1 1"'1 .DA T_E ; ;I'I~E GROlJP 4. NUMBER OF OBJECTS 2. LOCATION NEAR IACHIN!: , MICHIGAN 10. CONCLUSION INSUFFICIENT DATA FOR EVAWATION CO NTS: See reve~se side of card. 11. BRIEF SUMMARY AND ANALYSIS s. LENGTH OF OBSERVATION The observers sig~ted an object that resembled a star at its ~----------------~farthest point but when it was overhead looked like a thick 6. TYPE OF OBSERVATION grey metallic disc .. shaped object Vi th runners on the bottom. ground visual 8. PtiOTOS 9. PHYSICAL. EVIDENCE FTD SE? 63 0-329 (TOE) Prev!oua ed!Uon.e of thla formwz::ay ~. uae~. 27. In the followint slcetch, imagine that you are at the point shown. Place or "A" on the curved line to show how high the obiect was abcwe the horizon (skyline) when you first saw it. Place a ''B" on the some cutved line to show how high the oliect was above the horizon (slcyline) when you lost saw it. Place on "A" on the compass when you lirst saw it Place o "8" on the conepgss where you lost sow the obiect. 28. Oraw o picture that wi II show the motion that the object or obiects made. Place on ,. A" at ~he beginning of the .. path, a .. 8" bt the end of the path, and show any changes in direction ~uring course. 29. IF there was MORE THAN ONE object, then how many were there?---------- Draw a picture of hO'W they were arranged, anJ put an attow to show the direction that they were traveling 30. Have you ever seen this, or a similar obiect before. If so give dote or dates and location. 31. Was anyone. elM with you at the time you saw the obiect? (Circle On} 31.1 IF you anawerecl YES, did they ... the object too? (Circle One} 31.2 Pl .... li8t their ancj odclreaMa: 32. Please give the following infor"tation about yourself: TELEPHONE NUMBE Middle He,.. Indicate any additional information about yourself, including any special experience, which might be pertinent. 33. When and to whona did you report that you had seen the object? 3~. Date you completed thi1 questionnaire: lnfarn:Otion. which you f~l pertinent and which is not adequately covered in the specific points of th. que1t1onnoere ar o eve explanation of your sighting A-rA-nJI Fio4~JLe~Jr L/ 0 F o e'l-7J, fi M li.T~ ~ ~if-w/3 flii- F'IIJ~r s?.,rrt: D DE .. A .. TM!:NT 0,. THE AIR FORCE HEADQUARTERS F'O .. EION TECHNOLOGY DIVISION ( AF'SC: a WRIGHT ... ATTEfltSON Alflt F'OfltC:E ASK. OHIO 4!5433 UFO Ooserva tion ll Se~ 6T H~fercnce your unidentified observation. The infortll3tior. l,{hich we have received is not sufficient for a scientific investigation. Req_\.est ~-ou complete the attached Fl'D Form 164 and ret .n 1 it in -che envelope provided. Than.t~ you for report inc : o: r obse1..re:ltion to the Ai r Force. c. MANATT, Colonel, USAF rector of Technology and Subsystems FTD Forr:; lh4 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 inforn.ation 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 res purposes. Your name will not be used in connection with any statements, conclusis, ar pulllications without yow permission. We request this personal infounation so that if it is....._. necessary, wa iliGf contact 7ou for further details 1. When did you '" the oltiect? 3. Time Zone: (Circle One): faJ t:astern b. Central . c. Mountain d. Pacific 4. Where were you when you saw the obiect? (Circle One): (Circle One):~ Daylight Saving Neorest ostel Atl .. a City or Town State or County 5. MOW long was obiect in sight? (Totol Duration) a. Certain c. Not very sure @ Fairly ceatain d. Just a guess 5.2 Was obiect in si~t continuously? Yes No 5)//T PCJLIC/3 6. What was the condition of the slcy? raJ Bright '1(. Cloudy 7. IF you saw the obiect during DAYLIGHT, where was the SUN located as you looked ot the obiect? (Circle One): a. In front of you e. In boclc of you e. To ytNr ri~t d. To your left e. Overhead f. Don't ren;embefo FTD OCT 62 164 Thle fw ueedee P'"m 164, Jul 61, which ia obaolete ~. fF you saw the obiec:t at NIGHT, what did y ou notice concerning the ~TARS ond MOO~? 