PROJECT 10073 RECORD , 1. OATE T li.IE GROUP NUMBER OF OBJECTS 2. LOCATION 10, CONCLUSION B~lloon(po;,~ible) ~ 4 ioiitnes.:;os L.I!NGTH OF OBSERVATION BRI!rr SUMMARY AND ANALYSIS 1.3 minute~ ~. TYPE OF OBSERVATION Ground Visual south then north ?. PHYSICAL EVIDENCE FTD SEP 63 0-329 (TOE) Observ~rs 'f;.atch: a e. :.ilver colored v:,j ect d.:s~p~cc&r ~ix times behinr.i a t..-o stor y builci:1G 'fh!'! o:,ject i,as co;:-,- pl~tely round in shap~ and l ooked like a h.rgo iiluminum ~}Jhero about 5 or 6 r~et in di~wet~r d~scripticm is consistent. v.i;,..-. " ' "'-o f a b~lloon obs~rvation. Prevloue ediUone o r thh Corm auY b e u .. d. VVf\SH1NCrlo"J De.. DEAR ~lill, \vt. M~DE A c.cM~\e\E ~"Tv oy IHE uFo AND I 'v\Now r vu y T , l bo AT s:~'l Y'IY G~ANDMOtliE~ IME ANu rrr ~IS\E~ ~HE: >'IS S 1011N& ON DUI( \"OI'IC~ ON ThE S.E"co N;) :>TO I'\ Y \N~I \ 1N& J="o>'l IYiy IYI o-,. ij fO 1<o T o CcfY\e. ttorne. }="~"" ll1E" tlb'S!(\TAI, t~kN .o. ~IP.AN(J-G. s,\vc::"y r-.ou"--o oe;;EcT 6.110UT 3 To ~ tEET rl'-1 D\f~ t'l'lt::\~1'\ C~ME. ~80V T 350 t'e-E\ To ~0 \'EET f\wAy ~J<-ol\1 ru~ HQUSG Njllc .$h~\t::, IT Wf'IS llDUNo , II-lEN A~ C10T 11 IN \Jt l\0 loV) ABOVT 5 s tCDNU I I I 11H31 ~noe:D oft' gee;, T Dt:Nwf\1 AN LI'W\e \..f' f'INu ,!)l~e~D f;N OO>I'iN Wf'-5 DF~u~eiii\y J\ovNO_,~J'cD ~s>. Pal(aa .. ~. AJv. 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 possible concerning the unidentified aerial phenomenon that you hov& observed. Please try to answer as many questions as you fi'Ossibly can. The information that you give will be used for research purposes. Your name will oot be used in connection with any statements, conclusions, or publications without your permission, We request this personal information so that if it is d .. med necessary, we may contact you for further details. When did you see the ob'ect? 2. Time of day: Hour Minutes (Circle One): Month Year 3. Time Zone: (Circle One):G. f;gstorl0 b. Central c. Mountain d. Pacific 4. Where were you when you saw the object? Neore.tl Postal Address 5. How long was object in sight? ( ToTal Duration) a. Certain b. (Fatrfy certo) HoN w~s time in sight determined? (Circle One): a. City or Town Hours Minutes Not very sure Just a guess Was object in sight continuously? 6. What was th.., condition of the sky? '(!). Cloudy) Daylight Saving State or County 7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object? (Circle On.,): a. In Front of y o u b. In bade of you c. To your right d. T o your left e. Overhead f. Don't remember FTD OCT 62 164 Thia form auSMrd FTD 164, Jul 61, whlch Is obaolt 8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON? 8.1 STARS (Circ:le One): 8.2 MOON (Circle One): Bright moonlight Dull moonlight No moonlisht - Eitch da~k...) Don't reme"'ber Don't retMmber 9. What were the weather conditions at the time you saw the object? CLOUDS (Circle One): WEATHER (Circle One): a. Clear sky Fog, mist, or light rain c. Scattered clouds c. Moderate or heavy rain thick or heavY cl~d~ e. Don't remember 10. The object appeared: (Circle One): (a. Solid) d. As a light b. Transparent e. Don't remember 11. If it appeared as a light, was it brighter than the brightest stars? (Circle One): a. Brighter c. About the same d. Don't know 11.1 Compare l:wightuess to some common obrect: 12. The edges of the object were: (Circle One): a. Fuzzy or blurred b, Like a bright star (c. ~h~rply outlined) d. Don't remember Did the object: a. Appear to stand still at any time? b. Suddenly speed up and rush away at any time? c. Break up into ports or explode? G ive off smoke? e. Change brightness? f. Chonge shape? g. Flash or flicker? h. Disappear and raoppeor? (Circle One for each question) Don't know Don't know Yes Don't know Don't know Yes Don't know No) Don't know Don't know Don't know 14. Did the object disappear while you were watching it? If so, how? \T C\ \'ferft Sl:< 'Tlfl\E: 'S Two ~Tot\'{ 15. Did the object move behind something at any time, particularly a cloud? (Circle One): Don't Know. IF you answered YES, then tell what it moved behind:- IIIII.. ( C..l"' Did the object move in front of something at any time, particularly a cloud? (Circle One): Don't Know. IF you answered YES, then tell what in front of: 17. Toll in a few words the following things about the object: ~t.AI oF P.. \1\l \-\n-E f\ Slhn=.A We wish to know the angular size. Hold a match stick at arm's length in line with o known object and note how th., 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 hove beH,n covered by the match head? Draw a picture that wi II show the shape of the object or objects. 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 arrow beside the drawing to show the direction the object was moving 20. Do you think yo u can estimate the speed of the object? (Circle One) IF you answered YES, then what speed would you estimate? _ .!3~5o.._ _ 21. Do you think you can estimate how far away from you the object was? (Circle One) IF you answered YES, then how far away would you say it was? 350 -tOO FEET 22. Where were you located when you saw the object? 23. Were you ( Circle One) (Circle One): . \?" Inside a buildin() ~ In the business section of a city? '"(b. In the residential section of a city?) b. In a car c. In open countryside? c. Outdoors d. Neor an airfield? d. In an airplane (type) e. Flying over a city? f. Fly ing 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 direction were you moving? (Circle One) a . North c. East e. South g. West Northl!ta:.t d. Southeast f. Southwest h. Northwest 24.2 How fast were you moving? -------.JJT11i les per hour. 24.3 Did you stop at any time while you were looking at the object? (Circle One) Yes ~ 25. Did you observe the object through any of the following? Eyeglasses Yes ) Binoculars Yes b. Sun glasses Yes Telescope No Windshield Theodolite Yes d Window glass S c. %EE'N j?o Bc.tt '"" ::t:k2-' FlooY" In order that you can g ive as eleCT 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 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 saw it. Place a "B" on the same curved line to show how high the object was above the horizon (skyline) when you last sow 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. Ora..., a picture that wi II show the motion that the object or objects made. Place an "A" at the beginning of the path, o "B" ot 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?----------- 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 o similar object before. If so give date or dates and location. 3 1. Was anyone else with you ot the time you saw the object? (Circle One) 31.1 IF you answered YES, did they see the object too? (Circle One) No 31.2 Please l ist their names and addresses: 32. Please give the following information about yourself: First Nome Nt:W \-\f1'V~ coNN. City Zone State T:::LEPHONE NUMBER ate any addi t ional 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? Month Yo or 34. Dote you completed this questionnaire: Ooy Mont h 35. Information which you feel pertinent and which is not adequately covered in the specific points of the questionnaire oro narrative explanation of your sighting. BE H\ND f-) Mt:TAI