302546883.pdf

|  1. DATE - TIME GROUP | 2. LOCATION  |
| --- | --- |
|  15 January 66 16/0308Z | Haslett, Michigan  |
|  3. SOURCE | 10. CONCLUSION  |
|  Civilian | Astro (METEOR) ☑  |
|  4. NUMBER OF OBJECTS | One  |
|  5. LENGTH OF OBSERVATION | 11. BRIEF SUMMARY AND ANALYSIS  |
|  15 Seconds | Observer sighted a very bright ball of fire. Object appeared to descend into a lake near the home of the observer.  |
|  6. TYPE OF OBSERVATION | Ground-Visual  |
|  7. COURSE | No's Stated  |
|  8. PHOTOS | ☐ Yes ☑ No  |
|  9. PHYSICAL EVIDENCE | ☐ Yes ☑ No  |

FORM
FTD SEP 63 0-329 (TDE) Previous editions of this…

U.S. AIR FORCE TECHNICAL INFORMATION

This questionnaire has been prepared so that you can give the U.S. Air Force as much information as possible concerning the unidentified aerial phenomenon that you have observed. Please try to answer as many questions as you possibly can. The information that you give will be used for research purposes. 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 deemed necessary, we may contact you for further details.

1. When did you see the obje…

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8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?

8.1 STARS (Circle One):
a. None
b. A few
c. Many
d. Don't remember

8.2 MOON (Circle One):
a. Bright moonlight
b. Dull moonlight
c. No moonlight – pitch dark
d. Don't remember

9. What were the weather conditions at the time you saw the object?

CLOUDS (Circle One):
a. Clear sky
b. Hazy
c. Scattered clouds
d. Thick or heavy clouds

WEATHER (Circle One):
a. Dry
b. Fog, mist, or light rain
c. Moderate or heavy rain
d. Snow
e. Don't remember

10. The object appeared: (Circle One):
a. Solid DALLAS FIRE
b…

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14. Did the object disappear while you were watching it? If so, how?
YES. OBJECT APPEARED TO DESCEND INTO LAKE NEAR HOME OF OBSERVER

15. Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes ☐ No ☑ Don't Know. IF you answered YES, then tell what it moved behind: _______________

16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes ☐ No ☑ Don't Know. IF you answered YES, then tell what in front of: _______________

17. Tell in a few words the following things about the object:
a. Sound NONE
b. Color BRIGH…

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20. Do you think you can estimate the speed of the object?
(Circle One) Yes No
IF you answered YES, then what speed would you estimate?

21. Do you think you can estimate how far away from you the object was?
(Circle One) ☑ Yes ☐ No
IF you answered YES, then how far away would you say it was?

22. Where were you located when you saw the object?
(Circle One):
a. Inside a building
b. In a car
c. Outdoors
d. In an airplane (type)
e. At sea
f. Other

23. Were you (Circle One)
a. In the business section of a city?
b. In the residential section of a city?
c. ☑ In open countryside?
d. Near an…

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27. In the following sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how high the object was above the horizon (skyline) when you first saw it. Place a "B" on the same curved line to show how high the object was above the horizon (skyline) when you last saw it. Place an "A" on the compass when you first saw it. Place a "B" on the compass where you last saw the object.

![img-0.jpeg](img-0.jpeg)

![img-1.jpeg](img-1.jpeg)

28. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the path, a "B…

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30. Have you ever seen this, or a similar object before. If so give date or dates and location.
No

31. Was anyone else with you at the time you saw the object? (Circle One) ☐ Yes ☐ No
31.1 IF you answered YES, did they see the object too? (Circle One) ☐ Yes ☐ No
31.2 Please list their names and addresses:

32. Please give the following information about yourself:

|  NAME | Last Name | First Name | Middle Name  |
| --- | --- | --- | --- |
|  ADDRESS | Street | City | Zone  |
|  LAKE DR. | State | HASKET | Michigan  |
|  TELEPHONE NUMBER | AGE | SEX | M  |

Indicate any additional info…

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34. Date you completed this questionnaire:
Day _____ Month _____ Year _____

35. Information which you feel pertinent and which is not adequately covered in the specific points of the questionnaire or a narrative explanation of your sighting.

Sgt. Moore states that present sports
indicate that lake where object appeared
to disappear has strange appearance.
Present temperature is 30 F. Lake had
been solidly frozen but now about
60 feet from shore lake appears mushy
& water like. In addition about
200 yards from shore a dark
spot has appeared raised above
see and
snow cover. They ca…