John Company

38_143685_box_Incident_Summaries_101-172

38_143685_box7_incident_summaries_101-172 · page 102 of 178

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11\:CIDEN'l' SUMMARY SHEET
(To be filled out nnd retained in files)
1 .
Date of Observation . l .1'1:119111.
2 ,
Time 'of Observation .0920 i.r. . . .
J . Where was Object(s) Sighted ~Col--- Clde .
. . . . . . . . . . . . . . ' . . . . . . .
. • .
4. Observer' s Position .~.0o1.-.•. ~
. ..
(i.e . ground, air, control tower, etc . )
Jad.clat 'lJI
1 • . . . .
5.
Name and Address of Observer ... "14a Sltlt. 25'79.Jin.1ma. •••Cel-- ..
. ;c:Jlllt . . . . . . . . .
' . .
6. Occupation and/or Hobbies . Bo1aNw:Ut .
. . . .
. . ,
Attention Attracted to Object (s) By • • • • • • • • • • • • • • • • • • • • •
Number of Objoct(s) Sighted . I. . . . . . . . . . . . . . . . . . . . . . . .
9, Size of Object (s) .-.bu.ftlaft (~ »-J•.6.z.)O).alaa.at.3.1/2! ln.l~ .
10 .
Color of Object(s) .lll.Ttl' . . . . . . . . . . . . .
. . .
11,
Shape (Sketch if Possible) .%4llt • ~
.-.~..
12.
Nature of Luminosity . . . . . . . . . . . . . . . . .
13.
Estimated Distance of Object from Observer 4f A1V.......111tRt.)OOOI . ..
14.
Speed of Object(s) .-8' .. . . . . . . . . . . . . . .
15.
Time in Sight • .flta: (4) --- . .
-
·
Tactics .~"9411P.aaa4.41ow1J ..
17. Sound ~ifade by Object(s) .JIQDI • .
. . . .
18.
Direction of Flight of Object(s) h•l.h•decl lodll Jllla$.... Jfonll . . . . .
19,
Apparent Construction (Of What W.aterial or Substance) • -~••• •••
• •
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20. Effect of Objects on Clouds and/ or Exhaust Trail . to.Al•• . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21. Weather Conditions fad.sting at the Time . ol_.,IQlllt&h, • .JIO olonl1• - . . , .. •
22.
23.