1. DATE TIM! GROUP 4. NUMBER OF OBJECTS 5. LENGTH OF OBSeRVATION lIinut es Plus 6. TYPE OF OSSERVATION Gro u.'l'ld-Visual Staten Island 10. CONCLUSION Astro (VENUS) was at lOS azimuth and 10 d elevation on 14 a=.!::..::.::t 11. BRIEF SUMMARY AND ANALYSIS Observer noted a large circle or red pulsating lic;tlt from bert attic windCM at abcut a.,30~ Object was watched for five min es . then observer left wirdow. As object was watched it drifted slowly eastward. 9. PHYSICAL EVIDENCE FTD SEP 63 0~329 (TOE) PreYloua ec!it!Ofta of thb fo .. F be u .. cl. U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you can give ~he U.S. Air Force as much Information as possible concerning the unidentified aerial phenomenon that you have observed. Please try to answer as many questions as you possibly can. The inforn~e~tion that you give will. ; be used for research purposes, Your name will not be used in connection with any staten:ents, . conclusions, or publications without your permission. We request this personal inforn~e~tion so that if it is deemed necessary, we may contact you far further details. 1. When did you see the obiect? 3. Time Zone: (Circle One):~. Eastern b. Central c. Mountain d. P:cific (Circle One): (Circle One): a. Daylight Saving ~ Standard , were you when you saw the eb!ect? City or Town State or County 5. How long was object in sight? (Total Duration) Hours Minutes c. Not very sure b. Fc:irly certain 5.1 How was t ime in sight det&trmined? d. Just a guess Yes ~ No 5.2 Was object in sight continuously? 6. What was the condition of the sky? Nlt;WT A-M. a. Bright C LL~ 7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the obiect? (Circle One): a. In front of you b. In bade of you c. To your ri~t d. To your left e. Overhead f. Don't remember FTD OCT 62 164 Thla form auperaed .. FTD 164, jut 61.-which Ia obaolete 8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON? 8.1 STARS (Circle One): d. Don't remember 8.2 MOON (Circle One): a. Bright moon I ight Du.ll moonlight @No moonlight -pitcnodo,.S. d. Don't renaember 9. What were the weather conditions at the time you saw the object? CLOUDS (Circle One): WEATHER (Circle One): <')Clear sky b. Fog, mist, or I ight rain c. Scatter'd clouds c. Moderate or heavy rain d. Thick or heavy clouds e. Don't remember 10. The object appeared: (Circle One): d. A.s a I ight Tronspar!!nt e. Don't renaember 11. If it appeared as a light, was it brighter than the brightest stars? (Circle One): The edges of the object were: c. About the same d. Don't know (Circle One): ~ Fuzzy or blurred ( 6.) Like a bright stor s Sharply out I ined c. Don't remember the obiect: a. Appear to stand still at any time? Suddenly speed up and rush away at any time? c. Break liP into pa!"tS or explode? d. Give off smoke? e. Change brightness? f. Change shape? Flash or -ffidcer? ~. Disappear and reappear? (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 the obieet disappear while you were watching it? If so, how? 15. Did the object move behi"d something at any time, particularly a cloud? (Circle One ): Don't Know. IF you answered YES, then tell what it moved behind: - 16. Did the objec:t move in front of something at any time, particularly a cloud? (Circle One): Yes Don't Know. IF you answered YES, then tell what We wish to know the angular size. Hold a match stick at arm's length in line with a known obiec:t and note how the object is covered by the head of the match. If you hod performed this experiment at the tinKt of the sighting, how much of the object would hove been covered by the match head? Draw a picture that will show the shape of the obiect or obiects. Lobel and include in your sketc:h any details of the obje~t t hat you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails. Place on arrow Oeside the drawing to show the direction the object was movi~g. 20. Do you think you con estimate the speed of the obiect? (C ire le One) IF you answered YES, then what speed would you estimate? i./-~-.,-\&1 Ll-Y~ tJ" ~ A ~ 21. Do you think you can estimate how far away from you the obiect was? . : ~:~- . IF you answered YES, then how far away would you soy it was? :.. .:..'..:...::. ,., --~ r-?j.r.~ ht<_. ( C i rei e One ) 22. Where were you located when you saw the obiect? (C Ire le One): a. Inside c building b. In a cor c. Outdoors d. In an a irplane (type) e. At sea (' 23. Were you (Circle One) a. In the business section of a city? <:r)1n the residential section of a eity? c. In open countryside? d. Near an airfield? e. Flying over a city? f. Flying over open country? 24. IF you were MOVING IN AN AUTOM0 31LE or other vehicle at the time, then complete the following questions: 24.1 What d irection were you moving? (Circle One) c. East e. South d. Southeast f. Southwest h. Northwest 24.2 How fest were you moving? ----------miles per hour. 24.3 Did you stop at any time white you were looking at the obiect? (Circle One) Yes No Did you observe the obiect through any of the following? Eyeglasses Yes No e. Binoculars Yes Sun glasses Yes f. Telescope Windsh ieid Yes g. Theodolite Yes Window g!wss Yes No 26. In order that you can give as clear a picture as possible of what you saw, describe in your own words a common obiect or objects which, when placed up in the sky, would give the same appearance as the obiect which you saw. 27. In the following sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how the obiec:t was above the horizon (skyline) when you lirst saw it, Place a "B" on the same curved line to show how high the obiect was above the horizon (skyline) when you lost saw it. Place an "A" on the compass when you first saw it . Place a "B" on the compass where you last saw the obiect. Orow a pic1'ure that will show the moti~n that the obiec~or obiects made. Place an .. A" at the beginning of the path, a "B" at the end of the path, and shu~ \iny c:han il' direction during the course. 29. IF there was MORE THAN ONE object, then how many were there? ,... - ::._:.._f' <~ .e Draw o 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 simi lor obiect before. If so give date or dates and location. 31. Was anyone e lse with you at the time you saw the obiect? (Circle One) Yes (N~ ")L."~-1 .. fl~,.,# 31.1 IF you answered YES, did they see the obiect too? (Circle One) 31.2 Please list their names and addresses: 32. Please give the following inforntation about yourself: TELEPHONE NUMBER Middle Nome Indicate any additional information about yourself, including any special experience, which might be pertinent. 33. When and to whorr. did you report that you hod seen the object? Day Month Year Date you completed this questionnaire: Information which you fl pertinent and which is not adequately covered queatlonnalre or a narrative explanation of your sighting. in the specific points of the Wright-Patterson AFB, Reterence your recent unidentified observation. The information in 70ur letter or 28 April 1966 \twas not su!ficient ~t.you c~plete the attached FTD Fo1~ 164 and envelope provided. the for evaluation. return it in I Ai~h to thank you for reporting your observation to the Air Force. Sincerely,