Unidentified flying objects: hearing before the Committee on Armed Forces of the House of Representatives, Eighty-ninth Congress, second session, April 5, 1966 ...

6038
40.
Do
/you
tbi
.k
you
ca estimate
the
specd
of
the object?
Page
8
(Circle
One)
YS
If
you
a
.swered
Y.66,
tho.
what
speed
would
you
estimate?
MPH
41.
Do
you
thi
..k
you
ca
.
estimate
how far away
fro:,
you
the object was?
(Circle
01,e)
CIO
ao
If
you
a
.sword
Y.S.
the
,
.
.w
far
away
would you
aay
it
was?
c
r
CTUt
Fzez
4
,
-
-
k
r
L
Q
.
5
r
!..*
0
SC
V
A,
CV
-4
,
--
(..._
iCo
..)
-4
k
—' .
D..
—
:3
/11,
",
L
e
s
a
,
H
6
0;11_
v..
42.
Did the Object(s) cause
any
i
.terfere“ce
with
the operatio,
of:
7
4
"(Circle where applicable) RADIO?
TV?
LIGHTS?
oira,Ali
1Q0.NQ-
.
)
IF
you
u..derli“ed
a
.y
of
above,
explai.:
the
i,terfere:.ce
below:
43.
as
a
photo
take, of
the Object(s)? (Circle
One) YES
6ii)
,j/
1
41
?/-44ould
you
be willi
g
to submit
a
copy? (Circle
One) YoS NO
u
,..
i
.e__1f
you
circled
Y.S, please
sa:.d
copy
1,.dicati..g
moaetary rei
:burseme,t:
44.
Do
you belo.g
to a
y
Orgaaizatio.
which
i.,,yeAtigates
Unidetified
Flyi"g Objects? (Circle
One)
YS
(j_
.
1101
..
,)If
Y.L6,
list
them
below:
15.
May we
publish
your
report
if
you
.:a,
e is
keit
co
.fide,tial?
NO
May
we
publish your
report
a
.d
use your
.:ame?
.
:
NO
AM,A
•
.,
,
‘
(
le
One)
47. Please give the
followi..g
i,.forratio,
about
yourself:
NAM
hi
00*
Last
Name
First
Nap
e
Middle
Name
ADDR,...:66
/1
61
G
(1.L
,
"
S
.;
-
1
.
-
Ex R.-
1
-
e-
(-
M
H
.
Street City State
T,...1.,ZP1-iONL
NUMBR
'
.
i.
-
3
L
i
'.-
4hat
is
your
preset
job?
-
f-)
0
L
i
cc._
OFF
;
ce
A-
,
AG:1-
2
G2
SEX-
MAI.-
Please i"dicate
a
.y
educatioaal traini"g you have had: (Nurter
of years
a.
Grade school
e.
Techaical school
b. High
school
ai
(Type
of)c.
College
,
•
48.
Si(j.:
2/i/
T
4
c-