DECLASSIFIEDUSAF PROJECT BLUE BOOK · NARA T-1206
UNITED STATES AIR FORCE

PROJECT BLUE BOOK

UNIDENTIFIED FLYING OBJECT CASE FILES · 1947 – 1969
CASE REFERENCE9169502
DATE OF SIGHTINGOctober 1952
REPORTED LOCATIONDAYTON OHIO
FRAMES59

Machine transcription · mean legibility 78.2/100 · engines: tesseract-200dpi

Transcribed Frames

FRAME 001 / 059POOR LEGIBILITY — PENDING RE-EXAMINATION
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oo - eS eee ee

| 5. 2HOTOS

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worm e

O Yes
one nn i l, Civilians
J. LENGTN OF CASERVATICN. ~~ «& &.sSNUMSCR OF GOEJECTS
11/2 <5 Min. 2

'

LE SOF ELS CE! SE OH FS ES OC He Oe + ee S| eee

"9% Course

A EES SR Ree ee tee ee tm +

a“ PROJECT 10073 RECORD CARD

eee ee lee ee ee me ee nee . ee ee a ee a ee
1. DATE ( fvocation ( WZ

30 Oct 52 j DAYTON, OHIO ig

‘3. CATE-TIME GROUP RE t Dasleed —-
en oy 2 —_—e : XX Ground-Vi sual CO Ground-Padar ‘aoe
aur 31/002) Z C Air Vi wel CO Air-Intercopt Radar |]

——— oe ee eee me meee

9
-a
‘9

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a

10, ARIER SUMMARY OF SIGHTING

Four varied civilian observers saw two
bricht orange or vellow livhts, quite close
torether moving slowly over Dayton area.
Heavy drone accompanied lights. Sightines
occurred between 192I, - 2015.

ATIC FORM 329 (REV 26 SEP $2)

"oh COMMENTS

'
|
:

‘

“a
CONCLUSIONS

Was Balloon
Probably Bellaon
Possibly Bailoun

Was Arreraft
Probably Aircrnte
Possibly Arrcrafe

Wos Astronomi col
Probably Astronom: cal
Passibly Astrnceical

OSrher

——— 8 eS ee ee a) es eee

coe S ateciiedienied hd et eo > «ce.

Insuiticient Dota tne Evoluetion |

Uck no wn

1. Pel)S aircraft took off from
Patterson Cperations ut 1911 and landed

at 2055.

Oe ee et eee a |

—<-

:
FRAME 002 / 059tesseract-200dpi
~

(3 oS : th S |

TENTATIVE
OBSERVERS QUESTIONNAIRE ff 7, 2

s ON A

1. When did you see the Od

1.1 Date: At a
1.2 Time of Day: ; Tags -_ — A.M. or P.M. (Circle One)

1.3 Time Zone: (Circle One):

a. Eastern Gd. Pacific
be Central e. Other
Ce Mountain

_ (Chrele One): a. Daylight Saving
. b. Standard

1eh Circle one of the following to indicate how certain you are of
your answer to the above question 1.2:

ae Certain c. Not very sure
b. Fairly certain ad Just a guess

20 when you saw the object ;
. a ae Of
or Town a ountry

Additional Remarks:

3. Where were you locatec when you saw the object:
(Cizele One): a. Inside a building 4d. In an airplane

b. Ina car e. At sea
(Cx) Stdoors f. Other

3.3 Were yous

(Circle One): « In the business section of a city?
In the residential section of a city?
- In open countryside?
d. Flying near an airfield?
@e Flying over a city?

f. Flying over open country?
ge Other

 . ig ae : )
FRAME 003 / 059tesseract-200dpi
t) ; "

le How did you happen to notice the object?

5. When did you report to some official that you had seen the object?

et a anor

SECTION B

6. What were you doing at the time you saw the object?

6.1 What had you been doing for the 30 minutes before you saw the object?
Try to list the activity or activities and the approximate amount
of time spent on eache

7~ Were you moving at any time while you saw the object? (Circle One):

Yes or No
IF you answered YES, then complete the following questions:
701 What direction were you moving?
(Circle One): a. North (2s South
b. Northeast f. Southwest
ce. East ge West
a Southeast h. Northwest

722 How fast were you moving? miles per hour.

7.3 Did you stop at any = while you were looking at the object?
(Circle One): (Hes » _ or No

8, Whet direction were you looking when you first saw the object?

(Cirele One): a. North (ey South
be Northeast « Southwest
c. East Be West

a. Southeast he. Northwest
FRAME 004 / 059tesseract-200dpi
Page 3
8.1 What direction were you looking when the object disappeared?
(Circle One): North e. South |
« Northeast - f. Southwest
c. East ge. West
d. Southeast he Northwest

8.2 Circle one of the following to indicate how certain you are of

i to the above question and preceding question (8 and
el a

ae Certain Ceo

Not very sure
Vey Fairly certain de

Just a guess
9, Were you wearing eye glasses when you saw the object? (Circle One):

