tlt<UJtl.l IUU/ J t<tl.Ut<U 1. OA 1f. TIME GROUP 2. LOCATION 'Glendale, Pa. 1. Nli~H~C R OF OBJECTS 10. CONCLUSION INSUFFICIENT D/\TA ;.--o~ EVJ\LU/\TION ~. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS 10 minutes 6 . TYPE OF OASERVATION Ground Visual I?. PHYSICAL EVIDENCE U.S. AIR FORCE TECHNICAl. IHFORMATIOt~ Thia questionnaire has bean prepared 10 that you can yive the U.S. Air Force aa much information as poasible concerning the unidentified ael'ial pheno.nenon that you hflvu otserved. Plea~ try to onawer as many qututiona as you pt'ssibly can. The information that y~u s;ive wilf be ueed for re1earch purposes. Your name will not be used in connection with any st~ter~teni;;, conclusion, or publications without your permission. We request this personal lnformotion 1e thor if It is deemed necessary, we may contact you for further detai Is. 1. When did you see the obiect? f ( ,rcle One): 3. Time Zone: (C lrde One}: -cen"fral \::, Mountain d. Pac iflc 4. Where were you when you saw the obj~ct? City or Town 5. How long was obiect in light? (Total Duration) Certain c. Not ve b. Fairly certain Just a How wa1 time in sight determined? Was obiec:t in sight continuously? 6. What wa me condition of the slcy? tilGH-r._ -. 7. IF you saw the object during DAYLIGHT, where was the SUN located as you loc.ke-J ct the ol-;;~t? (Circlt! One): o. In front oF you b. In bode of you c. To your ridlt d. To yovr left e. Overhead f. Don't remember F TO OCT 62 164 Tt\1 fcwm aupnd .. I'TD 164, Jul 61, whtch la obnhte. l 8. IF y oll !law the ob1ec:t ot N IGtiT, what did you not c:o coocern ng th STARS ond MOON? a. a,.~, moonlight Dull moon I ight No moonli~t -pitch dark Don't remember Den 't remember 9. What .... ere tn weather e;ond1tian1 ot the tim you saw the objeC't? WEATHER (Circle One): 1). fog, mast, Of leght rolu c. Scatter .. d c: lt)UJ ' c. Moderate or heavy rain d. Th rc 11 o hell9 y ct~d d. Snow e. Don't remember 10. The object appeared; (Circle One). As n light T ron apu1ent e. Don't ren:emb.r . 11. If it appeared aa a light, waa it brighter than the brightaat stars? (Circle One): a. Brighter c. About the ,ame d. Don't lcnow 11.1 Compar brightness to som common o~lct: 12. The edge of the obiect were: !(,,do (;;,)-a. Fuzzy or blurred b. Like a bright stor c.. Sharply out I ined d. Don't remernb.r Otd t+-.e ob1ect: (Circle One fOf ecx:h question) Appear to stand atill at any time? Yes No Don't lcnow Suddenly speed up and rush away at any time? Yes No Don't lcno c Break up into part a or explode? Yea No Don't lcnow d. Give off smoke? Yea No Don't lcnow e. Change tnesa? o~ lcnow Chong shape? Don't know flash or fl idcer? Yes No Don't know D iaappaar and reappear? Don't know 14. Did the ob1ect disappear whila y ou were. totching tt'? If so, how? 15. Did the obiect move behind tomethtng at any time, porticulllrly a cloud'? (Circle Ontt ): Don't Know. 16. Did tho object mova in front of ~l)mething at any ttme, porticulorly o cloud? (C ire Ia One): Don't Know. IF you answered YES. t~l!! t~!' w ii''Jt 17 . Tell in a few words the following things about the objf!ct: ~ 18. We w ish to know the angular size. Hold o match sth:k at orm'!ii length in lintt with a known (Jbio~t and t~r:r j" much of ths obiact is covered by the head of the match. If you had performed this ox~Jeriment ot th tir:lJ; ..t ~:.e sighting, how much of the object would hove been covered by the match head? 19. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any detei ~ of the object that you sow such as wings, protru1ions, etc., and especially exhaust troilt or vapor trails. Place on arrow beside the drawing to show the direction the object was moving. t : 0 . Do you th1nk y o u can estirnare.t tht7 spead of the objec t ? (C ire le One) IF you answered YES, then what speed would you estin,ote'~ ------.. 21. Do you think you can estimate how for away from you tho object WI'JS? ,. (Circle One) Yea No / ::( " J!,~tct.:IC e ' IF you answered YES, then how far away would you say it was?./ _i_QC}Q t\... ( f 22. Where were you locahtd when vou saw the oblect? (Circle One): o. Inside o building b. In a car ~ --'fdoors "tb In on airplane (type) 2:J. Were yo\J (Circlo Onft) a ir: the business section of a city?- --~-=-"' rt;~residential S\lcti~r1 .;;; c c1ty..? c. lr. opc.n country~ide? N"ar an airfield? Fl)'ing over a city? f. Fly; ns; over ope" country? 2.C. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, the" complete the folfowie.g queations: 24.1 What direction were you .noving? (Circle One) a .. North c. East e. South b. Northeast d. Southeast f. Southwst h. Northwest 24.2 How fast were you moving? ,miles per hour 24.3 Did you stop at any time while you were looking at the obiect? (Circle One) 25. Old you observe the oblect through any of the following? a. Eyaglaases Binoculars Yea No Sun gla1se Yes c. Windahielcl Yea No g. Theodolite Window glass No h. Other 26. In order that you can give as clear a picture as possible of what you saw, describe in your own worcfs a COMft'\Cf' object or obiects which, when placed up In the sky, would give the same appearance a1 the object which ) ' OU 10"' In th following ~tch, Imagine thot you ore et the point thow.,. Plac <Jn 'J...'' on '~ r:urv"": liM, to a how ho,. high the object waa abov the hcwlzon (sky I lnt) when yw llr1t a ow It. P loc~ , "B" un th~ a Jme c.;Jt'led line '<' show how high the obiect was above the horizon (skyline) when ynu last "uw it. Place un '~. on the 'ompos wnn you ''"' aaw lt. Ploee a "B" on the com,o whr you lost ow the ohjec:t. 28 . Draw a picture that ~ill ahow the motion that the obiect or obiects mado. Place an "A ' ar the beu1nnL1g c.f 1he path, a "B" at the end of the path, and show any changes in direction during the court.o, 29. IF there waa MORE THAN ONE obJect, then how niCiny were there? -- Draw a picture of how thay were arranged, ond put an arrow to show tho direction that they wert~ travvlin;. 30. Hav~ )'OU evr '''" th i 1, or a aimi lor object before. If 10 ;iv date Of dot :a ond locgtion. 31. Was anyone el with you at tt.e time you saw the obiect? (Circle One) 31.1 IF you anawered YES, cUd they the obiect too? (Circle One) 31.2 Plee .. liat their naavtee end addre11e1: 32. Please give the following lnfntatlon about your1elf: Mt4111e H8M4t TELEPHONE NUMBER truUcate any odclhional lnfor,.tlon about your1elf, Including ony 1peclal experltnee, which might b. pertin'"' When anct to whOIYt did you reJ*t that you had n th . bject? Sighting, 20 ?.!nn~y.lvan1a R~ference your recent unidentified obser1ation of 20 November The in:foztaation which we ha"te reeei ved is not sufficient for evaluation. Request ~ complete and return 1 t in the envelope provided. attached 1TD vish to thank you for reporting your observation to the Air Sincerely, , 'l'OR c;.uiNTA:iliJA, Jr, Major .:Chief", Project Blue .:Book l''TD Form