PROJECT ~0073 RECORD f 1. OA lE TIME .:;~OUP 2. LOCATION -.-. 3. :.GIH:C E Civilit..n 1. Nl,~P.ER OF 05JcCTS 10. CONCLUSION Po!j.'! iblc (AIHCt\.ArT) No data rres~nted to indicato object could not hav~ been an air craft. .'i. LENGTH OF OBSERVATION iY?E 0~ O~S~O:VATION I Grouna Visua l f ?. PHYSICAL EVIOEi'\:E 11. BRIEF SUMMARY AND ANALYSIS ~jeet wa~ round with a 3ilvery hue around the out~ide edP,~. gbs~!'Yer std ted he was riding in a bus \:hen he S(tW the ob- jec~. Vb:;erv~r s t:-tted he did not se~ the objoct di3appeAred 1' TD SE P 6 3 0-3:":. .. ~)~} Prntoua editlo'" c! tl\h form mJ be uud, 34. Date you completed this questionnaire: 35. Information which you feel pertinent and which is not adequately covered in the specific points of the questionnaire or a narrative explanation of your sighting. .. EPI..Y TO DEPARTMENT OF TH~ AIR FORCC! HEADQUARTE"5 FOREIGN TECHNOLOGY DIVISION ( A~"C) WRIGHT-PATTI'R!'ON AI" FO~CE BA51t. OHIO .t:.-.3 UFO Cbservation Pit;~sv1lle Re.:'=rence y~:>ur unidentified observation. The information which ~ave received is no~ sufficient for a scientific evaluation. Re(!J.est you complete the attached ?I'D Form 164 and return it in t::~ envelope provided. Thank you for reporting your observation t o ~he Air Force. MANATr, Colo=:e 1, USAF of Technolo~y a~n Subsystems FTD Form 164 w/enve lope :a no a.cd t ii1\e , j .to s on Lhr. .. aJ to :..:~.c. noticed :~o.r~e-cn:i...nLt .. out:: Loc che c1 ~ P,r e e U.S. AIR FORCE TECHNICAL INFORMATION T hi s questionnaire has been prepared so that you can give the U.S. Air Force as much informo~:cn as possible concerning the unidentified oer.ial phenomenon that you h_ave observed. Pleos~ t ry to answer as many questions as you possibly can. The information that you give will be u sed ~or research purposes. Your name will not be used in connection with any statements, con:l~,.sJons, or publications without your permission. We. request thi~ 9ersoncl information so th a t ir :t is deemed necessary, we may contact you for further details. 1. When d id y~u see the object? 2. Time of day: 3. TiiT"e Zon~: (Circle One): -c.O. --toster_n b. Centra I c. Moui'li"J :n d. Poe i fie 4. Yt he ~e wer-e y ou when you saw t h'! o~ j ec t? (Circle One): (Circle One): a. Daylight Savin~ :b. StandarO' N :r~st Postal Address City or Town State o r County 5. how lo ng W"JS object in s ight? (Tc ~uration) Minutes . Seconds = Certain c. Not very sure ... o. Foirly cortoiri-,. d. Just a guess 5.2 \ltos c!:-?: :sight continucusly? 6. What was t h e c~;Jd :t !on of the sky? (~-~Bright' 7. IF you sow 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 aupcrsedea FTO 164, j u l 6\, which i11 ob~wleto. 8. IF you sow the object at NIGHT, what did y ou notice concerning the STARS ond MOON? 8.1 STARS (Circle One): d. Don't remember 8.2 MOON ( (ire le One): a. Bright moon I ight b. Dull moonlight c. No moonlight -pitch dark d. Don't remember 9. What were the weather conditions at the time you sow the object? CLOUDS ( Circle One): a. Clear s~y ct. .J c a Tie r e c ou s,....... d. Th id: or heavy clouds WEATHER (Circle One): b. Fog, mist, or I ight rain c. Moderate or heavy rain e. Don't remember 10. T he obiect appeared: (Circle One): (g. Soljc d . As a light b. T r .::n s :,.;Jrent e. Don't remember 11. if it opp~.:red os a light, was it br ighter than the brightest stars? (Circle One ): o. Brighter c. About the some d. Don't know Co:npcre brightness to s o me common object: 12. T he e :!ge; o f tne object were: ( C ;rd e On~): a. Fuzzy or Siwrred b. Like a bri ;;h t s t qr cr:_pjy _cy.:~;n~d" d. Don't r err.err.Ser 13. Did the o b j e c t : a. Appear to stand still at any time ? b. Sud den ly speed up and rush away a t any time? c. Brec k up lnto ports or explode? d. Give off smoke? e. Change brightness? f. Change shape? g. Flash or flicker? h. Disappe ar 