Yes or No

10. How was the object seen?
(Circle One): a. Through window glass e. Through theodolite
b. Through windshield « Through sunglasses
ce Through binoculars \24 Through open space
a Through telescope 1 Other
11. What do you remember about the weather conditions at the time you saw the
object?
11.1 CLOUDS (Circle One) 11.3 WEATHER (Circle One)
() Clear sky @ Dry
« Hazy « Fog, Mist, or light rain
ce Scattered clouds c. Moderate or heavy rain
ad. Thick or heavy clouds d. Snow
e. Don't remember e. Don't remember
11.2 WIND (Circle One) 11.4; TEMPERATURE (Circle One)
Aa, Yo wine Cold
db. Slight breeze 9. Cool
, Strong wind ce. Warm
( ay Don't remember d. Hot
zs ee Don't remember
SECTION C
12. Estimate how long you saw the object?
Hours fiinutes Seconds

———
FRAME 005 / 059tesseract-200dpi
Page

12.1 Circle one of the following to indicate how certain you are of your
answer

Question 12:
ae Certain Cc. Not very sure
b. Fairly sure ad. Just a guess

13. Did the object look: (Circle One) Solid or Transparent
lk. Did the object at any time:

(Circle One for each question)

14.1 Change direction? Yes Don't know

14.2 Chenge speed? Yes Don't know

14.3 Change size? ves Don't know

1h. Change color? es Don't know

14.5 Break up into parts or Yes Don't know
explode?

14.6 Give off smoke? Yes Don't know

1h.7 Change brightness? Yes Don't know

14.8 Flicker, throb, or Yes Don't know
pulsate?

14.9 Remain motionless? Yes Don't know

15.1 IF you answered YES, what was the color of the light? wl tp

16. Tell in a few wrds the following things about the object?

16.2 Color ' > ee

17. IF there was MORE THAN ONE object, then how many were there?

Draw a picture of how they were arranged and put an arrow to s
direction they were traveling.

1S. Did the object give off a light? (Circle One): Yes) No Don’t know

{}
o|

18. Did the object at any times

15.1 Nove behind something? (Circle One) Yes No Don't know

IF you answered YES, then tell what it moved behind,

ee —————E 4
FRAME 006 / 059tesseract-200dpi
Page 5

18.2 Move in front of something? (Circle One) Yes No Don't know

IF you answered YES, then tell what it moved in front of.

18.3 Blend with the background? (Circle One) Yes No Don't know

19. Which of the following objects is about the same actual size as the object

you saw? (Circle One):

a. Pea f. Automobile

b. Baseball g- Small airplane
c. Basketball he Large airplane
ad. Bicycle wheel i.e Dirigible

e. Office desk je Other

19.1 Circle one of the following to indicate how certain you are of your

answer to Question 19,

a. Certain c. Not very sure
b. Fairly certain ad. Uncertain

20. Try to tell the following things about the object:

20.1 How high above the earth was it? feet.
20.2 How far was it from you? feet or milese
20.3 How fast was it going? Litro— miles per hours

20.4 Circle one of the following indicate how certain you are of your

answer to the above questions:

ae Certain Ce Wot very sure
b. Fairly certain ‘ ad. Just a guess

21. How did the object disappear from view?

(Circle One): a. Suddenly c. Other
( Gradually ad. Don't remember
SECTION D

22. In the following sketch, imagine your eye at the point showm. Place an "A"

on the curved line to show how high the object was above the horizon

(skyline) when you first saw it. Place a "B" to show vhere it was when

you last saw it. Se

Horizon

elgg? im

eet cane
FRAME 007 / 059tesseract-200dpi
Page 6

23. In the following sketch place an "A" at the position the object was when
you first saw it, and a "B" at its position when you last saw it.

Overhead

oa eo

Horizon Horizon
You

2h. Draw a picture that will show the motion that the object made. Place an
"A" at the beginning of its path and a "B" at the end of its path.

25. Draw a picture that will show the shape of the object. Label and include
n your sketch any details of the object that you saw and place an arrow
beside the drawing to show the direction the object was moving.

ee ae
FRAME 008 / 059tesseract-200dpi
Page 7

26,

276

28.

29 «

SECTION &

Was this the first-time that you have seen an object like this?
(Circle One): \ Yes) o

26.1 IF you answered NO, then when, where, and under what conditions did
you see other ones?

In your opinion what do you think the object was and what might have caused
it?

Give the f ormation about
Rael
ones a” Ch.
Ye Zone ~ State
TELEPHONE _—
What is your present job? Yaw,
Aze / §
52x “7 Nake
Was anyone else with you at the time you saw the object?

Circle One): Yes or ( No)
29.1 IF you answered YES, did they see the object too?

(Circle One): Yes or io

29.2 Please list their names and addresses:
FRAME 009 / 059tesseract-200dpi
i Aa . eee

any

Page 6

30. Please add here any further comments which you believe are important.
Use additional sheets of the same size paper, if necessary.
FRAME 010 / 059tesseract-200dpi
\<ereeeneeeeeeeee
5

*)

TENTATIVE
OBSERVERS QUESTIONNAIRE
~$8I9 (0
SECTION A

le When did you see the object:

‘ at C,. Sv
1.1 Dates 17 —

1.2 Time of Days oA ~— “of = A.M. or P.M. (Circle One)

1.3 Time Zones (Circle One):

ae Eastern . d. Pacific
~--be ~ Central > é. Other
c. Mountain

(Circle One): ae Daylight Saving
be _ Standard

1.4 Circle one of the following to indicate how certain you are of
your answer to the above question 1.2:

ae Certain Cc. Not very sure
be. Fairly certain ad. Just a guess

2. Where were you when you saw the object:

Postal Address City or town State Country
Additional Remarks:

