28957006.pdf

1. DATE - TIME GROUP lL Dec 401302 3. SOURCE ivilian 4. NUMBER OF OBJECTS two 5S. LENGTH OF OBSERVATION /11. BRIEF SUMMARY AND ANALYSIS 2. LOCATION 10. CONCLUSION INSUFFICIENT DATA FOR EVALUATION Jupiter 5h30 below horizon. Venus 15h23 and Mars 13h03 below horizon. 15 mins’ Flashing: light, no sound, remaining in view for some tine. 6. TYPE OF OBSERVATION en | tC =< sround visual Brey wilt 4 e. % 2 - - ad ae tationa . 6 3 — To 8. PHOTOS ~ = ~ 2 rn ty 2 i - ‘5 a rj a 9, PHYSICAL EVIDENCE 2 9 . | aw _ — O Yes v' 0 Ne Ww FORM Sis FTD sep 63 0-329 (TDE) previous editions of this form may be uood.

ee a i 7 Form A ———=— <= -_—_= = = ss es ee U. S AIR FORCE TECHNICAL INFORMATION SHEET This questionnaire has been prepared so that you can give the U. S. Air Force os much information as possible concerning the unidentified cerial 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 reseorch purposes, and will be regarded as confidential moterial. Your name will not be used in connection with any statements, conclusions, or publications without your permission. —_ Tl ES LT We request this personal informa…

( Page 2 ———— ae 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 , ©) Many ‘c No moonlight — pitch dark d. Don’t remember d. Don't remember —_— — oe ————e eee es ee ee tS 9. Was the object brighter than the background of the sky? (Circle One): o. Yes b. No c. Don’t remember 10, IF it was BRIGHTER THAN the sky background, wos the brightness like that of an automobile headlight?: \. .e9 saws’ S  (Cirele One) a. A mile or more away (a dista…

Page 3 16. Tell in a few words the following things about the object. a. Sound ES Se | \ ‘ =_i— a eee 17. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any detoils 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 object was moving. 18. The edges of the object were: (Circle One): a. Fuzzy or blurred e. Other _ Like a bright stor e. Sharply outlined d. Don’t remember ee 19. IF there was MORE THAN ONE object, then how many were…

Page 4 20. Draw a picture thot 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, try to guess or estimate what the real size of the object was in its longest dimension. feet ee ee ee ee o 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 ‘c. Dime i. Grapefruit d. Nickel j. Basketball e. Quarter k. …

= SS —— a —— ES a ee Poge 5 26. Were you (Circle One) 25. Where were you located when you saw the object? (Circle One): 0. In the business section of a city? b. In the residential section of a city? a. Inside a building (by ha @ cor <. In cpen countryside? fen: d. Flying neor an airfield? hae In an guste e. Flying over a city? e. At sea f. Flying over open country? ft. Other g. Other 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 the following quastions: 28.1 What d…

CO  ,  ——— EE =< 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 fa. 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. var 4d $3 a ae —— a EE et ts ae aN Fe a - i eS ee A S…

| | 39. Do you think you can estimate the speed of the object? (Circle One) Yes No IF you answered YES, then whot speed would you estimate? (oe ee \ ver ee m.p.h. Poge 8 40. 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? an 86 41, Please give the follow TELEPHONE — — Whet is your present job? ya 8 8 ht Bot Please indicate any special educational training that you have had. a. Grede school _..._. = —ss—ess—C(CtstCsSsC(SsSsC(CSsSsSsé—ér , -Treecchinniiccal schoo A Ee a f, Other special training …