1 li. ~ ~ : , TIME dROUP . 2. LOCATION . ' S~:1 Pedro, Cal~fc a ' c: v2.::.:u. Possible ( not Air) 2A:..LOO:~ 1 1. Nll~.DCR OF OBJECTS i ~,. LENGTH OF OBSERVATION 5r:1irii.ltes 10 seconds T'f'PE OF OBSERVATION G::-o;;-.d.-Visual 11. SRI E F SUMMARY AND ANAL YSlS ObGerver stateu ob~e appeared as a :i {lt. Iv ~?? brighter t!'.an t.':!e or:'..~-n.est SvC.r (}O~CC"t bri~.-:.:-lCSS \.-~5 a reel ccrLtcr. ~:.sa;?:_)eared ver siot .. .-:..y. O'o~e:: t. vravelt::Ci a northwest ui~ec~:'..on. ::-J y tt s PHYSICAL EVIDENCE ;: T D S C P 6 3 0329 (TOE) Prevloue edltlone of thh form may be u .. d. Official U.S. Arr Fe 14 . Did the object disappear while you we re watching it? If so, how? /'1-o lS. Did the object move behind something a t a ny time, particularly o doud? (Circle O ne): Don't know. IF you answered YES, the n tell what 16. Did the object move in front o f something a t any time, porticulorly a cloud? (Circle One): Yes Don't know. IF you answered YES, then t:11 whot 17. Tell in o fe w words the fo llowing th ings about the object: 18. We wi!>h t o kno w the a ngula r size. Hol d a match stick ot a rm's le ngth in line with a known ob ject ond note how much of 1l1, object is covert:d by the heed of the match. If yo u hod p e rformed this expe rime nt ot the t ime of the sig ht:ng. how much <.. the o b ject would hove been covered by the match heod ? 19 . Dra w a picture thot will show the shape o f the obje ct or objects. Lobel and includ e in your sketch ony details of t he or..;~c: tha t you sow su ch a s wings, pro:rusions, e tc., and especially exhaust trails or vapor trails. Place a n arrow be~ide the drow:r~ to show the d irect io n the object was moving. FO form continued Do you think you con e stimate the speed of the objecf? (Circle One) If. you answered YES, then what speed would you estimate? _ .Do you think you con e stimate how for away from you the object wos? (Circle O n e) ~.u answered YES, t hen how for away would you soy it wos? _;.. _;;;.. _ ..:... r,. were you located when you saw the object? 23. Were y o u ( Circle One) rcle O ne): o . In the business section o f o c ity? b. In the residentia l section of o city? @In open countryside ? Near o n a irfie ld? on airplane (type) e. Flying over o city? f . Flying over open country? yov were MOVING IN A N AUTOMOBILE or other vehicle of the time, then complete the following que~1ions: What d irectio n were you moving? (Circfe One) c. East e. South g . West b. Northeast d. Southeast f . Southwest . h. Northwest_ { , , .. , miles per hour. IJ)VJ'-1._ l\ _ul), ~r.......L~-- tiow fos1 were you moving? LJOm.Q\"'\ Did you stop ol any lime while you were lookin g ot the object? (Circle One) @ No you ob$erve tbe object through any of the following? fyeglo sses Binoculars T ele~cope Theodolite No h. Other . order that you can g ive o s clear o picture os possib le of what you sow, de~cribe in your own word s o common obje-c t or c,b . 'Wc:11 which. when .Placed up in the sky, would give th e some appearance os the object w hich you ~ow. U. 5. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you can give the U.S. Air Force as much information as possible concerning the unidentified oerial phenomenon that you hove observed . Pl~ase try to answer as many questions as you pouibly can. The information thot 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 deemed necessary, we may contact you for further details . 1. When did you see the object? (Circle On&): A.M. or P.M. 3. Time Zone: (Circle On'?)~ b. Central c. Mountain d. Pacific (Cirde One): o~ayl~ht Saving (b Standor0 Stote or County eorest Postal Addreu City or Town 5. How long was object in sight? (Total Duration) Hours Minutes a. Certain c. Not V'!ry sure '(3 Fairly certain d. J ust o guess_ 5.2 Was object in sight continuously? 6 . Whet was the condition of the sky? ((h Bright . Clo udy a . Brig ht b . Cloudy 7 . IF you ~ow the object during DAYLIGHT, whe r e was the SUN located o s you looked a t t he object? (Circle OneJ:(?.) In fro m o f your-;' ,... b . In b a ck of y o u ' c. To your righ.t fcL. To your left ~. Overhec d f. Don' r reme mb e r FTD or:r 62 164 Tht:. f orm sup<:rs~ctec: r'TD 16l. jul til.'.\ hie, is obsolek 8. IF you sow the object at NIGHT, what did you notice c:oncerning the STARS and MOON? 8. 