8. IF you sow the object at NIGHT, what did you notice concerning the STARS and MOON? 8.1 STARS (Circle One): d. Don't remember 9. What were the weather conditions at the time you sow the object? CLOU~C'tcle One): ~ WEATHER (Circle One): c. Scattered clouds b. Fog, mist,~r 4jght rain c. Moderate or"'fted~ rain d. Thick or heavy clouds e. Don't remember 10. The object appeared: b. Transparent 11. If it appeared as a light, was it brighter than the brightest stars? (Circle One): 12. The edges of the object were: (Circle One): a. Fuzzy or blurred e. Other_.:;...,_..,.,., _ Li e a rig t star L I i!. J...b L"~ d. Don't remember " 13. 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 parts or plode--? ----_--~ e. Change brightness? "':~ ~-' -- f. Change shape? Flash or flicker? jJvJ~/I i Disappear and reappear? (Circle One for each question) ~) No Don't know .; cNo) Don't know Yes IN o) Don't know lYe;~ ~o Don't know Yes (No) Don't know Don't know Don't know Don't know U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been preparttd so that you can give the 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 information that you give will be used for research purposes. Your nan111 wi II not be used in connection with any staten11nts, conclusions, 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? 2. Time of day: (Circle One): Day Month Year 3. Time Zone: (Circle One): o. t:ast c. Mountain d. Pacific 4. Where were you when you sow the object? Nearest Postal Ad~ress 5. How long was object in sight? (Total Duration) (Circle One): a. Daylight Saving tb.' Standard State or County a. Certain c. Not very sure ~- )Fairly certain , d~./ Just a guess- - - ~.., 5.2 Was object in sight continuously? Yes No,..: _ ,-/!~L( 6. What was the condition of the sky? ,ro:~ Bright 7. IF you sow the object during DAYLIGHT, where was the SUN located as you looked at the object? (Circle One): a. In front of you FTD OCT 62 164 b. In bock of you c. To your right d. To your left e. Overhead f. Don't remember 14. Did the object disappear while you were watchi~g it? If so, how? y 1--:-'S 15. Did the object move beh i,d something at ony time, particularly a cloud? (C ire /e One): No Don't Know. it moved behind: IF you answered YES, then tell what 16. Did the object move in front of something ot ony time, particularly a cloud? (Circle One): 6,""~0 No Don't Know. IF you answered YES, then tell what 17. Tell in a few words the following things about the object: We wish to know the angular size. Hold a match stick ot arm's length in line with o 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 hove been covered by the match head? . -- 19. Draw a picture that wi II show the shape of the object or objects. La be I ond include in your sketch any detai Is of the object that you saw such os wings, protrusions, etc., and especially exhaust trails or vapor trails. H,rl~ce. an arrow beside the drawing to show the direction the object wos moving. 20. Do you think you con estimate the speed of the object? (Circle One) t:s '\ No IF you answered YES, then what speed would you estimate? _.j (;-~-0 _ M ,.6 N 21. Do you think you can estimate how for away ;;om you the object was? .:~ {,(./ I ( ( tj' IF you answered YES, then how for away would you say it was? /J IJ;J.~;?~ ~ -3 /J 22. Where were you located when you saw the object? (C ire le One): 23. Were you (Circle One) In the business section of a city? a. Inside a building b. In the residential section of a city? ~) In a cor In open countryside? c. Outdoors d. Near on airfield? In on airplane (type) e. Flying over a city? At sea f. Flying over open country? f. Other g. Other 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? (Circ:le One) c. East e. South b. Northeast d. Southeast f. Southwest h. Northwest 24.2 How fast were you moving? 2 L'> -L( miles per hour. 24.3 Did you stop at any time while you were looking at the object? (C ire /e One) Did you observe the object through any of the following? Eyeglasses Yes e. Binoculars Yes b. Sun glosses Yes f. Windshield Theodolite Yes Window gloss 26. In order that you con give as clear a picture as possi~le of what you sow, describe in your own words a common object or objects which, when placed up in the sky, would give the some appearance as the object which you saw. 30. Have you ever seen this, or a similar object before. If so give date or dates and location 31. Was anyone else with you at the time you saw the object? (Circle One) 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 followi information about yourself: Indicate any additional information about yourself, including any special experience, which might be pertinent. When and to whom did you report that you had seen the object? 3.. Date you completed th i 1 questionnaire: 35. Information which you feel pertinent and which is not adequately covered in the specific points of the questionnaire or a narrative explanation of your sighting Conversation with Luura, Ohio on 25 Augu~il966 Something weired came fromthe East last niGht at 1125 pm. Between Troy and Milton. Left a contrail and left a cloud formation. Out of this orange disc shaped object, on its side, came , out of cloud and watched it for eight minutes. Then a little cloud appeared and out of the front side came the orange and then all the clouds formed into one. Proceeded home and these clouds were breaking up. Thought it was approximately 5000 ft alt. His wife called his attention to it, looked like a ball, thought may be it was n aircraft breaking up. It would come and go. There wa s a large cloud coverage. It entered the atmosphere on 120 deg angle to the l eft, entered west. This thing was traveling from east to West. Came out from a cloud and then went back ina cloud. Called the Sheriff about it, don't know if he had any other reports. This cloud formation went into one main cloud and then broke up. Mr. Beck said he would be willing to fill out a form and wotld make a sketch of what he observed. Form 164 sent to him on 25 Aug 66.