3. Where were you located when you saw the object:

(Circle One): a. Inside a building d. In an airplane
be Ina car ee. At sea
Ce Outdoors f. Other

3.1 Were your

(Circle One): as In the business section of a city?
b¢ In the residential section of a city?
Ce In open countryside?
d. Flying near an airfield?
6. Flying over a city?
f. Flying over open country?
ge Other

, 7 _—
a "7
\ ane ah :
FRAME 011 / 059tesseract-200dpi
Year

SECTION B

Were you moving at cz while you saw the object? (Circle One):

Yes

North
Northeast
East
Southeast

7.2 How fast were you moving?

(Circle One): Yes

North
b. Northeas

b
“6 e Ea

. Southeast

(Cirele One):

5. When did you report to some official that you had seen the object?

6. What were you doing at the time you saw the object?

6.1 What had you been doing for the 30 minutes before you saw the object?
Try to list the activity or activities and the approximate amount
of time spent on each.

IF you answered YES, then complete the following questions:

7.1 What direction were you moving?
(Circle One):

ge
he

South
Southwest
West
Northwest

miles per hour.

7+3 Did you stop at any time while you were looking at the object?

What direction were you looking when you first saw the object?

South
Southwest
West
Northwest
FRAME 012 / 059tesseract-200dpi
TENTATIVE
OBSERVERS QUESTIONNAIRE — 9/9 707)

SECTION A

1. ‘When did you see the a

1.1 Dates au nek Lob 2-
1.2 Time of Day: 2 S s_ A.M. or P.M. (Circle One)
e Ne

1.3 Time Zone: (Circle One):

™~

ek at Fastern. d. Pacific
: Central > ee. Other
\~et-Hountat” ee
(Circle One): a. Daylight Saving
<b. Standard >
1.) Circle one of the following to indicate how certain you are of
your answer to the above question 1.2:
ae Certain c. Not very sure
b. Fairly certain ad. Just a guess
2. Where were bi Mga you saw the objects ‘ /i ;
Lan Ce
w G Q),.7 ( S Sarbirel aga
Postal Addres City ger Tow vate Country
Additional Remarks: y ya OL tle A rer wes al h. PA

a
3, Where were you lo¢ated when you saw the object:

.
-_-_

“irele One): a. Inside a building d. In an airplane
fa In a car e. At sea
c+) Outdoors f. Other
wo

302 Vere you:

(Circle One): ae In the business section of a city?
b. In the residential section of a city?
ce In open countryside?
d. Flying near an airfield?
e. Flying over a city?
f. Flying over open country?

Re Other iq ~- _t.> +f?

ee ee
FRAME 013 / 059tesseract-200dpi
Page 3

8.1 What direction were you looking when the object disappeared?

(Circle One): a. North @. South
b. Northeast | f. Southwest
c. East ge West
d. Southeast he Northwest

8.2 Circle one of the following to indicate how certain you are of

> . Sparen to the above question and preceding question (8 and
ol).

a. Certain c. Wot very sure
b. Fairly certain ad. dust a guess

9. Were you wearing eye glasses when you saw the object? (Circle One):

Yes or No

10. How was the object seen?

(Circle One): a. Through window glass e. Through theodolite
b. Through windshield f. Through sunglasses

ce Through binoculars Through open space
d. Through telescope « Other

11. What do you remember about the weather conditions at the time you saw the

object?
11.1 CLOUDS (Circle One) 11.3 WEATHER (Circle One)
Nae Clear sky ae Dry.
b. Hazy be Fog, Mist, or light rain
ce Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don't remember e. Don't remember
21.2 WIND (Circle One) 11.4 TEMPERATURE (Circle One)
ae No wind i Cold —
be Slizht dreeze be. Cool
c. Strong wind ce. Warm
< de Don't remember d. Hot

——— re

ee Don't remember

SECTION C

Ct gy
el COR ee-e00e- ne,

12. Estimate how long you saw the object? a

fours faunutes Seconds
FRAME 014 / 059tesseract-200dpi
13.

16.

17>

18.

12.1 Circle one of the following to indicate how certain you are of your

Page h

answer to Question 12:

a Certain c. Not very sure
b. Fairly sure d. Just a guess

Did the object look: (Circle One) Solid or Transparent
Did the object at any time:

Uye1
ly.2
14.3
Ly ols
1h5

14.6
Lh e7
14.8

Wy.9

Did the object give off a light? (Circle One): (Yes_/

15el

(Circle One for each question)

Change direction? Yes (¥3 Don't know

Change speed? Don't know

Change size? = Don't know

Change color? Yes Don't know

Break up into parts or Yes Gg) Ow
explode? ~s

Give off smoke? Ps (NO Don't know

Change brightness? fo Don't know

Flicker, throb, or es Yo Don't know
pulsate?

Remain motionless? Yes No/ Don't know

IF you answered YES, what was the color of the light?

Tell in a few words the following things about the object?

15.1
16.2

Sound i AS
Color

If there was MORE THAN ONE object, then how many were there?

OOo

Did the object at any times

15 ol

Move behind something? (Circle One) Yes No Don't know

IF you answered YES, then tell what it moved behind.

