302539056.pdf

|  1. DATE - TIME GROUP | 2. LOCATION  |
| --- | --- |
|  Summer 1965 | Elmhurst, Illinois (3)  |
|  2. SOURCE | 10. CONCLUSION  |
|  Civilian | Astro (JUPITER)  |
|  4. NUMBER OF OBJECTS | Sgt Moody made a field trip to Chicago and made contact with the witness. Witness said that the lateral movement was slight. Info received did not conflict with the evaluation.  |
|  One |   |
|  5. LENGTH OF OBSERVATION | 11. BRIEF SUMMARY AND ANALYSIS  |
|  10-20 minutes | Observers sighted the object on clear nights over a 30-day period. The object appeared as an orange, flickering light. The object was …

FX-B
JUPITER

# U.S. AIR FORCE TECHNICAL INFORMATION

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. Your name will not be used in connection with any statements, conclusions, or publications without your permission. We request this personal information so that if it is deemed necessary, we may contact you for further details.

|  1. When d…

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8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?

8.1 STARS (Circle One):
a. None
☑ b. A few
c. Many
d. Don't remember

8.2 MOON (Circle One):
a. Bright moonlight
b. Dull moonlight
c. No moonlight – pitch dark
☑ d. Don't remember

9. What were the weather conditions at the time you saw the object?

CLOUDS (Circle One):
a. Clear sky
b. Hazy
☑ c. Scattered clouds
d. Thick or heavy clouds

WEATHER (Circle One):
a. Dry
b. Fog, mist, or light rain
c. Moderate or heavy rain
d. Snow
e. Don't remember

10. The object appeared: (Circle One):
a. Solid
b. Tran…

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14. Did the object disappear while you were watching it? If so, how?
First - simply faded away as dimming light
Second - Flaming light dissipated behind vapor-like clouds in distance

15. Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes ☐ No ☑ Don't Know. IF you answered YES, then tell what it moved behind: Seemed more to dissipate behind vapor-like clouds - lighting them manging like distant lightening

16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes ☐ No ☑ Don't Know. IF you answered YES, then…

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20. 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? _______________

21. 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? _______________

22. Where were you located when you saw the object?
(Circle One):
a. Inside a building initially
b. In a car
c. Outdoors later
d. In an airplane (type)
e. At sea
f. Other _______________

23. Were you (Circle One)
a. In the business section of a city?
b. In the…

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27. 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. Place an "A" on the compass when you first saw it. Place a "B" on the compass where you last saw the object.

28. 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 dire…

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30. Have you ever seen this, or a similar object before. If so give date or dates and location.
Nothing - even faintly similar

31. Was anyone else with you at the time you saw the object? (Circle One) ☑ Yes ☐ No
31.1 IF you answered YES, did they see the object too? (Circle One) ☑ Yes ☐ No
31.2 Please list their names and addresses:
Wife -
Daughter -
Address - same

32. Please give the following information about yourself:
|  NAME | Last Name | First Name | Middle Name  |
| --- | --- | --- | --- |
|  ADDRESS | Street | City | Zone  |
|   |  | Elmhurst | Ill.  |
|  TELEPHONE NUMBER |  …

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34. Date you completed this questionnaire:
Day: 11
Month: Dec
Year: 1965

35. Information which you feel pertinent and which is not adequately covered in the specific points of the questionnaire or a narrative explanation of your sighting.

This form was filled out from memory. But the events of that night were so impressive that I wrote out my impressions immediately and had my 8 pr. old daughter independently write hers as well.

There immediate impressions coupled with this form may be of some assistance in evaluation, are therefore enclosed with the report.