1 STARS ( Circle One): d. Don't remember 8 .2 MOON (Circle One): o . Bright moonlight b . Dull moonlight c:. No moonlight-pitch dark d. Don't remember 9. What were the weather c:onditions at the time you sow the object? CLOUDS (Circle One): @)Clear sky c. Scattered clouds d . Thiel< or heavy clouds 10. The object appeared: (Cirde One): WEATHER ( Circle One): '15".' Fog, mist, or light roirY c. Moderate or heavy rain . e . Don' t remember (a~ Solid-u~ '-,Y if d . As o light - b . Transparent 0 U e. Don' t remember 11. If it appeared a~ o light, was it brighter than the brightest stars? ( Circle One): o . Brighter About the some @Don't know Compare brightness to some c:ommon object: The edges of the object were: (Circle One}: o . Fuzzy or blurred b . l ike o bright star 9horply outlined d. Don't remembe r JFO form continued Official U.S. Air For 34. Do te you completed this questionnaire: lntor~atio~ whic:h you fe~l pertinent and which is nat adequately covered in the specific points of thtt qwest1onna~re or a narrot1ve explanation of your sighting. 30. Hove you ever ~!!011 this, oro !.imilor object b e fore. If ~o give dote or d o te s and locatio n . J 1. Wos anyone e lse with you at the t ime you sow the object? (Circle One) 31.1 IF you answered YES, d id they see the object too? ( Circle One) 31.2 Please I ist their names and oddresse 3'2. Please give the TELEPHONE NUM M iddle Nom& Ind icate any additional information about yourself, includ ing any ~peciol experience, which might be pertinent . .! 3 \Vhen and to whom d id you report that you had seen the object? Offlc~a1 U.S~ A~r Force 27. In the following sketch, imagine that you ore at the p o int shown. Place on "A" on the curved line to sh ow how high the object was above the horizon (skyline) when you first sow it . Place a "B" on the some curved line to show how high the object was above the horizon (~kyline) when you lost sow it. Place an " A" on the compass when you first saw it. Place a ''B" on the com- pass when you lost sow the object. 28. Draw a picture that will show the motion that the object or objects made. Place an" A" at the beginni,g of the path, a "8" at the end of the path, and show any changes in direction during the course. 29. IF there wos MORE THAN ONE object, then how many were there? _ p icture of how they were arranged, and put on arrow to show the d irection that they were traveling. ~v~l7:~ ;.~ssa.ehusetta -ll/15/66 l Docember 1966 Gongrgssznan -.I .II. Dates Richa?d Hall Assistant D .. JI(l-lTillG BACKGROUJm: I i:tet ~ir. RichaJ'CI ~ after lecturing to a g:~up at the First Con~ onal Church. ~scott, !lassachusetta. Later I dis GaPy stor~ to juterview b1m. ,,~. i ed out the standard NICAP UFO ~ OR:t and si~ed it. A cow is attached to this ~r. 3ytr.~aes and Lir. D1rrkee were hunting duck in a saalls boat 0.-r ~.he of !!arblehead. Looki."lg over ~ the d1aect:!OD o:r ly, r-a-. tw st:ra ge-looking oojecta seemingl7 hGYer1ng over tbe-Beverly a1 ea about; s:J x miles away th iD the r~ ~1 z r. ~ alerted lk-. Durkee stating that wJ1at they obsezsvs.Jng nr~t UJ'Cs. '!'bey watched of! arl ror about lS minuteS whil.e h while away the objects vanished. v.Aom ~the obj . He ins1sted that they were so d objecta ~\1 .. \LUA'riCB: !t is ba]ld to say jua't what was o ~Jeither saw the ob~'acta a:zari 01' cmd they to hcver with no mot:Son The wind bl.owing at a good 20 krwts, NE so clouds 1:.rould monel quite a distance iD fi rtem1 nrlnutea. T-ne o1J.ject seemed to be \mile the smaller object a ~ it ::;~:ned !'on-reflective. I't is possible that s t of mirage \-laS ~rLtnessed. In i there is insufE.icient to indicate that t.h3 l--epcat ir~olves an autllent:;ic 'C~O. It is subn1t;ted or infoirnation -:~poses. It r:d~t serve as suppler:1entary ovidence ii .. o-cher report;s [ ~eceived for that time and data. U.S. AIR FORCE TECH~tiCAL INFORMATION This questionnaire has been prepared so that you can give the U.S. Air Force as much information as possible concerning the unidentified ceria I phenomenon that you have observed. Please try to answer as many questions as you possibly can. The information that you give wi II be used for research purposes. Your name will not be used in connection with any statements, conclusions, or pub I ications without your permission. We request this personal information so that if it is deemed necessary, we may contact you for further detai Is. 1. When did you see the obiect? 