302535364.pdf

|  1. DATE - TIME GROUP | 2. LOCATION  |
| --- | --- |
|  3. SOURCE | 13. CONCLUSION  |
|  4. NUMBER OF OBJECTS | Assured and (illegible)  |
|  5. LENGTH OF OBSERVATION | 11. BRIEF SUMMARY AND ANALYSIS  |
|  6. TYPE OF OBSERVATION | Object was white in color and white. Object was traveling to previous speed that the tail failed out. Observer was at a self control getting years and watching a small its crossing when he noticed object.  |
|  7. COURSE |   |
|  8. PHOTOS |   |
|  ☐ Yes ☑ No |   |
|  9. PHYSICAL EVIDENCE |   |
|  ☐ Yes ☑ No |   |

FTD SEP 63 0-339 (TDE) Previous editions of this f…

261

# Appendix III

## U.S. AIR FORCE TECHNICAL INFORMATION SHEET

This questionnaire has been returned to that you you give the U.S. Air Force as much information as possible concerning the unidentifiable social differences in that you have observed. Please try to answer as many questions as you possibly can. For information that you give will be used for research purposes, and will be regarded as confidential material. Your name will not be used in connection with any statements, conclusions, or publications without your permission. We request this personal information so that, if it is dee…

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Page 1

|  9. If you saw the object at HOSPIT, SWALIGHT, or COSTS, what did you notice concerning the STARS and MUSKY | 9.1 STARS (Circle One) | 9.2 MUSKY (Circle One)  |
| --- | --- | --- |
|  a. None | a. Single moonlight | a. Single moonlight  |
|  b. Heavy | b. Medium | b. Medium  |
|  c. Heavy | c. Two moonlight or about 2.50 | c. Two moonlight or about 2.50  |
|  d. Don't remember | d. Don't remember | d. Don't remember  |
|  10. If it was SWORNISH I took the star background, was the brightness blue that of an automobile headlight? | (Circle One) | 1. No | a. Don't rem…

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Page 9

29. There is a picture that will show the nearest five the object to objects made. Please do "X" at the beginning of the poly, a "0" at the end of the poly, and show any changes in direction during the course.

30. IF POSSIBLE, try to check in estimate what the real size of the object was in its longest dimension.

31. Now large did the object or objects appear as compared with one of the following objects held in the front and at about one's length?

(Circle One):
a. Most of a pin
b. Silver dollar
c. Seashell
d. Bluebell
e. Seashell
f. Blue
g. Blue
h. Blue

32.1 (Ci…

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Page 3

14. Tell me how much the following things about the object:
a. Sound no
b. Color no

15. Draw a picture that will show the shape of the object or objects. Label and include as your clients any details of its object that you use such as edges, precautions, etc., and especially all spot marks or sugar marks. Place as some inside the drawing as show the direction the object was moving.

IT WAS GOING WEST

It was going so fast. The tail fades out.

16. The edges of the object were:
(Circle best: a. Frame or higher)
b. Like a night car
c. Hardly or completely
d. Other

1…

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Page 7

2a. What were the number conditions of the time you saw the object?
34.1 NUMBER (Circle One)
a. None
b. One
c. Standard clouds
d. Dark or heavy clouds
e. Dark remedies

34.2 WEATHER (Circle One)
a. None
b. A little, or light rain
c. Moderate or heavy rain
d. Snow
e. Dark remedies

34.3 TEMPERATURE (Circle One)
a. None
b. A little, or light rain
c. Moderate or heavy rain
d. Snow
e. Dark remedies

2b. Were did you report to some official that you had seen the object?
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15

35. Was anyone else with you at the time you saw the object?
(Cir…

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(9). Do you think you are estimate the speed of the object?
(Circle One) Yes ☐ No ☑
(If you assumed YES, then what speed would you estimate? _______________ South.)

49. Do you think you can estimate how far away from you the object was?
(Circle One) Yes ☐ No ☑
(If you assumed YES, then how far away would you say it was? _______________ East.)

41. Please give the information about yourself:
NAME: _________________________________________________________________________________________
ADDRESS: ________________________________________________________________________…

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|  25. Where were you located when you saw the object? (Circle One): | 26. Were you (Circle One):  |
| --- | --- |
|  a. Inside a building | a. In the business section of a city?  |
|  b. In a car | b. In the residential section of a city?  |
|  c. Outdoors | a. In your country?  |
|  d. In an airplane | d. Flying over a city.  |
|  e. In car | e. Flying near a city?  |
|  f. Other | f. Flying near open country?  |
|   | g. Other  |

27. What were you doing at the time you saw the object, and how did you happen to notice it? Some at a city coming getting loose - of ju…