1. DATE TIME GROUP NUMBER OF 08J!CTS 5. LENGTH 01' 08SI!RVATION 8-10 Secorrls 6. TYPE OF OBSERVATION 9. PHYSICAL EVIDENC! 2. LOCATION 10. CONCLUSION Astronomical (i;ETillR) Astro (i>!BTEOR) of firebal] class. 11. BRIItr SUMMARY AND ANALYSIS Solid object. Ball Hi th golden r ays ilo 3oun:::l Bl'.te color In the following tl.eteh, lmagiM that you are at the point ahown . Pia~ on A" on ,~-,. r.urv.e~ lmc. to a how ho"" high the object waa above the horizon {akyllne) when yw ll"t saw lt. Ploctt t:J "s on the s:une curvd lin. 1<' ahow how high the object wos ahoY the horizon (skyline) whn ynu lost !luw it. Ploco un "A" on the compou when you 'lrst saw lt. Place a ''B" on the compa .. where you lost aow rh ohject. 28 . Draw o plctur that will ahow the motion that the object or objcts madB. Picco on "A" at tho b.QinninA of 1h path, o "B" at the end of the poth, and ahow any changes in direction during the c:lurn, 29. IF there wat MORE THAN ONE object, then how many wer there?---------- Draw o picture of how they were a"on9ed, ond put an arrow to show the direction that they wflfe traveling 31. Was anyone else with you at the time you saw the object? (Circle One) Yea (_N .. J 31.1 IF you answered YES, did they see the object too? (Circle One) 32. Please give the following Information about youtaelf: TELEPHONE NUMBER Indicate any additional lnf<Wmotlon about yourself, Including any apeclol experience, which might be pertlnenr. Doy Mon rh 34. Oate you completed this questlonnair: 3S. Information which you f .. l pertinent and which is not adequately covered in the specific pointa of the questionnaire or a narrative explanation of your sighting. J cP ~-ttl -teu., L~er--ell. Jf ~ -3 a_ YM .. ~9 v-ej"-J~d- to~q_'Jld o, ~ ~ cJ>A-~ LA.J-JLL f'-J J(_r ljJO ,. Nrs Frank !1lcCann called. Her mother -wrote from \fsconsin, s t ating that on Feb 5th at 3 am in Janesville , 'Hisconsin, she s a w an object. It was beautiful and surprising, described as a blue ball, it went across the sky, had gold rays, was long and oval shape, it was low in ele~tation as though it was going to land. Its flight was East to W~st, she \.ras looking South. She called ~lCTS radio and TV. The speed wa s about ECRO' s . She h e s also observed neteors. Her mother's address is !Irs Floyd C Parks, 416 Locu s t St, Janesvil l e , Wisconsin iD (1'lliW) Wright-Patterson AFB, Ob1o 1nfozmed ua that you oberwed. an tmuaual objec:t on 5 Feb 65. Would 7W please the attached fazsa end return it to ua 1n t.be en- TeloJa Jln)tided.iD order that ve may eYaluate 7CJU'Z' eight- U.S. A1~ FORCE TECHt-UCAL IN FORMA "flOt-4 Thi.s questionnair e has been prepared s o that you c on give the U.S. Air Fore_, o s muc h nforma tion os possible concerning the unidentified oerlol phe nomenon t h a t you hnvtt ob.,rv,.ti. Pl3o.sa try t o answer as mony questions os y ou p ossib ly c on . The information that ')l<.:u g :v e w ;l! be J:Sed flY research purpo.ses. Your name will not be us~d in .::onnec:t ion with a ny st<(lt&men'i:o, c onclu:iion.s, or publications without your permission. We request this persoool in format io n $ C t hat if it is deemed necusary we may contact you for further details. 1. When did you see the object? 3. Time Z one : (CJrde One ): a . Eas tern -e ~ounfan d. Pacific e. O t her (Circle One): ( Circl o 0na}: o . D o) light So,ino b. S;o,.,dord 4. Where w.,re you when you saw th object? (i City o r Town Stat 01r Courtt)l 5. How long wos obiect in sight? (Tool Dutatlon) -------4'2r.tr:L-I 0 aP.