2. LOCATION .1. Nli~'\E\C: R OF OaJECTS 5. LENGTH OF OBSERVATION 45 minutes 6. T1'PE OF OBSERVATION Grot;l'ld-Vist:al Not Reported ?. PHYSICAL EVIDENCE 10. CONCLUSION Report is co~.i\:.s :~.:,; in so:-:le parts. 11. BRIEF SUMMARY AND ANAL. YSIS Observers so.id t!'l~re ,,,~re no so:...t."'lds, but. saici oo~ ~ct. ciis pp-I eared by S)eeC!.ing off out. of sight. Object yfa s zilver c olo:--. ; Object appcare~ as two plates put together, with a poin~ed ~ painted c upside down on it. FTO SL' P 63 0329 (TOE) .,rvloue dltlon of thb fona moay be u .. cS. 30. Hove you e"" si'Mw this~ cw o 1imilor obiect before. If so give date or datea and ICKotaon. J 1. 'lfo anyone ,.J,e with you at t~e time you sow the obiect? (Circle One} No J 1.1 lF Y'Jv answered YES, did they see the object too? (Circle One I (y_es Jl 2 P:eas iaat their nomea and oddre11e1: ?lease gi'4fe th foliowi,. information about youralf: AD.).<ESS - TELEPHONE NUMBE tndicote any odditiomd eftforaflfJtiOft abtcat yavrMlf,_'ineJ...Iiftt any apec:ial prir.ce, wh;ch "'ight t,e ;>~rtinenr. .J nnen on(l to wr:om aa you report t at you ad n the obiect? thta qwestiOftftoire: lnformett. which you fMI 'ertiMf't oftct which is ~.,.,.ly cwere4 in the 1 qwHti or ca norNti" ' ieft of your aightiftt. ific pointa of the AI.?.., 't."-A~NIJ~J fJ vl'- _'/~ fii.okct." U.S. AIR FORCE TECHNICAL IHFORMATIOH Thi questionnaire has been prepared sa that you can give the U.S. Air Force as mvch information as pos1ible concerning the unidentified aerial phenomenon that yov have observed. Pl~ase try to answer as many questions as yov possibly can. The information that yov give will be used for research purposes. Your name will aot be used in connection with any statelfDenta, conclusions, or publ;<.ations without your permission. We request this personal information 10 that if it i 1 deen:ed neC'essary, wtt may contact tfOu for further detail a. 1. When did you see the object? (Cirde One): 3. Time Zone: (Circle One):(a: ~;!~riU b. Central c. Mountain (Circle One):,.: -;a=-zD~alll9..ht Saving \O_b. Stein~;~ d. Pacific 4. Where ~r you ~hen you sow the obiect? ' Neor at Po.tctl Addr - City or Town Stote Of Count, How long wos obiect in ight? (To,al Duratton) Houra MlnYtea a. Certt.~in c. Not very aure f= ~irly c~t1oi" Just a guess How was time i n s ight determined? Was object ! n sight cortt;nuou sly? What was the conditio~ of the sky? a. Bright 7. IF you saw the object during DAYLIGHT, wherft was the SUN located 01 you looked at the object? (Circle One): a. In front of you b. In bock of you c. To your rig,t d. To your loft ~. Overhead f. D?i1't ratT~t~tmber FTC OCT 62 164 Raprociuced by Library o.f Congr ess, TMe '"' eupereed P'TD 1&4. Jul & l, hlc!l &a obol Legislative Referance Service 8. IF you saw thtt obt~(t at NluHT, what clic.l you notice (o~c.-rnng the ~TARS and MOO~? 8.2 MOO~ (C;r~ltt On~ J: o. Bright mettnl ight . c. No mot'nlight -pitch darlr d. Don't rem.,._, d. Don't remember 9. What were the wenth~r :CW"tditiMI ot the tim you slaw th., object? CLOUDS (Cirde O'~ I:' ... c. Scott~rf!d cloudc cl. Thiele or heavy e'?Uds b. T ronsE)ore-nt d. A~ a light e. Don ~t remembe; I 11. tf it appeared os a iig.,~, os tt hriQhtr tht~tt the brighte~ rt~s? (Circle One): a. BrightH c. A'-ut tne d.