PROJECT 10073.RECORO ,1. DATE TIME GROUP 2. LOCATION Bethesda, Ha:cyland (1 witness) 3. SOUP.CE 10. CONCLUSION 1. SATELLTI'E 2. Astro (s'rAR/PLAi'iEr) 3. Astro (HEI'EOR) i . NUMBER OF OBJECTS .'i. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS S KP. CASE f.. TYPE OF OaSERVATION Ground-Visual 9. PHYSICAL EVIDENCE SEE CASE. lliREE SEPARATE REPORTS FTO SEP 63 0-329 (TOE) Prnloue d.lt.!oM of thb , ,lie 111d. U.S. AIR FORCE TECHNICAL INFORMATION T hi s questionnaire has been prepared so that y o u can give the U.S. Air Force as muc h ation as possible 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 w ill be used for research purposes. Your name will IJat be used in connection w ith any statements, conclus ions, or publications without your permission. We request this personal information so that if i t Is deemed necessary, we may contact you for further details. 1. When d id you see the object? 2. Time of day: (Circle One): A.M. Month Year 3. Time Zone : (Circle On e): a. Do ht Savi ng (Circle One): Eos~er c. Mounta in d. Pacifi c 4. Where were you when you sow t he object? Postal Address City or Town State or County 5. How long was ohject in sight? (Tot~l Duration} Minutes Seconds c;; Certai?) c. Not very sure b. Fairly certain d. Just a guess 5.1 How wos t ime in sigh t determined? !:W~II.J...Lt-s2..Lf !:!W::.-Jf.il!-l.h'..k...!::G'L- ----- 5.2 Was objec in s ight continuou s ly? Yes v/ No--- 6. What was the c ondit ion of the s ky? 7. IF you saw the o bject during DAYLIGHT, where was the SUN located as you looked at the object? (Circle One): a. In front of you b. In back of you c. To your right d. To your left e. Overhead f. Don't remember FTD OCT 62 164 Thl a lorm a upetaed .. PTD 16 4 , jul 61, whic h I oba olet e . a. IF you sow the object at NIGHT, what d id you notice concerning the STARS and MOON? STARS (Circle One): 8.2 MOON (Circle One): a. Brig~t moonlight f~w b. Dull moonlight . C"~ moonlight~ =p'itelrelofiF- d. Don't remember a. Don't remember What were t he weather conditions at the time you sow the object? CLOUDS (Circle One): WEATHER (Circle One): ~ Clear sky 4. Fog, mist, or light rain ... nozy Scattered clouds c. Moderate or heavy rain d. Thick or heavy clouds d. Snow e. Don't remember The object c~peored: (Circle One): Q A-s a I igbt-=> b. T ror:sp~r~nt e. Don't remember If it appeared as a light, was it brighter than the brightest stars? (Circle One): 6 Ab"'Out the. sc:n;;;){ 5 d. Don't know Compere brightness to some common object: The edges of the object were: (Circle On~): a. Fuzzy or blurred e. Other b. Like a bright star .... Sharply outlined d. Don't remember 13. Did the object: (Circle One for eoch question) Appear to stand still at any time? Don't know b. Suddenly spud up and rush ow~ at any time? ( on't know Break up into parts or explode? Don't know Give off smok-!t? Yes Don't know Change brig,tness? Yes Don't know f. Change shape? Yes Don't know Flash or flicker? c-~0_....-? Don't know Disappear and reappear? Don't know Did the object d isappear while you were watching it? If so, how? 15. Did the object move behind something at any time, particularly a cloud? (Circle One): Yes Don't Know. IF you answered YES, then tell what it mov~d behind: Did the ~bject move in front of something at any time, particularly a cloud? (Circle One): Yes Don't Know. IF you answered YES, then tell what in front of: 17 . Tell in a few words the following things about the object: We wish to know the angular size. Hold a match stick at arm's length in I ine with a known object and note how the object is covered by the head of the match. If you had performed this experiment at the time of the sighting, how much of the object would have been covered by the match head? p icrure that wi II show tne shape of the object or objects. Label and include in your sketch any details of the object r!lat you saw such os wings, protrusions, etc., and especiatly exhaust trails or vapor trails. Place an arrow beside the drawing to show the direction the object was moving 20. Do you think you can estimate tho speed of tho object? (Circle One) Yes ~ J~ IF you answered YES, then what speed would 7"'a'te? ------- 21. Do you think you can estimate ho~ for away fnm you the object was? (Circle One) IF you onsw~red YES, then how far away would you say it was?--------- 22. Where were you located when you sow the object? (Circle One): 23. Wore you (Circle One) a. lrU~e business section of a city? a. Inside a building ~ In' the residential section of a city?_:) c. In open countryside? d. Near an airfield? b. In a cor d. In on a irp lane (type) e. Flying over a city? e. At sea f. Flying over open country? 