Pi~OJECT 10073 RECORD 1, DATE TIME GROUP 2. LOCATION 10, CONCLUSION 4. NUMBER OF OBJECTS No dat~ ~reac ed to indicAte object could not have beon an A/C 5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS .30 -40 Seconds 6. TYPE OF OBSERVATION Ground-Visual 9. PHYSICAL EVIDENCE stated the whole object was observed waa a bright red 11~t. When tbe atraighted ou.t at the object, it atarted to zls-zas, headed Baat out ot aisht . PNvloua edlUOfta of thh fora aaF be uaed, 30. Have you ever seen thia, or a aimi lor obiect before. If ao give date or date a and locatiC\n. 31. Waa anyone-else with you at the time you saw the obiect? (Circle One) 31.1 IF you answered YES, did they aee the obiect too? (Circle One) 31.2 Please list their nom and addreaaes: 32. Pleaae give the following information about yourself: F ir1t Noml Middle Nome SEX );Jc< .f Q. Indicate any additional information about yourself, including any special experience, which might be pertinent . When and to whom did you report that you had seen the obiect? 3. Date you completed this questionnaire: Information which you f .. t pertinent and which is not adequately covered in the specffic points of the questionnaire or a ive explanation of your sighting. Called SPADATS There w~s a ~8t8litfl! decay on 23 Junfl! a.t 1200Z! l~hrs. nH$ IJE,e.'l-j ~5&/N.311jCC l#olt ~ Obaervn tion Reference your u~tdqntitiod observation.~ Tho inforna tion wh:..rh wo hnvo received is "not sufficient for e. scientific evaluation. R~ost you c ol':lplote the attachod FD Fom l:4 and retur n it in the envelope provided. Thank you for reJ.orting your observ-\Ol.tion l1AUA'l'T o Technology and Subsystems F'ID Fom 1~ w/ envelope U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared sa that you can give the U.S .Air Force as much information as possible concerning the unidentified aerial phenomenon that you have observed. Please try to answer as many questions as you possibly can. The information that you give will be used for research purposes, Your nan:e wi II not be used in connection with any statements, conclusions, or publications without your permission. We request this personal information so rhat if it is deettoed necessary, we may contact you for further detai Is. 6 LJ :2-J 2.;-- 1. 'Nhen did you see the obiect? 3. Time Zone: Month Year (C irde One): a. to stern b. Central c. Mountain (Circle One): (Circle One): \6'1 Day I ight Saviny b. Standard 4. Where were you when you saw the obiect? Nearest Postal Address City or Town 5. how long was obiect in sight? (Totol Duration) a. Certain Fairly certain How was time in sight determined? 5.2 Was obiect in sight continuously? 6. What was the condition of the sky? Not very sure d. Just a guess 'b: Cloudy State or Co nty Minutes Seconds 7. IF you sow the obiect during DAYLIGHT, where was the SUN located as you looked at the obiect? (Circle One): a. In front of you d. To your left b. In back of you e To your ri~t f. Don't remember c. ~. IF you saw the object at NIGHT, what diet you notice concerning the ~ T Af<S ond MOON? 8.1 STAR~ (Circle One): , a., None d. Don't remember 8.2 MOON (Circle One): a. Bright moon I ight b. Dull moon I ight ~. No moonlight -pitch dark Don't remember 9. What were the weather conditions at the time you saw the object? CLOUDS (Circle One): NEATHER (Circle One): @ Clear sky b. Hazy b. Fog, mist, or light rain c. Scattered clouds c. Moderate or heavy rain d. Thick or heavy clouds d. Snow e. Don't remember 10. The object appeared: (Circle One): T ronsparent d. As a I ight e. Don't remember 11. If it appeared as a light, was it brighter than the brightest stars? (Circle One): a. Brighter c. About the same d. Don't know 11.1 Compare brightness to some common object: 12. The edges of the object were: (Circle One): ' . Fuzzy or blurred h. Like a briyht star c. Shar!'IY out I ined d. Don't remember . 13. Did the object: a. Appear to stand still at any time? b. Suddenly speed up and rush away at any time? c. Break up into ports or explode? d. Give off smoke? e. Change bri~tness? f. Change shape? g. Flash or flicker? Disappear ond reappear? (Circle One for each qu.,stion} Don't know Don't know Don't know Don't know Don't 'know Don't know (Don't ~now.) ooii tl<ilo~ Did the obiect disaDoear while yoo were watch inQ it? If so. how? 15. Dd the obittct ntove .,_.,int4 aom~thin~ at any tinea, porticult.,ly a eloud? (Circle One): Don't Know. IF you answered YES, then tell what 16. Did the ohi-.ct mew~ in frnnt of soneethin~ nt any timft, partic:ularly a cloud? (Cirele One): Yes @ Don't Know. IF you onswred YES, then tell what 17. Tell in a f~tw war~!l the following things about the obieet: 18. We wish to know the an~ular siz~t. Hold a match stick at arm's length in line with a known obi .. ct and note how much of the obiect is covered bv the hf'ad of the match. If you had oerformed this exneriment at tho time of the sighting, how much of the obieet would have been covered by the match head? 19. Draw a picture that will show the shape of the obiect or obiects. Label and include in your sketch any details of the obiect that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails. Place an arrow beside the drawing to show the direction the obiect was moving. 20. Do you thlnlc you can estimate the speed of the object? (Circle One) IF you answered YES, then what speed would you estintate? ------- 21. Do you thiolc you can e1timate how for away from you the obiect was? (Circle One) 'Ve ~ No IF you answered YES, then how fCJf away would you say it was? V2 mw .. 9 .... ~ .v ~ 22. Where were you located when you saw the obiect? (Circle One): a. Inside a building b. In a car @ Outdoors d. In an airplane (type) 23. Were you (Circle One) a. In the business section of a city? {9 In the residential section of a city? c. In open countryside? d. Near an airfield? 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: 24.1 What direction were you moving? (Circle One) c. East e. South b. Northeast d. Southeast f. Southwest h. Northwest 24.2 How fast were you moving? - mi lea per hour. 24.3 Did you stop at any time while you were looking at the object? (Circle One) Did you observe the obiect through any of the following? Eyeglasses Binoculars Yes No b. Sun glasses f. Telescope Yes Windshield Theodolite Yes No Window glass In order that you can give as clear a picture as possible of what you saw, describe in your own words a common obiect or obiects which, when placed up in the sky, would give the same appearance as the object which you saw. In the following alcetch, imagine that you ate at the point shown. Place or" A" on the curyetlllne to show how high the obiect was above the hori1on (skyline) when you f;rst sow it. Place a '"B" on the tome curved line to show how high the obiect was above the horizon (slcyline) when you lost sow it. Place an "A on the compos. lirst saw it. Place o "8" on the compass where you last sow the obiect. 28. l.lrow a picture that will show the motion that the obiect or objects made. Place on "A" at the beginning of the .. path, o "B at the end of the path, and show any changes in direction during th~ course. 29. IF there was MORE THAN ONE object, then how many were there? ----------- Draw o picture of how they were arranged, anJ put an arrow to show the direction that they were traveling