.t. NUMIIR 0' OIJICTI 5. LENGTH 0' 0111.-YATION .3 -4 Secoais 6. TYPE 0, OISIItYA TION Ground-Visu 8l. Easterly 9. PHYSICAL EYIDINCI Hashington, D C 10. CONCLUSION Astrono1Jical (lETEOR) 1111, IU_A._Y AND ANALYIII 'I\~ observers: 1st, rouni ~l'l.lth little tail if any. 2d, LEntirular shape. Bris-~ter tha.'1 the moon. 1st, fuzzy cr blurred. 2d, Yellcr.r. 1st, Size of nickle at a r ms length. 2d, Size of quarter. 1st, To East. 2d, To !Jorth F.ast. 1st, Several miles hidt. 2d, 50D-l,OOO ft. Speed about the sane as a liB teor. r~ettt. U.S. AIR FORCE TECHNICAL IHFORMATIO'-f This questionnaire has been prepared so that you can give the U.S. Air Force as much information as possible concerning the unidentified aerial pheno.nenon ttult you hnve olsen~i. Please try to onswer as many questions as you possibly con. The information that Y'"' give wiU be used for research purposes. Your name will not be used in conne<;tion with any st~terr .. nhJ, conclusions, or publications without your permission. We request this personal inform::.tion sc: that if it is deemed necessary, we ltlay contact you for further details. 1. When did you see the object? . rue. SJ)AY IV} I y Da, 7 Month (Circle One): Time Zone: (Circle OnJ<;? Eastern (Circle vne):<P. Oayliyht Sa\ino Central Standard Where were y~ when you saw the obfect? Neoreat Poatol Aclcfreaa Cit)' or T owft ~. How long wa1 object in sight? (Total Duratlaft) . Q Certain c. Not very sure b. Fairly certain d. Just a guess Was obiect in sight contlnuou,ly? Yes .:. ell uttplJn J.-2 ~ I 6. What was the condition of the tlcy? -a. 'aright 7. IF you aaw the cbjttct during DAYLIGHT, where was the SUN located os you lock~d ae the obie'.:t? (Circl~ One): a. In front of you In boc:k of you c. To your ri~t d. To your left e. Overhead f. Don't remember FTD OCT 62 164 Ttlla f~>rm aupereedee PTD 164, Jul 61 which la obaolete 8. IF you saw the object at NIGHT, what dicl you notice conceming the STARS ancl MOON? 8.1 STARS(Circ/e One): 8.2 MOON (Circle One): o. Bri~t ight b. Dull moonlight d. Don't rmember c. No n'HHNtlight -pitch clarlc d. Don't rememt.r 9. What were the weather conclitlona at the CLOUDS (Circle One): a. Clear ally Th lclc Of heovy clouds 10. The obiect appeared: (Circle One): o. Solid you saw th o~iect? WEATHER (Circle Otte): Fog, mist, liaht roln c. Moclerate or hr rein e. Don't ,.,.,..ber 11 . Jf It appeared a light, waa It brignter than the brightest stars? (Circle One): @ Brlj\tet' . . c. About the some b. DIM,.., cl. Don't know lwlghtuess to 12. The edge of the object were: Lilc a twight star cf} Sharply outllnecl{ J"l y s e/.fj d. Don't rememiMr 13. Did the ob;ect: a. Appear to ttond atill at Oiif tln:e? b. Suddenly speed up and ruah away at any c. Brealc up into porta or explode? d. Give off smolce? Change bri~tness? f. Change shape? g. F laah or fl iclcer? h. Disappear and reappear? (Circle One for each question) Don't lcnow Dcn't know Don't know Don't "now Don't lcnow Don't lcnow Don't lrnow Don't lcnow 14. Old the obiect disappear while you were .,,atching it? If so, how? 15. Did the object move behind something at any time, particularly a cloud? (Circle One): Don't Know. IF you answered YES, then t.ll what 16. Did the oJjMt move In front of ,.,nething at any time, particularly a cloud? (Circle One): Don't Know. you answered YES, thettt tttU what 17 . Tell in a few warda the following things about the ohiact: a. Sound ( / b. Color 1 (;vi Ina tr e. e.