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 24.1 What d irection were you moving? (Circle One) a. North c. East e. South g. West heast d. Southeast f. Southwest h. Northwest 24.2 How fast were you moving? m,.,1iles per hour. 24.3 Did you stop at any time while you wore looking at tho object? (Circle One) Did you observe the object through a ny of the following? Eyeglasses e. Binoculars . Yes Sun g losses Yes Telescope Yes Windshie ld . @ g. Theodolite Yes Window g loss @ h. Other 26. In order that you con give as clear a picture as po!'isible of what you saw, describe in your own words a common object or objects which, when placed up in the sky, would give the same appearance as the object which you saw 27. In the following sketch, imagine that you are at the point shown. Place an "A" on the curved I ine to show how the object was above the horizon {skyline) when you first sow it. Place a "8" on the some curved line to show how high the object was above the horizon (skyline) when you last saw it. Place an "A" on the compass when you first saw it. Place a "B" on the compass where you last saw the object. 28. Draw a picture that will show the motion that the object or objects mode. Place an "A" at the beginning of the path, a "B" at the end of the path, and show any changes in direction during the course 29. IF there was MORE THAN ONE object, then how many were there? _J0LJ.rZ~n1e..~--====- Draw a picture of how they were arranged, and put on arrow to show the direction that they were traveling 30. Have you ever seen this, or a similar object before. Or co~ R>e ! ! >tu-r:vc/t If so give date or dates and location. 31. Was a nyone e lse with you at the time you saw the object? ( Circle One) Yes 31.1 IF you answered YES, did they see the object too? (Circle One) ( .- 31.2 Please list their names and addresses: ......_ .-- 32. Please give the following information about yourself: First Nome TELEPHONE NUMBER------- Mldd le Nome 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 object? 34. Date you completed this questionnaire: 35. Information which you feel pertinent and which is not adequate! covered in . . . questionnaire or a narrative explanation of your sighting. y the specific points of the \Jeff! ( t~?f cl ,f ~:ce , ~vJs~gvP f , r oles-//2-R rt; 101v liP Z wr t J fo{, t) J f yo~ lv l't lc It r U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you can give the U.S. Air Force as much ion as possible concerning the unidentified aerial phenomenon that you have observed. Please try to answer os.many quostions as you possibly can. The information that you give will be used for research purposes. Your name will uot be used in connection with any statements, condusions, or publications without your permission. We request this personal information so that ii it is doomed necessary, we may contact you for further details. 1. When d id you see tho object? 3. Time Zone: Month Year (Circle One): b...Centrol c. Mountain d. Pacif ic 4. Where were you when you saw the object? S. How long was object in sight? {Total Duration) 2. Time of day: J-l/ s- Hour Minutes (Circle Ono): (Circle One): a. Daylight Saving cb" Standard::::> City or Town State or County Hour a Minutes Seconds c. Not very sure d. Just a guess 5. 1 How was t i :n~ in sight determined? ---llAVL.~.~.tf.!:.J(~c....:I.;.Jo\. _ 5.2 Was obje~t in sight continuously? (Y~ No 6. What wus the condition of the sky? 7. IF you sow tho object during DAYLIGHT, whore was the SUN located as you looked at tho object? (Circle One): a. In front of you b. In back of you c. To your right d. To your left e. Overhead f. Don't romttmbr FTD OCT 62 164 Thl form uperaed FTD 164, Jul 61, which h ob olete a. IF you saw the obje c t at NIGHT, what did yo u notice concerning the STARS and MOON? STARS (Circle One): 8.2 MOON (Circle One): a. Non~ a. Brigryt moonlight b. A few b. Dull moon I ight ~rttomoonli,..l~ pita .. eerk Don't remember d. Don't remember What were the weather conditions at the time you saw the object? CLOUDS (Circle One): WEATHE R (Circle One): C: Clea'r s.,!<y -Fog, mist, or light rain Scattered clouds c. Moderate or heavy rain Thic k or heavy clouds Don't remember The object o;>peared: (Circle One): Cd:-A~-~ht~ T ronspcr~nt e. Uon t re member If it oppeor~d as a light, was it bright~r than the brightest stars? (Circle One): Brighter:> c. About the same b. Litm:ner d. Don't know Compor' brightness to some common object: The edge-s of ~. obje c t were: (Circle o.