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Declassification Authority NND 923007 4602D AISS UFOB LOG a ' | REPORT NO. DATE/TLE OF SIGHTING | RECD HQ 1.602D 31/18052 Dee 55 3 Jan 56 Gem au © | Bergen Park, Colorado ee ‘| 8/See DeRudder ee | ACTION Limited telephonic investigation TNVES UME [DATS INVES ASSIGNED | ASSIGNING OFFICER Bese aie Lt Yotntee 7 /DATE IR RECD IR RECD Fore DATE m pees iDATE IR TO ATIC ms ee N/a | N/a ot} | DATE OF FO: FORM 5 = 1h Jan 86 OMMENTS Ag any possible leads were checked without results this sighting has been resolved aa at CONCLUSIONS ‘POSSIBLE ATRCRAFY AISOP FORM 7 (2 APR 55)

Declassification Authority NND 923007 48020 AISS UFOS ee : Tow brikee, DATE-TIME GROUP EDs 2 ae | Bergen fit, © 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 possibly can. The 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…

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 b. A few b. 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): : ode 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 8, A mile or more away (a distant car)? B. Several bloc…

Declassification Authority NND 923007 Page 3 le: Tell in a few words the following things ee ny eae 17. 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 exhaust trails or vapor trails. Place an arrow beside the drawing to show the direction the cbiect was moving. fy a 700 Vs GN RAUYUCE food G 18. The edges of the object were: (Circle Onelga Fuzzy or blurred e. Other : Like a bright star : : c. Sharply outlined d. Don't remember 19. IF there was MORE THAN O…

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. 21. IF oN ahd to guess or estimate what the real size of the object was in its longest dimension. GEOL AC € feet. 22, How large did the object or objects appear as compared with one p f the following objects nig the hand 1 Gey and at about arm’s length? Sy Bee hee Bf IL . j (Circle One): a. Head of a pin: g- Silver doflar H : b. Pea h. Basebali c. D…

Declassification Authority NND 923007 Page 5 25. Where were you located when you saw the object? 26. Were you (Circle One) (Circle One): a a a. Inthe business section of a city? a. Inside a building b. In the residential section of a city? b. Ina car c. Ino ide? 0 pen countryside? \ 3 c cD Outdoors d. Flying near an airfield? C; pecs Alte we d. !n an airplane e. Flying over a city? e. At sea f. Flying over open country? f, Other g. Other 27. What were you doing at the j CH : fF re IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 28.1 What…

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

Declassification Authority NND 923007 34. What were the weather conditions at the time you saw the object? 34.1 CLOUDS (Circle One) 34.2 WIND (Circle One) a,“Clear sky a, No wind b. Hazy . ¥Slight breeze Fe c. Scattered clouds €. Strong wind d. Thick or heavy clouds d. Don’t remember e. Don’t remember 34.3 WEATHER (Circle One) 34.4 TEMPERATURE (Circle ne) ; f= a/ Dry a. Cold aS) | : b. Fog, mist, or light rain by, Cool c. Moderate orheavy rain c. Warm d. Snow . Glo Inlet e. Don’t remember e. Don’t remember 35. When did you report to some official that you had seen the object? Day _ Month, Year…