o.-41 r til UNCtASSlrJ~D P.U/"IU/41 OF lP.i t\I:C FO~a ST:OH IAUUGC 0~04 DICOMIHG ~C.S.ilGi AC'l'IOil: RDC- 4 PTTU JAW RLJNJe.4A31~28 g9n73Z...UU JU-iHfDHQA. P 0~39Jl Affi 67 FM T P.'/ C ~ELL IS AFB ~IJ T 0 Rl!NMFVA/ADC R'JW J8JA/27 ADV l U<E AFB RUE OF I r /FT 0 RUEOhQA/C SAF RUEDHQ,\/OSAF WASH DC IV Or COLORADO BOLLDER CO 8a3a2 ATTN: OR COmON U IU.AS C..OI 99~1 Affi 6 7 FOR fTO WPAFB OHIO <TDETR>, CSAF <ARDC>, 0~.\F/ <SAF"OIJ., ~NCUSSlflED ~U?..\lTMEMT Of T'At AJR FOlCE ST~F ~m~r.c a~AHC>i lt!CO~IMG ~:'USAGE SILVCJ~ DRO?PSO OFF THE BOTT()~, (6) Fll/t: M ltlU't:S~ t-~ .. d\~P~r J~":i PAR Affi A r~ 1 D : ( 1) 4 ~ ffi PAC 2 RUW Je.iA342 8 UNQA S J; OR,\FT ~AN; HIGH SCHOO..., tiOT VER 'I rtEL t;.au::. P~.~ '. :.1~/ (7) SURr.\CT TO J7,00a F1 .. t.lllUS 2.~r3 C/1 -~l'tiJS POI'IT 25 C/1 J0;tl; 4~ ,\ tPCR Fi u 1 KtASSlrtD OE:P \ 'RT>-te:NT OF THt;: TDiE/r.JFv UFO Observation , L 1a Vega.3) !Tevada 89109 Reference y,.;1ur unid~ntified observation. 'The information .,hlch we have received is not sufficient f o r a scientific evaluation. Reo'..lest ycu co:npletr:! the a-ctachecl FTO Form 164 and return it in the e:1;elope provid.~d. ':"::an!t you for reporting your observatior: to the Air Force J~!ES C . ~t~i~ATr, Colo:-tel, USAF -Director of' TechnolOc:SY enc Subsystems U.S. AIR FORCE TECH~IICAL INFORMAT ION T his questionnaire has been prepared so that y ou con give the U.S. Air Force os much information as pos:;ible concerning the unidentified cericl phenomenon that you hove ob-;erved. Pleose try to ans wer as many qu.:!stians as you possibly con. The information that you g ive will be u sed for roseorch purposes. Your name wi II not b~ used in connect ion with any statements, conclusions, or publications without your permission. We request this personal information so that if it is deemed necessary, we may contact y ou for further derails. 1. When dtd you see the object? 2. T ime of day: Hour 'Ainute~ (Circle One): 3. T i m e Zone: (Circle One): o . !:astern b. Central c. Mountain CcOPacif1c (Circle One). o . Daylight Snvin:J b. Standard 4 . \'!hare were you when y o u sow the object? 5. how long w~s object in sight ? ( T o tal Duration) o . Certain Ciry or Tow n No t very s ure Just a suess b. Fairly certain Stortt or County 5.2 Wos o bject in sight cont in uously? Yes_){_ t Jo 6 . Whet was the condition o f the ~ky? a. Bright (oJ Bright 1' b. Cloudy b. Cloudy I . IF yov sow thl'! obj.,ct during DAYL'GHT, where was the SUN located as you lool<ed a t the ob1-:ct ? ((r;::/1.! One): o. In front of you d. T o your l'!ft b. In bock o f you e . Overhead c. T o your ri ght f. Don' t re r'ember 1 ~. II-yov 'iC~ the obtct at NIGHT, w!.ol dd you notice conct!rr11:19 the 5 T t,RS end ,,.~Q0~4? 8.1 ~ l1\RS (Circle One): d . Do,'t rem~mber 8.2 MOON (Ctrclr O"t.:): a. Bri']ht moonlight b. Dull moonlight Q No moonlrgh t -pitch dark d. Don't rememu!>r 9. Vrha t wtHe !he weather conditions at the time you sow tne obtect ? CLOUDS (Circle One): @Clear s'<y b. f loz.y C. S~ot tCr"d Cloud!> < or heavy cloud~ WEATHER (Circle One): b. Fog, rnt<;l, or ligl,t rein c . ,',,~od .uot,. or heavy rain e. Don't remember 10. The obiect appeared: (Circle OM): G) As o light b. I r o n!>porent c. Don't remember it brightN than the brightPsl ~tors? ( Circle One) If ir o,..o .. ored as o li ght, was Q Brighter c. About the :;ome d. Don't know IT t. t:!J (Ctrclc One ): a. Fuzzy o r blurred ~)Like a b ri::;hr srcr c . Sh.:~rply outlined d. Do n't rcmeiT'ber a. ''Cf O'Jr to st:~nd ~till a t any t ir.