2. LOCATIO;( 10. COI'CLUSION &1-te:.:.it.c (t:0HO II) :OC!-fO II :;~s ov~r t.~c ~l'Cu ut the ti..;-.) of the si[;O tin.:; 1-.cadinr. ~= 11. SRI E F SU.- .M,;~y AND ANALYSIS Ob~c ct :Lco!~0d liko the top of a :;oup bo..:l. Ar.:n.u"'ti th0 C;C.t_;\.. .... i t r..:.d a b:-i~::.:. f 1in.; Hhitc ligh(.. Object h:.d a ~unc.. o!.' a roc.!"'..r..j notor of a c.:1r . Object did not change ~i::e. Obj.,;c. disap::~:::.r~ over the to;> of a bcildin g and out of si0t. . 30. Hov ... you cv-:r ~een this, Of 0 similar objoct c&for.t If !.0 giver d u to or daiJu onJ l .... cuti~n . 31. Wos C~to H wtth you n t th, t ir; e you sow the obj..,ct? (Citclil On~) ~ No 31.1 1.= y.:u .:"l~w.,ud YE!>, d id they ~ttc tho o'lj<:~ct too? (Circle One) 0~ No 31.2 PI"''-H ii~t t h.tir nomos and aJdres:s s: Micld lo tin,.,~ ln-l.co~ c~;-::~d'tionol infor'TltJti?!'l c~J' ~.1ur~elf, inr.ludirJg ony special ux~nri~:nc~, \ lhich rnioht ~ p-,rti n.:nt. 33. Whon ond to "'":OM di d y..:>u ruport that you hod !; '"'" tn" obj Jet? Duy Montll Y ocr 34. Dote you complet"d this questionnaire: 35. Information ...,!,.ch you fuel pertinent and which is not odequotoly covered in the specific points of th e qu tionnoi-~ or c narrative explanation of y o ur sighting. 0\::c-A'aTM&NT O F THZ AIR FO~CZ H EADQUA!tTII!i'la FOitltOH T~CHNOl.OCY DIVIUION I AI',C l WPIIGHT.,.ATTilRiJOH Atilt ,.O,.CI :JA..i.l. OHIO 454:3) L.:= ') Observati on , 17 A:.?ril 1967 R.;:e~ence your unide:=tiiietl obaervation. '!be inforl!'.ation vhich ~ave received is not ~utricient f or a oc1entif 1c evaluation. R~ ;Je s t you complete t he flttached FTD Form 164 and r eturn 1 t ia t:.: envelope provideC.. 'lb~ you for reporting your observation t.::. t.hc Air Force. , .?'"~ SS C. t1ANA'IT, Colc:1el, USAF l~rector of Technology and ~lbaystema F'l'D Form 164 v/envelopc U.S. AIR FORCE TEOINICAL INFORMATION r ... ~ questionnaire has been prepared so that you con give the u.s. Air Force OS much info~o on o:; possible concerning th-! unidentified a erial phenomenon that you have observed. P!eo~-1 to answer as many que:>tions u:o you possibly con. The information that you give w ill be use:: ror r~sflarch purposes. Your no me will not be used in connection with any statements, c cr..:l.s. ens, o r publications without your permission. We request this parsonol in format ion so that f 1 s deemed necessary, we may contact you for further de to i Is. l. When d id 'fC.J ~ee the object ? 2. T i fo1C o f day: (Ctrclc One): A.M. o r P.M. C ucle One): CO':\ tostern 'b:"' Centre! c . Mount:: in d. Pociftc 4. h~e e were- :~v when you sow t he object ? ""!!'):' ?ostOll Address (Ctrclc One): o . Daylight Soviny City or T o~n Stole or County ~. hew ~:-:; ...,::s o b ject in sight? (Tot"JI Ourotton) Minutes Seconds c. Not very sure ~-;: :~ i rly certo in d. Justo guess 6. Whot wos tn .. ::::-.. ;m of the sky' b. C loudy 7 . If y ou '>OW th e oSje c t during DAYLIGHT, where was tho SUN located os y ou looked o t the object? (Circle One): a. In front o f you d. T o your loft c. Ovcrht"od b . In bock o f you c . T o your right f. D on't rPmem!:>er tt It-you !>Ow tl.:! oblf"Ct a t NIC,tlT, whnt dH~ you notin con~,.rnonq tho: ~T AI<S (:nd MOON? 8.1 ~TAR: r rclc One. ): d . ~40.