f 1. o'A 'lF. i ~Me GROUP 3. ~;ounce 4. HUMS R OF OBJECTS t'NUJtCl IUU/~ Rt(.;Ot(U 2. LOCATION 10. CONCLUSION BAI1.CX)N (Hat Air) f.~ . (1 witness) 5. LENGTH OF OBSERVATION 11. BRIEfl SUMMARY AND ANALYSIS . 10 minutes 6. TYPE OF OBSERVATION ~ roung-Viaual (BX) East-Southeast e. PttOTOS t--"~Ck No ' PHYSICAL EVIDENCE Object a~ like sou1ething hanging form a parachute through binaculars. Reddish-orange, changed to silver aa it clisappea Object swing like a parachute or pa'ldulw,. Fire or tall drowed to earth ard went out. The desent toll owed atd en-otic pattern like a tall 1ng leat. Object disappeared just Dy going out, or sight. . FTD SP 63 0-329 (TOE) Preloua eclltlone of thle lese .. ,. be ueecl. In the following sleetch, Imagine that you are at the point shown. Place an "A" on the curved I ine to show how the obiect was above the horizon (skyline) when you lirst saw it. Place a "B" on the same curved line to show how high the object was above the horizon (skyline) when you last saw it. Place an "A" on the compass when you lirst saw it. Place a "B" on the compass whre you last saw tho obiect. 28. tlrow a picture that wi II show the motion that the object or 6 jects made. Place on A" at the beginning ~f the path, a " .B" ot thee~ of the path, and show any ~hanges. in direction during t.he caurse. ~ -.. .. IF there was M R _ HAN N o iect, t en ow many WMe t ere. -~=-~ Draw a picture of how they were arranged, an.:J put an arrow to show the direction that they were traveling. 30. Hove you ever seen this, or a simi lor olliect before. If so give date or dates and location. 31. Was anyone elae with you at the time you saw the obiect? (Circle One) 31.1 IF you YES, did they'" the obiect too? (Circle On) 31.2 Plea .. list their sand addreasea: 32. Please give ormation about yourself: Middle No,... TE LE PHONE NUMBE Indicate any additional information obout your5elf, including any special experience, which might be pertinent. 33. When a~ to whom did you report that you had seen the obiect? { C ~ t? \It,-v &t~ I a~ . 34. Date you completed this questionnaire: Day Year 35. Information which you f .. l pertinent and -:hich is not adequately covered in the specific points of the questionnai,.. or a narrative explanation of your sighting. TDF!r/tJFO DE~ARTMINT 011' TH. AIR ,.OJIICE HKAOQUARTn I'O ... ION TaC:HNOI.OOY DIYI810N C "'aC:) WRIGHT.JtA N AIR 'OitCI ..... OMIO aa Reference your uD14ent1f1e4 obaervat1on. T.he 1nto~t1oD Which have received is not sutftcieDt tor a ec1ent1t1c eva~at1on Request you complete the a.ttachecl lTD J'ozm 164 and return it in the envelope provided. Thank you tor reporting your observation to the Air Force S C. MANATr, Colonel, USAF ~I~rector of Technology and SUbsystems B"l'D Form 164 v /envelope AF INa 6SS36 (11 Mar 67) P/wnr UNCWSIFIED ACTIONa R00-4 INFO: XOP-1, XOPX-2, SAFOS-3, NIN-7 DIA-l ADV CY. DIA 9-iB BIQTTU JAW RLWJEAAI552 1692315-WUU lfOHQA. R 1122JIZ MAR 67 fM 3525T H PILOT