~ j 14_["~-" c:) ' bJ UIS~l ~ {r1rself) 18. We wish to know the angular size. Hold a match sticlc at ~ms length in lin with a known ubiect and n'lt{, oN much of the obiect ia covered by the head of the llKitch. If you hod performed this exJ:Ieriment at the thno tJf the sighting, how much of the ob;ect would have been covered by the match head? 19. Draw a picture that will ahow the shape of the obiect or obiecta. Label and include In your slcetch any detcla of the obiect that you aaw .. uch as wings, protruaions, etc., and especially exhauat trails or vapor trails Place an arrow beside the drawing to show the direction the obiect was moving IF you answered YES, then what speed would you estirr.at 'f -------- 21. Do you thinlc y~ can estimate how far away from you the object was?~ Se~e., .. d/ m~les l;i9 It (lty>e.lt\ (Cirde One) Y~ No tv A '-'~J_ !iCc -t CCc. rf: (Mtn.A IF you answered YES, then how far away would you say it was? /! .._ 22. Whete were you located when you saw the obiect? 23. Were y~ (Circle One) a. In the business section of a city? (:9 I~ the residential ct.c;ea o city? . c. In open countryside? d. Near an airfield? o. Inside o IM.ilding . Flying ovr a eity? In an airplane (type) . f. Flying over open coUntry? 2... IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, .then complete ~e followirt Ions: 2 ... 1 What direction were you ntOVing? (Cirele One) c. East e. South f. Southwest d. Southaost How fast were you moving? -------~miles per hour. Old you ato, tit (Circle One} time wh lie you were loolc lnt at the obiect? Old you olserve the oliect through any of the following? Binoculars b. Sun glaasaa Yes No f. Telescope Windahield Yea No Theodolite Window glasa h. NOfthweat 26. In order that you can give os clear a picture as possible of what you saw, describe in your own words a cawuwnCMt obiect or obiects which, when placed up in the alcy, would give the some appearance aa the oliect which you s~ 21, In the foil"'"' alletch, ,,...,,.. tht rov .,. 8t the ,.ant hon. Plc on ''A,. on the r.urv,.! lin. to show ho., high the ~teet ltcwe the hertaon (ekyllne) when yw llrtt aow It, Place ,. "8 .. on the a:~n:e cW\fM line It\ show how high the oblect WOI a~Hwe the horlaon (t~llrM) when you lost ~uw it. Ploce on "A'f on th. coMpost when reu llrtt HW It, Piece "8" on the co,. where you /att aow the ol,ject. 28. . Draw a picture that will show the motion that the oltiect or obiects mode. P.loce on .. A~ at the ltiMing ot the path, a "8" at the end of the path, and show any in direction during the coutae, 29, IF there waa MORE THAN ONio~l.ct, theft how many were th.re? ---------- Draw a picture of how they wete arrangecl, and put on 01row to show the direction that the~ wer traveling. 30. Have you ever seen this, 01 a similar obieet bef If 10 give dote or dottl and location. 31. Was anyone else with you at the time you saw the obiect? (Circle One) 31.1 IF you answered YES, did.they '"the oblect too? (Circle One) Ye . I'. No ~/)e Sdw ~t c,fj ''c.,f af c .. vnw 31.2 PleaH liat their names ancJ ocldrea1e1: . ~..\rJe V e i(l fre.HT cf fl~r /Jt:t.JS#l. vi/JIIH . , . C DJ&.Ct j If h i-.Jt/.1 lllc ;J,.""t*d I( f. ~'"Ass-t.. L~h~rla;, /). S. Nttll v~f 0 bs erlld fop-~/ t,J.) sh. D ,(. 110fher lllfllll'f d ft-/#!,J who J"~, fe f-.:J .s~e ,f c-JS fle ..V: nof /c)c.kt~ ;, -fhd-f- 32. Pleoae give the fol lnfmatlon about your1elf: lndicat. ony I I lon olaout youraelf, lnclucU,. o'fty apec.lol experience, which '"itht be pertinent /. Fcr~Wu /ecf11rer t!>n. Jl1sr/11~ J1et"eor (of:1st &v?~rd un1~. Uf. Powc Spv Jrttn J (jq'Jo's. ~()-a 3. flh,~ Resea 1c/) (0,1StJf fc,n t-tc The 1-":acv!"?; ,Je""'' /iar Sclloo~ /11J<J~ ft/a/ {of/ C:.f <f> c f fl\ e Ar1->t ..,J Fa r-c: es / F f: L e s /e f J 33. When and to whom did you report that you hCHJ SHn the obiect? . lcJ Ooy Month . Yr 34. Dote you c.,. lnfonMtl which ,au .... Y que tl aM which t Mtrlltlft .,.....,, .. af ,_ elghtl"' .,ate coverM In the epeclflc polnti fll the