1;' DA T! TIM! GROU~ ._ NUMBER OP OBJECTS PROJECT 10073 RECORD 2. LOCATION Gunteravi lle, 10. CONCLUSION Possible (AlRCRAFr) tAJ c\ ( p,. ,ScnA S. LENGTH OP OBSIRVATIOM 11. BRIEP SUMMARY AND ANALYSIS 6. TYPE 011 OBSERVATION 9. PHYSICAL EVJDEHCE Object looked like a shooting star only slower. Also li&'l t Wa.s pilsating from bright to dim. Observer also noted air ral in the area. Object moved downward and stopped at the jet ...... tor a tew secmds, then speeded ver:f fast eastward . the intcrnaticn available ther is no indication that the reported si.ght.in g was not that of an A/c. U.S. AIR FORCE tECHNICAL INFORMATION This questionnaire has been prepared so that you can give the U.S. Air Force as much Information as poaalble concemlng the unidentified aerial phenontenon that you have observed Please try to anawer as many questions as you possibly can. The inforntation that you give will be used for re purposea. Your will not be used in connection with any statements, conclusiona, or pultllcatlons without your ission. We request this personal Information so that if It Ia cl .. ...d neceaaary, w. contact you f~ further cletaUs. . When did you '" the oltiect? 3. Time Zone: (Circle OneJ: ~-. -r~ountain d. Poe ific 4. Where were you when you saw the obiect? 2. Tin:e of day: (C irc/e OneJ: (Circle One): a. D&!li&ht Saving <!J. ~t~Ciar~ Nearest Postot Adclreee City or Town State or County 5. How long was obiect in sight? (T otol Ovrotion) Hours Minutes Seconds a ._ertaen c. Not very sure (b. Fuirfy eerto~ d. Just a guess 5.1 How was time in si~t determined? nJid :CMA=-!h &t,t "J,k W!Eii-t20T Si 'P rdl~ 5.2 Wos obiect in sight continuously? 6. What was the condition of the sky? , ~ ~riglit) 7. IF you saw the obiect during DAYLIGHT, where was the SUN located as you looked at the obiect? (Circle One): a. In front of you b. In back of yOY c. To your right d. To your left e. Overhead f. Don't remember FTD OCT 62 164 Thle form eupereedea FTD 164. Jul 61. which ia obsolete. 8. IF you saw the obiect at NIGHT, what dicl you notice conceming the STARS and MOON? 8.1 STARS (Circle One): on't ren:enew 8.2 MOON (Circle One): a. Bright moonlight b. Dull moon I ight c. No moonlight -pitch doric cl. Don't remember 9. What ware the weather conditions at the thne you saw the obiect? CLOUDS (Circle One): WEATHER (C;rcle One): (G. Clear~ b. Fog, mist, or light rain c. Scattered clouds c. Moderate or heavy rain cl. Thiele or heavy clouds d. Snow e. Don't remember 10. The obiect appeared: (~ircle One): b. Transparent e. Don't remember If it appeared as a light, was it brighter than the brightest stars? (Circle One): CO:: B~ightey c. About the same b. Dimmer d. Don't know 11.1 Compare brightnHs to sonte comrrtOn obiect: J"::'lliNJ BTU: liT r'e~ 7;)1f'1 : Siit8~"Zor N~' 19s [1151; At $o flttsAtJNi} 12. The edges of the objKt were. (Circle One): a. Fuzzy or blurred b. Like a bri t star c. Sharpl outlin d. Don't remem 13. Did the object: (Circ:le One for each question) a. Appear to stand still at any time? b. Suddenly speed up and rush away at any time? Don't know Don't know Don't know Don't know c. Break up into ports or explode? d. Give off smoke? e. Change bri~tness? Don't know Don't know Don't know Don't know 14. Did the obiect disappear while you were watching it? If so, how? Did the obiect mo behind something at any time, particularly a cloud? (Circle One): Yes "-N~ Don't Know. IF you answered YES, then tell what 16. Did the obiect move in front of something at any time, particularly a cloud? (C ire le One): Yes Don't Know. IF you answered YES, then tell what 17 . Tell in a few words the following th lngs about the obiect: 18. We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how 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 ri1e obiect would hCJYe been covered by the match head? Draw a picture that will show the shape of the obiect or obiects. Label and include in your sketch any details of the object that you saw such as wings, protrusions, etc:., and especially exhaust trails or vapor trails. Place an a"ow beside the drawing to show the direction the obiect was moving. l{j A 27. In the following slcetch, imagine that you are at the point shown. Place an .. A .. on the curved line to ahow how high the obiect waa abcwe the horizon (slcyline) when you llrst aaw it. Place a "8 .. on the same curv.ct line to show how high the oliect was abcwe the horizon (alcyline) when you lost saw it. Place an "A" on the compaaa when you lirst aaw it. Place a "B" on the compaaa where you last saw the obiect. 28. Draw a picture that wi II show the motion that the obiect or obiects made. Place an "A" at the beginning of the path, a "B",at the end of the path, and 5leu;. ~ny changes in direction duri~ the course.. 51iJA-/973-GI"'t- 29. IF thent was MORE THAN ONE obiect, then how many were there? ----------- Draw a picture oi how they were arranged, and put an arrow to shaw the direction that they were traveling. 30. Have you ever seen this, or a similar obiect before. If so give date or dotes and location. else with you at the time you sow the obiect? (Circle One) 31.1 IF you answered YES, did they IH the obiect too? (Circle One) No 31.2 PleaM list their names and addresses: -Go 1 F"II 32. Please give the following information about yourself: Lost Name irst Name Micld le Nome ~tWl&:itSVi. TELEPHONE NU AGE SEX IYIDL Indicate any additional information about yourself, including any special experience, which might be pertinent 33. When and to whom did you report that you had seen the ob e Month Year you co"'pletetl this tiOMtolre: 35. lon which you '-I peullnent ancl which Is not adequately coverM in the specific paints of the stlonnalre or a explanation of your sighting.