-' remember ( \ Ora~ht mO'Jn l 1ght k Dull moonl1ght c . No moonlig -pitch dark d. Don' t rf'memb..,r 9 . '~\hot W'!'e t t: wer1thN conditinns a t tt,e tim<! you MlW the object ? ~ Sccnere: cloulc; ., , 1 nr:l : :'lcovy clauds 1VrA'fHrf~ fCrd~: Onf'). b. f n~, mtJt, or l~ht r.:,111 c.. ,..\o I rnt or lwf'lvy f(;tn c . Don' t r:mt:r l>''r c . 'Japor 11. If ,. :-~=-,.~:. l'lS o light, was it br ;'--:: 111~n the brioht.,.sl star:.? (Circle One): c . About the sorre d. Don' t know o . Appcr -..:I still c.t on I I ill'! ? .,:: ":! oJC' and rush owc y a tony ti nu? s\ Br~::( -::.art;; or t!Xpioxh:? Give cfi s ~o<:!? Chong,.. bri:, Hn.,ss? Flash or fl1d~r? h. Disr;ppor c:r"d r oppenr? Don't ~now Don' t know Don' t I '10W Don't know D.:~,,' krtow Don't know rJ .... 't know D"'n' 1 know 15. Did t'-~ ":l !!t:t rnave ~hind :inml'lt~j.,q o t any tim,., portirulorly a clt'l11d? Oo:1't Know. Do n't I( n ow. IF you on.,....,.,,,.,d Y ES, then tell wha t 17. Tell in o t,.,..., ward~ t hll fo ll owinq thinqs abou t thft object: l S. -.,..e ..,s :~ !cnow th~ on~ulor si:ze. Hold a mot~:h s tick at arm's length in line with o l<nn..,..n c b j ct and note how .!..e obj~ct is c ovf'red by thfl h~nd of the motch. If yc-u hod p,rformftd this O)t'>"ri"'l.,n t a t th" t im., of the s igl,tinc;, h~w much of the obioct wnv ld hove be.,n cover~d hy the matc h heod? of fl,e c::: ,c; .:...: t y:>u s ow such o; 11"ir;~, protrusions, otc . , ond especially e)(houst trails or v a por trails. Plo~e :m .:--:::.,..!:.-<~;~"the drc.,..;,g o show the directio n the obje c t was moving. Do ycu thirtk y o u con ostimoto _th~ spo.:d of thl') ob1 ~ct? (Circle Ontt) No IF yoo ons .... ~r~d YES, thon \/hot Sp.!ed would you e-.timotc? -~U.~ 21. Do yNJ 1-;; v -._ co1 estimate how for awa y from youth!' chj ct wo~? IF ycJ en ~'od YES, lhort how fo r owoy would you 5oy (C ird~ o~- 01nsicl'! ~ oJilding d . i , -.ro ~i ~lcne (typ.,) n. In fr.,. bu.,n..,..>s !>~ction o f o ci:y? b. In the r ~id ... ntiol .. :~ction of o c:i~y? c. In op"tn rountrysid~? e. Fly111g oqr r ctr; ? f . Flyi'lq OV"'r op~' country? " 2.!. tr. vo:.; v.-:-! ~OVING IN AN AUTQI.,~CS! or o th.!r v.:hicle ot t'1c lit:"C th-!n co,.pleto ~n~ following que!>t iono;: c. E::st e . South d. 3 :l'. .. tl,l"ll'>t f. Southw ::t 24.2 ~ow i':st woro you moving? _ _ .mil.::; per h our. 2-!. 3 '):d y-t.. -;top a t an y time w!l i ~ y:>u WIH' loo!<ina at th! obj!Jct? ::-)' th. foll"winQ? B inocldars Yo-. Tcleo;cope Thu.,lol it., 26. In orc!~r the ~. e-::, giv~ os c l oro pi turo os p o.-:ibl"t of Hhot you sow, do~crib.e in your o"'n w cvds o comr:1on objoct o r o b ., ... :, ich, when plocod up in tl,e sl<y, would give i'hl': c;c-,..,., op~orcnc:~ os 1he object which you sow 27. In the f ollowing sk~:tch, imogire that you c,e ot th~ point :.ho...,n. Ploc'! or ''A" on th~ cwv.:-d line t o shnw how high the object wa s above the horizon {skyline) whon you f i rs t <.ow it. Pluce a ''B" on t hil S CIM' ctJr v :d l;n., to show ho y hio;'-t the objoct was above the h orizon (:;kyline) whon you lost sow it. Place an "A" o n th~ comt~o.s~ whf!ln you ltrst c\:lw it. Place a "B" on t he col":''poss where you last :;ow the object. 29. IF tl._,,~ ~c5 "'0?:: THAN ONE c!>e:r, t hen how many we re there? ---- Cro~ c :: : : -=~how they we re c:r-::,ged, on.:l put a n arrow t o show the direct ion that they were traveling.