Pi~OJECT 10073 RECORD 12 Jun 67 Buf'falo, Nev Y::>rk 1 j r~MBER OF OBJECTS 5. LENGTH OF OBSERVATION Not reported 6. TYPE OF OBSERVATION Not reuorted 1 Kot reported 8. PrlOTOS ~ Yos Not rec'd ,9. PHYS!CAL EVIDENCE INSUFFIC DATA FOR EVALU~TION I c e will be re-ev~lu~tza. 11. BRIEF SUMMARY AND ANALYSIS Observer sent gree~ 164 stating he h~d photos of the object, 1 further i.nfora.:.tion ':as requested for ce.oera data, and his j original slide. Observer has not :forwarded inforoation re-l quested as ot this date . U.S. AIR FORCE TECHNICAl INFORMATION This questionnoirll has been prepared so that you con give the U.S. Air Force as much information a~ possible concerning the unidentified aerial phenomenon that you hove observed . Please try to answer as many questions as you possibly con. The information that you give will be used for research purposes. Your nome will nol be used in conne::tion with any slotemonls, conclusions, or publications without your permission. We request this personal information so hat if it is deemed neceuory, we may contact you for further deta:ls. 1. When d id you ~ee the object? Houn Minute~ (Circle One): A.M. 3 . Time Zone: Month Yea r (Circle One):I'CiJ Eo\tern '-$:' Central c. Mountain d. Por.ific (Circle One): o. Daylight Saving b . Standard 4 . Where were you when you sow the object? 5. How long wos o b ject in sight? t Total Durotoon) o . Certotn b . Fairly certain 5.1 How wo s time in sight determined? ot ~ 5.2 Wos object in sight continuously? What wa s the c?ndition o f th~ sky? o . Bright cs:._cloudy C n y or To ... n Stat& or County HoutS Minutn s~cond c. Not very sure d . Justo guess Yes No.;/ t ~' o . Brig ht 7. IF you sow lho object during DAYLIGHT, where was the SUN located o s you looked a t the object? (C~rclo One): o In front of you J . To your loft b. In hoclc of you .s:-Overheod FTO OCT 62 164 Th1~ torm upersPdts f'TD lA~. J'Jl 61, "h1ch Is ob.ol.etP 8. IF you saw the object ol NIGHT, what did you notice concerning the STARS and MOON? 8.1 STARS (Circle One}: 8.2 MOON (Circle One}: b . A few a. Bright moonlight Dull moonlight Many c. No moonlight-pitch dark d. Don't remember d. Don't remember 9. What were the wearher conditions at the time you sa w the objed? CLOUDS (Circle One}: a. Clear sky c. Scattered clouds or heavy clouds 10. The object appeared: (Circlu One): a . Solid @As a light WEATHER (Circle One}: b. Fog, mist, or light rain c. Moderate or heavy rain \!. Don' t remember b . Transparent e. Dcn't remember 11. If it appeared as a lig h t, was it brighter than th& brightest stan? (Circle One): a . Brighter a Abc.ut rhe some C..<1 Lt./ -.::.,-:.c-o b . Dimme r 'd . Don' t lcnaw 11.1 Compare brightn'!u to some common o bject: 1 '!. The edges o f th!l cbje ct were: (Circle OneJ:f2.Fuzzy or blurred b. l ike a bright star c . Sharply outlined d . Don' t remember 13. Did the o b,-.cr: a. Appear to stand still a t any time? b . Suddenly speed up and rush a way a t a n y time? c. Break up in to paris or explode? d . Give off smolce? e . Cha nge brighml!u? f. Cha11ge shop~? h. no~opptiOr utd r "';-'::'>or? (C.rci'! On'J io r each q uomion) Do n' t know Don't know Don't know Don'r know Off~caal U.S. Ai r Fore 14. Dod the objed disappear while you were watching it? If so, how? Did the abject move behind somettling ot O.!t time, particularly a cloud? (Circle One): Yes Don't know. IF YJU onsw~red YES, ttlen tell what 16. Did the object move in front of sometning Qt ony time, particularly a cloud? (Circle One): Yes (No~ Don't know. IF you aM,...,red YES, then tell what 17. Tell on a few words rile lollow.ng things about th~ object: 18. We wish to know the angular site Hold a match stkk ol arm's length in line with a known object and nots ho"'t much of tne object is covered by rne 11eod of tne match. If you had performed tn is oxperim .. nt a t tne time of rh signting. how much o f the obrecr would hovot bel'n covered by the match head? 19. Draw a pidure rl1ot woll show the shape o f the objetl or objt'tll. label and include in your sketch any derails of the object that you sow such os wings, protrusions, etc , and especially exhaust trails or vop;,r troih P acc on arrow beside rile drowo,g to show ~he d irection the object was IT'oving. 7! M .. .fXft jt) :1. S'ft 'iMQI.C<~ ~ 1Jf0 form continued 20. Do you think you con esrimote rhe speed of the object? (Circle One) l'es e IF you o ns:-ve red YES, then what speed would you estimate? _ Do you think yo u con estimate how for away f~ the object was? (Circle One) Yes ~ IF you answered YES, then how for a way would you so y it was? , 22. Where were you located when you sow the object? (Circle One): 23. We re you (Circle O ne ) o . In the busineu section of o city? Inside o building Q In the re~identiol section o f o city? In o cor c. In open countryside? ~cJ outdoors d. Near on airfield? d . In on airplane (ryr.,) c. Flying over o city? e. At sea f. Flying o v.,r open country? 2.1. IF yo u w~re MOVING IN AN AUTOMCBILE or orher vehicle or the time, then complete the< following question\: 24. 1 What d~tection werP you moving ? (Cirde One) o. No rth c. East b. Norrheosf d Southeast f. Sou~hwesl h. Northwest 24.2 Ho w lost w~re you moving? , m,le s pe hour. 24.3 Did you stop or any rime while 'fOU w'!re loa~ng ::>t the o b ject? (Circle On") id you observe the ob,..:ct though any of th e folfo..,iug? o . Eyeglasses i es e . Binoculars Yes No Sun gl ou~<s f. Telescope Ye s No Windshield Ye s No g. Theodol~ Ye s d. Window gloss Yes No h. Other ~/] 2. Off~ cia~ U.S. Air Force U 27. In the following sketch, imagine that you ore ot the point shown. Place en " A" on th'3 curved line to show how high tne object above the horiton (skyline) when you first sew it. Place a "B" on :he same curved line to show how high the object was above the horizon (skyline) when you lasl sew it. Place en " A" on the compass when you first saw it. Place a "B" on the com when you fosl sew the object. 28. Draw o p icture that wlll show the motion thot the object or objects mode . Place an "A" a t the beginning o f the poth, o "B" a t he e nd of the path, and ;how any changes in direction during the course. 29. IF there wcs MORE THAN O NE object, then how many were there? _ Draw o pic1ure o r how they were arranged, and put on arrow to show the d irection thot they were t raveling. , U'FO form continued 30. Hove you ever seen this, oro ~imilor obJect befo ra. H so give dote or dor.u ond location . 31. Wo~ anyone else with you ol the time you iOW the obiect? ( Circle One) 31. 1 IF you onswer~d YES, did they see the objttcl too? (Circle One} 31.2 Plea~a list their names ond oddresse~: 32. Please give the followono information about your~elf: 3 3. When ond to whom dod you report tho r you hod seen the object? C t4 1\/ltOII. Offici al U.S. Ajr Force UFO 34. Dote you completed this queslionnoire: 35. Information which you feel pertinent ond which is not adequately covered in the sp!cific points of the questionnaire or o norrotive explanation of your sighting.