PROJECT 1007Z RECORD 1,. DA Tt: TIME GROUP 2. LOCATION G ers, 1'\t:H or.< one witnes s 3. !\OIIRCE tO. CONCLUSION Insufficient data ftJr evaluation 4. NUMBER OF OBJECTS 5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS 4-5 rr.inutes TYPE OF OBSERVATION 9. PHYSICAL EVIDENCE Observer reported H.Ltching a star like ~bject in the sky that moved to .the left and then to the right. It ap~ared a s a n ormal st;.r '!X;'ancl~r! and bec an;e much brighter. The object disarpeared l ro1n view when it moved off behind some Tht: observer did nut. prwide amy indication as t~ what direction the.object w~3 traveling. The information sub~itted is insufficient in that essential data i s ~duA Ct,t. 7 if.!U ~..e LUcu.ae4 U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you con give the U.S. Air Force as much information as possible concerning the unidentified aerial phenomenon that you hove observed. Please 'try to answer as many questions as you possibly con. The information that you give will be used for research purposes. Your nome will not be used in connection with any statements, conclusions, or publications without your permission. We request this personal information so that if it is deemecl necessary, we may contact you for further details. 1. When did you see the object? HOJr Minutes (Circle One): Day Month Yeor 3. Time Zone: b. Central (Circle One): a. Daylight Sovi~ b. Standard (Circle One): c. Mountain d. Poe ific 4. Where were you when you saw the object? Neores t Posta I Address ,,~-C-it_y_o_r_T-ow_n _ State M County 5. How lo ng was object in sight? ( T o tol Dur a tion ) Minutes Se4:onds Hours 'b:- F;;irly ~-ertain c. Not very sure d. Just a guess 5.1 How was t ime in sig,t determined? lrytt.;t .... :lt-l'lb-f>.~t::rrr ta~-J~ tt>C lllr't:=it'-"!-rr.;;y? ... /~ Ct. n-t t'IC Rt:J '-T C '-" C.!Cti'-J(T 5.2 Was object in sight continuously? Yes No _ 6. What was the condition of the sky? a . Bright .,-NIGHT b. -Cloudy 7. IF you sow the object during DAYLIGHT, where was the SUN located as y o u looked a t the object ? (Circle One): a . In front of you b. In bock of you d. To y our left e. Overhead c. T o your ri ght f. Don't rem.-:mber FTD OCT 62 164 Thl f~m auper .. d .. FTT> 16 4 , j u l 6 1, which Ia oba olete. 14. Did the object disappear while you were watching it? If so, how? 15. Did the object move behir1d something atony time, particularly a cloud? (Circ le One): Don't Know. IF you answered YES, then tell what it moved behind: 16. Did the object move in front of something at any time, particularly a cloud? G Don't Know. (Circle One): IF you answered YES, then tell what Yes 17. Tell in a few words the following things about the object: We wish to know ths angular size. Hold a match stick at arm's length in line with a known object and note how much of the object is covttred by the head of the match. If you had performed this experiment at the time of the sighting, how much o f the ob1ect would have been covered by the match head? 19. Draw a picture that wi II show the shape o f the object or objects. Lobe I and include in your sketch any detai Is of the object that you saw such O'i wings, protrusions, etc., and especially exhaust trails or vapor trails. Place an arrow beside the drawing t o show the direction the object was moving. 8 . IF you saw the object at NIGHT, what d id you notice concerning the STARS and MOON? 8.1 STARS(CircleOne): (z-Mony;J.--,. 'cr.-lJon-t remember 8.2 MOON (Circle One): a. Bri ght moonlight b. Dull moonlight c. No moonliaht-pitch dark d . co.~t re;~mber ) 9. What were the weather conditions a t the t ime you saw the object? CLOUDS (Circle One}: (f Clear sky J c. Scattered clouds d. Thick o r heavy clouds WEATHER (Circle One): b. Fog, mist, o r I ight rain c. Moderate or heavy rain e. Don't remember 10. The objec t appeared: (Circle One): b. T ranspnrent ~ As a light ) e. Uon't remember If it apoeared as a li ght, was it brighter than the brightest s tars? (Circle One): (;; Br htt;} X c . About the some b. Dimmer d. Don't know 11.1 C ompare brightness t o some common object: 12. The edges of th e objec t were: (Circle One): a. f,u.uy !'! bhm~d b.(J .. ike a briyht s'~ c. Sftor; ly outlined d. Don't remember 13. Did the object: o . Appear to stand :;till a t any time ? b. Suddenly speed up o nd rush o woy o t any time? c . B reak up in t o parts or explode? d. Give off smoke? e. Change br ightness? f . Chan ge shape? g. F lash or f l icker? h. Disappear a nd reoope a r ? (Circle One for each question) Don' t know t y .. s Don't know Don't kno w Don't know Don' t know Don't know ~'t know) Yes No Don't know 20. Do you think you con estimate the.....speed of the object? (Circle One) Yes IF you answered YES, then what speed would you estimate? frmro,!l dG::: 21. Do you think' you con estimate how for away from you the object was? (Circle One) Yes No IF you answered YE S, then how for away would you soy Where were you located when you sow the object? (C ire /e One): a. Inside a building , / C.( Outdoors'"') d . tn on otrplone (type) 23. Were you (Circle One) a. In the business section of a city? @In the residential section of a city? c. In open countryside? d. Neor on a irfield? e. Flying over o city? f. Flying over open country? 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle a t the time, then complete the following questions: 24.1 Wha t direction were you moving? (Circle One) a. No rth c. East e. South g. West b. Northeast d. Southeast f. Southwest h. Northwest 24.2 How fast were you moving? ,mn,.iiles per hour. 24.3 Did you stop a t any ttme while you were looking at the object? (Circle One) Did you observe the object th rough any of the following? Eyeglasses Yes No e. B inoculars b. Sun glosses Yes No f. Windshie ld Theodolite Yes No Window gloss 26. In order th a t you con give as clear a picture as possible of what you sow, descr ibe in your own words o common object or objects which, when placed up in the sky, would g iv., th e c;ome appearance a s th e obr,ct which you sow . 27. In the following sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how the object was above the horizon (skyline) when you first saw it. Place a "B" on the same curved l ine to show how high the object was above the horizon (skyline) when you lost saw it. Place an "A" on the compass when you first saw it. Place o "B" on th.e compass where you lost saw the object. 28. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the path. a "B" at the end of the path, and s!,u .. .:.ny changes in direction during the course. c;vr:cL. ~.Ct;;va(L 29. IF there was MORE THAN ONE o b ject, then how many were there? 'vn-'LT O:N.~ Drow a picture of how they were arranged, and put an arrow to show the direction that they were traveling. 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 s ighting. 30. Hove you ever seen this, or a simila r object before. If so give dote o r dotes and location . 31. Was anyone else with you a t the time you sow the object? (Circle One) Yes 31.1 IF you answered YES, did they see the object too? (Circle One) 3 1.2 Please list their names and addresses: 32. Please give the fo llowing information about yourself: First Name Middle Na me ADDRESS ----' T ELEPHONE NUMBER Indicate any oddttiono l information about yourself, inc luding any special experience, which might be pertinent . en and to whorr. d id you report that you hod seen t he obje c t ? Ony Mont h Year l-ed .f v., ~It cl.td1 r; {-r---1 Cl 1-+tU lft-'...0 (eoel/ifVf f d k-et-e 0