\ . DATE T IME GROUP 2. LOCATION November 1964 OJJOZ Hancock, New York CONCLUSION SA1'3T1.IT ES 4. NUMBER OF OBJECTS LENGTH 0, OIS!RVATION 11. IRIIPf SUMMARY AND ANALYSIS 2 to 3 Minutes Object observed on seven occasi. ons moving across S<y. 1/4 sky arxi than the North Star. oved through al:Dut TYPE OF OBSERVATION Grcnmd-Visual co :.J . .QNT s : Ob9ervation of sateJJjtes moving into earth shadow creating the sudden disapt:ea ra.'"lce is a logical esplanation for the reported observations. Due to the abs-3nce of specific times arrl dates an id.::ntification of the SJ:ecifi.c ooject is not possib Case regarded as various satellites observations. 9. PHYSICAL EVIDfNC! 30. Hove you ever seen this, oro similar object before. If so give dote or dotes ond locotion. l J/Ft:~lf~IIJ- rlJte 31. Was anyone else with you at the time you saw the object? (Circle One) 31.1 IF you onswerecLYES, did they see the object too? ( Circle On) 31.2 Please list their names and addreues: 32. Please g ive the fallowln~ Information about yourself: flret H,... Indicate ony oddl! lonol lnformatlaf\ about youreelf, lnclucUnt ony special xperlence, which might be ~rtlnenf 33. When a nd to whom d id y ou repctt t hat you had oeen the ob ject? l'. Date you completed this questionnaire: 35. Information which you fMI pertinent and which is not adequotly covrd in the apeclflc polnta of the questionnaire or a narrative explanation of yow sighting. 8 January 1965 Dear Meaara .Reference ia to 70ur recent letter 1n which you indicate that 70u have observed several objects which 7ou cannot identit7. Attached la a cop7 or FTD Form 164 which is used tor reporttng unidentified flying objects to the Air Perce. This form should be filled out a s completely aa possible and returned to this orrice for evaluation. Sincerely, MASTON M. JACKS MaJor, USAJ' Public Information Division orrtce or Information FTDI'onal64 Hancock, Hew York, 13783 , U.S. AIR FORCE TECHt-IICAL INFORMATlOt~ This questionnaire ha$ been pr-epared so that you can give the U.S. Air Forc e as much lnformotion as possible concerning the unidentified oeral phenoanenon that you hnvu obnerwi . Ploo.se try to answer as many quutlons as you possib ly con. The Information that yc:u giv-e will b') used f;x research lJUrpos~1. Your nome will not b!t used in conne<.tivn w ith any 1t~temeni~, conclusions, or publications without your permissior:. W~ r~quest this persooaJ ir,formation 5C that if lt is deemed necossory, we may contact you fOI' further details. 1. When did you the object? Hou< Minuhu Month Yeot (C:rcle Ont~): 3 . Tim~ Zone : (Circle One): o. ~oJterp c. Mou ntain d. Pacific (Circ/9 ,),,e): 11, DoylilJM So:tng (E} St o.,dord Srot 'X Covtttf 5. How long wos object in sight? (Toto l Duration) Hovra Mlt'vte 1 o . Certain c . Not very sure b. Fair ly certain d. Justo guess H ow was time In sig,t determined? ;'?,a&l-0 E ~ ll~.$ 5.2 Waa abject In sight continuously? 