j1 0. CONCLUSION ?.rD Form 164 fon1 ... 1r-C.cd to ~:i t.ncs!:i; no~ reti..:.rncd af ~:;:.: days. Will re-eval c if receiv~d : cNOTri CP: OBSERVATION ; ':P~ OF OBSERVATION . . COURSe 11, IRII, IUMMANV AHD ANAI.VIII I 'Informa'd. on phoned into Duty Office::-is s~:etchy. al infox'iMtio."'l. br evbluation. See Case file. . .".-:Y S!CAL i:VIOENCE MaADOUA"Tatte I'O ... IGN TCCHNO'-OGV DIYI810N f A,.8C, WltiGHT ... A AI" I'ORCa ua. OHIO 41141aa Reference your un1deDt1t1e4 obaervation. T.he intormatioD Which we have received is not autt1c1ent tor a aeientit1c evaluation. Request you complete the attachecl FTD Form 164 and return 1 t in the envelope provided. Thank you tor reporting your observation to the Air Force. S C. MANATT Colonel, USAF ~rector of Technology and Subsystems FTD Form 164 w/envelope U.S. AIR FORCI TECHNICAL INPORMATIO~ Thia questionnaire hal prepared 10 thot you can give the u.s. Air Force aa much inforitiCition as poasible concerning the unlflentlfiecl aerial phenonenon that you tvave oLeerv.i. Pleoae try to an aa queatlon1 aa you poasibly can, The Information that yw give wiU be uaecl fot purpo Yovt n will not be used In connec:tion with any st'!ltem.f\ht, conclusion, or publication without your permiaalon. We rquat thla personal lnfortm~tlon 1c that if it ia deemed neceaaary, we niCiy contact you for further details. . , 1. When did you SM the obiect? 3. Time Zone: (Circle One): o. Eastern b. Central ( C 1rde One): A.M. or (Circla L1ne): o. Ooyliyht' So. inn b. Startdard 4. Whe,. were yc.~ when you saw the obfct? 5. How IOftg wos obfect in slgJ.t? (Total DwotffM) Fnirly cerTain Not very sure Minute a Secon.l /A!Zl clh. 5.1 How wos tIme Jn 1 i ght det.,mined? --..u.LoU.0.-4-'_..I'il~----------- 5.2 Was obfect tn sight continuously? 6. Whot waa the condition of the alcy? 7. IF you saw the object during DAYLIGHT, where waa the SUN located aa you loc-k~d at the ob;e~t? a, In front of you b. In baclc of you c. To 'fo.Jr ri~t d. To your left e. Overhead f. Don't ren:etnber (Circle One): FTO OCT 62 16.C Thle I ue4 PTD 164, jut 61, whloh I obeolet. 8. IF you saw the ob1ect at Nll7t1T, what dicl you noltce concemiftg the STARS oncl ~? 8.2 MOON (C.:irele OneJ: e. No ight -pitch ... ~. . 9. What were tne eother con.,ttlon ot the tl .... you aaw tfte oltfwt? CLOUDS (C,de Onel: c. Scatter .. d cluuJs d. Thi< ~ o he\J-.y cf\)Ud WEATHER (Circle Ottel: ~. Fog, mist, 01 leght rah c. Moderate or heav'y roin Don t remembet 10. The obie~t appeared: (Circle OM); b, Tranapmnt ~. n light 11. If it appeared as a light, wae it brightw thCift the brightest atars?. (Circle Otte}: a. Bri~ter (i) A~Mtvt the aa" d. Don't lcnow , . 11.1 ContpGre briahtn to saVJLe cosmfleft ollfect! 12. The edge oi me o.,.ec:t r: a .. Fuzl)f or blurred Lilce a brtght star c.. Sharpl,-outlined 13. Did the obaect: a. Appear o st~d still at O"Y ttn11? b. Suddenly tpeed up and rush at on1 c. Break up into porta or explode? d. Give off tmolc' e. Chanae brl~tnese? f. Change ahape? O flash or fl iclcer? h. Diaappeor and reaPFar? (Circle One for each queatlon) Don't know Don't lcnow Don't lcnow DM't lcnow Don't lmow oc:nt know 14. Did the obiect disappear while you we'c .. ,atch ing it? If ~o, how? . ~ J _ S tw IAk. bva f)tH~!AUJ ~lf]L . ffai/L-. 15. Did the obiect move behind something at any tirr:e, particul\lrly a cloud'! (Circle One): Yes No on't Know IF you .:m s wered Y r; ~;, t h~n ,_ ll what 16. Did the obiNt mcwe. ln front of mthing at any time, ptVticularf~, a cloud? (Circle. One}: Yea No C Oont Kno.;, IF you onswered YES. thl!t.