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 Don't know Did the obi oct disappear while you were watching it? If so, how? 15. Did the o~j~ct move behind something atony time, particularly a cloud? (Circl~ C,e): Don't Know. IF you answered YES, then tell what 16. Did the o b ;~ct move in front of something at any time, porticu lorly a cloud? (Circle One): . Don't Know. IF you answered YES, then tell what 17. T e II in a f~w words the following things about the object: 18. We w i sn to kilow tho angu lor size . ~o!d o match stick at arm's length in I ine with a known object and note how m:.Jch of tn ~ object is covered by ~ne head of the match, If you hod performed this experiment ot the time of the sight in g, h~..,. much of the object wo\Jid hove been covered by the match head? o-IJ.---:::>-~-:t:_:_- 19. Draw c p~.:v~ tn~t will show the s~o;.e of the object or objects. Lobel and include in your sketch any detoi Is of the oS:e:~ oo:c i you sow such os winJS, protrusions, etc., and especially exhaust trails or vapor trails. Place o:t ::p~..; ::e$ide t h e drawing to s how the direction the object was moving. 20. Do you think you can estimate the speed of the object? (C ire le One) IF you answered YES, then what speed would you estimate? - -"' C ~'-' ... #d .. 21. Do you think y ou can estimate how for away 'from you the object was? ( Circle One) IF you answered YES, then how for away would you say it was? _Q_-:-1._.;.,"_-,:_ v~ / 1. . ~-- 22. Where were y::>u located when you sow the object? (C ire lc One ): 23. Were you (Circle One) In the business section of a city? a. Inside o b~,ilding In the residential section of a city? b. In a ccr In open countryside? Outdoors d. Near on airfield? d. In on cir?lane (type) e. Flying over a city? At sea f. Flying over open country? 24. I r= yo:., w~r-~ ,.QV lNG IN AN AUTOMC8l L E or other vehicle at the time, then complete the following questions: 24.1 Wha t d irection were you mov in;? (Circle One) c. t o s t e. South b . Nor theast d. Southeast f. Southwest 24.2 How f=s~ were you moving? -----=>:-- miles per hour. 24.3 Did you stop ot any time wh i ie you were looking at the object? 25. Did you o b5e:-v!" th ~ object t h rough o~y o f the following? a. Eyegksses Yes 0 Binoculars Yes Sun g!-:ls:::es f. Telescope Yes Windslii c Theodolite (a. WfJ_W h. Northwest In order that y ou co:1 give os clear a picture as 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 some appearance as the object which y ou sow. 27. In the following sketch, imagine that you ore at the point shown. Place on "A" on the curved I ine to show how high the object was above the horizon (sky I ine) when you first sow it~ Place a "B" on the some curved I ine t o show how high the obiect was above the horizon (skyline) when you last sow it. Ploce on "A" on the compass when you first saw it. Place o "8" on the compass where you last sow the obiect. 2o. t.iraw o ~i:+..::-e that will show t he mot ion that the object or objects made. Place on "A" at the beginning of the pcti-:, a "c" ot the end of the path, :Jnd show any changes in direction during the course . 29. IF th~;e w:s ~,.lQ~E THAN ONE obj~c~, then how many were there? -- <' Draw c pic~r~ ~f how they were orron3ed, anJ put on arrow to show the direction that they were traveling . 30. Have you ever seen this, or a simi lor obiect before. If so give date or dotes and location 31. Was anyone else with you at the time you saw the object? (Circle One) 31.1 IF you answered YES, did they see the obiect too? (Circle One) 31.2 Please 1 ist their names and addresses: 32. Please give the following information about yourself: ADDRESS ---: TELEPHONE NUMBE Middle Nome Zone State lndicat, any additional information oSout yourself, including any special experience, which might be pertinent. 33. When and to whom did you report that you had seen the object? Month Year