=e,
—~
Draw a picture of how they were arranged and put an arrow to show the
direction they were traveling.

eee — el
FRAME 015 / 059tesseract-200dpi
Page 5

18.2 Move in front of something? (Circle Ine) Yes No Don't know
TF you answered YES, then tell what it moved in front of.

18.3 Blend with the background? (Circle One) Yes No Don't know

19. Which of the following objects is about the same actual size as the object
you saw? (Circle One):

@ Pea ‘s\ aon hi” f. Automobile

« Baseball ge Small airplane
ce Basketball he Large airplane
ad Bicycle wheel i. Dirigible

e. Office desk je Other

19 1 Circle one of the following to indicate how certain you are of your
answer Question 19.

a. Certain Ce Not very sure
be Fairly certain de Uncertain
20. Try to tell the following things about the object:
20.1. How high above the earth was it? ann fects. f, fick
20.2 How far was it from you? feet or 4 milese
20.3 How fast was it going? W~ _ miles per Ne

20.4 Circle one of the following to indicate how certain you are of your
answer to the above questions:

ae Certain ce Wot very sure
be Fairly certain de Just a guess

21. How did the object disappear from view?

(Circle One): a. Suddenly c. Other
b. Gradually d. Don't remember

SECTION D

22. In the following sketch, imagine your eye at the point shown. Place an "A"

on the curved line to show how high the object was above the horizon

(skyline) when you first saw ite Place a "B" to show vhere it was when

you last saw it. Senahans

Horizon

You
FRAME 016 / 059tesseract-200dpi
wb #

Page 6

23. In the following sketch place an "A" at the position the object was when
you first saw it, and a "BY" at its position when you last saw it.

Overhead

Horizon Horizon
You

2h. Draw a picture that will show the motion that the object made. Place an
"A" at the beginning of its path and a "B" at the end of its path.

25. Draw a picture that will show the shape of the object. Label and include
in your sketch any details of the object that you saw and place an arrow
veside the draving to show the direction the object was moving.

Q9

eS

Rsct om
FRAME 017 / 059tesseract-200dpi
We Se eas et Ge ere Oe

Page 7

| SECTION E
26. Was this the first time that you have seen an object like this?
(Circle One): Yes or No

2601 IF you answered NO, then when, where, and under what conditions did
you see other ones?

27. In your opinion what do you think the object was and what might have caused
it?

a

V4, aeer®”

28. . owing information about

TELEPHONE NUMBER

What is your present job? Ele.7 A Cs t+. ts:

Age S

Sex pee a

29. Was anyone else with you at the time you saw the object?
(Circle One): Yes or ()

25.1 IF you answered YES, did they see the object too?

(Circle One): Yes or No

29.2 Please list their names and addresses:

,
SE “
FRAME 018 / 059tesseract-200dpi
ee So oo ee St OF OU

Page 8

30. Please add here any further comments which you believe are important,
Use additional sheets of the same size paper, if necessary.
FRAME 019 / 059tesseract-200dpi
TENTATIVE
OBSERVERS QUESTIONNAIRE

SECTION A

1. ‘when did you see the object:

lel Dates ¥2 Of a

1.2 Time of Days: de L{ = Ka R ( or P.M. (Circle One)

1.3 Time Zone: (Circle One):

a. Eastern ad. Pacific
be Central ee Other
ce Mountain

(Circle One): a. Daylight Saving
be Standard

1.4 Circle one of the following to indicate how certain you are of
your answer to the above question 1.2:

ae Certain Ce Not very sure
b. Fairly certain d. Just a guess

2 the object:

-NWLER Sid... , M7 - NE, —, Caorme

City or on State —

Additional Remarks:

3. Where were you located when you saw the object:

(Cirele One): a. Inside a building d. In an airplane
“ In a car e. At sea

a ee eee a

_ Outdoors» f. Other

3.1 Were yous
(Circle One): a. In the, business section a city?

b. In the residential te of a city?
ce In open countryside?

d. Flying near an airfield?

e. Flying over a city?

f. Flying over open country?
ge Other

-
Se i 1 - 7
FRAME 020 / 059tesseract-200dpi
TENTATIVE
OBSERVERS QUESTIONNAIRE

SS) ON A

le When did you see the object:

lel Dater
Day Month Year
1.2 Time of Day: A.M. or P.M. (Circle One)

~ Horse .o Maine
1.3 Time Zones (Circle One):

a. Eastern de Pacific
be Central e. Other
ce Mountain

(Circle One): a. Daylight Saving
b. Standard

1.4 Circle one of the following to indicate how certain you are of
your answer to the above question 1.2:

a Certain Ce Not very sure
b. Fairly certain ad. Just a guess

2. Where were you when you saw the object:

Postal Address City or Town State Country
Additional Remarks:

3, ‘here were you located when you saw the object:

(Circle One): a. Inside a building 4d. In an airplane
be In a car ee At sea
Cc. Outdoors f. Other

3-L Were yous

(Circle One): ae In the business section of a city?
b. In the residential section of a city?
Ce In open countryside?
d- Flying near an airfield?
e. Flying over a city?

£. Flying over open country?
ge Other

EE  ———EeE=__ _—_—_E
FRAME 021 / 059tesseract-200dpi
( . 2 ‘
7

Page 2

le How did you happen to notice the object? Wl ablbrivg Tireracch OF nue

5. When did you report to some official that you had seen the object?

i. wie =r

SECTION B

6. What were you doing at the time you saw the object? 444

6.1 What had you been doing for the 30 minutes before you saw the object?
Try to list the activity or activities and the approximate amount
of time spent on each.

