1. DAT! TIMI 4. NUMIIIt 0' OIJICTI 5. LINOTH 0' OIIIIYATION 6. TY~I 0' OISIItVATION Ground-Visu at 9. PHYSICAL EVIDIMCI 2. LOCATION 10. CONCLUSION Possibly exploding c<n oover, exploded. I 1. II liP IUMMAIY AND ANALYIII Silver-mite circular object in flight to SE from Ntl. Strai.~t night. Sky' was clear blue. Sighting during blight dayli~r Obj ectlt )) . degrees elevatiat. Ver.J plane. C:uite large. :rmt strai~t up. In the following slcetch, Imagine that you are at the point ahown. Place an .. A,. on the curved I in to a how how high the obiect was above the horizon (alcylfne) when you llrst saw it. Place a .. 8" on the same curved line to show how high the obiect was abcwe the horizon (slcyline) when you last saw it. Place an " A" on the compass when you lirJt saw it. Place a .,8" on the compass where you last saw the obiect. 28. Draw a picture that will show the motion that the obieet or obiects made. Place an ,.A,. at the beginning of the path, a .. 8 .. at the ~. ~ the path, a~ sh~ any changes in direction during the course. . -~ ~ . ~ - . .I ' 29. JF there was MORE THAN ONE obiect, then how many were theN?----------- Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling 30. Have you ever seen this, or a similar obJect before. If so give date or dotes and location. 31. Was anyone else with you at the time you saw the obiect? (Circle One) IF you an1wered YES, dlcl they the object too? (Circle One) Plea .. lilt their na,... oncl 32. Please give inforn.ation about your1elf: IMicate any additional infCM"motion about yourself, including any special experience, which might be pertinent. When and to whom cUcl you re that you had '""the obiect? .. IJI/ 11/r r ll1r Date you completed thl1 questionnaire: 35. lnforunatlon which you fMI peutinent and which 11 not adequately covered in the specific points of the cp~estlonnalre or a narrative explanation of your sighting. U.S. AIR PORCI TECHNICAL INFORMATION This questionnaire has been prepared so that you can give the U.S. Air Force as much infOJmation as posslb .. cone ing the unidentified ial phenomenon that you have observed. Please try to answer as questions as you possibly can. The Information that you give will for research purposes. Your name will DOt be used in connection with any statements, conclusions, or publications without your permission. We request this personal information so that if It Is deemed necessary, we contact you for further detai Is. _ . 1. When did you s .. the oliect? (Cirr:le OneJ: 3. Time Zone: (Circle One): _a. E c. Mountain d. Pacific 4. Where were you when you saw the obiect? 5. How long was oltiect 1ft sight? (Tetol Durotion) b. fairly certain City 01 Town c. Not very sure ca. ]ual g gyia) State 01 County Seconta . . _ 5.1 I low was in sisi1t determined? ----------------- 5.2 Was obiect in sight continuously? 6. What was the condition of the slcy? 7. IF you saw the obiect during DAYLIGHT, where was the SUN located as you looked at the obiect? (Cirde 0,.): a. In front of you b. In bade of you c. To yOut right To our I ft f. Don't remmb.r FTD OCT 62 164 Tlala faa o auperaedea PTD IH, Jld 61, wh!ola la oleta 8. IF you saw the obiect at NIGHT, what did you notice cancemfng the STARS and MOON? 8.1 STARS (Circle One}: 8.2 MOON (Circle One}: a. Bright moonlight b. A few . b. Dull light c. Many c. Nomoonlight - pitch dark d. Don't remember 9. What were the ccnditiona at the time you sow the obiect? CLOUDS (Circle One}: a. Clear sic c. Scattered clouds d. Thiele or heavy clouds WEATHER (Circle One}: b. Fog, mist, or light rain c. Moderate or heavy rain e . Don't remamber 10. The obiect appeared: (Circle One): d. As a light b. Transparent e. Don't remember 11. If it appeared aa a light, wos it brighter than the brightest stars? (Circle One): a. Brighter b. Dimhllr c.. About the sanae d. Don't lcnow 11.1 Compare brightMs to some common oliect: . The edges of the c*iect were: (Circle One): a. Fuzzy 011 blurred b. Like a t star 13. Did the obiect: a. Appear to stand still at any time? b. Suddenly speed up and rush away at any time? c. Brealc up into parts or explode? d. Give off amolce? e. Change brightness? f. Change shape? g. Flash or fliclcat? h. Diappear and rea,:tpa'? (Circle One for each question) Don't know Don't know Don't know Don't know Don't lcnow Don't know Don't know Doo't know 14. Did the obiec:t dlsappe while you were watching It? If so, how? CIJ. -u.AA ll/ 15. Did the obiect moye behind son:ethlng at any time, particularly a cloud? Yes Don't Know. IF you answered YES, then tell what 16. Dicl the obiect n:we In front of something at any time, ,.tlcularly a cloud? IF you answered YES, then tell what 17 . Tell in a few words the following things about the obiec:t: We wish to lcnow the angular size. Hold a match sticlc at cwm's length in line with a lcnown obiect and note how much of the o.,._t is COerecl by the head of the match. If you hod performed ~is exper sighting, how much or the obiect would have been co reel by the match head?. Draw a picture that will show the shape of the obiect or cM,iects. Label and include in your. slcetc:h any detai Is of the obiect that )foU saw such as wings, protrusions, etc., and especiatly exhaust trails or vapor trails. Place an arrow --~ the drawing to show the direction the obiect was moving. .. J .. , 3). Do you thlnlc you can estimate the speacl of the object? (Circle One J {!JJ No IF you on-red YES, then what apeed would you eatlmote? ..Joo -3oo dJ; /-e5fPOir. 21. Do you thlnlc you can estilhate how far away from you the obiect was? (Circle One) IF you answered YES, then how far away would you say it was.? 22. were you l.!.~at _when you !IW:. the obiec~? 23. Were you (Circle One) (C Ire Ia One): In the business section of a city? a. Inside a building b. In a car d. In an airplane (type) In the resi~ential section of a city? ) In open countryside? an airfield? Flying over Flying over open coUntry? 2A. IF you ware MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 2A.1 What direction were you moving? (Circle One) -. . c. East South d. Southeast f. Southwest h. Northwest 24.2 How fast were you moving? .mi las per hour. 2.3 Did you stop at any tittte while you were loolcing at the obiect? (Circ:le One) Dtct-yau aa, ,... the obiect through any of the following? Eyeglaases Binoculars Sun gloss Wincllh ielcl g. Thaoclol ite Yes cl. Window gla1s 26. In order that you eCMt give as dear a picture as possib' of what you ~aw, describe in your own words a common obiect or obiects which, when placed up in the ~ky, would give the same appearance as the obiect which you sow