2. LOC~ TICN P~!OJcCT 10073 RECORD I:;, SOURCE 10. CONCLUSION ' C :!:VILL~X ~. NUMBER OF o;; =CTS PHYS SPl::C: ~G'1'AL C01-1POSIT ION .s. LENGTrl OF 0.3~::RVATION 11. BRIEr SU:v.MARY AND ANALYSIS bright glowin~ object that glo~ed ill the observer's huzbarid 6. TY?E Oii OBSE~VATION ~ of the sighting . I found a p~ece of ~etal t..ne area 1----------------; CO .ffi:i::'3 ':2he oeDcriution is consistent l-Tith that 7. COURSE - e. PtiOTOS 9. PHYSICAL :v1~:SCE met.eor observation. 'I'he rr.eta l wa:; iron ana is not considered r~lated compose oi a u nlli~ an~ to the sighting. jl 17. OlD VOU 03SERV~ THE PHENOMENO N THROUGH TYPE, FIL T EFt, LENS PRESCRIPTION OR OTHE R j o I f AFR R0-17(C1) ANY OF THE FOLLOWING' INCLUDE INf-'ORMATION ON MODEL, APPLICABLE OAT A . CAMERA VIEWER SUNGLASS~$ BINOCULARS V WINOS1-4 E1-:J 'f:ELESCOPE 510 *!'liC:' :;,;-V !riiCLE THEODOLITE A . DO YOU C :-~=ilLY WEAR GLASSES' t!('YES 0 NO B . DO YOU USE READING GLASSES? .. ~.=-=-~c::L~i~Jllf~o _--_ l HI. WHAT ~AS -. : u R IMPRESSION OF THE SOEEO OF TH~ 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE PHN.)M!-.c ., GIVE ESTIMATE OF' SPEEO '-f J. ar . PHENOMENON' GIVE ESTIMATE O F DISTANCE ~ A\'/-) 20. IN O"OER T '-AT WE MAY OBTAIN AS CL EAf' "J; PICTURE AS F'OSSIBLE OF WHAT YOU SAW, DESCRIBE IN YOUR OWN WORD~-t A C O MMON 03JECT OR OBJECTS WHICH, WHEN PLACED IN THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENO M E N O N , WOULO BE"=> SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE CO~MON OSJ~CT AND WHAT YOU SAW . 21. OIC Y O:.J .N.:>TIC A.NY OOOR, .NOISE, 0~ n~AT EMANATING FROM THE PHENOMENON OR ANY EFFECT O N YOURSELF, AN t ,..-'._s o-=t u>.C-il'.JI!::RY IN TH= vtctNt -:' '-' 0 YES D NO. IF yEs, DESCRIBE. A . OlD THE PHE,..:>"-i>='' ~-.DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. 0 YES PAGE 7 OF 9 PAGES 22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE? 0YES (J NO. IF vES," GIVE DATE AND 23. WAS ANYONE 11"rH YOU DYES 0 N O . HE TIME YOU SAW THE PHENOMENON? NO. IF vEs, DID THEY SEE IT TOO' A. LIST THEIFt ~AMES AllfD ADDRESSES GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF LAST NAME. TION AND ANY EXPERIENCE WHICH MAY BE PERTINENT. 25. WHEN AND T Ow,.,:;._. :JIO YOU REPORT THAT YOU HAD SIGHTED THIS ENOMENON! U Zo. DATE" YOU co~o~:::_E-ED THIS QUESTIONNAIRE. PAGE 8 OF 9 PAGES /). ffic..f From Satellite or Flyi'ng Saucer? 1V .era a s on J. rea ~ u-!nw Haverkamp, Center I RN,t~. ~randdn, has a curious Dit"Ce of t1at. aluminum-like I i:.~'aa .hat he believes fell out --~ ;.--:e s ky Wednesday night .:.:.;.;e d falling star. \:~teorologists at the U.S. Weat.1er Bureau in Bismarck \\ \.,o looked at the fragment :5'!6:~st it m::ty have fallen off a satellit~ and melted dwing its dizzy plunge through Montana-Dakota Utilities Co., R. M. Heskett plant north of Mandan, lives three m i I e s north of 1\landan. But thev aren't sure. And H a verkamp can't be sure the object he found wa~ the same streak his wife saw out of the sky. ''My wife S<..":I S this particle fell out of the sky when she was backing out of the yard to go to get me at work." Hav- erkamp sahl. UA VERK.\.