7. Were you moving at any time while you saw the object? (Circle One):

({ Tes) or No

———

IF you answered YES, then complete the following questions:
7el What direction tere you moving?

(Circle One): a. North . we
be. Northeast Southwest
ce East Ly ge West
d. <Sdutheas> he Northwest

——_ ~ oo

n~

7,2 How fast were you moving? ee | Ti miles per hour.
ames? meee

7.3 Did you stop at any time while you were looking at the object?

(Circle One): (Les') or No

8, What direction were you looking when you first saw the object?

(Cirele One): ae North e. South
be Gen ast f. Southwest
Co East) g- West
de Southeast h. Northwest

AL
FRAME 022 / 059tesseract-200dpi
<a ey tee

i ( (
Page 3
8.1 What direction were you looking when the object disappeared? j
(Circle One): a. North e. South —coeccchazat
, be. Northeast f. Southwest ~~~
c. East ge West
d. Southeast he Northwest

8.2 Circle one of the following to indicate how certain you are of
—— to the above question and preceding question (8 and

ol).
a. Qortain > c. Not very sure
be Fairly certain d. Just a guess
9. Were you wearing eye glasses when you saw the object? (Circle One):
Yes or /to

a

10. How was the object seen?

(Circle One): a. Through window glass e. Through theodolite

b. Through windshield f. Through sunglasses
c. Through binoculars ge Through open space >>

ad. Through telescope h. Other oe
11. What do you remember about the weather conditions at the time you saw the
object? —
11.1 CLOUDS (Circle One) 11.3 WEATHER (Circle One)
Be > (Dry 7
° th “Fog, Mist, or light rain
Ceo =n IOP clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don't remember e. Don't remember
11.2 WIND (Circle One) 11.4, TEMPERATURE (Circle One)
@e No wind — ae Cold
b. Slight breeze) A/ / b. Cool
c. Strong wind Cc. Warm
d. Don't remember d. Hot

ee Don't remember

SECTION ©

12. Estimate how long you saw the object? 2
Hours ‘iinutes Seconds
FRAME 023 / 059tesseract-200dpi
le How did happen to notice the object?

5. When did you report to some official that you had-seen the object?

—“tay—i—<C SS onth——~C—«~S car

SECTION B

6. What _ you doing at the time you saw the object? . Size sh yaa
ff £ , A i. f «

;

6.1 What had you been doing for the 30 minutes before you saw the object?
Try to list the activity or activities and the approximate amount
of time spent on eache

4 re On

7» Were you moving at any time while you saw the object? (Circle One):
tes or No

IF you answered YES, then complete the following questions:
761 What direction were you moving?

(Circle One): a. Worth e. South
be. Northeast f. Southwest
ce East ge West
ad. Southeast h. Northwest
722 How fast were you moving? miles per hour.

7+3 Did you stop at any time while you were looking at the object?

(Circle One): or No

8, whet direction were you looking when you first saw the object?

(Circle One): a. North e. South
be Northeast f. Southwest
ce East

ad. Southeast e Northwest
FRAME 024 / 059tesseract-200dpi
13.
1h.

16.

17.

18.

di

Page h

12.1 Circle one of the following to indicate how certain you are of your
answer t© Question 12:

Ge fo ee c. Not very sure
be CF Fairly sure sure» d. Just a guess

Did the object look: (Circle One) Solid or Transparent
Did the object at any times

(Circle One for each question)

14.1 Change direction? Yes “(Nlo> Don't know
14.2 Change speed? Yes o> Don't know
14.3 Change size? Yes Don't know
lhe Change color? Yes CNo> Don ow
14.5 Break up into parts or Yes (o> Dontt know
explode? —
14.6 Give off smoke? Yes No» Don't know
lhe? Change brightness? . Yes (No > Don ow
14.8 Flicker, throb, or Cies OF. Don't know - J » el
pulsate? i+ alk
14.9 Remain motionless? Yes (Ne Don't know

Did the object give off a light? (Circle One): (es) No Don't know

15.1 IF you answered YES, what was the color of the light? (oY. Yt GE — ig kp
Tell in a few wrds the following things about the object? rakes
1661 Sound

15.2 Color

IF there was MORE THAN ONE object, then how many were there? VE & h-
Draw a picture of how they were arranged and put an arrow to s

direction they were traveling. re ee f- Sic /, /

Did the object at any times

13.1 Move behind something? (Circle One) Yes Wo Don't know

IF you answered YES, then tell what it moved behind.
FRAME 025 / 059tesseract-200dpi
" ;

Page 5

18.2 Move in front of something? (Circle One) Yes No Don't know

IF you answered YES, then tell what it moved in front of.

