:;, sou~c:: 10. coNCLU$ION . I TYPE o:; : 35E~VATIOH 9. PHYSIC.\L EVID~NC<f (Ci.-clo O:H::) : if= )o'O U on .. ...,~,.,J YES, lhn how f or 'J','OY would you so; it wu~ !' I n u cor c . Outdoors c. In \'\::>an cou.,~rysiclr.t? f. Fly: n~ OVat C~M COU,~ry? _ ... !F y:>u ""~'~ .v.OVING IN AN AUTO:'I\C31t.2 o r atn"r velticl, at th~ rr!t, t!--1,. 'H.1 'Nh\Jt d irection w~r~ yov rnoving (Circl~ 011a) a . Norm / d. :>outh~ost Howfo.s t w.,,., you '24.3 Did you s~op a t ony tim~ whi!., you wer.-, looking <tt th~ obj.ac~? (C ircl~ One) No 25. D td you observs ~ns objecftnrough cny ::~f th~ followino? r.. Ey.,glosses Y e 3 b . SJn gl~sH1 c. Wind Jh ~o j d. 'lflndow ::'en , y.,3 No c}, Bin oculor J f. T .J hncop~ g. Tht1odol i t., In urd~r thot you con give 03 d r o pi c~uo" a .> p o -.sibl.-of .vhot YJ'J ~ow, d~J<;<:;iS" j, ;-'t: ~J'"'" .,., t J """~11' r ; object o r objects which, wh;,n p l ocod Uj) in ~h~ ~ky, WOIJi rl gi ta :h,l) same oppeoro nc:4\ ~13 f D C'l~,j..,:;r .... ~ r;h v::J w : ~ high rl1~ o bj<tct wa:s obova th~!t hori~on (;;l.:yltnet) wh~n yc;,; ;:j l ;;t sow it. P~-' :t t'l ~how how '-iigh th e obj!tct WO$ obw~ thtt hori.con {->~ylin=.) ~lhun Y'lU Jc, ;t .~:.:.v h . PI:;~ ... \ill \'>en 'f"' om1~)'.:"; ~ when ,r;u ,~irst r..~.., H. Ploc:1 o tl,, (ln t hti compass wh~ra Y"u }.:;t;f ~11H th~ o~ .. l\'::1..~. l IF th~rs was MORE THAN ONE obj~ct, ~han h<)W mor1y wer!J ~her~? -' /].'L .L _. ~ Draw o pic~u" of how thl!t~ wers orranged, and pu; on crrow t o show thtt direction that ihf!'y W'"Jro tTG'I""fi~g. ! : 30 . Hu .,.e "J'>U ~ver 'i .. en ,;~i:;, o r o simila r obi~ct befor;:. H so~ tv:: du:o uf do~.h c;n~; l.::coti ... n. 3L Wus anyone else wirh 'lou a t the tim~ )'Ou sow the obj.:tct:' (Circ/t) One) If y~u cnswe~r~d .Y.ES, did they s th~ object ~oo? (Circle On : ) 31.2 Pl~n.>" list tiv~ir rwmes and oddre!ls~s; 32. Pbos;, giY!' rh o following informoticn .::bout your:aelf: TELePHONE NUMB Indicate any additional information oboul your.s~lf, including ony sp~X:icl e>tp~thtnC3, which m1 ) h'i ::., p~r::i.,-:tl. 33. Wh!n and to ;,hom did you report thnt you hod seen th, obpH:t '? J5. lnr <Totion rr'hich you h a l pertinent and which is not od-l quotaly c oHI"c'ld in tha Sfrt"lcifir. poinl-> o i ~:,a i qua.>tionnairs c t o narrative explanation o f y our siohting. ~ lltt'lf Tfl SU"J't:f H ~ \ OQIJ A FIT .?:P S FO~E!GN TE":.HNOLOGY Dl.n310N u,arr-a JTA (c!'i ... , I P'ORCi': W~I..1HTPA rTt!:it"'"'~ Air~ ;:(. 'lCI': llA 1.::., OHI.J (s aaota, Fl~rlua) r.). :!.l :r:~)3 SAFOI PB (Nrs Go.izer) I =iSLl D c 20330 .. ~:: : J 'J ffica has r~c~i V?.d o. repo::-t of an unid~ntifi;d flyi:l6 .... J?.Gt observ-ation b? Of .:::.: a aota, Floric!3. This report contains insufficient dd.ta ::-::;::-evalustion, t.!:erefo~e, re~eJt your offlce send an FTD Thi<> q..;,:;tionnair9 hoo; been pittpar~d s o rh.:.tt yov .:Otl g iv e th ... '...is A.ii FotC": :.B mu~h infofmati o n o; .'ossibl~ concarning th~ unidantifbrl a er i.:d pr.anom~'."''Jll ;;.,o: you lv::wc ob..;~N;d. Pl<).:.t:ie ~ry to answer 0:1 many quastion:> as you pr.>ssibly c~.>n. Th~ inf.:>r(;",l~ior. lh:l\' y11J Ji" w:!i b9 u d b r r.,s~arch p1.upo.s~.;s. Your nome will ,;a t b~ Js:>d in c.-mr:tt;;, .,,.., i::; ~my .ih'l/.):r,.:;r.l~, c;on clusion s, or publicl'ltion s wi:hout your p;,rmission. We requa~t rhis p:t;:;.)rwl ldoHJir.:rion iH.'J tha t jf tt i s deem"d n'3cesscry , wa may !:ontoct yo~.; fc.: f1.1rther deta il:.. 1. When did y cu saet ~ha object? (Cird& One): o. Doyli~h~ ~n:ii'') Naor:sr Po.stol Address City or Town 5. H o w long was obiact in sight? (Total Duration) o. Certain b. Fo irly cert?i,_ c. ~Jot "''Y sure 5.2 Wa~ ob!ec .~sight continuou.:.ly? 6. Who~ WC3 th~ cond 1 ti on "f th~ ~ky? b. Clou-:!y l. IF Jou s ow ?n~ obje~t dur ing DAYLIGHT, ( C ire/~ One!): a . In fr,nt of you b. In bC'.ck of Y )U c. To your d gn t d. To,ourivll f . Don't rum->:mber 8. IF you sow th ,e objact at NIGHT, what did y ou notice concerning the STARS and MOON? 8.1 STARS(CircleOne): 8.2 MOON (Circf, Ona): a. B.ighr moonlight b. Dull moonlight c. No moonlight-pltc:h dark d. Don't r!)~Mmh