302535347.pdf

|  1. DATE - TIME GROUP | 2. LOCATION  |
| --- | --- |
|  3. SOURCE | President, Indiana  |
|  4. NUMBER OF OBJECTS | 10. CONCLUSION  |
|  5. LENGTH OF OBSERVATION | 11. BRIEF SUMMARY AND ANALYSIS  |
|  6. TYPE OF OBSERVATION | Object (1 to 3) and fit as A-11-1111111. On good and private when changed course. Object appeared to sound still at times and then suddenly speed up and rise away. Object was a flue to it. When object changed course moved around trams and being reappeared and headed down north. No sound was heard and had 1st yellowish light. 1st looked like a lantern suspended in the sk…

No data. 2 Aug

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 did …

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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. Transparen…

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14. Did the object disappear while you were watching it? If so, how?
yes - changed course to due north

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 is moved behind; (Handwritten: "Downhanged course moved behind trees & reappeared")

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 tell what in front of;

17. Tell in a few words the following things about the object:
a. Sound: none
b. C…

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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
b. In a car
c. Outdoors
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 residential section of a city?
c. In open countryside?
d. Near a…

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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.

[Image: A plan labeled "90°" and "75°" with a line through it.]

28. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the…

30. Have you ever seen this, or a similar object before. If so give date or dates and location.
no

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.
Mrs. Scott
Topeka, Kansas

32. Please give the following information about yourself:
NAME
First Name Middle Name
ADDRESS
Street Apartment 2nd
City State
TELEPHONE NUMBER
AGE 57 SEX F

Indicate any additional information about yourself, including any special experience, which might be pertine…

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24. Date you completed this questionnaire:
Day 5 Month 9 Year 1904

25. 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.