18,3 Blend with the background? (Circle One) Yes No Don't know

19. Which of the following objects is about the ”, size the object
you saw? (Circle One): filnAt cr eye of ile jee. ofan aro a Bs
a. Pea Automobile ~T Tew,
b. Baseball g@-» Small airplane
c. Basketball he Large airplane
ad Bicycle wheel i. Dirigible
e. Office desk je Other

19.1 Circle one of the following to indicate how certain you are of your
answer to Question 19.

= Ser > c. Not very sure
Fairly certain ds Uncertain
20. Try to tell the following things about the object:
20.1 How high above the earth was it? YU Feet. Ofrerrrera Z
20.2 How far was it from you? feet or ono miles, #teyle arene
20.3 How fast was it going? os miles per an Preterclens tctaad he. t=
20.4 Circle one of the following cate how certain you are ‘Of your
answer to the above nite Analog fieatly 2 me é wee
a.C Certain. oy c. Not very sure
b. (Feirly certain ) de dust a guess
21. How did the object disappear from view?
(Circle One): 2. Suddenly c. Other
be Gradually d. Don't remember
SECTION D

22. In the following sketch, imagine your eye at the point shown. Place an "A"
on the curved line to show how high the object was above the horizon
(sicyline) when you first saw it. Place a "BY" to show where it was when

you last saw it. Overhead

Horizon

You

2 & —
FRAME 026 / 059tesseract-200dpi
Page 6

23. In the following sketch place an "A" at the position the object was when
you first saw it, and a "B" at its position when you last saw it.

= yl Ld

Horizon Horizon fast

2h. Draw a picture that will show the motion that the object made. Place an
"A" at the beginning of its path and a "B" at the end of its path.

25. Draw a picture that will show the shape of the object. Label and include
in your sketch any details of the object that you saw and place an arrow
beside the drawing to show the direction the object was moving.
FRAME 027 / 059tesseract-200dpi
Page 7 \

SECTION E

25. Was this the first time that you have seen an object like this?
(Circle One)t “es? or No

26.1 IF you answered NO, then when, where, and under what conditions did
you see other ones?

27. In your opinion what do you think the object was and what might have caused

it? didn pew At of A! fy
Rivera ft fave 7 Ge Sew, Boek A 7220 Tare thos ae oo

ATan Se x .. np fay

28, Give the following information about yourself: ~

Sea Ce REE
rs ame e@ Name

VY
ee Bey fonz 3
ree zone "State
sec of arc a

What is your present job? Ji olf 2

Age Ae

29. Wes anyone else with you at the time you saw the object?
Circle One): Yes or (Ho)
29,1 IF you answered YES, did they see the object too?
(Circle One): Yes or No

29.2 Please list their names and addresses:

. =r c | : | eae
FRAME 028 / 059POOR LEGIBILITY — PENDING RE-EXAMINATION
Page 6

30. Please add here any further comments which you believe are important.
Use additional sheets of the same size paper, if necessary.

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ft wange eclor, fa he faced Lf. byglfn Lf cA
‘noni eH Scene ole trey 6 fie hem f of een Fs Ft ee ' Cetin.
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== tes wtetviddle.. fete reeaprecaDony

A ff ee ile ada J ar. Coe J leur ae oaths.
bortic Lol s Ghertict, yt... yew oA if 2
ree 3 ~ sarfely — rhe FEE 3 DP Chote A... . Fa Cc
as

é , ap a al
Cettse..% oFG.. a

aber ane -—-~—

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FRAME 029 / 059tesseract-200dpi
"7

TENTATIVE
OBSERVERS QUESTIONNAIRE

SEOTION A

1. Vhen did you see the rae oe

1.1 Dates 72 ee
foes

—_——
_

f
1.2 Time of Day: 20 /S5_ A.M. or P.M. (Circle One) 244-2
~ Hrse . Mine

1.3 Time Zone: (Circle One):

Sn emer eae
be Central ee. Other

ce Mountain

(Circle One): a. Daylight Saving
b. Standard

1.4 Circle one of the following to indicate how certain you are of
your answer to the above question 1.2:

8 a c. Not very sure
b.\_Fairly certain ad. Just a guess

Oe ee ee ee

saw the object: /

ag ee
~

City or Tow State Country

Additional Remarks:

3, Where were you located when you saw the objects:

‘Cirele One): 2. Inside a building d. In an airplane
b. In acar ee At sea
Ceo Outdoors "> f. Other

o*
~~

3. Were you:

(Circle One): a. In the business section of a city?
b. In the residential section of a city?
ce In open countryside?
d. Flying near an airfield?
e. Flying over a city?
f. Flying over open country?
ge Other

~~ ee ee ee ee ee ee ee
shUaz d
FRAME 030 / 059tesseract-200dpi
he

a ” on
Se t, et ag if ie, . ‘fe 4 |

+

5. When did you report to some official that you had seen the object?

Pere J $D> ‘
Day Month Year

SECTION B

6. What were you doing at the time you saw the object?

? 7
i

6.1 What had you been doing for the 30 minutes before you saw the object?

Try to list the activity or activities and the approximate amount
of time nt on each.

/ » /t ’
7" f a ” one ; 7 ioe or
of. os ; oo. " ai tf - «& , , ) o> f
7 : - : 7 7 7 7 a” e

f f-Pet4 if if? 4? ‘> 7 Cid a <4

7+ Were you:moving at any time while you saw the object? (Circle One):

aaies oe / 2
ie eal “(ie > iene Meuntal C64 Barr /

/ .- -t.¢ > Fi
an “J ;
eo

IF you answered YES, then complete the following questions:
7-1 What direction were you moving?

