I' DA 1 F. TIME GROUP r"I'CU..I C \.. I IUIJ/ J I\ C. \..UK LJ 2. LOCATION Philadelphia, P~nn. 10. CONCLUSION 3. ~;OtiP.CE (other) INSUF'i'ICIE':-7 J/\'rA FJn EVALUATION 4. NUH8ER OF OBJECTS ~i. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS 1 minutes~ SEE CASE f.. TYPE OF OBSERVATION Gro11nd Visual g. PHOTOS f ?. PHYSICAL EVIDENCE U.S. AIR FORCE TECHNICAl IHFORMATIOI~ Thia questionnaire hal been prepared Ia that you can yive the U.S. Air Force as much information as possible concerning the unidentified aerial phenomenon that you hravu oL!IeNftti. Please try to answer as many question ai you posaibly can. The information that vc:u give wiU be uaed for re1earch purposes. Your name will not be used in conne,tion with any st~tel\' .. n~;~, conc:lusions, or publications without your permission. We request this personal Information sc: that if it is deemed necessary, we moy contact you for further detai Is. 1. When did you the obiect? A.M. or P.M. 3. Time Zone: (C irde One): a. Eastern b. Central a. Daylight So;ino b. Sto,clard (Circlf.' ,Jne}: c. Mountain d. Pacific 4. Where were you when you sow the object? Nearest Poatol Addresa City or Town 5. How long wcu obJect in sight? (Total Duration) Hours Minutes Second a ~ C:!rtain ~ c. Not very sure b. Fairly certain d. Just a guess 5.1 How was time In sight determined? ------------------- 5.2 Was obiect In sight continuously? 6. What was the condition of the slcy? t,. Cloudy t,. Cloudy 7. IF you saw the objett during DAYLIGHT, whera wa1 tha SUN located as you lock~d at the obi:t? (Circle One): FTO OCT 62 164 o. In front of you b. In boclc of yOY c. To your ri""t d. To your left e. Overhead f. Don't remember Thle for"' eupereedea PTD 164, Jul 61, whlch '' obnlete. 8. IF ym1 sow the ob1ect of NIGHT, what d id you notce concerning the STARS and MOON? 8.1 ~ 1 Af<~. fC rrcle One): 8.2 MOON (C.trcle Omt): a. Br~t moonleght b. Dull moonlight c. No moonlight - pitch dark d. oont remember d. oant remember 9. What ... ere tne ~other tondetione at the tl"'e yau sow the object? CLOUDS !Cude One): a. C lenr aky c. Scatter .. d ci(>VJS d. Thrc: c,. he\J'-tY cii)Ud~ WEATHER (Circle One): b. fog, mast, Of' '~" roiu c. Moderate or heavy rain e. Don't remember 10. The obiect appeared: (Circle One); o. Sold cf. As o light b. T rarupn:ent e. Don't remember 11. If it appeared aa a light, wa1 it brighter than the brJghtat stars? (Circle One): a . Brighter c. About th same b. Dimmer d. Don't lcnow 11.1 Compare bri;htne11 to softee commort ot,lect: 12. The edges of the obiec:t were: (C11do (;:,,) o. Fuzzy or bt\lrred b. Lilce a bri.,ht ttar c. Sharply outlind d. oont remember o. Appear to stand atill at any time? b. Suddenly speed up and ruah away at any time? c. Break up into porta or explcde? d. G1ve off smoke? e. Change bri~tness? f. Change ahape? g. f loah Ot flic:lcer? h. Disappear and reappear? (Circle One for ar:h question) Don't lcnow oont know Don't lcnow Don't lcnow Don't lcnow Don't lmow Don't know 14. D id th3 ~b,ect disa ppenr whi I~ you w~rr, .-a t chino t' II ~o. how? 15. Did the obiect move behind !inmeth1ng at any time, porticuhuly a cloud'? (Circle Ontt ): Yet No Don't Know. it moved behind: 16. Did tho obie&!t move in front of Gl)mething at any time, p'lrticulorl~ a cloud? (Circle One): Yes No Pon't Know. 17. Tell in a few words the following th ing5 about the obiect: J 18. We wish to know the angular size. Hold a match stkk at arm'!i length in lintt with o luaown (.Jbio:t and w : r j~t much of the obict is covered by the head of the match. If you had pttrforme.:f this ex~erirnent ot the: tir.v; .. i ~:.~ sighting, how much of the ob;ect would hove been covered by the match head? 19. Draw a picture that will ahow the shape of the obiect or objects. Label and include in yC>Ur sketch ony det~qa of the object that you saw such aa wings, protrusions, tc .. , and eapecially exhaust traih or vapor traila. Piece on arrow beside the drawing to show the direction the obiect was moving 20. Do you than~ you con ~stim~ta th ' s;>~!td o f tha o b ject? (C ire Ia One} IF you answered YES, then what speed would you estin.are~ --------.. - 21. Do you think you can estimate how far away from you thft object w'ls? (Circle One) IF you answered YES, then how for away would you say it was?