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38 143685 Box7 Incident Summaries 1 100
Page 203
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. @RESTaince-
CHECK*LIST - UNIDENTIFIED PLYING OBJECTS
“1. Date 30; Dec 47 Incidont # 97
2. Time 1925 PST
3. Loca$ion Between Medford, Oregon & Mt. Shasta, Cal if.
lh. Name of observer N/S (United Airline Flight #191)
5. Occupation of obsorvor Pilot on Flight #191 as above
6, Address of obsorvor N/S
7e Placo of observation on airways between Medford, Oregon & Mt Shasta
8. Numbor of objocts 1
9. Distance of object from obsorvor WN/S
10. Timo in sight n/s
ll. Altitude n/S
12. Speod N/
13. Diroction of flight 4/5
lhe Tactics N/S :
15. Sound ES ‘ “a ay
16. Size N/S
17. Color N/ 2
18, Shapo 4/S
19. Odor dotectod N/ )
20. Apparent construction N/ S
21. Exhaust trails N/S
22. #Woathor conditions n/S
23. Effoct on clouds N/S”
2. Skotches or photographs one
25. Manner of disappoarance N/S - saw flash - presumably en explosion
SEQIRIUICL.,
26. Romarks;: (over )
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