i 1. O.\ 'E T M[ GROUP 2. LOCATION 2 Aur~u:it 66 0.3/0030Z . Sprin~ficld, Vir~i.rrl.a (2 ':it:lc~:;cG) 1 10. CONCLUSION Civilian l1:5JFFICI1t.~T DATA FOR EVALUATION 4. NUMBER OF OBJECTS s. LENGTH OF 0951NVA'tt0N 1\, AAICP IUMMArtV ANO ANALVIII 15 ).Linutes ft. TYPE OF OBSE~VATION Ground-ViS':al 7. COURSE. a. PtiOTOS 9. PHYSICAL EVIDENCE Observers watched a blue li~t that moved behind a cloui d~-~g the observation. The alleged UFO appeared saucer . sha~d and appeared to make a 90 deg angle tum before headi~:. Dulles Intema. tional Airport is to the m'l or observer and an airc~ft landing on runway 12 could account for the sidtting. j Repo:-t was made by a 12 year old roy. fTD SEP 63 0-329 (TOE) Prevloue edw~" cf thh lcn-1 cuy be u .. J U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you can give the U.S. Ai~ Force as much infor:nation as possibfe concerning the unidentified aerial phenomenon that you have observed. P lease try to answer as many questions as you possibly can. The information that you give will be used for research purposes. Your name wi II aot be used in connection with any statements, co~dusions, 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 y ou see the obiect? 3. Time Zon~: (Circle One): o.(:E:cisf,.trD b. 1:enr:-al c. Moum'lin d. Pacific (Circle One): (Circle One):(~.. o~ys~aVi'.ij) li. Stan or 4. Where were-you when you saw the object? hu?l'exv t/4 City or Town Stote or County S. How long wcs object in sight? (T :>to I Duration) o. Certain Not very sure (f) ::~irly .certain 5.2 Was COl~<:! :" ~ig:-.t continuously ? 6. What was the ecr.diTion of the sky? 5! cdre~"ecl h C lo,~ci V a. Br ight 7. IF you saw the object during DAYLIGHT, where was the SUN located as you loot<ed at the obiect? (Circle One): a. In front of you b. In back of you c. To your right d. To your left Overhad f. Don't remember FTD OCT 62 164 Thle form auper .. d .. PTD 164, Jul 61, which te obaolete. 8. IF you saw the obiect at NIGHT, what did you notice concerning the STARS and MOON? 8.1 STARS (Circle One): 8.2 MOON (Circle One): ~ \lJust) 1 {.Jp yet (~ None Yet Don ) !'emember Bright moonlight Dull.moonlight No moonlight - pitch dark 9. What we~ the weather conditions at the time you saw the obiect? . CLOUDS (Ci rcle One): WEATHER (Circle One): a. Clear sky b. Hazy !(. . mist, or light rain c, Scattered douds c. Moderate or heavy rain c. Thick or heavy clouds e. Don't remember 10. The object ap~ared: b. T ron spcr,="t (Circle One): @As a light e. Don't r~membar 11. If it oppeoree ::sa light, was it bri~hter than the brightest stars? (Circle One): a. Bri;hter b. D! =nrr.er (c._) About the same c Don't know Compere bri.htness to some common obiect: ed~s of the obi eet were: (C ircfe One }: o. Fuzzy or blurreci :_ike a bright stor D. 5narply out I ined !,...Cn t remem er 13. Did the obiect= (Circle One for each question) Appear to stand still at any time? Don't know Suddenly speed up and ru~.h. away at any time? Don't know Break up into ports orG~pl~ Don't know c. d. Give off s:nok? Don't know Change brig,tness? Don't know f. Change sha~? Don't lcnow g. Flash or fl iclcer? Yes Don't know Disappear and reappear? No Don't know 14. Did the object disappear while you were watching It? If so, how? 15. Did the object move behind something at any time, particularly a cloud? (Cire!e One): ~ No 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? (Circle One): Yes Don't Know. IF you answered YES, then tell what 17 . Tell in c few words the following thin~s about the obiect: 18. We wish t!> know the angular size. Hold a match sticlc at arm's length in line with a lcnown obiect and note how much of t~e obiect is covered b)- th e head of the match. If you hod performed this experiment at the time of the sighting, how much of the objec~ would have been covered by the match head? . 19. Draw o picture that will show the shape of the obiect or obiects. Label and include in your sketch any details of the objee~ ~at you saw such as wings, protrusions, etc., and especiatly exhaust trails or vapor trails Place en crrow beside the drawing to show the direction the obiect was moving. 20. Do you thinlc you eon estimate the speed of the obiect? (Circle One) IF you answered YES, then what speed would you estimate?------ 21. Do you think you eon estimate how far away from you the obieet was? (Circle One~,-Yes {.Nor IF you answered YES, then how far away would you say it was? -------- 22. Where were yov located when you saw the obiect? (C irele One): a. Ins ide a lu ild ing OUtdoors ' , In anairp ione (type) 23. Were you (Circle One) a. In the business section of a city? cb:-rn-the--resident~-rs!c~Tono! citYP c. In open countryside? d. Near an airfield? e. Flying over a city? f. Flying over open country? 24. IF you "Here MCVING IN AN AUTOMO~!LE or other vehicle at the time, then complete the following questions: 24.1 What d irection were you moving? (Clrele One) e. South g. West Nort~ttast d. ~K)utheost f. Southwest h. Northwest 24.2 How fast were y ou moving? miles per hour. 24.3 Did you s top at any tim" while y ou were loolcing at the object? (Cir~ie. One) Yes Did you observe t he object through cny of the following? Eyeglasses e. Binoculars Sun glas~-' f. Telescope Windahield Yes No g. Theodolite Yes Window ;tess 26. In order that you can give as clear a picture as possible of what you aaw, describe in your own words a common obiect or objects which, when plae.d up in the slcy, would give the same appearance as the obiect which you saw. t-l If e. f(ofhi n_yl eve r Sti.V /:icep -r ror Dne. f;;,~t s,'g~fevl In Bedford e:. . .1~. ~lr'Jt/tfr 27. In the following sketch, imagine that you are at the point shown. Place an "A" on the curved I ine to show how object was above the horizon (skyline) when you lirst saw it. Place a "8" on the some curved line to show how high the obiect was above the horizon (skyline) when you last saw it. Place an "A" on the compass first saw it. Place a "8" on the compass where you last sow the obiect f 28. Draw a picture that will show the motion that th~ obiect or obiects ma~e. Place on "A" at the beginning of the patn, o .,S u :t the end of the path, ~nd show ony changes in direction during the course. 29. IF there was MO~E THAN ONE obj~ct, then how many were there? ----------- pich:re cr how they were orrcnged, and put an arrow to show the dir"ction that they were traveling 30. Have you ever seen this, or a similar obiect before. If so give elate or elates and location. 31. Was anyone eise with you at the time you saw the obiect? (Circle One) 31.1 IF you ::nswwed YES, did they see the obiect too? (Circle One) 31.2 Please I:st their names and addresses: 32. Please give ,:,. following information about yourself: TELEPHONE NUMB lftdicate any additional information about yourself, including any special experience, which might be pertinent 33. When and to whom d;ci you report that you had seen the object? 3 _flv!1 CG Da1 JMonth Year 34. Date you completed this questionnaire: 35. Information which you f .. l pertinent and which is not adequately covered in the specific points of the questionnaire or a narrative explanation of your sighting.