. DATE TL~E GROU' 2. LOCATION ll July 65 l2/0300Z 4. NUMII!R Ofl OIJICTS 10. CONCLUSION Sw:v1ersct, PennfJIJlvania Evaluated as an aircrart obset'vation. No data presmt,ed to 5. LINGTH Ofl OISIRVATION n. aRIIP IUMHAY AND ANALYIII . 6. TY'I OJI OISIRVA TION Object Has S) 1 id. '\Tas ve-rJ hiS'l, mo,ting ve:ry fast. Object moved frol'!l :S to ~'I in 2 1/2 minutes. 9. PHYSICAL EVIOIMCI U.S. AIR FORCE TEOtHICAL IHFORMATIOtt Thia queationnaire has ben prepared 10 that you can give the U.S. Air Fore aa mu4;h Information as poaaible cancemlng the unidentified aerial phenonenon that you h11v oLaervei. Please try to anawer a1 many queatlon1 as you po11ibly can. The information that y(;u ~i., wiU be used for reiHrch purposes, Your name will not be used in connec:tion with any st~ten .. n1t, conclu1lana, ar pu~llcations without yaur permission.-We request this personal lnformotlon 10 that If It Ia deemed necenory, we may contact you far further cletaila. -' . . 1. When did you '"the obtect? Doy MO"th y eot (Circle One): (Cirdo vne): Ooy liyht So\in9 o. 3. Time Zone: (Circle One): fa?'eastern c. Mountain d. Pacific 4. Where were you ~en you aow the ohfect? City M Towlt Stot -:w Co~rtt1 s. How long WOI obtect in sight? (Total ow ...... ) . ~ Certaln (~Foirly certain Ho~n Mlrwt .. c. Not ve~ sure ~ CJ . d. Just a guess ~ow was time fn_ si~!, de!ermined? L~J~L~AB.....;1L""er.:.,.,a..J,J~i~------- Woa obiect In sight continuously? .. ~ ) No 6. tnnt W'Jt the condition oi the slcy? t a. ' rg t 7. IF you saw the object during DAYLIGHT, whe,. was the SUN located as you look~d a! the obie<:t? (Citd., Jnei: o . In tront oi y0t1 h. In bode of you c. To yfNf rid1t ~. Overhead f. Don't remember FTO OCT 62 164 Thle fa. ut'ecl P'm 164. jul U, whlch t1 obeolete. 8. IF you saw the iect at NIGHT, what dicl you notice conceming the STAHS ancl MOON? 8.1 STARS (Circle One): 8.2 MOON (Circle One): a. Bri .. t oonllght b. Dull moonlight c. No moonlight-pitch cJarlc d. Dan't rem1ml.r 9. What were the w1ather canclitiana at the tl..-yau HW the oltiect? CLOUDS (Circle OneJ: c. Scanerecl cloucls d. Thiele or hea\11 clouda WEA THI!R (Circle One): b, Fo., iat, or li .. t roln c. Maclerate or heavy roln 10. The abject appored: (Circle One): b, Tranapar111t d. Aa o light 11. If It n a lirltt, waa It lwlghter titan the brighteat atara? (Circle One}: a. Brlsjuw c. About the d. Don't lcnow (Circle OM-J: o. fnl)' or blurre.cl c. Sharply outlined 13. Dlcl the Mlect: (Circle One f each queatlan) a. APf'ar to stand still at 0fft1 tl,.,.? -t-CYO CL.C ci~) Don't lcrtOW b. Suddenly sp1ecl up and n~ah OWCI'J at any time? Y No Don't lcnow c. Brealc up into porta or explode? Yes No Don't know d. Give off smolce? Y No Don't lc~tow e. Change brl~tneSI? Yea No Don't lcnow f. Change shape? Y No Don't know I Flash or fllclcet? Y No Don't lcnow h . Disappear end rea!'f)ar? y.,, No OQn't ~ci)Ow 14. Did the obiect diaappear while you were t~atching it? If so, how? Did the obiect mcwe behind something at any time, par!.i~ul~rly a cloucf'f (Circle Orte): Yes No ( ... Don't Kno ~ IF you answered YES~ then tell what Did the obiMt mew I~ front of to~thing ot ~!:: :g a. cloud? (Circle One): '"' J Yea .. No(--Don't K.~!