1. DATI. TIMI GROUP" J. SOURCE . 4. NUMBER OF OBJECTS S. LENGTH OF OBSERVATION 45 Minutes 6. TYPE OF OBSERVATION Ground-Visual Slow:cy upward 9. PHYSICAL EVIDEHCI PROJECT 10073 RECORD !. 2. LOCATION 10. CONCLUSION Aetro (STAR/PfANF:r) 11. BRIEF SUMMARY ANO ANALYSIS Object was a ahirlT white light about as bright as ~e sun. It appeared to be n10ving and then disappeared behind a cloud. It was visable for 45 minutes. The apparevat motiCI'l waa prob- abl.T due to the motion ot the clouds. U.S. AIR FORCE TECHNICAL IHFORMATIOr4 This questionnaire ho1 been prepared so that you can give the u.s. Air Force as much ion as possible concerning the unidentified aerial phenonenon that you hnve obseNi. Please try to answer as rnany questions as you possibly can. The Information that yw ;ive wilt be used for reaeorch purposes. Your name will not be used in connec:tion with any st~tementt., conclusions, or publications without your permission. w. request this personal Information IC that if It 11 deemed neces1ary, we ntay contact you for further details. "" 1. When did you '" the ob;ect? ;;~/ Month (Circle One): 3. Time Zane: a. -,Easte .. (C lrcle One): d. Pacific (Circle One): o. Cti;,l!iv.!'!tS;.in b. Stancfar 4. Where were you when you sow the obJect? HeiNit Pntal Addreaa State or .Ci-."'' --=-3 ........ 0_ 5. How long w oiiJect In sight? (Total DurattM) (;~certain c. Not very sure b. Fairly certain 5.1 How was these In sight determined? -~..:;...l .=....----------- 5.2 Was obfect in sight contlnuouly? 6. v.11ot was the condition of the alcy? DAY NIGHT -r a. Bright a. Bright . ~ lt. Cloudy b. Cloudy ~ 7. IF you aaw the object during DAYLIGHT, where was the SUN located as you loc-k~d at the ob;e~t? (CI,cle One): a. In front of you b. In bode of you c. To your ri~t \ d. To your left . Overhecxl f. Don't remember FTO OCT 62 16~ TMe fo.rn eupereed PTD 164. Julll. whleh le obaolete a. IF you lOW the obiect at NIGHT, what did you notice concemlnt the STARS ON MOON? 8.1 STARS (Cirde One): 8.2 MOON (Circle One): a Bri~t aROOftllght Dull moonlltht cl. Don't remember c. No .. ...,liFt -pitch dark 9. What were the weoth~t concUtJont at the thpe you taw the ol.iect? CLOUDS (Circle One): (!) Cle ally c. clouds cl; Thiele or clouclt 10. The obiect appeared: (Circle One}: WEATHER (Circle Otte}: Fog, mist, or light rain c. Moderate 01 heavy roln @ As.a lleht e. Don'tre,....Mr 11 .If It appewM a light, waa it bri;htr than the brlthfest at? (Circle One}: : (i) Brighter e. AboUt the some 11.1 C..-. WlghtnpJs to IOJitl C~iftlftOn olaiect: 12. The edges of the obiact were: (Circle One): a. Fuzzy or blurred b. Lllce a bright star <C;) Sharply outlined d. Don t remember 13. Did the obi.c=t: a. Appeor to atand atlll at any time? b. Suddenly apeed up onc.t rush away at any tin? c. Brealc up into porta or explode? d. Give off smolce? e. Change bri~tness? f. Change shape? g. Flash or fliclcer? h. Oioppeor and reappear? (Circle One for each question) Don't know Don't know Oan't lcnow Don't know Don't know Don't know Don't know 14. Dlcl the obiect cliaappear while you ~ere .,,otching it? 15. Dlcl the oltiect beh incl ing at any ti , porticulorly a cloud? (Circle OneJ: e No Don't Know. IF you anaweted YES, then tll whot In front of ,.,_thing at any time, particularly a cloud? 17 . Tell in a few worda the following things about the object: 18. We wiah to lcnow the angular slu. Hold a matcfl aticlc at arm's length in line with a lcnown "biect CHid n~JfJ;, ~oN much of the obiect ia covered ~ the heacl of the ~tch. If you had performe4 thla experiment at the th of tl;e aighting, how MUCh of the would haM be.n covered by the match heocl? 19. Draw a picture that will ahow the ahape of the obtect or ol)iecta. Label and include In your slcetch any cfetoils of the oblect that you aaw 'luch aa wings, protruaions, etc., oncl eapecially exhauat trailt or vapor trail a. Place an arraw beside the drawing to show the direction the obiect was moving. 20. Do you think you can estimate the speed of the obiect? . (Circle One} IF you answered YES, then what apeed would you esthr.ate't I II .ut .C 21. Do you thinlc you can estimate how far away from you the object was? (Circle One) ~S.e ') . No IF you answered YES, then how far away would you soy h was? S 00 /i~U .. . Where were you located when yfN saw the obiect? (Circle One): o. Inside a t,uilding In a car . d. In on airplane (type) e. At sea 23. Were yo.~ (Circle One) . ~a. In the business ,;f, of a city? b. lr the residential sectiGet oJ o city? ({) In open countryaide? _ . d. Near on oJrfiefd? e. Flying over a city? f. Flying over open coUntry? 24. IF you were MOVING IN.AN AUTOMOBILE or _other vehicle at the time, then complete t~e foUowirg questions: 24.1 What direction were you moving? (Circle One) East South a. d. Southeast f. Southwest How faat were you rnovi~g? mils per hour 24.3 Oicl you ato, ot any time while you were loolcing at the obict? (Circle One) Old you observe the obtect through any of the following? o, Eyeglasses Yes b. Sun glosaet c. Windshield e. Binoculars f. Telescope g. Theodol fte h. N01thwest d. Window gloss 26. In order that you can give as clear a picture oa possible of what you saw, describe in your own words a common object or object which, when placed up in the slcy, would give the same appearance at the obiect which you aow. 27, In the fell"'"-1lleteh, IMtl th .. you It the ,.ant eheMt, Plc oft ''A''.,. ~ r.u,v ... : liM,. thew high the oi.IHf e"-e the hl (akyllne) yw lint lt. Place o "8" on the 141N line to ahow how hlth the oltiect wot o~Nwe the horlaon (tkyll,.) when you lo1t saw lt. Ploce Oft 'A' Oft the co...,o whert yeu ,,., MW lt. "I" the c.,..,, where you lo1t an the ol.fect. 28. .Draw a picture will the MOtion that the.ollect or oltiecta P.loce on .. A at the betimfng of the path, a "8 u ot the encl of the path, ancl on, chant In direction during the co.~re. 29. IF there w THAN ONI el.lect, theft hew ....., Draw o picture of how they .,.,...,, .,... put to thow the direction thot they. were tro*Ung 30. Have you ever'"" thia, a almil obiect bef If ao give elate or dttea and locotiOft. 31. Waa anyone else with you at the time yau aaw the oltJect? (Circle One) 31.1 IF yau anawered YES, clicl.they '"the oltiect too? (Circle One) 31.2 PleaM llat their,....., ancl acldreaaea: 32. Pleoae give tiM foil ADDRESS . TELEPHONE NUMBE tncllcate anr Mclltlonal lnfertMtlon aMut yowaelf, lnclutllna Clhy a,eclal eaperlence, which "'ipt be pertl When and to whom d ld you that you hod '""the obtect?