1 . DATE. TIME GilOUP 4 February 1966 ~ NUWBER OF OBJEC'iS S. LENGTH OF 08S!RV4TION 6. TYPE OF OS SERVA 710N 5 . PHOTOS 9. P'HYSlCAL EVIDENCE 2. LOCATION PROJECT 10073 RECORD Atlanta, Georgia (1 Hitn'3ss) 10. CONCLUSION INSUi''l-'ICI2:NT DATA FOR EVALUATLON Dr Hynek s ta..:.ed a per~onaJ. interview \muld be nece 11. BRIEF SUMMARY AND AHALYSI$ As obse:-re:-passed window she spotted llgtt o moving and for~ four times and then headed toward th e;.r and. disappet rec! behind a tree. T'ne object drew observer in t o f.ook at i~ FTO SEP .s1 0-329 (Ttl E) Pl'eYlct'lle editlCJifta ol forta CUJ' ~ ueed, 30. Hove you e ve r s e e n this, or o s i mi l or obje c t before . If so give dote or dates a nd locat ion. 31. Was anyone ~lse with you a t t he-time you sow the object? (Circle One ) 31.1 IF you answered YES, d id they see the object too? (Circle One} 31.2 P lease l ist their names and addresses: 32. Please give the following information about yourself: TELEPHONE NUMBE Indicate any additional information about yourself, including any special experience, which might be pertinent When and t o w h:>'":': ciid you re o ort that you hcd see n the object ? ')\!v~h-lh r:el2. . /CJ(ab. Dobb;n"J Date you completed this questionnaire: . L f 1 tinent ond which is not adequately covered in the specific points of the lnformcatton whc;01 you " per . . questionnaire -y ll narrative explanation of your stghttng. deu..v t..D LvrJJ.-c.v.:r _;Z "j ATLANTA, GJ:O Atlanta, .Georgia Dear Sirs: One ~oring on the morning of Feb. 4 on Friday I was sleeping. ~Y brother 3aid he heard so~ething downstairs. So I got upand t went downstairs the stove t in1er was on. I could'nt have been o~ becau3e ! tad turned the s ve o .ff that afternoon. I w-?nt downstairs 1:U'!"ni}d off the stove and something caught my eye as I passed the window. The Ul"~O r01ade me look ri.']ht into it for a while. The UFO was gray o r silver in color. It was holding rna and I fett faint. The object moved back and forth four times and then headed toward the west and disappeared. The UFO was nothing like I had ever seen I reported my L~O to Dobbi~s Air Force sase in MariP.tta~Georgia and the ma~ that I talked to ~ook my name my telep~ne number and said he would send someone to tal~ to me. I nver heard from them 3gain. I read in Header "s Digest last Night in the r.tay Issue about You-c reasearch you ?aople are doing So I thought I would send you the infoomation m~.1self rather than let Dobbins Air Force Base I really don't think~ t~ay believ~ me. Please righ~ ==c~ and tell me what you think of what I saw. I know that it was so fl9ing object. It moved back and fo~th four times. On the oth9r sheet o paper I have drawn what I saw. "THE SCHOOL CANNOT LIVE APART FROM THE COMMU:"flTY'' SCHOOL. CANNOT LIVE APART COMMUNITY" U.S. AIR FORCE TECi1NICAL IHFORMATION Th;s questionnairs has been prepared so that you can give t he U.S. Air Force as much informcrion a s ponible concsrning the unidentified aer.ol phenomenon that you hove observed. Pl~s -ry to answer as many questions as you possibly can. The infol'mation thatyou give will bs us.O for research purposes. Your nom. will not be used in connection with ony statem.nts, concluS-ions, or publications without your permission. We rsquest this personal information so that i f 1t is deemed necessary, we may contact you for further details. 1. When did you see the object? 2. Time of day: 5" Hour Minutes Ea.u r tb J~b. (Circle One): 3. Time Zone: a. <f(ise---1> (Circle One ): (Circle One): b. Centroi c. Mounr= rn d. Pocif ;c 4. Whar went you when you saw the obtect? Neoreat P!Htol Adctress City or Town Stot ot Cou'n'iv 5. How long woa object in sight? (Total Jurot ion) 5.2 Was obiecr :n :ii;ht continuously? 6. What was the ~cnc rrion of the s ky ? o. Bri ght c. Not very sure d. Just a guess <0.