P ROJECI . .J073S ECORO 1. o~re-TIME CROUP I 2.' LOCATION - .. 3. ::J;JRCE Ci vi!ia.."l ~-NUMBER OF OBJECTS S. LENGTH OF OBSERVATION 4 Minutes, 20 Seconds 6. T YPE'OF OBSERVATION Ground-Visual Not Reported 9. PHYSICAL EVIDENCE 10. CONCL USION Possi b l e {AI~n ) No course i s g i ven 'out the descri.pt ion is f air.ly coos'i s tent that o f a n aircr a ft. 11. BRIEF SUMMARY AND ANALYSIS Ob~erver s ight ed. numerou~ red and white blinldog l ight s t ila't i seene d rotating in a circular pattern. Observer s a i d that it! wa s as if' an airpl ane going around i n circular ;>~ttern. ;-;~ noise was heard. j U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has boon prepared so that you con give the U.S. A ir Forc e as much information as possible concerning t h e unidentified aerial phenomenon that you hove observed. Please try to answer as many questions as you possib ly con, The information that you give will be used for research purposes. Your name will oat be used in connection with any statements, con c lusions, or publ;cotions w ithout your permission. We request this personal informotion so that if it is. deemed neccusory, we may contact y ou fot further details. 1. When did you see the object ? Hour Ml nute a 3. Time Zone: (Circle One): o. Eastern_.; c. Mountain d. Pacific: 4. Where were yov when you sow t he object? (Circl" One): (Circle One): ~-~ghd Savir.g -I b. Stan or:. Neoreu Ptutol ~ddr 5. How long was object in sight? (Totol Duration) a , Certain ~-Fairly c;rta_0 City or Town c. Not very sure d. Just a guess Minute a Sec oM a 5.2 Was object in sight continuously? ! 6. 'A'hot wos tho c:onoiri!:ln of th.., sky? c . Bright a. Br:ight _ I 7. IF yov .sow the object during DAYLIGHT, where W'J5 th~ SUN located o~ you looked at tne object? ~ (CircJ..., On'!J): a . In fronr oi yov b. In bo<:lc l)f you d. T:> your l<tft e. ov~rh .. od c. To yovr r ig,t f. Don't r~m.tmber FTD OCT 62 l.S4 Reproduced by Library of Congress, Thle lor"' u-d FTD 164, Jul 61, wl\14:. obeolt. Legislative Reference Service 8. IF you so._ th~ ob,~ct at NI(,HT, what did yow notice co-ccoming the STARS and MQ()llc? 8.1 STARS(CircleOne): 8.2 MOO~ (Circle One): ~.Br i ght:~;,;;l i J b. Dull monnli~t c. No moC"nlight -pitch dark d. D011't rem.mbef d. Don't remeoft'lber 9. What were the weftthf!t' :onrlitiMS ct the ti"*' you sow +h~ object ? CLOUDS (Cirde 0~): . WEATHF.;:;I (Circle Orw!}: a. Clear slcv G_. j Dry. T (~ )J, b. Hoxy.. '"b.' Fofl, .,i:ot, o r litf r~in I Scatt.Nid cloud~ c~ MeG,'*" c-.t he-o.,y rain I d. Thick c. h.o"Y ci?Uds d. Snow l 10. The object aDOeOf'H:, fCir-::1~ Orwr): d. A~ o ligl'tt e, oont f'eflleMMf 11. If it app.MeG os o li~; au i.t iweflht' ,., .. tn. .w;gbte~ rtau? (Circle .OneJ: c. Abet ,.,. SO"M d. Don't lmew ; 12. The .Gges of th. dltict : ( C ircle Ol'le J: a.. Fuz., or 'bhwNd c. St:~.Ly outli...d ; 13. Did the object: a. Appear to .sta"d st~LI not t!!"'f nme-? b. Suddenly :toe~ uo e"'d Mh n~ -et l::i"'f t rme? c. Break uo into D<'r1'S ~ ~oi'Ode, e. Chong~ brig!"',...,~s'? f. Change s.,aJ? g. Flash ~flicker, h. Oisopoeor ~d ~spa ~ (Circle Orte for eaeh Question) Don't know Don!t know Don't know 0C'In't know Don't know Don't know D on't know Don't know Do you think y~ can c !