8.1 STAR5(Circle0ne): d. Don't rememl.r 8.2 MUON ((ircle One): a. Bright moon I ight b. Dull moon I ight /t.1 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): 9 Clear sky b. Hazy b. Fog, mist, or light rain c:. Scattered clouds c. ,'Aoderote or heavy rain d. Thick or heavy clouds e. Don't remember 10. The object appeared: (Circle One): Transparent 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 b. Dimmer~ d. Don't know 11.1 Compare brightness to some common object: 12. The edges of the obiect were: (Circle One): a. Fuzzy or blurred b. L ilce a briyht star Shat!"ly out I ined Don't remember 13. Did the object: (Circle One for et.JCh auestion) a. Appear to stand sti II at any time? Don't know b. Suddenly speed up and rush away at any time? Don't know c. Break up into parts or explode? Don't know d. Give off smoke? Don't know e. Change brig,tness? Don't know f. Change shape? Don't know g. Flash or flicker? Don't know h. Disappear and r80ppeor? Don't !<no 14. Did the obi~t di while you were watchi"g it? tf sa, how? 15. Did the object mo# W.iftd ao;nw..,ing at any time, particularly a cloud? (Circle One): Don't Knew . IF you ClftS YES, the" tell .ftat 16. Did the obi.ct itt front of SOft'~thing at any time, particularly o cloud? (Circle 0}: ~ No Don't Know. IF you Oftswred YES, then tell what in front of: K$ I?/~ 08T~T S~J) _/IT /rs ctOs-sr B?t~; 17. Tell in a f~tw words the following things about the obiect: . b. Color (~ GI[IJY lfiTt/Lt/C CoLoR 18. We wish to lcnow the angular size. Hold a match sticlc at arlh's length in line with a k""" ~iact 'CI~ note how much of the c*iect is ccwred by the heod of the 111atc:h. If you heel performed this .,.rhnent tit the tim1 of th sightinCJ, how much of the obiect would ha~ bn cowred by the match head? S#/?LL PORI/ON' of Til OBJEeT 19. Draw a picture that will show the shape of the o&;ect or obiects. Label and include in yow slcetch Oiif details of th obiect t )IOU saw such as wings, protrusions, etc., ancl e1pecially exhaust trails or vapor trails. Place an arrow l.aide the dtawing to show the direction the c*iect was mewing. i//Y'ES OR pHS )t/1/EAI SiVPPE!J AT ,APnfOXI/f1/ITELY .lfjJjJE/li(ED A~ Follows: 20. Do you thinlc you can estitttat. the speecl of the oliect? (Circle One) Y 21~ Do you thinlt you can eathnate how far GWGf from you the oliect wos? (Circle One) YES, theft how far away wouW you say it was? 23. Were you (Circle One) (Circle One): a. Inside a builcliftl o. In tha business section of a city? b. In the residential section of a city? @In open countryside? c. Outdoara d. Near on airfield? d. In an airp (type) e. Flying over o 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 ware you moving? (Circle One) a. N c. East e. South g. West d. Southeast f. Southwest h. N01tltw.st . 24.3 Did you atop at any ti11ae while you were looking at the obiect? (Circle Orte) Did you ol,sar.e the oltject through any of the following? Binoculars b. Sun glasMa f Telescop {i) Windlhielcl Theodolite Yes cl. Window glaaa 26. fn ordet that you can give as cleat' a picture as possible ,f what yoo saw, describe in yovr own wOfds a c ommon obiect w obiects which when placed up in the slcy would give the same apparance as tne obiect which you saw A I A A/AI? i=>EJ??