28955548.pdf

? ee ag ey Reeill niioe iar +e a _ 2. LOCATION ! Perv ens rrp 3. SOURCE 4. NUMBER OF OBJECTS Wo 5. LENGTH OF OBSERVATION aa ° LE > ~») mesa » — 2 t] . it a hw | 1, . re - = 1’ . i . . . a om i its #3 he ani i 2 i" =: iL 4 c hn ( > o Pt : . Pa al aes * ° -~ « . “ 4 ct) * 6. TYPE OF OBSERVATION P deg stove T hos 53 a (Nad . mt ’ ° aa by oe _ . "7 / ij? r i » * @. ssyqel__ 374 ~~ . . . oe IU Ue SOF - : ga _- ah . . . ot , . - * *ty i i ‘yg 4 ee ; . * « r ail ° so = ' hey . {. . . . - . os Y . ? ". (> + ‘. a ‘ fat 7 ‘ _ ae “th - 2 tiu , ’ 4. 5 ‘ ot iJ. & > 9. PHYSICAL EVIDENCE 0 Yee Or Ne FORM FTD…

, Fe OR 9 = ARE Yee EAT y a RENEE MTGE Ny er a i a ml a al A a a NE le ee ld dll — _* an ait 4 ve | ” Form A ad U. S. AIR FORCE TECHNICAL INFORMATION SHEET This questionnaire hos been prepored so that you can give the U. S. Air Foree as much information as possible concerning the unidentified aerial phenomenon thot you hove observed. Please try to answer as many questions os you possibly con. The information that you give will be used for reseorch purposes, and will be regarded as confidential material. Your name will not be used in connection with any statements, conclusions, or publications …

Poge 2 8. IF you saw the ovject at NIGHT, TWILIGHT, or DAWN, what did you notice concerning the STARS and MOON? 8.1 STARS (Cirele One): 8,2 MOON (Circle One): b. A few b. Dull moonlight o, Many c. No moonlight — pitch dark . Don’t remamber d. Don’t remember 9. Was the object brighter than the bockground of the sky? (Circle One): (ay es 10, IF it was BRIGHTER THAN the sky background, was the brightness like that of an automobile headlight?: ( Circle One)’ 0.7 A mile or more away (a distant cor)? » Several blocks away? b. No c. Don’t remember rr i re ae c. Ablock away? d. Several yords away? SE …

, Page 3 15. Tel! in a few words the following things about the object. a. Sound IB ec : * 17, Draw o picture that will show the shape of the object or objects. Label and inelude in your sketch any detnils of the object that you sow such os wings, protrusions, etc., and especially exhaust trails or vapor trails, Place an arrow beside the drawing to show the direction the object was moving. 2 . ‘ . | o od , ; , ang ae an eo» f) \j ‘ ort: pa © ; / A F uf A P Pa 4 / a an , - ort ee ” - ff a" —?—_ f - v i X x 18. The edges of the object were: ; / (Circle One): a. Fuzzy or blurred e. Other A TERR, …

Page 5 25. Where were you located when you saw the object? (Circle One): 26. Were you (Circle One) a. In the business section of a city? Ce Jmol a building ») In the residential section of a city? In @ cor » In open countryside? c. Outdoors d. Flying near an oirfield? d. -s on airplane e. Flying over a city? e. At sea f. Flying over open country? f, Other Other 4 , os * . = ‘ ” _ / ; Pr a * , - ae a ’ Jaf . f, . = i ) ! » 27. ey, you doing at the time you saw the object, and how did you happen to notice it? ~ A nf * « C- . 28. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, t…

ew Poge 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 /ast saw it. 33. In the following larger sketch place an “A” at the position the object was when you first saw it, and a “B” at its position when you Jas? saw it. Refer to smaller sketch as an example of how to complete the lorger sketch,

nh al ee Pk ty ie ee oe ae oe ee ae eee ea eee, er ra le Fe 22 pete yee pte Poge 7 34. What were the weather conditions at the time you saw the object? 34,1 CLOUDS (Circle One) 34.2 WIND (Circle One) GPClow sky No wind » Hazy » Slight breeze d. Thick or hecvy clouds d. Don't remember e. Don’t remember 34,3 WEATHER (Circle One) 94.4 TEMPERATURE (Circle One) oy Dry eo. Cold « Fog, mist, or light rain b.} Cool c¢. Mederate orheovy rain ¢, Warm e. Don’t remember e. Don’t remember 35. When did you report to some official that you hod seen the object? eA Yeor 36. ‘Ss Gee anyone else erga you at the …

‘dq TL. cis bie aaah, un Co Ce : Poge 8 39. Do you think you can estimate the speed of the object? (Circle One) Yes No» 7 , ae IF you answered YES, then what speed would you estimate? miehanadighenes m.p.h. SS ES al NS hy ee es 40. Do you think you can estimate how far away from you the object was? (Circle One) Yes No IF you anewlbed YES, then how far away would you say it was? a feet. information about yourself: 41, Please give the followi a a —. a v—_«~ NAM iret Name Middle Nome a / a ADDRE SEP City Zone State TELEPHONE NUMB iy Se . , e. oc, A~ Whot is your present job? _- > 7 i ee a ane Sex…