(Circle One): ae North ee South
be Northeast f. Southwest
ce East g- West
a. Southeast ‘h. Northwest
722 How fast were you moving? miles per hour.

7-3 Did you stop at any time while you were looking at the object?
(Circle One): Yes or No

8, What direction were you looking when you first saw the object?

(Circle One): ae North e. South
b. Northeast f. Southwest
c. “East > g- West

de Southeast he. Northwest
FRAME 031 / 059tesseract-200dpi
Page 3

8.1 What direction were you looking when the object disappeared?

(Circle One): ae North

Co
b. ast f.
“Cs., East Be

d. Southeast ne

South
Southwest
West
Northwest

8.2 Circle one of the following to indicate how certain you are of
Me Aaa to the above question and preceding question (8 and
el)e

; —* rtain> Ce
b. Fairly certain de

Not very sure
Just a guess

9, Were you wearing eye glasses when you saw the object? (Circle One):

10. How was the object seen?
(Circle One): a. Through window glass e.

b. Through windshield f.
c. Through binoculars Ze

Through theodolite
Through. sunglasses.

‘Through open space...”

cd. Through telescope he Other~ patil
11. What do you remember about the weather conditions at the time you saw the
object?
11.1 CLOUDS (Circle One) 11.3 WEATHER (Circle One)
anc Clear sky> ae (Dry >
b. Hazy b. Fog, Mist, or light rain
ce. Scattered clouds ce. Moderate or heavy rain
ad. Thick or heavy clouds d. Snow
e. Don't remember e. Don't remember
11.2 WIND (Circle One) 11.) TEMPERATURE (Circle One)
2. io wind - 7 ae Cold
b. Slight breeze> 7 b. Cool
c. Strong a c. Warm
Gd. Don't remember d. Hot
e. Don't remember
SECTION C

12. Estimate how long you saw the object?

=”

Hours lunutes Seconds
FRAME 032 / 059tesseract-200dpi
lh.

15.

16.

17.

18.

Page

12.1 Circle one of the following to indicate how certain you are of your

answer to Question 12:

ae Certain

be Fairly suré~,

13. Did the object look: (Circle One) Solid or
Did the object at any time:

Change direction?
Change speed?

Change size?
Change color?

ee

thw ro

explode?
Give off smoke?
Change brightness?
Flicker, throb, or
pulsate?
e9 Remain motionless?

PPEE Pee

Did the object give off a light? (Circle One): Yes ‘No
15.1 IF you answered YES, what was the color of the light?

Break up into parts or

c. Not very sure
ad Just a guess

Transparent

Yes No Don't know
ves “Wo Don't know

es “No. Don't know
Yes “to Don't know
Yes “ No) Don't know
Yes Yo: n ow
‘Yes We Bontt know

Yes ~( No’, Don't know

Tell in a few words the following things about the object?

"s*

16.1 Sound i A eary

“~
ee

16 «2 Color

IF there was MORE THAN ONE object, then how many were there?
Draw a picture of how they were arranged and put an arrow to show the

direction they were traveling.

ji bom
‘Saye *

LF he

Did the object at any time:

13,1 Move behind something? (Circle One) Yes Wo

(Circle One for each question)

Don't know
=)

”

* ih cao ~ , o—
¢ Pd = ' » f Fs Ya
. st 4 . £ a
_- - ’ r -
y Eee tl feobt pe
Att pad Gr,
; 7 .
= {4° ; “. #
4 : ae ae }
Z-
7 P
’
(let

IF you answered YES, then tell what it moved behind,

Don't know ~

ns”
Ps,
5. ©

F-#

0 nt

—_— = -— = =
FRAME 033 / 059tesseract-200dpi
Page 5

18.2 Move in front of something? (Circle One) Yes No Don't know

IF you answered YES, then tell what it moved in front of.

i?.3 Blend with the background? (Circle One) Yes No Don't know

19. Which of the following objects is about ‘the same actual size as the object
you saw? (Circle One):

f. Automobile

| be Baseball g» Small airplane
Ce oa ketball . he Large airplane
Gd. Bicycle wheel i. Dirigible
e. Office desk je Other

19.1 Circle one of the following to indicate how certain you are of your
answer to Question 19.

‘ae Certain > ce Not very sure
be. Fa certain | ad. Uncertain
20. Try to tell the following things about the object: :
20.1 How high above the earth was it? feet. gua
20.2 How far was it from you? feet or ~ 3 miles.
20.3 How fast was it going? miles per aan

20. Circle one of the following to indicate how certain you are of your
answer to the above questions:

—=>= sc
a. Certain c. (Not very sure >

b. Fairly certain de just puess”

2l. How did the object disappear from view?

