OCR recovered text quality varies — view PDF for accurate reading. U.5. AIR FORCE TECHNICAL INFORMATION This questionnaires has been prepared so that you can give the U.S. Air Fercas as much information as possible concerning the unidentified cerial phenomenon that you have obsaryed. Please trv to answer as mony questions as you possibly can. The information that you giva will bs used for research purposes. Your name will not be usad 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 tor further details. EB mom mn m—— © re — ey SS i — ol SR FS pre pe = i tee I EE as I a se a A le ne EE SI I = mm— = = EO CC es i ii ry en mm mem WEEE © SE rs = 3 Zs ooomommmn Eom orromms sesso nn Sm SEE me EE ee L Emm FS = 4 | mm a SE: Fg 5 ERE el Sai Ee ie SE me EE, ill i il So a on iy Ei, El A ally Ba Em OE, eet 4 gm E Minut=s 5 ras a side iy Sl no PPL i, Eg TT IT =m —r iz 1 3. Time Zone: | Ce (Circle One): (a. (Circle One): a. Daylight Saving BD. Hotl GC. Mountain d. Pacific =, Othar Ee — — en | | Ii | 4. Mhere ware you when you saw the cbject? nn = = = : A = - _— o cL | rom Ee wp Ew nen Ee Eee Cm a meld Bem dR EDS EE a Be i, ai | Naares? Postal Addrass - ————— mm = — ee ma = EE — Minuies Seconds We c. Not vary sure o . Ce rai n Sa Fairly certain “ d. Just a guess = 4! How was time in signt determined? D2 Was obiecr in sight continuously? re eee ee ee ee Be ee pie ee ee mr — = — ——— = — = —— —— = eg TEE EE 5. What was the conaition of the sky? Sop] Bm 2 AY a. Bri igh t NIGHT it “a.; dl mE CET EE EET EE CE Bb, Cloudy DS a — Clou Hy 7. IF you saw the ehject during DAYLIGHT, where was the SUN located as vou looked at tha objact 3. b, in front of you In back of you To your left e. Overhacd ¢. To your right FD FORM : 0cT 62 164 This form auperaecdea FTN 164, Jul 41, Don't remember which 1a o= _— inlate. 7 SELL 3 o EE Rw a sel] Coded wid Wl i i # i EF mle Fl a Eee LE ms i fg, PRE i, a, WE RE I I 1 | | il i i mmr T= WEED i EE