23857158-006-067

Declassification Authority NND 923007 1602D AISS UFOB LOG ne np ee Et -| REPORT NO. DATE TEE OF SLGHLING 'RECD HQ 602D | ATSS-UFOB=346=55 | | 02/0045 Oct 55 | 4 Oct 55. Vermillion, Se S/sgt DeRudder BD ii Msi . as | arte Porm ica sent to observer (ieee fivis U!tr (DATS INVES ASSIGNED | ASSIGNING OFFICER Be-cr) |_5 Oct 55 Lt MoEntee {DATE IR RECN iQ [DATE IR APPROVED Ipars IR TO ATIC i | [u/s | Ufa | N/A ‘5 Oct 55 | OMME VIS _AfIC Form 164 sent to the observer on 5 October 1955. Results of | ‘tenalysis of returned Form 164 as indicated below: CONCLUSIONS AISOP FORM 7 (2 APR 55)

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Declassification Authority NND 923007 aa —_— u. S. ATR 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 he used in connection with any statements, conclusions, or publications without your permission. We request this personal information so t…

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): oe 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): a. (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. A mile or more away (a distant car)? an c…

Declassification Authority NND 923007 Bage 3 16. Tell in a few words the following things about the object. a.. Sound b. Color 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 en arrow beside the drawing to show the direction the object was moving. 18. The edges of the object were: (Circle One): a. Euzzy or blurred ‘ e. Other _ | b. (Like a bright sta c. Sharply outlined . 19. IF there was MORE THAN ONE object, then …

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 POSSIBLE, fry to guess or estimate what the real size of the object was in its longest dimension. __2O . 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? (Circle One): a. Head of a pin , g. Silver dollar b. Pea h. Baseball ce i. Grapefruit d. Nickel …

Declassification Authority NND 923007 Page 5 26. Were you (Circle One) 25. Where were you located when you saw the object? (Circle One): a. Inthe business section of a city? ib. In the residential section of a city? } “G. Tr opsit countryside? d. Flying near an airfield? e. Flying over a city? _f. Flying over open country? g. Other d. ‘Inside a building b, In a car €, Outdoors» d. in an airplone e. At sea f, Other i en 27. What were you doing at the time you saw the object, and how did you happen to notice it? nape 28. 4F you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then comp…

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. t, and a “B” at i arger sketch. 33. In the following larger sketch place an “A” at the position the object was when you first saw i -pasition when you last saw it. Refer to smaller sketch as an example of how to complete the |