-e? b. Srl::lcnly s peed up and rush away a t any time? c. brenk up in t o ports or explode? d. Gi 1e off ~make? Don' t kn-,.v Don' t kn<lw 'J, Chon~e b ri gh tn::'ls? f. Change shape? g. F lo .. h or fl icbr ? h . Disappear and r~oppeor? Don't know Don' t know Don't know 14. Drd the o b1ect disappe ar while you were watching rt? If so, how' ,'"' 7/ -r.,.. ~ 15. Did th e obj~ct move behind something at any t ime, particularly a cloud? (Ctrcle One): Don' t Know. IF y ou answered YES, then tell what it moved behind: 16. Ord the objoct move in front of some thing a t any time, particularly a cloud? GJ Don't Know. (C,c/e One): IF y ou answered YES, th e n tell wn'lt 17. Tell rn a fe w word~ the follo w ing things about the object : 18 . Vi wish t o know t he angular size. Hold o match stick a t arm's length in line with a known ob1ect onj not2 h?w much of the object is cove red by the head of the match. If y ou hod performed this experiment a t the trme of ~c s ightrng, how much o f th e object would hove been c overed by the match head? .f) I-L 0 F 1 T 19 . Draw o pictur~ that will sho w the shcpe of the object or objects. Lobel and includ~ in your sketch a ny det<Jil of the obj~ct that you sow such as win~s, protrusions, etc., and espec ia lly exhaust trails or vapor trorls. Place on a rr ow beside the drawing to !;how th~ d irect ion th e object was moving. I 20. Oo you th1nk you con e!itimot e the :.peed of the obJect? IF y o u o nswc:rt:d YES, then what 3pced would fOU estimate:? 21. Do you think you con estimate ho.., for owcy from you the ob1~ct was? (Circle On'!) IF you an::.wered YES, then how f o r away would you soy i t was? 22. Where w~re you located when you sow rhe object? (C irclc One): o. Inside o building b. In o cor @outdoor s d. In on airplane (typ~} c. At .:oeo 23. We re you (Circle One) o. In the business section of a city? b. In the residential sect ion o f a ci:y? {SJ In op~n countryside? @ Near on airfield? e. Flying over o city? f. Flying ove r open country? g. Other _ 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the t ime, th e n complete the followin g quest ions: 24.1 Wha t d irection were you movi:1g? (Circle One) o . North c . Eo:.t e. South b. Northeast d. Soutneost f. Southwest h . North...,est 24.2 How fast were you moving? ..m,iles pc.:r hour. 24.3 Did you stop ot any time while you were looking at the object? (Circle One) Yes No Dd y o u observe the o!::lject throug h any of the following? Eyeglasses Yes Nc0 e. Binoculars Yes No b . Sun glosses Yes No T els.:ope w.ndshield Yes Theodolite Yes Window gloss Other _ ' !c;_(j_ 26. In order that you con give as clccr o pictur~ a s possible of whor you sow, desc r ibe in your own words o comnon obj,.c t or objec~:; which, when placed up in tne sky, would s i1e the some ap;:Je a ronce os tne ob1ect which you sow. l1 t ' followtns sketch, imaJin~ th~t you ~r"! at t h e pOt" shown. P ine! on "f," on tlu~ curved I inc to ~itow ,~.., h gh t hn obt~ct was above the hort::on (s .-y:ine) wh.:n yoJ (,..,, c;ow t. r lt~ce c " B " on h e some c~.;uerl J,n .. t v show h:>w high t he obJect was above the hor~zon (skyltn~) whe n yuJ Ia~ I sow it. P lace on "A" on th"! campo.-. when you first sow it. Place a " B " on :t.e cornpa:>s wh .. rc y ou I a t sow thr> obtcct. 28 .. )raw o picture thct w i ll show the rotion t l,ot t"t"' obt4:'CI o r o!:>t"ct:; ,.,ode. Pluco on "t.." at t,e bgtnntnJ o ' ttt: 1 path, o "b" at the e nd of the path, end :.ho.., any chanJOS in dircctton durtng the cours~. 29. IF there was MORE THAN ONE obtect, tl,cn how many were ther~? Draw a pict ure of how tht!'y were orrang~d, onJ put on orrnw t o ~how the directon that they were troveltnJ. 3(). hove you ever ~eon rhis, oro simrlor obtect before. If so gtv'!l date o r dotes ond location . 31. Wo.; anyone else with you at the t ime you sow th e object? (Circle Ont!) No I 31.1 IF you answered YES, did they se~ the object too? (Circle One) 31.2 P lease ltst their names and addresses: 32. Please give the following informa t ion about yourself: FIrs! Nome C i t y Zone State TELEPHONE NUMBE tndicotl't any additional information about yourself, including any special experience, whi:h might be pertinent . \'/hen a nd to whom d :d you report that you hod seen the obt c t ? 34. Dote you completed th is questionnaire: Information which you feel pertinent ond which is not adequately c ovc r!ld in the spec1fic points of the qve:.tionnoire oro norrotive e xplonotion of your sighting. t'Vf'r T C r:.t A L 4 iv' C Tli G P.. ?t-c.,q s c