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Declassification Authority NND 923007 L602) AISS UFOB L0G ae f, _ : { REPORT NO. DATS TLE OF SIGIING | RECD EQ h602D i i | AISS-UFOR-345=55 | 03/00452 Cot 55 | 4 Oot 55 LOCGED BY TR le atibh Aca nS MOP Sterlas Sa 8/3z%. DeRudder ep reer fame ees ae ntl TT Mag | ATIC Form 164 sent to observer ee aeaean INVES UNIT {DATS INVES ASSIGNED | ASSIGNING OFFICER Hqse 5 Oct 55 | Lt MeBntee BATE IR RECD HQ DATE IR APPROVED pars IR TO ATIC } [B/a_ M/A | w/A ae ay 1 '§ Oct 55 COMMENTS [ATIC Form 164 sent to observer on 5 Cct 55, After analysis of ‘the returned 164, the results will be forwarded to ATIC by t…

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Declassification Authority NND 923007 U.S. AIR FORCE TECHNICAL INFORMATION SHEET 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 passibly can. The information that you give will be used for research purposes, and will be regarded as confidential material. Your name will no? be used in connection with any statements, conclusions, or publications without your permission, We request this personal information so that, if i…

Declassification Authority NND 923007 Page 2 8. IF you saw the object at NIGHT, TWILIGHT, or DAWN, what did you notice concerning the STARS and MOON? 8.1 STARS (Circle One): 8.2 MOON (Circle One): a. None a. Bright moonlight @) A few Dull moonlight c. ‘Many c. No moonlight — pitch dark d. Don’t remember d. Don't remember 9. Was the object brighter than the background of the sky? (Circle One): Yes b. No c. Don’t remember 10, IF it was BRIGHTER THAN the sky background, was the brightness like that of an automobile headlight?: (Circle One) A mile or more away (a distant car)? b. ‘Several blocks a…

Declassification Authority NND 923007 16. Tell in a few words the following things about the object. a. Sound "by (Golor Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details of the object that you saw such as wings, protrusions, etc., and especially exhausi trails or vapor trails. Place . an arrow beside the drawing to show the direction the object was moving. ¥ ne om 5 Wd E 18. The edges of the object were: (Circle One): Fuzzy or blurred : e. Other _ b. Like a bright star c. Sharply outlined d. Don't remember 19. IF there was MORE THAN…

Declassification Authority NND 923007 Page 4 20. 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 direction during the course. (Ss 6 9-0 gt OF 2}. IF POSSIBLE, try to guess or estimate what the real size of the object was in its longest dimension. _____________feet. 22. How large did the object or objects appear as compared with one of the following objects held in the hand and at about arm's length? Silver dollar (Circle One): a. Head of a pin g. b. Pea h. Baseball c. Dime…

Declassification Authority NND 923007 Page 5 26. Were you (Circle One) 25. Where were you located when you saw the object? (Circle One): Inside a building Britt uc b, Ina car a. Inthe business section of a city? (b) In the residential section of a city? c. In open countryside? Outdoors d. Flying near an airfield? d. In an airplane e. Flying over a city? e. At sea f. Flying over open country? f. Other of) Ottir coed Clue 27. What were you doing at the time you saw the object, and how did you happen to notice it? 28. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete…

Declassification Authority NND 923007 Poge 6 32. 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 Jast saw it. 33. In the following larger sketch place an “A” at the position the object was when you first saw it, and a “B” at its position when you Jast saw it. Refer to smaller sketch as an example of how to complete the larger sketch.