3. Time Zone: (Circle One): a. t:astern b. Central c. Mountain 4. Where were you when you sow the object? (Circle One): (Circle One): Hour Minutes Daylight Saving Nearest Pasta! Address City or Tawn State or County 5. how long was object in sight? (Tota I D uration) Haurs Minutes Not very sure b. Fairly certain Just a guess How was time in sight determined? 5.2 Was obiect in sight continuously? 6. What was the condition of the sky? (_e,. Bright 7. IF you sow the object during DAYLIGHT, where was the SUN located as y ou looked at the object? (Circle One): a. In front of you b. In bock of you c. To your right d. To your left e. Overhead f. Don't remember NATIONAL INVESTIGATIONS COMMITTEE ON AERIAl PH!NOM!NA 1536 Connecticut Avenue N. W. Wo,hlng~n 6, D. C. REPORT ON UNIDENTIFIED FLYING OBJECT(S) This forrn lncludet qve,tlons oskttcl by the U,ited States Air Force ond by other Armed Forces' Investigating agencies, and oddltlonol qvfHtions to which answer are needed for fu11 eYOiuatlon by NICAP. ArtiJr aU the Information has bHn fully stvcfied, the conclusion of our Evaluotlon Panel will be published by NICAP In lh regularly hs~ ""'!7Uin or In another publication. Pleat~ try to answer as mtWiy questioN as possible. Should you n1ed additional room, ecn us. another th"t of paper. Please print or typwrlte. Your oulstance Is of great value anclls genuinely oppNclated. lhartlc yov. Nome Ur. Richard Symmes A~reu 4g Pick iok doad U~rblehee.d, ~PSB. Place of Empfoyn:ent Durkee-'.! oor Co L Telephone J) -:>c '.J- Occupation c-ontroller Education Gr~u!uete Uni vere1 t.v of Special Training Military Service USN 194-4-1946 Elec Time 7: l5 AM PM Ea e t nme Zone Locality of Observation BelTc-rly-:~\ias~. How long did you ~e the object? Hours 1 ) Ml nutet Pl-,ase describe weather conditions and th. type of slcy; I.e., bright daylight, nighttime, dusJc, etc. PosiHon of the Sun or Moon In relotlon to the obJect and to you. If ~not night, twilight, or dawn, were the stars or moon vlsl~le? .. Were there mor1t them one obiect? "{ 2? IF so, plaa tell how iJ)Oft)', and draw a sktch of what you ww, Indicating d)N!ctlonofmove'!'ent, lfany. Accordi!'_g to sketch drawn by witne ~ th ce two ObJects. No motfon wae obPerved. s , ere apuec:1rs PI~ describe the object(s) In detatl. For Instance, did It (they) appear tollcl, or only as a tourct of light; was It rewlving, etc? Plea_,se use oddlttonel sh~h of paper, If necessary. Object appeared to be eo lid. No re- vol vin~ . Lo~:er obJect ! ~ke .... C 1) ~ee~ed to be ehimmerin2 WQ the obiect(s) brighter than the bockgro~ ol t~e sq? J~efyr =:-'Dright. - lito, compare the brightn.sswtth the Sun, Wcon, heaCfllghts, etc. !f ae bright.:=! s ~ny of the~e. DJd the obJect(s) -(Plea el.-,..te, If yov can gte cleta1fa.) Appear to sklnd still at any tlme? '{es, 15 rr.innt e~ Suddenly speed up ond rvsh away ot any tl,..? ?lo Breakup Into po;ts or eplode? :~o Give off smoke? r r Leave any vistbfe ~ail? ~; 0 Drop anything? i~ Change brightness? { e s , Change shape? ; Change color? lTo Didth.,obj.act(s)otanytirM paulnfrontof,orbehlnd of,anytnlng? If 10, please elahotat9 Giving dlstanca, al:~ etc,ifpossib1. Wm ttMr cny wlnd?ye F' giYedl~ctJonGndspd. North East ~t; 20 Knots 15. Old you obs.rve thoi!t obrect(s) through on optJeol lnstrumeni or other ald, wlndsh1e1d, windowpane, s10ta" window, screenlng, tc? No What? Did the obic:t(s) hav-. any aound? No When klnci? ~ aM tell if the object(s) (we,..)- Fuu.y or blurred. ~1 0 -~-~-- .~. ~Lik a bright star. NO 18. W the object - a. Se lf- lumlnow? Ye B b. Dull finlsh?No c. Reflecting? Ye E d. T ransporent ? .,'! 19. Did the object(s) rise or foil while In motion? !: 0 20. Tell the apparent size of the obfect(s) when compared with the following held at arm's le"SSth: e. Half dollar h. Grapefruit f. Sliver dollar I. Larger Or, if easier, give apparent slze In Inches on o ruler held at arm's length. 21. Howdldyouhappentonoticeth~object(s)? Ho.ppen to look over in t hP. direction of !::ev~ 22. Where were you and what were yau doing at the time? Hunting 23. tbw did the obfect(s) dtsoppear from view? t eft t ne e.r ee 2-4. Compare the speed of the obfeet(s) with a piston or fet aircraft at the satM apparent altitude Were there any conventional aircraft In the location at the time or Immediately afterwar