TRAIN I ti WING WILL f AMS AFB ARIZONA TO R lJrPE N/Nl C ENr AFB (X)LO RUEOF IF /FTO WR IG HI' -PATTER SON AFB 0 HIO RUEDHQA/CSAF R UEO HQA/OSAF UNO.AS D OOB 67128 MM 67. ..... fOR .TOETR AT WPAFB, FOR AFRDC, FOR SAF-DI. SlBJECT lf'O SIGHTIMi. OESmfPr ION OF OBJECT: SHAPE: BALL W~N SEEN WITH NAKED EYE. LOOif:O ll KE SOMET HI N'i HAN; I Mi FROM A PAR A CHUTE T ~OtJ;H B I ~ClL AR S~ . SIZE: 0 IME HELD AT ARMS LEN;TH. COLOR: REO ISH ORA~E, CHANiED TO SILVER AS IT 0 lSAPPEARED. NLNBER': 0~. FORMATION: NIA. FEATtRES: OBJECT SWUMi Lit<: A PENlllLN. TAIL OF TRAIL OR EXHAUST: FIR TAIL DROPPED TO EARTH ANl WENT our. Tt DESCENT FOLLOWED AN ERRATIC PAT- TERN LIKE A FALL lNG LEAF. SOUNJ: Nl~. FIRST CALLED TO ATTENTION: I GLANCED UP ANJ SA /I A BRIGHT STAR. AMiLE OF ELEVATION A~ AZIMUTH OF OBJECT WHEN FIRST OBSERVED: 20 OEG ELEVATION 270 DEG. ANiLE OF ELE- AFHO IMtl 0-309C UNCLASSIFIED UNCWSIFIED DIPAUMIIIY OP Till All nllf MIUAOI IUIICII INCOMIMI MUSAOI VAT ION WtN IT WAS LOSf I 21 OEG. FliGHT PATH I MOVED S.OWL Y IN A STRA IGHr L I~ ~OM OVER PtGEN IX TO OVER MESA. CO LR SE WOlLD BE PAGE 2 R UY"AAI552 UNO.. AS A~PROX I MAT ELy EASf BV SUJr H EASI' tel 'I 0 ID OBJECT 0 I SAPPEAR I JUS WEtl OUT OF SIGtf. AS IT 010 THE COLOR SEEMED TO REFLECT SILVER ANJ FIRE OROPPIN;S WERE NlTEO. HOW LONG WAS OBJECT VISIBLE: 11 MINUTES. MAN~ OF OBSERVAT 10 Nt GRO UNJ VISUAL o OPT I CAL A 10 S: B I r.I>Cll AR s. TIME OF SIGHT I M;: GREEt-WHICH DATE-TIME , 9:&318, LOCAL TIME 8:2188 t-RS. LIGHI' CONliT IONS: DARK. LOCAl ION OF OBSERVER: CITY OF TEMPE AA IZ; LAT3llEG 24tON;ITlDE 111 DEG 56! IOENTIFYINJ INFORMATION ON OBSERVER: CIV Ill AN, RET IRED NAVY COMMANlER, NAME MAIL I t~; ADOR ESS: , TEMPE ~ IZONA. OCCUPATION: ENTOM- ClOG 1ST, ED UCAT 10 N LEVEL: BS AGR tCll T lRE, MS ENTOMOLOGY. REL I AB IL I TV: AVERAGE RELIAB IL tTY. WEATHER: OBSERVER ACCOUNT; CLEM NIGHT WITH Nl OBSTRUCT ION TO VI SIBIL lTV. WI~S: 6889/2717, 10918/2218, ~t, VISIBILITY: 15 MILES. AMOUNT OF Ct..OlD COVER: 10/11 CIRRUS. THUNlERSTORMS: NlNE. VERT I CAL TEMPERATlRE GRAD lENT: PLUS2DEG /1181LOWEST 15&1: -tDEG/1038 15a3-10,001 FT. LOW LEVEL TEMPERATlRE INVERSION JUST BEG I NNI M; TO FORM IN LOWEST "510FT. LOCAL AREA SOLRCE REVEALED NO UNCLASSIFIED UNCWSIFIED UNUSUAL ACT IV IT Y 0 N T t NIGHT OF OBSERVATION. ~ THAT HE HAD RECENrl Y READ A REPORT IN READERS 0 IGEST ON UNIDENT IF lEO PAGE 3 R Ll-f:AAI552 UNQ.AS FLY IN; OBJECTS. I FEEL THIS MAY HAVE &>ME BEAR IN; ON THIS REPORT. UNCLASSIFIED U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you can give the U.S. Air Force as much information as possible conceming the unidentified aerial phenonenon that you have observed Please try to answer as many questions as you possibly can. The inforntation that yQU give will be used for purposes. Your name 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 dMmecl necessary, w. may contact you for further details. 1, When did you s" the obiect? 