10. CONCLUSION 4. N\JM~E R OF OBJECTS Other a (UNR~U Af'.r.r: rcEroRT) The observer has a similar sighting oo 30 November 1966. s. LENGTH OF OBSEAVA TION 11. IRIIII SUMMARY AND ANALYSIS lC i"ii DU tes 6. TYPE Of OBSERVATION G:()und-Visual 9. PHYSICAL EVIDENCE SEi CASE FlU: f TO S ( P '3 0329 (TOE) Prevloue edltlone of thlt fora 111e1 t.. uud. Date you coMplotod thla quatlonnalre: 35. lnforNtlen which you foel pertinent oncl which Ia not adequately covereclln the apeclflc pointe of the CIUIItlonnalre a lve explnatlon of your alghtlng. BPI. (UJO) bank1SD Pollee Ottlce te ill !M olMner eipted liD 11 u.,.4 obJect l'ftr ''' craft vu to 'be tel-7 500 teet 1D altitude u4 OYer a boualDs 4eve1oJ1Mnt, t aile V.I. 31 craft tbeD tlev ava7 to the DOrtbwet at tor lQur aaelatance t.ble tter. WDTAIJI.t,A Lt Coloael, US*I' 8. IF you taw the obtett at Nll';UT, what did you notece concoming tho STARS and MOON? 8.1 S 1 AFt! (C ,cle One I: Don't remombor 8.2 MOON (Circle Onel: Uridtt lftOOftltght Dull moonlight No moonlig."t -pAtch 4arl& Dan 't remember 9. What .-ere tne --.eother tondetiona ot the time you aow the object? CLOUDS (C,.,:le One): (;} Clear alcy "" fit c c. s~atter .. d clouJ~ @ Thtc ~ o he\I'Y c:l~d TO t~a c.. E,sr WEATHER (Circle One): /'a, Dry .J tog, miat, or le~t rain c. Moderate or heavy rain Don't remember 10. Tho obj.-ct appeared; (Circle One}; (a. Sold) ff. Aa c light Don't remomb.r 11. If it appeorod 01 a light, waa it brighter than the brighteat atan? (Circle One): o. Brighter c. About the aame d. Don't know 11.1 Compare brightneaa to aome common oblect: 12. Tho edgea oi me object were: ((,,do (;n)' a. Furzy 01 blurred b. Like a bri~t star Ct. Sharply outlined') d. Don't remember 13. Did the ob1ect: a. Appear to stand atill ot any time? b. Suddenly speed up ancl ruah awfZ't ot any tl~ne? c. Brealc up into part a. or explode? . d. Givo off smoke? e. Chang~ brl~tnesa? f, Change ahape? Flash Ot fliclcer? h. Oiaappeor ancl reappear? (Circle One fat ec.::h queatlon) N~ Don't lcnow Yos ~ Don't lcnow Yea O'iO) Don't know Yea ~No' Don't lcnow . Yea ( R~} Don't lcnow Yes No) Don't lcnow Yea !~} Don't know Yea (N":) Don't know U.S. AIR fORCE TECHNICAL IHPORMATIOf~ Thia queationnaire hal beon preparocl 10 thot you can yive the u.s. Air fOtce aa muc:h lnfOtmotion as possible concerning the unidentified aerial pheno.nenon that you ht~ve oLaerveti. Pleaae try to answer 01 many queatlona os you possibly con. The infOtmatlon that y<.:u give witl be uaod for research purpoaet, Your name will not be used in connet:tion with ony st~ttft .. nS~. concluaiona, or publications without your permission. We request thit personal Information ac that if it is deemed neceasary, we may contact you for further details. . 1. When did you aee the obiect? 3. Time Zone: (C lrcle One): a. Eastern b. Central c. Mountain d. Pacific (Circlr. vne): a. Ooyliuht So1infl b. Sto'\dard 4. Where were you when you aaw the obiect? Ntiro~t Poatal Adclrou City or Town S. How long wos oblect in alght? (Total Durotlon) '-a. CertainJ b. Fairly certain 5.1 How was time In sight determined? 5.2 Was obioct in sight continuously? 6. What was the condition of the slcy? c. Not very sure d. Just a guess c"' ..