-Bright) : C l ~ l'L r IF y ou sow the object during DAYtiGHT, where was the SUN located os you looke d at the obj sc:r? ( Circle One): a. In front o f you. , b. In bock of you ' FTD OCT 62 164 c. To your r ight d. To y our le ft e. Overhead f. Don't re,.,ember 8. IF you sow the object at NIGHT, what did y o u notic e concerning the STARS .and MOON? 8.1 STARS (Circle One): d. Don't remember 8.2 MOON (Circle Om~) : a. Bright moonlight b. Dull moon I ight .. (c:-No moonlight-eLtdi:t!orB7 d. -Don't remember 9. What were-the weather conditions at the time you saw.the obiect? CLOUDS (C.rele Om~): (.a ear s~ c. Scatte~d douds d. Thick o r heavy c louds tHEA THER (Circle One): b. Fog, mist, or I ight rain . c. Moderate or heuvy-rain e. Don't remember ll. If it oppear~d as a li ght, was it brighter than the brightest stars? (Circle One): CO: Brighter) c. A bout the some d. Do.,'t know Cornpor. brightness to some common object: 12. The edges of the object w~re: .(Circle One): o. Fuzzy ~blurred :,. like o briyht stor 13. Did the object: rf=" ~arp ly out I i,e-e:) t remembe,- o. Appear to stand still a t any time? b. Suddenly speed up and rush away at any t ime? c . l3reok u p int~ po"ts or explode? d. Give off !'m ,? c. Ch::mge bri;htness? f. Chonge she~? g. Flash or fl i:: ker? h. Disappear a nd reoopeor? (Circle One for each question) Don't know Don't know Don't know Don't' Know Don't know Don't know Don't know Don't know 14. Did th@ object disapo&or while you wl'!re watching it? If so, how? tr' G/Th... YES, then tell what Did the ooi~t move behi~d something at a ny time, part icularly a cloud? { fYe') 4IJI Don't Know. IF you answ~red 16. Did the obiect move in front of something at any time, particularly a cloud? (Circle One): Don't Know. IF you answer&d YES, then tell what 17. Tell i n a te' words the followinq th ;,gs about the object: I 18. w~ wish ro ~now the ongu lor s1ze. t-old a mateh stick at arm's length in-line wi~h o known object and note how much of the oojeet is covered by t!-le head of the match. If you had performed this experiment at the t ime of the sighting, how much of the object would hove been covered by the match head? 19. Draw a ? iC:Unt moT' will show the snepe of the objeet or objects. Label a nd include in your sketcn any d--toils of the objee~ t:=.ct you saw s uch cs wings, protrusions, etc., and especially exhaust trails or vapor trails. Ploce on On'!:>W de the d rawing ro s how the direction the object was moving. 20. Do you think yo\J can estimate the speed of the object? (Circle One) IF you ans,wered YES, then what speed would you estimate? .-...::..-.,...------ 21. Do you think you can estimate how far away from y~I,J the ~bject ~as? (Circle One) located when you saw the object? 23.-Were you (Cfrcle One) _ 22 . Where were y-04J . . (Circle One i: (@. Inside a building- b. In a car c. Outdoors d. tn an airplane (type) _ a. In the business section of a city.? <9.1n.the residential section of o city? ... - c-. In open countryside? d. Near an afrfield? e. Flying over a city? t "Flying over open country? IF you wsr MOVING IN. AN AUTOMOBILE or other vehicl; at th~ time, then complete the foJiowing questions: 24.1 What direction were .you moving? (Circle One) c. t:ast e. South b. Northeast d. Southeast -f. Southwest 24.2 How fost were you moving? _,miles per hour. 24.3 Did you stop at any time while you were looking at the object? h. Northwe-~t- 25." Did you observe the objeet through any of the following?- ... , ": a. Eyeglasss b. Sun glasses c. Windsh;e ld d. Window o i=ss e. Binoculars - f. Telescope g. Theodolite# In order that you c a n give as clear a picture as possible o f what you saw, describe in y our own word~ o common ect or ob jects which, when placed up in the sky, would give the same appearance as the object wh-ich you saw. 27. In the folloing sketch, imagine that you ore at the point shown. Place on "A" on the curved I ine to show ho..w high the object ""tas above the horizon (skyline) when you firs' saw it. Place a "B" on th~ -sume-curved l ine to show how high the object was above the horizon (skyline) when you lost saw it. Ploce an "A" on the compass when you firsr ;ow it. Place o "B" on the compass where you lost saw the object.