/lV/CULAR A/1/GLE/ //IE OBJ.c-eT /JP,PE/9/?,EiJ ;/o H/1// T/1 Sll/9? oP A T!IICK l/OUNIJ ASffTI?/IY Jti;T/1 NtJuNoJJ E/JGS~ 27. In the following slcetch, imagi~e that you ore at the point shown. Place or A" on the curved line to show how high the obiect was above the horizon (slcyline) when you first sow it. Place a ''B" on the sottoe curved line to show how high the obiect was above the horizon (slcyline) when you last saw it. Place on .. A" on the compass when you lirst saw it. Place a .. 8" on the compass where you last saw the object 28. Orow a picture that will show the motion that the obiect or obiects made. Place on .. A,. at the beginning of the .. path, a .. B" at the end of the path, and show any changes in direction during the course. IJ Ot/H LOC/lT/~AI IS /If/ T/-1 N//JLJt- . Or T#E eO~p~SS . 29. IF there was MORE THAN O~E object, then how Rtany were there?---------- Draw o picture of how they w~e arranged, anJ put on arrow to show the direction that they were traveling 30. Have you ever seen this, or a similar obiect before. If so give dote or datea and locotion. 31. Was anyone eiH with you at the tin:e you saw the obiect? (Circle One) 31.1 IF you answer~ YES, did they s the obiect tao? (Circle One) 31.2 Please lilt their nam11 anct addresses: DETP.o 1 r 32. Please give the following information about yourself: F iret N"' lJ71?tJIT City Zone State TELEPHONE NUMBER Indicate any additional information about yourself, including any special experience, which might be pertinent It// Til 0/11 Cl,f/L/J. FtJI? 2 ytfS. G~EttR/lL ELECTRIC C'OMPIJ;VY, R/t)/LL Y/ IA,A-,1 Sl/f/C'E/?EL y /A//T/?E5i2=-0 p,I/E)/t:JIWEAifJM,- 33. When and to who'" did you report that you had seen the obiect? A~ot~er point of :2 n m:i:..c..;; .:::.st c~--.:.2.;:.:.1::.. {Lachine is r.ot listed in back index of ~nd !..:.:::::ally P..::s.C. : .. :!.as). ::;~:~ vould r.-1can that the obse~vers were quite close to the Alpena ai:- .. -:.. .3~e u:e!)). :rhe obse:-vars e.lso stated tl:at they called a local :90lice stat::..:::: ..:::o in :.:.t:-r. cor.~c.c-:E:. a radar facility. The name of police de})art:i'.ent. and rad.a.r f :::.:::.i ty 1;ere requ(:5:.ec. fror.1 the observers but have :le ve r been retur:1ed. Anot:.e~ pc::.r:-r. c: in:.~.::rl2.::.7. i~ :.~e fact tha~ one observer is very inte~ested in U~Os a~c wo~ld like to e a carreer o~ U.'O inv~stigation. Dr J Allen Hynek was requested to cor.ur.e:1t 0:1 tt.is case ln 1-:ove:-:f:~:-1967 J he has failed. to forw~rd c.ny additional informatior. as of 2 S~pte er 1968. Because infor tion was requested of the observers but ttey ~ailed to respond the sighting is being carried as Insufficient Data for Evaluation. 34. Dote you com,aletecl thfa questionnaire: CJF ,LIGHT C?tJ!f41!'1G F/?0/Vl 71-1 O BJC!T.. 7///S L/G#T ~/9s A/CJT . /?I?IGIIT )?t/T ~!tiRE ~llr'F-4 SCJFr /LtJt/AJ'SeE/IT ,/Y/)E (JFL/6-#{; /ltJUJEVE~ T#E ~IG/?'T /f//lS /? S/R/916#/ 4Nl? Si7.:t9/JY 6'E/9M /()11/L// Fel/'/J/.D tiS ;t//T/It:JVT Se/1/V/V/#6 C>.IP SEAR~I//A/6-/,#6 gRtJOIV'/J .. TII'~Y M't/L"A-' OIV /U/1/C// /() tt/E/?E S/n1/VL>/.IVG PtY/lS /1 )).19/-?~ /!LMCJST BL/JC'I\' BLtJ/ 8t!T //IJ T/-115" ~/GifT /1PPEA2LJJ 4 ,/lL'rJI?Jt./G# T# t-Oe/lT/tJ# ~F T/1 t!JBJC!.T Jf/~S /JLUJ/Iys k'#tJUJN BV t.JS/ Tl-/ LIGIIT FR~ft4 Til OB~ce T /);iJ ~ oF r-FtJI? /9 F/?~C?T/6/V o,c /? S EeotJif) bft/ E /t19t_ TIMEr: lt/t'tJLI) #/91/ &!ti'R.V TH CY#/)t.r CJ_BvEt!/~ /f/ tf (/ L !J o lf/L Y tYtJ t1 ER /J t/ /J y N 1/f/I!TE P o/? T7tJ!f/, //t~l_1,.8t'l J-?-M /tOTi)~'S)FtC /F" /iJt//1s t!OA1/I'U6-/-/Ftl/Pf I.Jt/i!~ I