~ , ._; IF you answered YES; th~.) tftU wh<at 17. : Tell in o few worde the following things about the obiect: We wish to know the angulor size. Hold a match stick ot arm's length in 'line with a lcnown c..biect and n~tt-<; ~oN : much of the object is cover.d by the head of the rt~atch. If you hod performed this experiment at. ri\e thoo a tl:e sightint, how much of the object would hove been covered by the match head? 19. Draw o picture that-wUI ahow the lhape of the object or oDiects. Label and include in your Ieetch any detQUa of the obiect that you taw uch at wings, protrueiona, etc., and especially exhaust trails or vapor trolls. Place on arrow beside the drawing to show the dirwction the obiect was moving. . . ... 1.! Do you think you can eatimat the speed of the obict? (Circle One) IF you anawerecl YES, then what speed would you ti~r.ate1 -...l.IIS Do you think you can estimate how for away from yo.J th obict woa? Q._, . J~ you answe~ YES, .then h~ -f~ away would you aay it was? ----~ ---- Whr were yw .locatecfwhen-vcMI"'HW ~he o~(ect? 23. Were you (Circle One) (Circl One): In the buslnen section of a city? a. Inside a building b. In the residential sctiGea of a city? In opon countryside? c. Outdoors d. Nar an airfield? d. In an airplane (type) Flying~., a city? e At sea f. Flying over open country? Other _ _ 24. IF you were MOVING IN AN AUTOMOBILE or othet vehicle at the time, then complete tf:t foiJowir,g questions: 24.1 What direction were you lft0\'1ne? (Circle One) - a. Nor1h b. Northnt d. Southeast f. Southwest 24.2 How fast wr yov moving? miles per hour. 24.3 Old you ,,.., ot tJfr11 time while you were looking ot the ol,ject? (Circle OM) Yet No 2!. Dlcl you ooaere th ol,fct through any of the following? b. Sun gla11. e. Binoculars f. Telacope c. Winclehleld g. Theodolite d. Window glasa 26. In order that you can give 01 elear o pictvre at possible of what you saw, describe in y04Jr o~ wor-ds a comm~ obict or ol,iects which, when placed up In the alcy, woulcl give the some ap,.aranc a1 tfte obfct which yau 14W' In the followlnt alletch, lmotlne that you are et the point ahown. Plctce on ''J.." on the ~::urv~ lin to show ho..- the ol:aiect woa above the horlaon (sllyllne) when yw llrst sow lt. Ploctt tJ "6 .. on the 1-:JrM cur~ed line 2~ ahow how high the obiect wos otMwe the horizon (skyline) when you last sttw it. Place ~n ' 'A'" on the compos when you lint aew lt. Ploce o "B .. on the compon where you last aaw rhe obieet. . 28. .Draw a picture thot will show the motion that the Qblect or obiects mode. P.lace on A"' at the ~innil1ff ot the path, a ua at the end of the path, and show any changes in direction during the .:.,un. 29. IF th woa e THAN ONE I then how many were there? ---------- Draw a picture of hO' they were orronged, cmcl put an 01row to show the direction that they were troveling. 30. Have you ever s"n this, 01 a similor obiect bef01e. If so give date or dotes ond locotiOft. 31. Was anyone else with you at the time you saw the obiect? (Circle One) 31.1 IF you answered YES, dld.they the obiect too? (Circle One) 31.2 Please list their names ancl acldreasee: 32. Plea give the following InforMation aHut younelf: TELEPHONE NUMBER------- tndicate any odcU!Ionllf lnforlftCitiOft about youraelf, lncluctlnt any epeclol experience, which might be pertinent. I 33. When and to whom did you report that you had aHn the obiect? A .r . atiOMalre: 35. lnf1111tlan which y feel pertinent ancl which It not aclequotely covered In the 1p1clflc polnta ol the tiOMOIN 01 nratlve explaMtlon of y0411r sighting.