\IP, a fireman at That would be about ll: 45 ~ p.m., Wednesday . . ~ ''lt was glowing just like a i falling star,'' he said . ~ The next morning. Haver- : kamp said. he was huntin~ J striped goph~rs in the nrea . .. ~ when he spotted the obj~ct , ~t lying on the ground about ~00 . ~:~ feet from the house and in the .:. -',~ same direction that his wife had spotted the glowing frag-1 Haverkamp ~nid there w t.:; an imptint on the ground where the piece fell . He said he had ~n 0\er I the area a few days hefure I and he would have spotted the fragment if it had ~en there I THE FLAT PIECE is al>c)Ut j 11 inches long, 4 & inches at its widest point and about an at the thickest part. Haverkamp ha~ scratchc!d and sawed into the metal and it has a silver shine under i ts scorch~ exterior. What the object is Haver- kamp doesn't know. But he said he plans to find out. He said he might take it to Bismarck ,Junior College for examination or send it ~om~ where else where prop'~" t~sts can be made. Harlow Haverkamp and 'Thing' J J At this point, he's not !)~ ulating wh~ther he's found 1 piece of a flying sauct'r . U.S. AIR FORCE TECHNICAL INFORMATION T h i \ questionnaire has been prepared so that you con give the U.S. Air Force as much informat!on as possible concerning the unidentified aerial phenomenon that you have observed. Plecse try to answer as many questions a_s you possibly can. The information that you give will be used for research purposes. Your name wi II not be used in connection with any statements, concl~Jsions, or publications without your permis~ion. We request this personal il"'lormotion so that 1f it is deemed "ecessary, we may contact you for further details. 1. When did you see the object? 3. T itT'e Zone: Month Year (Circle One): a. tostern r--b:--:-Cen tra f _j '--c. Mount a in d. Pacific 4. Where were you when you saw the object? (Circle One): (Circle One): a ..._-:!Qaylight Saving c~ b. Standard.. --) City or Town Stote or County 5. how long wos object in sight? (Totol Duration) Hours Minutes Seconds ~ C~rt~in ~ c. Not very sure ~. Fc:irly certain d. Just a guess 5.2 Was. oo,~:T :, _,g~t continuously? 6. What was th e c;:>nd;tion of the sky? b. i....cO U y b. Cloudy 7. IF you sow th~ o~iect during DAYLIGHT, where was the SUN located as you looked at the object? (Circle One): a. In front of you b. In back of you c. To your right d. To your left e. Overhead f. Don't remember FTD OCT 62 164 Thle form eupered Fm 164, Jul 61, whlch h obeolete. / ~. IF you sow the object ot NIGHT, what di~ you notice concerning tho ~ T AkS ond MOON? 8.1 ~TARS (Circle One): 8.2 MOON (Circle One): a. N.:>ne a. Bright moonlight b. Dull moon I ight c. No .moonlight - pitch dark d. Don't remember 9. ~hot w~r~ '-! weather conditions at the time you saw the object? CLOUDS (Circle One): NEATIIER (C irclc One): a. C le or :o ky b. Fog, rnist, or light rain c. Scattered clouds c. Moderate or h(:ovy roin d. Thick or ;eavy clouds c. Don't remernb~r 10. The object C?p.earcd: (Circle One): b. T ron sparent d. As a light e. Don't remember 11. If it appeared o s a light, was it brighter than the brightest stars? (Circle One): o. 3:-ighter b. D immer c. Abolt the same d. Don't know 11. 1 Compere brightness to some cor~TJon object: 12. The ed~es of rr:~ object were: (Circ'e C::~:: a. Fuzzy or blurr.:d b. Like o bri~ht st:lr c . Sharply out! i ned 1:l. Don't remember 13. Did the ob, t:C App r :o 'j :-::-ci still at any ~ime? b. Suddenly i d up and rush away at any time? Breoi< u;:, ino parh or explod~? Give off .i l<e? Chon;~ ~r j1 mess? Chcr.ge sr:::;;.e? Flash or fli~:Cer? h. Di sop pe-:lr end 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 know Don't know 14. Did the obiect disaopeor while you were watching it? tf so, how? 15. Did th~ c,~ect move h--hind sc-mfllthin~ nt any tim.,. porticul~rly o cloud? Yes No Don't Know. IF you answered YES, then tell what it r.'IOv~d bfth ind: 1~. Diri the cs;.,c:t mnve in frnnt of s omethinq Cit