4. NUMBER Of OIJICTS s. LENGTH Ofl OISIItVA TION :.0 s ecor1ds 6. TYPE OF OBSIRVATION Gr~ uad-Visua l 9. PHYSICAL EVIDINC! 2. LOCATION Salem. Ore~o~ 10. CONCLUSION TIJSUFFICI= ,iT DATA FJR ?T;._LUi.TIOIJ. Quality of infonJZ.tion l o .-; deg ree. and letter such a.s 1221 P:! . 'ni .,ht' . 11. IRIIfl SUMMARY AND ANALYSIS Inccnsistan cies in renort Case retr2.!"'ied a s L'1:3U f'f - Silver obj~ ct "'Ti th glass c .onc . Flrune cor:d.ne out of Disappeared suddenly. Dir:uner t:~an bri3htest 3ta r . 30. Have you ever seen this, or a similar object before. If so give date or dates and location. 31. Was anyone else with you at the time you saw the object? 31.1.1F you answered YES, did they see the object tao? 31.2 Please list their names and addresses: 32. Plase give the younelf: TELEPHONE NUMBER AGE_/_ I SEX Indicate any additional information about yourself, includiny any special experience, which "'ight b. ~rfitHtnt. When and to whom did you report that you had seen the object? Day Month/' Year 34. Dat you complet.d this qustionnair: 35. Information which you fHI putlnent and which is nat adquat.ly covrd In the specific points of the quatlonnalre or a narratl v explanation of your sighting. _ _ Ig_'Yl_IIJ"-=-s .d?k? _ _ yoe~-ffll?y.noL_ 13 ti.6.m., C!!1 .;t'e-mhi: tlea.LfJ?.L5 otJ 5J5._e. Fl'D (TDEW) Wrisbt-Patteraon 20 October 1964 Dear Charle8 1b1a 1a ill reaponae to JOUr letter cCI'lcem1 "8 a s18)lting of an unidentified obJect OD 15 Ma7 1964.- We are sorry tor the delay it wu; J;l~cUTtor. the:lettet-:.to be re~ted several Yov 4eacr1pt1oa .18 -1Dtereating bu.t did not contai.n suft'1c1ent to enable. our .n~t ~to. an eYaluation . 'nleretore; ve are attacbiDS. n P :r:o ~m: 164. whiCh we. request you. ccaplete in ... aach l u poaaibl_..a and return it. to the .. Air Force . We are encloaiDg a aelf' .tidcJreeed ennlopo tor 1our convenience. Upcm re~eipt ~ the c:O~apleted. ,an attempt vill be made to ana~e this aight1Jl8, and .JCU.. vill be not1t1ed of our conclusj.oDJJ .- Alao .. attached 1.--. brocb.ure1 'the-'\an1dent1t1ed ~l.yiDs Aeri~l: Phcon Brincb.. ~:: .. ~. U.S. AIR FORCE TECHNICAL IHFORMATIOi-4 This questionnaire has been prepared so that you can give the U.S. Air Force as muc~ Information as possible concerning the unidentified aerial phenomenon that you have ohseNeu. PJease try to answer as many questions as you possibly con. The Information that yuu iive wilt be used for research purposes. Your name will not be used in connection with any statements, conclusions, or publications without your permission. We request this personal Information sc that If It Is deemed neceuory, we rnoy contact you for further details When did yov see the obiect? 2. Time of day: (Circle One): b. Central c. Mountain (Circle One): (Circl~ ~nc.): ~ Ooyllght Sa,ing 4. Where were you when you lOW the obfect? City 011 Town S. How long was olfect In 1lght? (Total Duration) a. Certain . @ F~lrly certain 5.1 How was time In sight determined? .s 5.2 Was abiect In sight continuously? 6. What wa1 the condition of the sky? c. Not very lUre d. Just a gue11 to) Bright State or Courttt - Seconcla 7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the obiect? (Circle One): a. In front of you 1. In back of you @ To your ri~t d. To your left e. Overheocl f. Oon.'t remember FTO OCT 62 16~ Thle forra eu.-.nedu PTD 164, Jul 61, which le obolet. 