I" t'CUJI:\.-1 IUU/-' tct:\.-Ut<LJ 1. Oh 1 E TIME CUP 2. LOCATION ~furfreesboro, North Carolina 3. ~t\1lWCE 10. CONCLUSION 4 . NliHE\E R OF OSJ ;:c TS Astro ( JUPITiffi) JUPITER wa s at an elevation of 30 deg, azimuth of 80 de at ti::tc~ ~. LENGTH OF OSSERVATION 11. BRIEF SUMMARY AND ANALYSIS -unut.es f, . T f PE OF OSSc RVATION Ground-Vist:.&l 7. CO~tRSE a t.l.onary "~ ~. P ri O TOS ?. PHYSICAL EVI NCE Object was like a brieht sta r and about twice as bright a s Venus. Object grew large, sta;r tha t ,tay a few s e conds, thEn grew dim. Observer stated she looked awa y for a moment and then looked baCk and object was gone. Observer sta t e d ob j ectl was s tationary most of the time but appeared occasionap.y roov 1(.; in a smal 1 area. f-TD S f P 63 032t (TOE) Prnlo\U edltlone of thh lona IUJ' be u .. d. 27. In the following sketch, imagine that you are at the point shown. Place on "A" on the curved I ine to show how high the object was above the horizon (skyline) when you lirst sow it. Place a ''B" on the same curved line to show how high the obiect was above the horizon (skyline) when you last sow it. Place an "A" on the compass when you first saw it. Place a "B" on the compass where you lost saw tltc object 28. lJraw a picture that will show the motion that the object or objects mode. Place on "A" at the beginning of the path, a "o" at the end of the path, and show any changes in direction during the course. 29. IF there wcs MORE THAN ONE cbject, then how many were there? --~G~'_! (; A Vf~ Draw a picr~re of how they were arranged, an.:l put an arrow to show the direction that they were traveling. 30. Hove you ever seen this, or a similar obiect before. If so give date or dates and location. 31. Was anyone else with you at the time you saw the obiect? (Circle One} 31.1 IF you onswered YES, did they see the obiect too? (Circle One) 31.2 Pleas list their names and addresses: 32. Please give the following information about yours TE LE PHON: NUMBE Indicate on~ additional information about yourself, including any special experience, which might b& pertinent 33. When and to whom did you report that you had seen the object? Month Year 34. Date you completed this questionnaire: 35. Information whi ch you feel pertinent and which is not adequately covered in the specific points of the questionnai re or a narrative explanation of your sighting. TDID'/TJFO DEPARTMENT OF THE AIR FORCE HEADQUAftTEftS ,.OR1GN TECHNOLOGY D IVISION ( A,SC) W"IGHT~ATTERSON AU' FO"CE BASK. OHIO 45.33 UFO Observation llorth Carolina 27910 Re:erence your unidentified observation. The information vhich we ~eve received is not sufficient for a scientific evaluation. Req_L!est you complete the attached FTD Foru1 164 a.nd return it in the envelope provid~d ~ Thank you for reporting your observation to ~he Air Force. 'vp~S3 C. MANA'Pr, Colonel, USAF . ~.i=-e~tor of Technology and subsystems F~D Form 164 w/enve lope ;Atf. "'I i J zk o-f:P:...t'A- U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that y.ou can give the U.S. Air Force as much information as possible concerning the unidentified aerial phenomenon that you have observed. Please rry to answer as many questions as you possibly can. The information that you give will be used f::>r research purposes. Your name will not be used in connection with any statements, concf.s ions, or publications without your permission. We re~uest this personal information so that if it is deemed necessary, we may contact you for further details. Hour Minutes 3. Time Zone: (Circle One): G. Eastern b. Centro! c. Mount':l in d. Poe ific 4. Wher~ were 1ou when you saw t he object? (Circle One): (Circle One): a. _QayJj_g~ Saving Necrest Postal Address City or Town State or County 5. how long wcs object in sight? (Tot:~l Dur ation) Hours Minute s ~. Certain c. Not very sure b. Fairly certain d. Just a guess 5.2 Was o!:l e~7 .:c s:i;ht continuously ? 