C'I!W ti"'..,, DrJ"ticul~rlv 0 .::loud? ( C ire/~ One): Don't l(now. IF you answered YES, then tell wha t 17. Tell il'l a fP.w words the following things about tf,e object: We wish t o know thfll an~ulnr siltt. Hold a match stick at arm's len~th in line with a known ob!ect and note how much of t he obiect is covered by thl! hand of th& mntch. If you had oerf0fm8d this exOftriment ot the t ime of the s ighting, how much of th~t o~jftct wou!d hove bften covf!rad by the match head? Dr o w a :-i-: ~:-e that wi II show t he s hape of the obiect or objects. Lobel and include in your sketch any detai Is of rh~ ob;e tr-at you saw such as w ings, protrusions, etc., and especially exhaust trails or vapor trails. Plac e a n -w ~side the drow ing to s how the direction the object was moving. 20. Do you think you can estimate 'the speed of the obict? (Circ!e One) IF you answered YES, then what speed would you estimate?------- 21. Do you thinK you can estimate how far away from you the obiect was? (Cirde One) IF you ans~red YES, then how far away would you say it was?--------- 22. Wher'l!t were you located when you saw the obiect? (Circle On~): o. Inside o building In an airplane (type) 23. Were you (Circle One) In the business section of a city? b. In the residential section of a city? c. In open countryside? d. Near on airfield? Flying over a city? f. Flying ovar open country? 24. IF y::)u 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) a. North c. East e. South g. West b. Northeast d. Southeast f. Southwest h. Northwest 24.2 How f:st were you moving?- -.--------~miles per hour. 24.3 Did )'OU stop at any time while you were looking at the obiect? (Ci r : fe One) 25. Did '/0\i obs~rv' the obiect through ony of the following? a. Eye;f=~ ses Yes No Binoculars So:Jn g: =~..;es Theodolite Yes No 26. In order thot . .,..:>u con give as cl~or a picture as possible of what you saw, describe in your own words a common object or oS!~cts ~n ich, when placed up in the sky, would give the some appearance as the object which you sow.' 27. In the following sketch, imogi,e that ycu a1 o at the point shown. Place cr "A" on tht! cLrv~d I in" t o show how high the obj,ct v1as above the horizon {sky I in~) when you first sow it. Place a '' b" or. the some curved I ine t o show how hi gh the obiect was above the horizon (skyline) when you last saw it. Place an .. 'A" on the compass when you fir!~ saw it. Place o "B" on the compass where you last sow the object . 28. tJrow a picture that wi II show the motion that the object or obiects mode. Place an "A" at the beginning of the path, a "B" at the end of the path, and show any changes in direction during tht. course 29. IF there to~as \-\O~E THAN ONE object, then how many were there? - ------------ Draw o ?;~;J~ of how they were orrcnged, onJ put an arrow to show the direction that they were traveling. 31. Wa~ onyon" ... :~,with you at the time you sow th1t objdct? (Circ/1) On\J) 31.1 yc .. ':ln.sw~rttd YES, d id thoy s:>~ th~ \lbject too? (Circ/., One) 3J.2 Pb=:> l ist th~ir names and oddressiJs; 32. Pleas~ give th~ following infOlmotion obout your~olf: First Nart\a Midd 1 ... Nomo~ 33. When aild to w~ ..,,r. J id you r e port ~hot y ou had s c:"" ,h.;, oLj" c t? 34. Dati~J! completed thit questionnaire: 35. Information wn tch you feel pertinent and which is not adequately covered in the specific polnt1 of the questionnaire Of a narrative explanati,n of your sighting. II x Lt~ / f I/ t3 t? Cl -/" I/ it-oF L:tt.ter ol Appreciation 1. ~ be ot .Actri.U. Phenorx:enon at.