8. IF you aow the ~ict at NIGHT, what did you notice concemlnt the STARS and~? 8.1 STARS (Circle One}: 8.2 MOON (Circle One}: Brl~t moonlight Dull moonlight No moonlight - pitch darlc cl. Don't Nmernlaer d. Don't refMmMr 9. What were the weather conclitlana at the tl~ yau aow the o~iect? CLOUDS (Circle One}: ~Clear ally Scattered cloucla cl. Thiele or heoYy clouda 10. The o~Ject o,Peored: (Circle Olte): (a~ Solicl ' '6:' T ronaporent 4. Aa a lltht WEATHER (Circle Orte): b. og, miat, or light roln Moderate or hecwy rain Don't """'"Iter 11 .If It oppecwecl aa o light, woa It bright., than the brlghteat atara? (Circle One): a. Brighter . c. About' the ~ Dlm~Mr . . . d. Don't lcnow . . . 11.1 COitlpare brlghtnell to lilltl C~IIN'Ian Nfect: 12. The eda-a of the oiJect were: (Circle One}: Fuzzy or blurred . b. Lllce a brl~t at (C.) Sharpl; outllneci . d. Don't rememw J3. Did tht oblect: o. Appear to atoncl atilt at f11P1 time? 1. Suddenly apeed up on4 ruth OWOf at any time? c. Breolc up II' to porta 011 explod? d. Give off arnolce? Chonp brl .. tneea? f. Change ahapa? g. Flaah Of fliclcer? h. Olaappear and reappear? (Circle One f each queatlon) Don't lcnow Don't lcnow Don't lcnow Dan't lcnow Dan't lcnow Don't Jcnow Don't lcnow Don't lcnow 14. Old the obiect dlaappear while you we'e watching it? If so, how? -f So..yccl r;+.JI .-~ rniJ (L.<n.J 1 Ae"' ilvva:; . 15 . Did the obiect move behind tomething at any time, particularly a cloud? (Circle One): Don't Know. IF you answered YES, then ttll what 16. Did th objNt move In front of tmething at any time, particularly a cloud? Oon't Know. IF you answered YES, then ... u wh<1t (Circle One): ye~. @ 17 .'Tell In a few WOrdt the following th ing1 about the ob'ject: 18. We wleh to know the angular elze. Hold a motch atlclc at arm's length in line with a lcnown ubiect aMI nl)tG haN much of the obiect i1 coverecl by the heod of the "'atch. If you had performed this experiment at the titn~J of tf:e elghting, how much of th ob;ect would have been cove~ed bv. the match head? ; 19. Draw a picture that will ehow the shape of the obiect or o~iecta~. Label and Include In y041r a Ieetch any detaila of the oblect that you eaw uch ae wlnga, protrualone, etc., ancl etpecially exhauet trails or vapor trails. Place an arrow betide the drawing to ehow,the direction the object waa moving 20. Do you think you can estimate the spHd of the obiect? (C ire /e One) IF you answered YES, then what speed would you estirr.ate'( ------- 21. Do you think you can estimate how far away from you the object was? (Circle One) 22. Where were you located 'when you saw the object? (Circle One): a. Inside a building b. In a car <:)Outdoors . d. In an airplane (type) 23. Wero yo~ (Circle One) a. In the buslnss section of a city? c5' .In th~ residential section cf o city? c. In opon countryside? Near an airfield? Flying over a city? . Flying over open c~nVY? , } . [, - 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then co!"plete the followir,g queationa: . 24.1 What direction were you moving? (Circle One) a. North .. b. Northeast e. South How .fast were you movl~g? miles per hour Dlcl you stop at otrt time while you were loolclng at the object? (Circle One) No 25~ Old you observe the obiect through any of the following? o. Eyeglaaaes b. Sun gloss c. Windshield d. Window gloss Binoculars ~ .