3. Time Zone: (Circle One): a. tostern b. Central (c7) Mountain CJ~ Pacific Hour Minutes (Circle One): or (Circle One): a. Daylight Saving @ Standard saw the object? State or County 5. how long wos obj.ct in sight? (Totol Duroion) Minutes Seconds a. Certain c. Not very sure C!9 Fairly certain d. Just a guess 5.1 How was time in sight determined? - --. rt -;u~-:f;;-;::;:r:;.~?J.~Af-, 5.2 Was obiect in sight continuously? 6 . What was tne condition of the s ky? (aJ Bright 7. IF you saw the obiect during DAYLIGHT, where was the SUN located as you looked at the obiect? (Circle One): o. In front of you d. To your le ft b. tn bade of you Overhecxf e. c. To your ridlt f. Don't remember FTD OCT 62 164 Thla forra auper .. des Fm 164, Jul 61, which ia obolete. 8. IF you saw the obiect at NIGHT, what did you notice conceming the STARS and MOON? 8.1 STARS (Circle One): Don't remember 8.2 MOON (Circle One): a. Bright moonlight b. Dull moon I ight c. No moonlight -pitch darlc (!y Don't remember 9. What were the weather conditions at the time you saw the obiect? CLOUDS (Circle One): a. Clear slcy fC1 Scattered clouds f?-'-cr' "~ 'cf. Thick or heavy c ouds 10. The obiect appeared: (Circle One}: (9 As a light WEATHER (Circle One): b. Fog, mist, or light rain c. Moderate or heavy rain e. Don t remember b. Transparent e. Don't remember 11. If it appeared as a light, was it brighter than the brightest stars? (Circle One): a. Brighter {!;,'About the some. d. Don't lcnow The edges :>f the obiect were: (Circle One): ~: Fuzzy or blurred (!0 Like a briyht star c. Sharply out I ined d. Don't remember 13. Did the object: a. Appear to stand sti II at any time? b. S&Jddenly speed up and rush away at any time? c. Break up into parts OC'I 21' lule? d. Give off smolce? e. Change bri~tness? f. Change shape? g. Flash or fl ickfr? h. Disappear and reappear? Don't know Don't. know Don't know Don't know Don't know Don't know ,:.No.:J Don't know Don't know 20. Do you think you can estimate the speed of the object? (Circle One) Yes l No"' IF you ans~t!r:ed YES, then what sped wOuld you estimate?------- 21. Do you think you can esti te how far away from you the obiect was? (Circle One) . IF you answered YES, then how far away would you say it was? 22. Where were you locatd when you saw the obiect? 23. Were you (Circle One) a. Inside a building b. In a car a. In the business section of a city? ~In the residential section of a city?~ c. In open countryside? Near an airfield? @Outdoors d. In on airplane (type) e. Flying over a city? f. Flying over open country? 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: What direction were you moving? (Circle One) Northeast d. f. Southwest h Nottftwest 24.2 How fast were you moving? you stop at any time while you w..-e looking at the object? (Circle o~i Yes No Did you observe the obiect through any of the following? Eyeglasses Yes No @ Binocu~ars c_Jej) b. Sun glasses f. Telescope Windshield g. Theodolite Yes No d. Window glass