>ti mottt th " spe,J o f th 8 ou1 oct? IF yov ons,..,~re YES, then w air s~e wou d you estimate. . I. \. ~ (Circl-e One) 21. Oo yov think you con estimate how fer owoy f rom yov ~he object was? (Ci:de One ) If you answered YES, then.how for nwoy would y~ soy i t was? Where were you located wh.n you saw 'lb object? ( Circle One): a. lnsid~ ~building V !n a c o r c. Outdoor s d. In C:'l <:JrrploM (typ~) 23. Were you (Circle One) In the bustness section of o city? In tn~ restdential section of a city? In OtJen countrysid,? Near o n o rrfiuld? Flying ov.,r o city? FlyinG ovot open country? f. Otlo.)r IF you wer:t MOVI~v IN ~N ALJ TOM031LE or other vthicle at th e timo:t, tnan c:ompl<tt., the following q.ut~tioos: 24.1 '/rloat direction.,.,. ... you moving? (Cirde One) o. Suu:h~ost f. Southwest 24.3 Otd yQJ stop o t ony IOCil<ing a t th~ object? ri m., wh: le yov wer I 25. Otd you ::;~sorv~ rh e o b .. cr ~rou::h 'ln~ o f th"' fol!!lwing? b . Sun glosses rl. Windo"( glau c. B inocv lor:s f. T.ele.s~cpe }~o g. Theodolit~ {.l.to h. Other h. i'~or~hwest '1~: .: o.-:::cj.:c which_. wh...,n cic:o: u p in the s lcy, would give the .same oppearcrc.a o s ~h:s ob1~c~ which you sow .\ the ob1 .t disappear ~hi It' you w~re .watching itJ If so, ho~? 15. D id t he object move behind something a tony t ime, porticularl y o cloud ? (Circle One); Don't Know. IF you answered YES, then tell it moved behind: Did the object move il"' front of something o t ony time, particularly a cloud? (C irclc One); Ye-s Don' t Know. I F you answered YES, then te-ll 17. Tell in a few words the followin g things about the o b ject: We wish to know t he onHular s ize. Hold o match stick at arm's length in line with a known object and note _how much of t he ob1ect is covered by the head of the match. If you had perfOf'med this experimen t at the time of t h e I sighting, how much of the object would hove been covered by the match head? Draw a picture that wi II show the shape of the object w' objects. Lobel and include in yoor s ketch o ny detoi Is . j of the object that you sow such as w in gs, protrusions, etc., and espe<:ially exhaust trails or vopOf' trails Place on crrow beside thtt drawi ng to show the direction the object was mewing In the fol low ing sketch, imagine that you are at the point shown, P la c e an "A" on the curved I ine to show how high t he object was obel'te the horixon (skyline) when y~ first aow it. Place a "B" on the some curved line to s h ow how h igh the object was above the horixon (skyline) when you lost saw it. Place on ''A" on the compau when y ou fi rst saw it. Place o "8" on the compass where you last saw thoi object. t 28. Oraw a p icture that w il l show the motion that the object o r objects mod&, Place on "A" at the b.ginning of the : path, o "8" at the enci of the path, and s l.u .:.ny ~hanges in direct ion during the course. IF t here was MORE THAN .ONE obj~tet, then how many were there? ._ . ../~.;...t:\.l.":.l.~.L.\ ~t.;....- Draw a picture of how they were orrong.O, and put an on'OW to show the di,.ction that they were traveling. 30. Ho'f yov ...,.,, seen this, oro similar object befout. If .so give dote or dotes and location. 31. \-las anyone e l.se will-. you o t the t ime y ou sow the object? (Circle One) 3 1.1 IF yov a.lSwered YES, d id they see the object too? (Circle One) 31.2 P lease list the ir no~s and addresses: I 32. Plea.$ gi'lltt th, following information about yourself: First Nom-. TELEPHONE NU Jndicot~ ony ;Hlditionol inf~moti!)n about youuelf, including a ny a p Kiol exprienc~t, wflich might be pe rt ine nt. \ 34. Dote you completed this que$tionnoire: I 35. Information which you f .. l pertinent and which is not adequately covered in the sp.cific points of the queationnoire or a narrative explonatio, of your aighting.