302537935.pdf

|  1. DATE - TIME GROUP | 2. LOCATION  |
| --- | --- |
|  10 March 65 10/1640Z | Deer Park, Maryland  |
|  3. SOURCE | 10. CONCLUSION  |
|  Civilian | BALLOON  |
|  4. NUMBER OF OBJECTS |   |
|  One |   |
|  5. LENGTH OF OBSERVATION | 11. BRIEF SUMMARY AND ANALYSIS  |
|  5 Minutes | Object in sight continuously for about 5 min. Looking NE and sun was over right shoulder. Object appeared solid, erratic movements. Disappearance like a flash of light. Object also change shape. Sharply outlined. Full grey color. Location of object in sky was about 100 ft above trees which were 300 yds away. Size o…

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
b. Transparen…

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14. Did the object disappear while you were watching it? If so, how? Yes, gave about 12 feet. Streck or flash like sighting and discolored. Personally to ward the boat.

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:…

20. Do you think you can estimate the speed of the object?
(Circle One) Yes No
at the time I seen at it was starting

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? 300 yds

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?…

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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.

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  |
|   |  |  | MD  |
|  TELEPHONE NUMBER | Age | SEX | M  |

Indicate any additional information about yourself, incl…

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|  34. Date you completed this questionnaire: | Day 12 Month March Year 1965  |
| --- | --- |
|  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.  |   |