23857122-0457-180273-0365

ae ry ce 4 } dio ane e Ane ye of. @ “7 | er odes ® # p-4 i-- & l2~ III. Recommended Material for Questionnaire Name and address of person who observed phenomenon Ace, education and employment of person (Specify especially training, if any, in scientific fie t “‘Y 8 as physics, engineering, etc.) Name, address and educational jualifications of person who pre pared questionnaire Date and time of occurrence ~ 9 ae . ay Fae | cok eeianant dn 2 naAInt ~ on " rh} va\ + wit Character of observation point and surroundings , .) ! o (State whether inside or outside; kind of structure, i* any; neivhborins structures or ground objects; and terrain) +: "aN hONSy buy gah, a s 1 Tn HSI Pon ht ur a Illumination available (natural and artii saathar ewanctition fag thiindaret orm ra iy overca st; ) HeatTNeYF conaaivions Vas VAUPQeriUuOlm, PA LLL yg YVOLDOMOY | i. TER FOR tiny FP ae, Ey s4 KO Aten >) F streak lightning was obse (é >", and indicate time interval : lightning Indicate direction and apparent distance of such stre ‘ 4 Mig age gore She Pm PE (3 om ha we haan x4 sir We 3 db ning; also objects believed to have been struck by it ni f . 4 b) ee i | ’ ‘ A a : - Ae a ey Sie 8 onde ave, 7 (vo) after, the "ball lightning"; and indicate time interval 3 between rnhenomena ° Indicate locations at which glow or brush discharges were oD- served, and objects on which they appeared Indicate brightness of discharge at points of occurrence re~ pe . « f 1 ff 2 ferred to in (11) and (13) 1 } a JS Oo PAY ere fd he "i of ade ae ae "hall @ Ti FEeNnere l appearance of Ra: ee NERD ok £ 4. ‘a yer Changes in 1us Lorm Declassification Authority: NND 57565 1 : , + cg pec Sue fe at ay . Se as a ie ot me whether glow or brush discharges were observed (a) before,