6. What was the condition of the sky? 7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object? (Circle One): a. In front of you b. In back of you c. To your right d. To your left e. Overhead f. Don't remember FTD OCT 62 164 Thla form uperaedes Jo,Tn 164, jul 61, which is obsolete. 8. IF you sow the object at NIGHT, what did you notice concerning the 5TARS and MOON? 8.1 STARS(CircleOne): 8.2 MOON (Circle One): d. Don't remember a. Bright moon I ight b. Dull moon I ight . ti.~.J!1~onl ight -pitch dark (f Don't reme er) 9. What were the weather conditions at the time you sow the object? CLOUDS (Circle One): WEATHER (Circle One): b. Fog, mist, or light rain (2.:-Clear sky') c. Scattered clouds c. Moderate or heavy rain d. T hick or heavy clouds d. Snow e. Don't remember 10. The object cppeared: (Circle One): c. S.:>lid b. T ranspcrent e. Don't remember 11. If it cp?eor'!d as a light, was it brighter than the brightest stars? (Circle One): G.-s~; J c. About the same b. Dimmer d. Don't know 11.1 Compc~'! brightness to some ccmmon object: , 12. The edges cf t:,~ object were: (Circle c..,~): o. Fuzzy or bl urred ,~ L i ~eao~i~Tstor) e. Sharply out I in ed ~. Dont rerr:ember 13. Did the objec~: a. Appear to stand still at any time? b. Suddenly s d up and rush away at any time? c. Break up into parts or explode? d. Give off smo~e? e. Change brightness? f. Change shape? g. Flash or flicker? h. Disappear and reappear? (Circle One for each question) Don't know Don't know Don't know Don't know Don't know Don't know Don't know Did t~e object disappear while you were 15. Did the obj~ct move behind something at any time, particularly a cloud? (Circle One): Yes \.. .. _No_} Don't Know. IF you answered YES, then tell what 16. Did the object move in front of something at any time, particularly a cloud? (Circle One): Don't Know. IF you answered YES, then t e ll what 17. T e II in a few words the following things about the object: 18. We wis h to k:"!ow the angular size. Hold a match stick at arm's length in line with a known object and note how much of the object is covered by t he head of the match. If you hod performed this experiment at the timE; of .the sighting, h ow much of the object wou!d hove been covered by the match head? -rP ;t _; //Y lf utvi:.:Z. 19. Draw a p k~._r~ :n ~t wi II show the sh cpe of the obiect or objects. Lobe I and include in your sketch any detai Is of the objec~ ;i-;~'!' y ou sow such as win~s, protrusions, etc., and especially exhaust trails or vapor trails. Place on orr~"'t ~esid e t h e drawing to show the direction the ob.iect was moving. 1/-'YL-'J-.i 'Wyf ve 20. Do you think you can estimate the speed of the obiect? (C ire le One) IF you answered YES, then what_ speed would you estimate? _ 21. Do you think you can estimate how far away from you the object was? (Circle One) Yes No) IF you ans ,.,ered YES, then how for away would you say it was?---------- 22. Where were you located when you sow the obiect? (C ire le One): a. Inside a building b. In o cor c('Outdo~s) In on a irplane (type) 23. Were you (Circle One) a. In the business section of a city? b. In the residential section of a city? c. In open countryside? d. Near an airfield? e. Flying over a city? Flying o--:er ~pen c: ux. Other 0 / iL. 0 V 24. IF you wer~ MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 24.1 Wha t d irection were you moving? (Circle One) c. East e. South g. West b. Nor~heast d. Southeast f. Southwest h. Northwest 24.2 How f~s~ were you moving? _, miles per hour. 24.3 Did you stop at any time while you were looking at the object? (Circ:le One) Yes No Did you observ~ 1he object through any of the following? Eyeglcs~!-5 Binoculars b. Sun glcss!s f. Telescope Yes .:!::12-) Windsh :e id Theodolite Yes d. Window g lass 26. In order that you n give as clear a picture os possible of what you saw, describe in your own words a common object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.