1. DATE tiME GIOU' 2. LOCATION . J, SOURC! 10. CONCLUIIOM .t. NUMII R 0' OIJICTI J, LENGTH 0' a A TION 11. Ia IlP IUMMAaY AND ANALYIII 45 Jainut es 9. PHYSICAL EVIDIMCI Object appear~ like a flood ligpt with erratic motion observed in tile East at about 25 dez elevation for over 45 :-ninut es. Color \ihi te vTi :,h cha~1;ses t o red occasionally. s.-:1a11. Estitnated to be 2 [Jj l a 3 a~.;ay. Obs~rved from c a r noving 30 :nil e s per hour. Obj-ect sc:x..~atl3d ~1d sma] l e r ob.j~ct ~!:.p&?.red over t e 1nain o;)j~ct also ob3arved l1f about 17 other t,fi t!lnsses. fag a cor._ ..... U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you can give the U.S. Air Force as much information as possibt. concerning the unidentified aerial that you have observed. Please try to answer as many questions as you possibly can. The information that you give will be used for re purposes. Your name wi II DOt be used in connection with any statements, conclusions, 01 publicatiani without your permission. We requst this personal information so that if it is cleemecl necessary, we 111ay contact you for further details. . . . . When did you s" the object? Time of day: (Circle One): 3. Time Zone: (Circle One): a. Doyl ight Saving (5> Standard (Circle On. Eastern c. Mountain d. Pacific Where were the obiect? Nearest Potel Atlclre City or Town State or County 5. How long was object in sight? {Total Duration) c. Not very sure airly cettain d. Just a guess 5.1 How was time in sight determined? --------=----------- 5.2 Was ob;ect in si~t continuously? 6. What was the condition of the sky? (a) Bright '1f."' Cloudy 7. IF you saw the object during DAYLIGHT, whre was the SUN located as you looked a t th .. obiect? (Cird~ 0f'4): a. In front of you FTD OCT 62 164 b. In .,oclc of you c. To your riFt d. To yOAJr ht;t Overhead f. Don't mber 14. Did the obiect disappear while you were watching it? If so, how? Did the obiect mwe behind something at any time, particularly a cloud? (Circle One}: Yes ~No ) Don't Know. IF you answered YES, then t.ll what 16. Did the obiect move in front of something at ony ti11te, particularly a cloud? (Circle on8J: . ~. {Yev Don't Know. IF you answered YES, then tell what 17 . Tell in a few words the following things about the obiect: 18. We wish to lcnow the angular size. Hold o match sticlc at arm's lentfh in line with a lcnown oliect and note how much of the obiect is covered by the head of the match. If you had performed this experiment at the time of the sighting, how much of the ohiect would have been covered by the match head? Draw a picture that will show the shape of the obiect or obiects. Label and include in your slcetch any details of the obiect that you saw such as wings, protrusions, etc., ancl especiatly exhaust trails or vapor trails Place an 01raw beside the drawing to show the di,..ction the obiect was moving. 20. Do you th inlc you can estimate the speed of the obiect? (Circle One) IF you answered YES, then what speed would you estimate? ------- 21. Do you thinlc you can estimate how far away from you the obiect was? (Circle One) IF you anaw.ntd YES, then how for away would you say it was?----------- 22. Where were you located when you saw the obiect? (Circle One): a. Inside a building c. Outdoors d. In an airplane (type) 23. Were you (Circle One) a. In the business section of a city? b. In the residential section of a city? n open countryside? Near an airfield? e. Flying over a city? f. Flying over open country? 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the ti , then complete the following questions: 24.1 What direction were you mewing? (Circle One) South West a at e. g. b. Northeast Southeast f. Southwest miles per hour. 24.2 How fast were you ntOVing? -~------- 2.&.3 Did you stop at any time wh.te you were loolcing at the object? (Circle One) 25. Did you observe the object through any of the following? Binoculars . Yes b. Sun glosses Telescope Yes No Windshield Yes Theodolite d. Window glass 26. In order that you can give as clear a picture as possible of what you saw, describe in your own words a common cbiect or objects which, when placed up in the sky, would give the same appearance as the obi.,ct which you saw In the following slcetch, imagine that you are at the point shown. Place an "A" on the curved line to show how high the object was abcwe the horizon (slcyline) when you lirst saw it. Place a "B" on the sanae curved line to show how high the obiect was above the horizon (slcyline) when you last saw it. Place an "A" on the compass lirst saw it. Place a "8" on the compass where you last saw the obiect Draw a picture that will show the motion that the obiect or obiects made. Place an "A" at the beginning of the path, a "B" at the end of the path, and show any changes in direction during the course. IF there was MORE THAN ONE obiec:t, then how many were there? :2-, _ Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling. 30. Have you ever seen this, or a similar obiect before. If so give date or dates and location. 31. Was anyone else with you at the tirue you saw the obiect? (Circle One) 31.1 IF you answered YES, did they SH the obiect too? (Circle One) 31.2 PleaH list their 32. Please give the following 1nt1 acldreasea: ion about yourself: Laat ....... Firat Nome Mhldle NePM Cit)' Zone State TELEPHONE NUMBER - lncUcate any additional inforntation about yourself, including any special experience, which might be pettinent 33. When and to whom did you report that you had seen the o ject? 34. Dote you completed this questionnaire: 35. lnfarneation which you f .. I pea tinent and which is nat adequately covered in the specific points of the questionnaire or a n.-ratlve explartatlon of your sighting.