------ _ 22. Where were you loc:atd when you aaw the oblect? (Circle One): Inside a building c. Outdoors In on airplane (type) 2:1. Were you ( Circ:lo Ontt) ir; the business section of a city? b. lr. fh~ residential sucti~u ~i o c:ity? lr. opt~n country Aide? N"ar an airfield? e. F I~ ing over a city? f. Fly ;nv over open country? Other ----- 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the ti me, then complete t~o followir.g queatio.ta: 24.1 What direction were you Moving? (Circle One) c. East e. South b. Northeast d. Southeast f. Southwest h. Northwest 24.2 How fast were you moving? ..miles per hour 24.3 Did you atop at any time whi le you were looking at the object? (Circle One) Yea No Did you observe the obiect through any of the following? a. Eyegloaaea Ypa No e. Binoculars Yes No Sun glass f. Telescope Yea No Windshield Theodolite Window glass 26. In order that you can give aa clear a picture aa possible of what you sow, describe in your own warda o COfU'"Of' obiect or obiects which, whn placed up in the alcy, would give the same appearance a s the o!iect which -.ou ao..,. Jn ?h.J fol!owln2 a!c.,tch, lma~IM thot yov art ot th point ahown. Pl"-'c: o" ~.'' or. 1he t:urv.,,: I tf\t. '" 1~,., ho,,. high the oblect woa obove the horizon (skyline) when yw llr1t sow lt. P loc~.:t ,.. e" ~n the 1.1me c;vr.,ed line 2<' thow how hluh the obiect was above the horizon (alcyllne) when you lost ~uw it, Ploce un ' I A' on t~e tomptUJ when you ''"' aaw lt. Place a "B" on the 'OmJtlll where you /ott ow th ohie(t, 28 . Draw a picture that will ahow the motion that the obiect or obiects mado. Picco on .. A ' ar the begintsi:1g ot ihe path, a .. 8" ot the end of the path, and ahow any changes in direction during the .::oune. 29. IF there waa MORE THAN ONE obJect, then how anany were ther? ----------- Draw a picture of how they w., arranged, and put an arrow to ahow the direttion that they were traveling. ~t). Hov ~-hN '''" tniJ, Of a aimilar ob jec? btff.lrt. U so glv$ dat.J Of d"'~' ~nd IO<gtlon. 31. Wos onyona ehe with you at tt.e time you saw the object? (Circle One) 31.1 IF you onawerecl YES, did they the object too? (Circle One) 31.2 PI lilt their namea tncl oddreaaea: 32. Pleoae tlve th. fellowint lnfe~Mtlon about youraelf: P lr1t NoM TELEftHONE NUMBER------- tftdlca,. "1 Mftltl I lnfOtmltlon about youraelf, lnclucUnt any ap.clol experience, which might be pertinent. 33. When aiMI te whom clld you re,.n that you hacf aeen the obfect? Received call from Lt/Crr.dr HS Trainer, Corrmand Duty Offic<J~ and Ad.Inin of ltTillow Grove NAS, Penn to re ort that he had interviewed a ... ll;lOce, Pltiledelphia, Pa. Tele: ,age 2.3 Due to fact that he does not have appropriate AFR to forwa.rd report, I t ook following information from hjm. Oval or cigar shaped brownish-black UFO of 20' by 15' was obse1~ed as approacked He first noticed a high pitched hf hwt en his car radio and when he stopped the UFO hovetoed approximately 2 car - he could have touched it had he opened the door. Object had a reddish white light from bottom and a being exited and came over and talked to him with an cdd voice --they carried on telepathic communication in which the being said"we are here to observe and see' we \dll contact you later" Although it was raining , the being ".Ias not wet nor was the area under the UFO. Being was dressed in sljm white shiny clothes , had black hair, light skin, a small mouth, and a high pitc~ed voice. Observer does not remember seeing moon or stars during event. ihe being returned to UFO thrcu.gh the lighted area on the bottom of craft and craft immediately departed vertically at a high rate of sppeed and dissappeared. Total time of happening was approximately 1 minute on ni ght of 5 Nov 66. Observer reported it to paper but when he was laughed at he decided to keep quiet and a friend called the NAS to ask Navy .Personnel to talk to the observer about it. Lt/Cmdu Trainer called and. talked to the indi vidaal approxi ma.tely 45 ojnutes He reported the peraon seemed to be an intelligent,.serious individual. This was all the inforrration Cffidr Trainer had and the observer "'ras not available to ask other questions as listed on tjle _ .J _