\ ... ~ wi ... Jt 17 . Tell in a few words the following things about the obiect: J 18. We wish to know the angular aize. Hold a match stick at arm' $ length in lin with a lmown ubiect anc:f r.'1'1 much of the obiect is ccwered by the head of the match. If you hod pe~formed this ex~riment at lh tir.,.; .. ; I.e sighti!';, how much of the ob;ect would have been covered by the match head? 19. Drew a j)icture ~ot will ahow the shqpe of the obiect or objects. Label and include in your aketch any detoila of the obiect that you saw auch aa winga, protrusion, etc., and eapecially exhaust traile or vapor trail Place an arrow beside the drawing ta show the direction the obiect was moving. ~tlOtJluCf (~ r-=-oiC(\J\A;(tOIU \=DRU~IJutJ PA IT8?t-J. u lhaJ0 I f' t I t l 4 20. Do you thinlc you can eathnate the apeetf of the obiect? (Circle One} Y~ No IF you anawered YES, then what spe.cl would you estiw.atet 21. Do you thinlc you con estimate how for away from you the obiect was? (Circle One) IF you answered YES, then how few away would you say it was? ------- 22. Where were you located when ~ou aaw the olalect? (C ire le One): Inside a buildi"t c. Outdoors In on airplane (type) 23. Were yo-~ (Circle One) a. In the business Mction of a city? lr the residential s.actic:-ea ~; o city? I c. In open country Aide? d. Nor on airfield? e. Flying over a city? Fly ;n(; over open country? 2~ IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete t~e followir.g question: 2~.1 What directiOft were you Aooving? (Circle One) b. North eo st d. Southeast f. Southwest 24.2 How fast were you ntCHing? . -.~miles per hour 24.3 Did you ott at any tim while you were loolcing at the obiect? (Circle OneJ 25. Dlci you obserYe the ohi.ct through O"Y of the following? Binoculars Yea No b. Sun glaeaea Windahield g. Theoclol ite Window glosa 26. In order that you con give aa clear a picture as possible of what you aaw, describe in your own words o comntaP object ot oo;ecta which, when placed up In the alcy, would give the some appearance CJt me obiect which ) 'OU ao 27. In the fellewl"' alletth, , ... , .. thet yw .. It the ,.aftt PI o" ''A on ,.._, r.urvf'! I" te ahew h.- high the olttect wee the "- (allyllne) whH 'tAl lint 1 lt. Ploc:e 1.1 "8 .. on the 1 c"'e4 line Ita hlth the oltiect a'-ve the hori&Oft (skyline) when tnu lat !ICIW it. Place ~n 'A'' Oft the COiftPGII when yeu llrtf lt. P "I" Oft the c....,.11 wh1re '"' I the ohtect. 28. .Draw a picture that will ahow the ntotfon that the obiect or obiectl made. P.loce on "A at the beglntai~1f1 ut' ~he path, a "8" at the .,.., of the path, and ahow any ch 1 in direction during the ~our 29. IF theL-6 w .. MORI! THAN OHE ol.fect, the" h.-.,.,., ware there? '3 - Craw a pictute ot how they wre rng~, ~ put an row to ~ow the cU,.ctiGn that they w., traveling. thia, a 1h1d I _.teet bef If elwe clote detea on4 locetl 31. Woe ..., .. elM with 1ou Cit .. tltM 1ou the ol.iect? (Circle One} 31.1 IF r eftawer..l YES, ... they '"the oltlect too? (Circle Onl llat their MIMI eM TELEfiHONE 1M Ieete If, lnclu41"t ... , 1peclel IMfleftCe, which "'itht be pertinent. 33. When aiMI te wh .... cUd you re,.,e thot you hod IHn the oltlect? o., Menth Yr -1--i 'Cj-H T -l e7:rt Ce 0 ( c:K. ~D i 0 f In the e,..lflc polntl el the