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Vv, 20. 21. 22, 23, 24, 25. a 266 27, 28. 29. 31. 92, Were there any conventional aircraft In the location at the time or Immediately afterwards? {f so, please elaborate. © Wes the object — a, Self-luminous ? b, Dull finish? c. Reflecting? d. Transparent? Did the object(s) rise or fall ‘while In motion? oa Tell the apparent size of the object(s) when compared with the following held at arm's lengths |. . : , a, Pinhead d. Nickel . & Orange 3 b. Pea e, Half dollar he Grapefruit g c. Dime f, Silver dollar i. Larger -: ‘ Or, if easier, give apparent size In Inches on a ruler held ot orm’s length. How did you happen ta notice the object(s)? Where were you and what were you doing at the time? How did the object(s) disappear from view? Compare the speed of the object(s) with @ piston or jet alreroft ot the same apparent altitude. Please estimate the distance of the object(s). : What was the elevation of the object(s) In the sky? Please mark on this hemisphere sketch: © Names and addresses of other witnesses, If any. ~ e Please draw a map of tha locally; of the observation showing North; your position; the direction from which the object(s) appeared and disappeared from view; the direction of its course over the area; roads, towns, villages, rallroads, and other landmarks within a mile. ot & Is there an airport, military, governmental, or research Installation In the area? Have you seenother objects of an unidentified nature? If so, please describe these observations, using @ separate sheet of paper. Please enclose photographs, motion pictures, news clippings, notes of radio or televiston programs (Include time, statlon and date, if possible) regarding this or simtlar observations, or any other background material. We will return the material to you. Were you interrogated by Alr Forca Investigators? By any other federal, state, county, or local officials? {f 10, please state the name and rank or title of the agent, his offlee, and details as to where and when the questioning took place. :.g#hr ae wy ee - .¢ joned ?.. Pipase Were you asked or told not to reveel or discuss the Incident? If so, were any reasons or official orders manti elaborate carefully. atenioniah = We should like permission to quote your name In connection with this report. This action will encourage other responsible citizens to report similar observations to NICAP, However, If you prefer, we will keep your name confidential.” Please note your choice by checklng the proper statement below. In any case, please fill In all parts of the form, for our own confidential files. thank you for your cooperation. co >. egeg ote: You may use my name. { ) Date of filling out this reports