(DM't 1c 11.1 Ccmoore bftigh""~'~ r& soft:., c=oMfnllft eiajc: 13 Did the object: (Circle O"e f'or eaeh Question) Don't know A ::>t>!!Or to s tnn~ s t iII "' nny ti"'"~? No Sudden iy soeeo~ uo o"c rwsh ow~ crt arty rime? (s ) Don~t know Break uo irUo onrf's ~ e.rDIOt'te., Don't know Give ~ff ~,.,ait., oC','t know Change br 'g!'1 t-,-" s? Change shape? Don't know FloAh or flicl,r, Don't know g. Oisap~or or.d , .. -:J;:JfW!er'? v~s .Nt;t: Don't know Did the ob,ect disappear whill' you were watching it? If so, howJ . ' 15. Did the obt~ct move behi"d something at any time, particularly o cloud? (C irciP. One): Don-'t Know. IF you answered YES, then tell whot it moved behi"d: Did the object move in front of something at any time, particularly a cloud? (C ire lc O"e }: Yes Don't Know. IF you answered YES, then tell what j 17. Tell in a few words the following things about the obiect: We w1sh to kno""' the angui<Or seze. Hotd a match stick ot arm's length in line with a known objecT and note how , much of the ob1cct it; covered by the head of the match. If you had performed this experiment at the time of the l 5i~hting, how much of the object woufd ho1e been covered by the "'etch head? Drew o picture that wdi show the shape of tne obiect or\ objects. Label and include in your sketch any details . of the object thot you saw such as wings, protrusions, etc:., and especially exhaust trails or vdpor trails. Place on crrow beside the drawing to show the direction the obiec:t was mewing 20. Do yow thinl. you con estimete the speed of the obiect? IF you onswrecl YES, then whott speed would yov estimate? ------- Do you .thinl& you can estineate how.far away from you the obiect waa? (Cirde One) IF you answred YES, theft how far ... _., would you IO)l it wos? j, .!.f:!. Wh.,e were you located when you saw...the o .. i~t? 23. Were you (Circle One) 01 Ins ide a building b. In a cor c. Outdocws ... d. In on airplane (type) e--..A.t sea a. In _the business section of a city? Cb~-ln -~ resldentiol-iectfon of a city?= c. In open countryside? d. Near on airfield? Flying over o city? .f. Flying ovr open country? , f. Oth~. '..ue ' V'(.A P ~"llfaL~f'l Mel i 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then C!>iliplete the fallowinsa questions: 24.1 What direction were you moving? (Circle One) c. Eost e. South g. West b. Northeast d. Sourneost f. Southwest h. Northwest 24.2 How fost were you "~ving? _, --------'"Hea per hour. 24.3 Did you stop. ot any t ime wh i ~. you were looki"9 o the -objeet? ( C ircle One) Did you coserv!t the obr-'"' ~f'tlUi}h any of the toHowing? e.' Banoculors t:y eg 1a s ses Sun g iassea Windsh;eld Theodolite Yes Window giosa 26. In order thor yow ~on giYe~a.clear a picture en possible of what you aaw, describe-in your own words o tommon object 0' n b :'tCtt whic;,, w~n .;:>iac:d .up t11 th. SKy, ~quJd glV8 the :54tnl appearance ~tvoject which you SQW. 30. Have yo" ~r st'Mt '""is~ 01 o aimi lor object befare. If so-give date or dotes and ICKoton. J 1. 'No onyo~ .-lse with you at the time yov sow the obiect? (Circle One} 31.1 If= yt)U onswered YES, did they see the obiect too? (Circle Onl ; :!'2. ? lease giv the foUowine infcwmation about yowMif: Fitat Hem TELEPHONE NUMBER M!dd le 1"6ome Indicate ony odditioriol infcwnMifton bewt yowMif, iric'-li"t special ,rt.r.ce, which ,.. ;9 h t be ;:>t!ftinenr. Wi.er. and to whom did you report that you hod n the object?