302536040.pdf

|  1. DATE - TIME GROUP | 2. LOCATION  |
| --- | --- |
|  23 October 64 23/0715Z | Millersville, Pennsylvania  |
|  3. SOURCE Civilian | 10. CONCLUSION INCURRICULAR DATA FOR EVALUATION  |
|  4. NUMBER OF OBJECTS One |   |
|  5. LENGTH OF OBSERVATION 10 Seconds | 11. BRIEF SUMMARY AND ANALYSIS Yellow light estimated as moving 100 mph and 1 mile distant passing through a considerable arc in 10 seconds. Fuzzy or blurred. Slowed down near end of observation. Path indicates object passed overhead yet narrative indicates object observed through window.  |
|  6. TYPE OF OBSERVATION Ground-Visual |   …

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 o…

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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
b. Transparen…

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14. Did the object disappear while you were watching it? If so, how?
It slowed down and went behind a building.

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: A building, to my left.

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 white - yellow

18. We wish to…

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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? 100 per hour

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? 2 mile

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 …

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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.

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" at the end of the path, and show any changes in dire…

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30. Have you ever seen this, or a similar object before. If so give date or dates and location.

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:
Millersville, Penna.

32. Please give the following information about yourself:
NAME
Last Name First Name Middle Name
ADDRESS
Street City State Penna.
TELEPHONE NUMBER AGE 10 SEX boy
Indicate any additional information about yourself, including any special experience, which might be per…

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34. Date you completed this questionnaire:
Day 30
ॉFr.
Month Nov
Year 1964

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.

Box 45
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF PUBLIC INSTRUCTION
MILLERSVILLE STATE COLLEGE
MILLERSVILLE, PA. 17551

UFO

Department of the Air Force
Office of the Secretary
United States Air Force
Washington, D.C. 20330

[stamp: RECEIVED
DEC-1964
DEPT. OF PUBLIC INSTRUCTIONS
" 1964 NOV 10 AM ]