28955505.pdf

1. DATE - TIME GROUP 12 July 53 12/07252 3. SOURCE 4. NUMBER OF OBJECTS Severol 5. LENGTH OF OBSERVATION °°) linuties 6. TYPE OF OBSERVATION a . _ — -e« #8 oe ® DROOL Distmey B! a 9. PHYSICAL EVIDENCE O Yes JLiNe () AS. ~* | C2 6% am Th . 4 o* .. > le . ** ctr » | ' oe * 19 *@« . c* 7 ea - i * — - 4 ~~s , — ’ ~* ~ *. Jd i« ov ia ae -— —= = oi ~ ste FORM FTD sep 63 0-329 (TDE) Previous oditions of this form may be used. SSAA ae ale AM ca E> hla ok Se a i pg ON oe wR ee ros a

/ = cy > : iL . \\s Ww Form A , \N _ Re sa \ U. 5S. AIR FORCE TECHNICAL INFORMATION SHEET This questionnaire has been prepared so that you con give the U. S. Air Force as much information os possible concerning the unidentified aerial phenomenon thot you have observed. Pi+ase try to answer as mony questions os you possibly con. The information that you give will bs used for research purposes, ond will be regarded as confidential material. Your name will no ba used in connection with ony statements, conclusions, or publications without your permission. We request this personal information so th…

Page 2 8. IF you saw the ovject 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 c. No moonlight — pitch dark d. Don't remember d. Don't remember —-- &-e = ee =e oo -_ ee. oo ee oe eee oe Ee ee 9, Was the object brighter than the bockground of the sky? SMALL OBSE ETS LARSE AOBV ES (CircleOne): | @Yes  . (b)) No c. Don’t remember ies oS ow Bb. « “3 is se i he ii 10, IF it was BRIGHTER THAN the sky background, was the brightness like that of an automobile h…

ee Seve ECLA See O RI RE Ee SERRE ONT I ay ey me an ST Mm PUR TT ey tit DENNEN WOMEN 7S: PRIM a UD Biv? A gg TIM - Page 3 15. Tell in a few words the following things about the object. Larvae DbSealk-- Sra ZA DQéeder igre. Py ew-- St tne Jt h'e 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 thet you saw such as wings, protrusions, ete., and especially exhaust trails or vapor trails. Place an arrow beside the drawing to show the direction the object was moving. b, Color : Jf / . ‘ , , ; SP? 4 ee in GOEOIGAfEF & Ft…

Page 4 EL ES Ee ee ee EE EE eae Sa. eS aes = Le eee es eee ———— 2.8. se = _ = 20. Draw a picture that will show the motion that the, object or objects made, Piece an “A® at the beginning of the 56 a "B® at the end of the path, and show any changes in direction during the course. i t JH—rglf Peeves ld, 7 5 _ ab ¢ | . EEE ee a hia id a: & i+ ‘\ - . © | , 40 c Laoge GoJes? Jaded ses a? Srna OOS Pivaked / > . ’ - Bb: Seater PESeatly ahd pus oH Sw oF ot Pranrel Dbrervcre 21. IF POSSIBLE, try to guess or estimate what the real size of the object was in its longest dimension. nemaniiall ee larger Oeu…

a a eee Ct ek ee) eo ee Cee i] Page 5 25. Where wera you located when you sow the object? -26. Were you (Circle One) (Circle One): a. In the business section of a city? a. Inside a building (bh) In the residential section of a city? b. Ina cor c. In open countryside? Outdoors d. Flying near an airfield? » Inan airplane e. Flying over a city? e. At sea f. Flying over open country? 27. What were you doing at the time you sow the object, and how did you happen to notice It? 7 “a5 ; f - 7 i. - ye C¢ oer Ad i a> a Ahr siewdc td ee i a et oe LA? Pine a aw ee i, f YS we a . ,. a” i , r . j , Teas Mev…

Page 6 32. In the following sketch, imagine that you dre 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 some curved line to show how high the object was above the horizon (skyline) when you Jost saw it. 33. In the following larger sketch ploce on “A” at the position the object was when you first saw it, and a “B” at its position when you last saw it. Refer to smaller sketch as an example of how to complete the larger sketch. . iy" (LANNE i 25-8 Ao a nas be Saas

Poge 7 34, Whot were the weather conditions at the time you saw the object? 34,1 CLOUDS (Circle One) 34,2 WIND (Cirels One) a. Clear sky a. No wind b. Hazy (b.) Slight breeze 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) o Dry Qa. Cold . Fog, mist, or light rain b. Cool c. Moderate orheavy rain CE) Worm oS” d. Snow | d. Hor e. Don’t remember e. Don’t remember 35. When did you report to some official that you had seen the object? Day Month Year . — Sl ee 0 ee ee eee ee ee ee ee ed eee ee 2 a i…