6. What was the condition of the sky? J. a r i ght b. C l oudy (1. or:oht 7. IF you !Sa-N tho object during DAYLIGHT, wnera was the SUN loccteri OS yov loc.l<~d C! tlu 0~, ? {Circ:lo One): a. In front of you In boc!c of you -::. T ~ your rt c;h t d. To your l~ft e. Overhead f . C on'' ,.,m.,mbtr 8. IF y ou :>ow the object at NIGHT, what did you notica concerning the STARS and MOON? 8.1 STARS (Circle One): d . Don't remember 8.2 MOON (Circle One): a. Bri~t moonlight b. Dull moonlight c. ~ lae;li~ pitch dwk de on't ~I1WI~I' 9. What were the weather conditions at the time yrN .sow the object? CLOUDS (Circle One): , WEATHER (Circle One): b. Fog, mist, or light ro in c . Scatter.d clouds c . Moderate or heavy ra in d. T h ick Of heavy clouds d. Snow e. Don't rememb.r 10. The obj8ct appeared: (Circle One): a. Solid ~. As a llg nt b. T ron.sporent e, Don't remem ~ 11. If it oppeard aa a light, vtaa It bt ighter than the brightest stan? (Circle One): -s:ri~ter j c. Abovt the some d. oont know 11.1 Compare brightness to some common obJect: 12. Th. .dges oi the object were: (Circle One): A Fuzzy or blur~d \.b,J Lllce a btight star c. Sharply outlined d. oont rememO.r Did 1T-tt obj~tct: ( Cirde One ;~ aoch 1V4ttion) Appear to stand atilt a t orry ti,...? Don't lcnow SuddMly speed up ond rush away ot ony tim? oont !cnow 8roolc up into ports ~ o:cplode? oont !now d. Glv s off ' moke? Dcn't know Chong. btiflltneu? Don't know f. Cha nge hope? Don't !tno..., ~ Hh.., iltclt~tr? OiHJO~a.' o::nd T~D9""0r? I 1 t 15. Did the object move behind something at any time, particularly a cloud? (Circle One): Yes Don't Know. IF you answered YE:S, then tell "'fhat 16. Did the object mOYe In front of !J~merhing at any time, particularly a cloud? I (Circle One): Yes @ Don't Know. IF you answered YES, th,,\ tftll w h tlt 17. Tell in a few wotda the following things about the objct: 18. We wish to know the angular size. Hold a match &tick at arm's length in lin with a lcnown CJbject a"" n'l1"' much of rhe object is covttred by the head of the rttotch, If you hod p.rforrned this experiment at the tirnoJ 1Jt tl~ s ignting, how much of the object would ho"'e been covered by the match head? Drow a picture tnnt will show the shop. of the object ot oDjecta. Label and include in youJ..,slcetch any detoila of the object thot you sow .. uch a:~ings, pr~uaions, etc., and especiall;':xhoutt trallt or ~opar trail a. Place on arrow beside the drowlng to show the di,.ction the object was mOYing. 20. Do you think you can estimate the speed of the object? (Circla One) IF you answered YES, then what speed would you estirr.ote'~ ------------ -- 21. Do you think you can estimate how far away from yoo the object was? (Circle One) IF you answered YES, ~hen how far away would you soy it waa? -------------- 22. Where wore yoo loco!ed when you sow the obfect? (Circle One): o. lnsida a build ing In on a irplane (type) 23. Were yo"' (Circle One) in tha business section of a city? lr. rha residential s~ctic.a .::1r Q city? In o p"n country~ide? Naar an airfield? Flying over a city? Fly;ng over open country? 24. IF you were MOVING IN AN AUTOMOBILE o r other vehicle at the time, then complete t~e followir,g questi~: 24.1 What d irection w., you moving? (Circle One) a . North c. East b. Nmtheast d. Southeast f. Southwest h. Northwest 24.2 How fast w .. , .. y ou moving? _,m,n.,iles per hour. 24.3 Drd yov tOt) t~t orw tirN whil~ you ""~' loolcing at the o o ject? (Circ! On,) Old you o bseNe the object throu~ any ol the following? Binoculars b. Sun glasses Yes No Telescope Yes Windahi.ld g. Theodol ite Yes Window glau Yes . 26. In order ?hot you con give as clear o pictvra as possibla of what you sow, describe in your own words a commOf' object or obj..,cts which, when placed up in the sky, would give the same appearanc e oa the object which you so"'