-sksh 7. IF you saw the object during DAYLIGHT, where was the SUN located as yo"' loc,ked at tho obt:t? (Circle One): a. In front of you b. In beck of ou (C To your ri~. d. To your left e. Overhead f. Don't remember 1. Did the obiect disappear while you were. .tatching it? If AO, how? 15. Did the obiect move behind aomethlng at any time, particul"rly a cloud'f (Circle One J: Don't Know. IF you .:.nswered Y . than tll ~hat 16. Did the objoat move in front of mething at any time, particularly a cloud? (Circle One}: Oon't Know. IF you answeret.i YES ...,,,, ~" wi.at 17 . Tell in a few words the following things about the obiect: ~ 18. We wish to lcnow the angular aize. Hold a match sti.:k at arm's length in lintt with a lcnown ubied and ~-:7 much of the obiect it covered by the head of the match, If you hod performe.:J this experiment at th tir.,..; ... i ~I.e sighting, how much of the object would hove been covered by the match heod? 19. Draw a picture that ""Ill ahow the shnpe of the object or obiecta. Label and include in your aketch any det~ila of the objoct that you saw such as wings, protrusions, etc., and especially exhaust troilt or vapor trail a. Place an arrow beside the drawing to show the direction the obiect was moving. 3 ff Ro""'d . . . no Ejl,~vsf or Do you think you can eatimate the speed of the obiect? ' (Circle One I Yes) No IF you an1wered YES, then what speeJ would you eatin.ate't ~0 111 ~ h 21. Do you thinlc you can e1timate how far away from you the object was? ire e One Yea No IF you anawered YES, then how for away would you say it waa? _ls:Q':J' yds 22. Where were you located when vou saw the oblect? (C ire le One): 23. Were yG\1 (Circle One J o. Inside a building b. In a car a. lr; the buaine11 aection of a cety? h rh~ residential S\ICtic-e .); G city? (c. Outdoors) d. In an airplane (type) At sea f. Fly;ng over open country? 2~. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete t~e followeg queationa: 2~.1 What direction were you ~noving? (Circle OneJ b. Northeast d. Southeast f. Southwest 24.2 How faat were you moving? {; 0 W\f ~ miles per hour. 24.3 Did you atop at any time while you were looking at the obiect? (Circle OnoJ , Ye~ No Old you obaorvo the obiect through any of the following? Eyeglas1e1 Binoculars b. Sun glaaso1 Yea. Tela scope Windshield Theodolite Window glaaa h. Northwest 26. In order that you can give aa clear a picture aa posaible of what you aaw, describe in your own words a COft'llnCMt obiect obiecta which, when placed up In the slcy, would give tho safila appearance aa the obiect which \ 'OU ao- :L+ l.li&AS e UJa t"' ,. A~s" l~r 30. Hovo you v~r IQon thia, or a aimilor obiect twafo. If co givo doto or dotoa and locetlon. e S 31, Waa anyono olao with you at lito time you aaw tho obloct? (Circle OnoJ Yea 31.1 IF you anaworod YES, ctlcl they tho objoct too? (Circle OnJ 31.2 Ploaao llet their namoa end addroaaoa: 32. PI~ give tho following lnfomatlon about younolf: , lret Na"'e TELEPHONE NUMB lftdlcato any cddltlonal lnfornDtlon about youraolf, Including any apoclal porlonco, which might be pertinent 33. When and to whom cUd you rep:wt thot you hod on tho obioct? Der. Menth Yer A f-8 JileK A / d lo 1-n~J c,t!.Jj '" tt,o folltwlng obo,ch, IMC:Oif\) thot yov 111 ct tho point ehown. Placo oft 1-." Oft '~' r.urw~ hr. to a how ho~ high tl\e obloct waa abcwe the horlaon (alcyllne) wheft yw llr1t 1ow lt. Ploc 1.1 "8 .. on the ~me c;ur\fed line 1r- ehow how high the obltct woa above the horizon (ekyllne) when ~ou last tuw it. Place on ''A'' on the ,., .. Oit w,on you llrat 11w lt. PIHt 1 "I" on the COfftJIII where ~ou lo1t 11w the ot-fect, 28 . Draw a picture that will 1how tho motion that the object or objects mado. Place an ''A'' ot th be;lnni;,q ut \'no path, a .. 8" at tho encl of tho path, and ahow any chango in direction during tho 'our&o. 29, IF thoro wa1 MORE THAN ONE obloct, thon how many woro thoro? - Draw a plcturo of how they wore arranged, and put an arrow to ahow tho direction that they woro trovuling