PROJICT 10073 IICOID 1. DATE TIM! GROUII 2. LOCATION tta Minnesota 10. CONCLUSION Ast:ro (STAR/PLANEr) . . cr.tption ani duration indicats Astronom1 cal Sighting. overhead, SPICA also in area. Will be reevaluated if"Fouu 164 i recel.ved. -i. NUMBER OF OIJ!CTS s. LENGTH OF OBSI!RVATION 45 Minutes t.. TYPE OF OBSERVATION Ground-Visual Nat Reported 9. PHYSICAL I!VIDINC! 11. IRI!II SUMMARY AND ANALYIII Glcw or light observed for 45 minutes. S::lmilar objects ob C'.I. in the }:8st. One large object, om snall. About 15 rt &J8rt. Slight undula tt on motion. No liglt s on objects. Obs._._.., directly overhead. Fonn 164. sett for additi. onal data not returned after 90 dS FTD SEP 63 0329. (TDE) '" Hill of tla&s CJttCit,.,..UIIDfl,., """ IF A .... .. Hq USAJ' ( SAFOI..CC) INITIALS CIIICULATI DATI COOIIHHMTIOII fDdieate. that a :>f'tice send her All FI1> Air Force Co Folll 164 to till 1, Wa)Atta, Request your fOIM 9 5 Repl aces DD Form 94, l Feb~. and DD Form e4.-l&-712'1't-1 1 OCT 60 ~S. 1 Feb~. which wlll be used uuW edwwted. DEPARTMENT OF' THI AIR FORCE At.tacheti is FTD Fom 164 which is \'S~d for reporting observations of unidentified flyin~ objects to the Atr Force. In order for the Air Force to evaluate these repor~s, tnis form should be completed as tully as posaibl~ and returned to this of e. S:ir.cerely Community Relations Divisi~n Office of Information . F'TD Fom 164 U.S. AIR PORC! TEOtHICAL INFORMATION This questionnaire has been prepared so that you can give the U.S. Air Force as much information as posslbt. concerning the unidentified aerial phenomenon that you have observed. Please try to answer as many questions as you possibly can. The information that you give will be used for research purposes. Your name will 110t be used in connection with any statements, conclusions, or publications without your permission, We request this personal inforntation so that if it Is deemed necessary, we ntay contact you for further details. 1. When did you s .. the obiect? 3. Time Zone: (Circie One): a. Eostem b. Central c. Mountain d. Pacific Hour Minute a (Circle One): (Circle One): a. Daylight Saving b. Standard 4. Where .were you when you saw the obiect? 0 I Adclreaa City w Town State fW County S. How long was obiect in sight? (Total Duration) a. Certain c. Not very sure Fairly certain d. Just a guess How was time in sight determined? Was obiect in sight continuously? 6. What was the condition of the sky? 7. IF you .saw the obiect during DAYLIGHT, where was the SUN located as you looked ut the obiect? (Circle One): a. In front of you b. In baclc of you c. To your ri~t d. To your left Overhead f. Don't remember FTO OCT 62 164 Thta form uper .. dee Fm 164, Jul 61, which l obolete 8. IF you saw the obieet at NIGHT, what did you notice eoneeming the STARS and MOON? 8.1 STARS (Cirr:le One): 8.2 MOON (Circle One): a. None a. Bright moonlight b. Dull moonlight d. Don't remember e. No moon I ight - pitch doric d. Don't remember 9. What were the weather conditions at the time you saw the object? CLOUDS (Circle One): WEATHER (Cirr:le One): a. Clear slcy b. Fog, mist, or I ight rain c. Scattered c lauds e. Moderate or heavy rain d. Th iclc or heavy clouds e. .Don't re11:ember 10. The object appeared: (Circle One): d. As a light -~ L o vJ b. Transparent e. Don t remember 11. If it appeared as a light, was it brighter than the brightest stars? (Circle One): a. Brighter c. About the same d. Don't lcnow 11.1 Compare lwightness to some common object: 12. The edges of the obiect w.re: (Circle One): a. Fuzzy or blurred b. Like a bright star c. Sharply outlined d. Don't ren:ember Did the obiect: (Circle One for each question) a. Appear to stand still at any time? Don't know b. Suddenly speed up and rush away at any time? Don't know Break up into parts or explode? Don't know d. Give off smoke? Don't lcnow e. Change brightness? Don't know Change shape? Don't know g. Flash or fl iclcer? Don't know Disappear and reappear? Don't know 14. Did the obiec:t disappecw while you were watching it? If so, how? 15. Did the obiect mcwe behln~ something at any time, particularly a cloud? (Circle One): Yes No Don't Know. IF you answered YES, then tell what 16. Did the obiect move in front of som1thing at any time, particularly a cloud? (Circle One): Yes No 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 orut's length in line with a lcnown obiect 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 obiect would have bee~ covered by the match head? 19. Draw a picture that will show the shape of the obiect or obiects. Label and include in your sketch any details of the obiect that you saw such as wings, protrusions, etc., and especiatly exhaust trails or vapor trails Place an arrow beside the drawing to show the direction the object was movin~. 20. Do you thinlc 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 answered 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 b. In a car c. Outdoors In an airplane (type) 23. Were you (Circle One} In the business section of a city? In the residential section of a city? In open countryside? Near an airfield? Flying over a city? Flying over open country? f. Other g. 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 24.1 What direction were you moving? (Circle One) a. North c. East e. South g. West b. Northeast . d. Southeast f. Southwest h. Northwest 24.2 How fast were you moving? miles per hour 24.3 Did you stop at any time while you were loolcing at the obiect? (Circle One) 25. Did you observe the obiect through any of the following? Eyeglasses Binoculars . Yes No Sun glasses Yes Telescope Yes No c. Windshield g. Theodolite Yes No d. Window glass In order that you can give as clear a picture as possible of what you saw, describ. in your own words a common object or obiects which, when placed up in the sky, would give the same appearance as the obiect which you saw 27. In the following slcetch, I lne that you are at the point shown. Place an "A" on the curved I ine to show how high the ob;ect was above the horizon (slcyllne) when you llrst saw it. Place a "8" on the same curved line to show how high the obiect was above the horizon (slcyllne) when you lost saw it. Place an "A" on the compass when you lirst saw it. Place a "8" on the compass where you last saw the obfect. 28. Draw a picture that will show the motion that the obiect or obiects mode. Place an "A" at the begi~ning of the path, a "8" at the end of the path, and show any changes in direction during the course 29. IF there was MORE THAN ONE obiect, then how many were there? -~2=-------- Draw o picture of how they were arranged, and put on arrow to show the direction that they were traveling 30. Have you ever IMn thlt, or a tlnli lor oblect before. If 10 give elate or elates and location. 31. Wat anyone elte with you ot the time you taw the oblect? (Circle One) 31.1 IF you answered YES, cllcl they s" the oblect too? (Circle One) 31.2 Pl .... liat their names and oclclresaes: 32. PleaM give the following about yourMif: LoatNe e Firat No,.. Middle HelM Indicate anr I ion about yourself, inclucling any special experience, which might be 33. When and to dfcl you repcwt that you hacl sHn the object? 34. Date you completed this questlannalre: Information which you fl peatlnent and which Is not adequately covered in the specific points of the questiannaire or a narrative explanation of your slg~tlng.