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Declassification Authority NND 923007 OD he t 4602D AISS UFOB REPT... wi sn belie, DATE-TIME GROUP overs Pape: e dye, 5b PeyTbos, Coro. 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 possibie 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, conclu…

Declassification Authority NND 923007 Page 2 - 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 X c. No moonlight — pitch dark X d. Don’t remember d. Don't remember ——— Was the object brighter than the background of the sky? , (Circle One): a Yes X b. No c. Don’t remember IF it was BRIGHTER THAN the sky bockground, was the brightness like that of an automobile headlight?: (Circle One) a. A mile or more away (a distant cor)? b. Severa…

Declassification Authority NND 923007 16. Tell in a few words the fol lowing things about the object, a. Sound - b. Color Bright metallic changing from red, to green, to yellow, and orange 17, Draw a picture that will show the shape of the object or objects. of the object that you saw such as wings, protrusions, an arrow beside the drawing to show the direction the iF / Place object was moving. co we East : ; Onemen Label and include in your sketch cny datai!s ete., and especially exhaust trails or vapor trails, a Lor 18. The edges of the object were: (Circle One): a. Fuzzy or blurred e. Other…

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. A It moved slowly, not great speed, such as a meterite, or a shooting star 21. 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? : (Cirele One): a. Head o…

Declassification Authority NND 923007 Page 5 25. Where were you located when you saw the object? 26. Were you (Circle One) (Circle One): a. In the business section of a city? a. Inside a building b. In the residential section of a city? b. Ina car (c.) dn open countryside? c. Outdoors d. Flying near an airfield? “ds Inan airplane e. Flying over a city? e. Atsedn.+ sige of house standing on f. Flying over. open country? {, Other . a g- Other front porch 27. What were you doing at the time you saw the object, and how did you happen to notice it? brought it to my attention, bv coming to r Two hig…

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 shew how Me the object was above the horizon (skyline) when you first saw it. Place a “B” on the some curved line to how how high the object was above the horizon (skyline) when you los! 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 las? saw it. Refer to smaller sketch as an example of how to complete the larger sketch.

Declassification Authority NND 923007 Page 7. 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 b. Slight breeze c. Scattered clouds (c.) Strong wind d, Thick or heavy clouds d. Don’t remember e. Don’t remember 34.3 WEATHER (Circle One) 34.4 TEMPERATURE (Circle One) (a.) Dry - a. Cold b. Fog, mist, or light rain (b.) Cool c. Moderate orheavy rain c. Warm d. Snow d. Hot e. Don't remember e. Don’t remember 35. When did you report to some official that you had seen the object? 2 & 5Tues Wed Sent…

39. 4}. 42. Ge nil ; ‘Last Name . What is your present job? Declassification Authority NND 923007 Page 8 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? —- ph 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 wos? ___ ft. Please give the following information about yourself: - First Nome ADDRESS __ Peyton Golo : Street City Zone State TELEPHONE a Operational. Intelligence Technician Age 32, Sex Male Please indicate any…