wHh a known C>bject CMd n~1" ... ~rJM much :lf the object is covered by the heod of the "'atch. If you had performed this OXF18riment at '*' timt.J uf the sighting, how much of the .ject ~oulci hove been covered by the match head? o....ez c-o _,eC, . 19. Dr.aw-a picture-that will show the sha~ of the object ot oDiects. Label ond includ in your aketch any detoita of the obiect thot you saw .. uch 01 wings, protrusions, etc., anci especially exhauat trail or vapor trolls. Place on arrow beside the drawing to show the dirwcti0f1 the obiec:t was moving. 20. Do you thinlc you con estimate the speed of the object? (Circle One) IF you answered YES, then what speed would you elti,..ate'~ ------ -- 21. Do you thinlc you can estimate how far away from you the object was? (Cfrdo One). QO!J Qi3i o-;c~:::: / ... ~ _IF you answered YES, theft how for owoy w-.,Jd you say it was? ~ ,...4?,~ /8CJ-<iJ!'M'J ~a..L~ 22. Where were you located when you sow the obfect? Inside o building Outdo~;s..) d In an airplane (type) 23. Wete yov (Circle One) In the busincus section of a citt? lr. tho resi~entio!s~ctio.a ..,; a city?) In opon countryside? Naor an airfield? Flying over a city? Fly;ng over open country'l 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete t~e followir.g quations: 24.1 What directiOft were you moving? (Circle One) a. North c. East e. South b. Northeast d. Southeast f. Southwest 24.2 How fast were you moving? miles per hour 24.3 Did you ato, atony tim. whll you were loolcing at the objecr? Old you obs..-ve the obfect through any of the following? EyegiGsaes Binoculars b. Sun glaasri f. Telescope Windshield Theodolite h. Nortnwest Window glon In order that you can give as cl!!ar a p ictvre as ponible of what you saw, describe in your own words a common object or objects which, when placed up in the sky, would give the same appearance-at the object which you ~ In the followl"l 1lcetch, lllt~IIM that you ore Cit the point hown. Place on "J:..' ~ on the r.lJrv~ I tn t a how ho"- hlgh the obJect waa ol:Mwe the horlzcwt (alcyline) when yc-u llr~t sow lt. Ploc~ ll s" on the 1.1me curved line 't'- ahow how high the obiect WOI alove the horlzOft (alcylfne) whe" you lost ~ti'N it. Ploce un ' 'A,. on the compau wheft you l/11t HW lt. Place o "8" on the com,t wh.,e you lot sow the object. 28. .Drow a picture thot will 1how the motion that the object or object mode. P.lace an .,A :r at the betJMii1fJ oi the B poth, a "8" at the end of the path, and show any changes in direction during the .:ourae, 29. IF there wcta MORE-THAN ONE obfect, tl:e" how Nny ware tl: .... ? ---------- Orow a picture of how the, wer arrong.cl, oncl J"'t on onow to ahow rtt. di,.ction that they were trawling 30. Hove y04J ever seen this, 01 o aimilot obiect before. If so give date ot dotea ond locotlon. 31. Was anyone else with you at the time you saw the object? (Circle One) 31.1 IF you answ..-ed YES, did they '"the object toa? (Circle One) 31.2 Please liat their name ond oddreuea: Fl,tt No~M TELEPHONE NUMBER Indicate any additional lnfOftnatlon about yovraelf, lncl~i"' any apeclol exp.rlence, wftleh might b. pert6nent When a~ to whom did you report that you hacf '"" the object? MEI-ROSE 'iS. MAS& Dete you cotftpl.~ this .,ettiOMel,.: 35. lnforMitiM which you feel plliiMftt which It not ocJ. ly ccwere41 in the s,acJflc ,.ants' of tM quest lOMe Ire ot o narrtl.-explenation of your alghtl"' /V Ofi_Q,