-r:....e:r~Z-.4.J Minutes Sc:onda -. o . C~tttain c . Not very sure ~ Fairly certain d . Ju:st o guess ~ow was t ime In si~t determined? c:i\~-d o~ -1:e, Was object in sight continuously? Yes No 6. What was ~e condition of the slcy? o . Bright 7 . IF you 30'W rh e ob ject durin g DAYLIGHT, whe re wo:s th e SUN loco t..,d 05 you loc.!<('J c~ th~ o~j~-t:T? ln fr ont o f y o u l n ~ocl< Of .,t:A, d. To ~'0\Jr lt'ft 8. IF y ou sow tho object at NIGHT, what did you notice concerning the STARS and MOON? 8.1 STARS (Circle One): 8.2 MOON (Circle One): a. Bris;ilt moonlight d. Don't remember b. Dull moonlight r--t t--A ~ q_ c. No moonlight -pitch dark ~ (..)(..4.Jl.--IC_ d. Don't re!Mmber 9. What were the weather conditions at !he tlf!'O ycu saw the abj.ct? CLOUDS (Circle One): WEATHER (Circle On): a. Clear aky b. Haxy b. Fog, mist, or light roln ~ Scattered clouds ~ r d. Th iclc or heavy clouds c. Moderate or heavy rain ' ~Don't remember 10. The object op~ored: (Circleb ne): o~ d. As a light b. Trantporent e. Don't remember 11. If It appeared as o light, was it btighter than the brightest ators? (Circle One): a. Brighter 12. The edge of the object were: (Circle One): a, Funy or blurNd b. Like a bright star 0, Sharply outli,.d d. Don't remember 13. Did ~e oo jct: a. Ap~ar t o stand till at orry t ime? c. Abovt the same b. Suddenly speed up ond ruah away at any time? Y e s c . Broolc u p into porta or explode? d. Give off smolce? o. Chon~ t;, ig,meu? f. Chong s.,ape? \f 1-k : i, iliclcttr? h. Di.aop~ar end ~p~r? Don't know Don't know Don't !,cnow Dcn' t lcnow Oon't know Oo.,'t xnow D~'t ':mow Oon ' t ~no'llt 15. Did the object move behind something at any time, parti~vlarly a cloud'/ (Circle One); Yes Don't Know. IF you answeted YE$, then ttl what Did tht object move In front of fRmething at any time, porticu larly a cloud? (Circle One); Don't Know. 17 . Tell in a few word a the following th inga about the objct: a. Sound :JI\..A7)'\ a-tK-c:vt Jl ~Jl K.,o-4Jl} 18. We wish to know the ang\.llar size. Hold a match stick at arm's length in lintt with a known ubject and Mt <. !,~,;w much of the object ia co~ered by the heod of the f\\Otch. If you had performed thla uperiment at the tirno of 1l:o ~lghtlng, how much of the object wou1d have been covered by the.mateh head? J cl~ V--~ ~ ~ Draw a picture that will ahow the shape of the oblect or objects. Label and include in y04Jr sketch any detai ls 1 of the object that you aow .. uch oa wings, protrusions, etc., and especially exhaust trails or vapor troll a. ! Place on orrow. beside the drawing to show th~ direction the object waa moving. I ~ I 20. Do you think you can eatimote the speed of tne object? (Circle One) Yes @ Jt .A....u--7~ ~ IF you answered YES, then what speed would you eatimat( ----- 21. Do you think you con estimate how for away from you the object was? (Circ:le One) IF you answered YES, then how for away would you say it was?-------- 22. Where were you loc~ted when you aaw tne obfect? (C irc/e One): 23. Were yov (Circle One) (;) Inside a building b. In a car In the busin.as section of a c:ity? In h residential s~tctic.n of o c:ity? In opon countryside? c. Outdoors d. N"ar an airfield? d. In on airplane (ty~) e. Flying over a city? Flying over open country? 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete t~e followir.9 questions: 24.1 Whot d i,.ctlon were you moving? (Circle One) b. Nor thea t d. Southeast f. Southwest 24.2 How fast were you moving? -------J"'rn .. iiles per hour. 24.3 Did you atop ot any time while you were looking at the obJect? (Circle One) 25. Old you observe the obJect through any of the following? e. Binoculars Yea No b. Sun glauea f. Telescope Yea No c. Windshield Theodolite Window glass h. Other ...