~e): o. Fuzzy or blurred b. Like a bright s~or Sharply outlined d. Don't remember Did the object: (Circle One fo r each question) Appear to sta nd still at any time? Yes (No) Don't know Suddenly speed up and rush away at any time? Yes ( No.J Don't know Break u p into parts or explode? d. Give off s moke? Change brig,tness? Don't know Change shape? Don't know Flash or fl icker? Yos Don't know h. Disappear arulwQi46!8,..;- /l,tz"t? tlf 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 possib~e concerning the unidentified aerial phenomenon that you have observed. Please try to answer as many questions.as you possibly can. The l.nformation that you give will be used for research purposes, Your name will Dot be used in connection with any statements, conclus ions, or publications without your permission. We request this personal information so that if it is deemed necessary, we may contact you for further details. 1. When did you see the object? 3. Time Zone : (Circle One): c. Mountain d. Pacif ic 4. Where were you when you saw t he object? 2. Time of day: ~/OS (Circle Ona): (Circle One): a, Day~.igl..t Saving Cl): Standa~ Nearest Postal Address City or Town State or County 5. How long wc:s object in sight? (Total Duration) Sec:onda Minutes Hours c. Not very sure b. Fairly certain d. Just a guess 5.2 Was object in sight continuously? 6. Wh'Jt was the condition of the sky? 7. IF you sow the object during DAYLIGHT, where was tha SUN located as you looked at the object? (Circle One): a. In front of you b. In back of you c. To your right d. To your left e. Overhead f. Don't remember FTD OCT 62 164 Thle form eupereedea PTD 164, JUI 61, whic h te obe o1ete. 14. Did the ob ject disappear whi le you were watching it? If so, how? }vtt. /]If it.[=> 15. Did the object move behind something at any t ime, pa rt icula rly a c loud? (Circle One): Don't Know. IF y ou a ns we re d YES, then tell wha t Did the obje c t move in front of something at any time, particularly a cloud ? (Circle One): Yes (N~ Don't Know. IF y ou a nswere d YES, then t e ll wha t in fr ont of: 17 . Tell in a few words the fo ll owing things about the objec t: b. Color /Lccf rft-s ~ We wish to know t he angular size. Hold a matc h s t ic k at arm's length in l ine with a known object and note how of the object is covered by the head of the match. If you had pe rformed this experiment at the time of t he s ighting, how much of the objec t would have been c overed by the ma tch head? Draw a picture that will show the shape of the ob je c t or objects. Label and inc lude in your s ketc h any details of the object that you saw such a s wings, protrus ions , etc., and especiatly e xha us t trails or vapor trails Place on crrow !:~side the drawing to show the d irection the ob je c t was mov ing. holt! e-o~/ 20. Do you think you can estimate the speed of the object? (Circle One) IF you answered YES, then what speed would you estimate?------- 21. Do you th ink you can estimate how for away from you the object was? (Circle One) Yes IF you answered YES, then how far away would you say it was?--------- 22. Where were you located when you sow the object? (C irc/e One): 23. Were you (Circle One) a. Inside o building b. In a car d. In an airplane (type) a. In the business section of a city? ~ In t e resiCJential section of a c_!.!.r"'3 c, In open countryside? d. Near on airfield? e. Flying over a city? f, Flying over open country? 24. IF you were MOVING IN AN AUTOMOSIL E or other vehicle at the time, then complete the following questions: 24.1 What d i,ction were you moving? (Circle One) a, North c. East b. Nort!1eost d. Southeast f. Southwi'tst h. Northwest 24.2 How fest were you moving? _..m,iles per hour. 24.3 Did you stop at any time while you were looking at the object? (Circle. One) Did you observe the object through or:y of the following? Eyeglasses Yes Binoculars Sun glasses Yes f. Telescope Yes Windshielci g. Theodolite Yes Window gloss 26. In order that you con give as clear a picture as possible of what you saw, describe in your own words a common object or objects which, when placed up in the sky, would give the same appearance as the object which you sow 27. In tho following sketch, imagine that you are at the point shown. Place on "A" on the curved I ino to show how the object was above tho horizon (skyline) when you first saw it. Place a "B" on tho some curved line to show how h igh the object was above tho horizon (skyline) when you last saw it. Place on "A" on the compass when you first saw it. Place a "B" on the compass where you last saw. the object. 28. Draw a picture that will show the motion that the object or objects mode. Place on "A" at the beginning of tho path, a "B" at the end of the path, a nd show any changes in direction during the course. 29. IF there wos MORE THAN ONE o b ject, then how many ware there? Draw a picture of how they were arranged, and put an arrow to show the direction t hat they were traveling