(Circle One): a. Suddenly c. Other
be Gradually” 2. P , @ Don't remember
T dads a | re

SECTION D

22e in the following sketch, imagine your eye at the point shown. Place an "A"
i the curved line to show how high the object was above the horizon

(skyline) when you first saw it. Place a "BY" to show vhere it was when

you last saw it. Ove ead

Horizon

és ~~ ee
FRAME 034 / 059tesseract-200dpi
bs |

Page 3

8.1 What direction were you looking when the object disappeared?

(Circle One): a. North e. South
be Northeast f. Southwest
ce East 4
d. Southeast FE Northwest

8.2 Circle one of the following to indicate how certain you are of

ae to the above question and preceding question (8 and
el a

ae Certain-—----.... CG. Not very sure
be Fairly certain. d. Just a guess

—_
ae le me OM

9. Were you wearing eye glasses when you saw the object? (Circle One):

Yes or No

10. How was the object seen?

(Circle One): a. Through window glass e. Through theodolite
b. Through windshield f. Through sunglasses"

c. Through binoculars cg. Through Open space >
cd. Through telescope “ho Other pec ee

11. What do you remember about the weather conditions at the time you saw the
object?
11.1 CLOUDS (Circle One) 11.3 WEATHER (Circle One)
a. Clear sky “ae Dry
b. Hazy “Ss og, Mist, or light rain
ce. Scattered clouds c. Moderate or heavy rain
ad. Thick or heavy clouds d. Snow
e. Don't remember ee Don't remember
11.2 WIND (Circle One) 11.4 TEMPERATURE (Circle One)
a. Wo wind a
b. Slight breeze « Cool
c. Strong.wind...... ce Warm
<_ de Don't remember .~ d. Hot
—— e» Don't remember
SECTION C
12. Estimate how long you saw the object? t et .

Hours Tuinutes econds
FRAME 035 / 059tesseract-200dpi
Page 6

23. In the following sketch place an "A" at the position the object was when
you first saw it, and a "B" at its position when you last saw it.

Overhead

Horizon

2h. Draw a picture that will show the motion that the object made. Place an
"A" at the beginning of its path and a "B" at the end of its path.

25. Drew a picture that will show’the shape of the object. Label and include
in your sketch any details of the object that you saw and place an arrow
beside the draving to show the direction the object was moving.

Ce ED es nn a aE
ne SS A AAD
°
FRAME 036 / 059tesseract-200dpi
SECTION E

265. Was this the first time that you have seen an object like this?
(Circle One): (3 Yes) or No

26.1 IF you answered NO, then when, where, and under what conditions did
you see other ones?

te in yout Opinion wast Co you Siink the object was and what might have caused
46? a

*
fol a

28.

29. Was anyone else with you at the time you saw the object?

a
(Circle One): . ‘Yes. or No

29.1 IF you answered YES, did they see the object too?

(Circle One): Sen or No

29.2 Please and addresses: 7 #. }
FRAME 037 / 059POOR LEGIBILITY — PENDING RE-EXAMINATION
Page 8

30. Please add here any further comments which you believe are important.
Use additional sheets of the same size paper, if necessary.

bonsreery theres. ~ aval leony Prittimake Cas - frewns SE a
da Pronge Liar yy Jaw, Soprtc -

fo artery awn GQ wit ae ae
Fosimiel Gar ee | # Cee £0 = a patel, J for

“hie meta,
AE heed! nsiclend + Leal
Be aap yaa a show — or Getert pt. enl Cees «a .
a Ain fe Ho ad f gel mor correastere CT ip me
pi: ie L,kb, cvclad py py heath oe
Yee C vet Pe 9 ane, ce ‘fin -,
Mi hyphae eae Ft gh to A ft lt tl?
pena me ‘ad YW tec,

Kay wore Ce close Dy he to te wr, img a5
Yay Tl 72 OF NS AE A lg te L, Lf

,-

ir: A a fliy
Pot, a L-€ a. 7 7 * Lg Ce ee < eh} ffiis C45 ;
nat 4: > i a ey i il Ma ee, AEE 1 44 4 -
FRAME 038 / 059tesseract-200dpi
TENTATIVE
OBSERVERS QUESTIONNAIRE

SECTION A

1. When did you * the object:
“t-
lel Dates LB
oe n -
1.2 Time of Day; =< © </ A.M. or P.M. (Circle One)
irs. Mine

1.3 Time Zone: (Circle One):

ae Eastern ad. Pacific
be Central e. Other
ce Mountain

(Circle One): ae Daylight Saving

1.4 Circle one of the following to indicate how certain you are of
your answer to the above question 1.2:

a. Certain ce. Not very sure
airly uesteta ad. Just a guess
” re - ¢-f~

2. Where were you when you saw the object: << .”

Os

Additional Remarks:

3. ‘where were you located when you saw the object:

{Cimsle One): a. Inside a building d. In an airplane
be In a.car e. At sea
Ce , Outdoors _.» f. Other

3. Were your

(Circle One): a. In the business section of a city? /
b. In the residential section of a city?.
ce In open countryside?

d. Flying near an airfield?

e. Flying over a city?

f. Flying over open country?

ge Other

—e
~ "
FRAME 039 / 059tesseract-200dpi
Page 2
P f ft }- f
lh. How did you happen to notice the object? (Pip it had AM steegt = Fal a
ry ea eae
et, / ce) TEAL S - peters EK» ee

5. ‘when did you report to some official that you had seen the object?

Day Month Year
2 © Eon
SECTION B
6. What were you doing at the time you saw the object? Viton / ting (> 9 ., |

6.1 What had you been doing for the 30 minutes before you saw the object?
Try to list the activity or activities and the approximate amount
of time spent, on eache

tf P, ’ vA
“’ ; ps 7 dl f of - a ae LM ~
’

“« ie .

7e Were you moving at any time while you saw the object? (Circle One):

ae.
Yes or CNo/

IF you answered YES, then complete the following questions:
7eol What direction were you moving?

(Circle One): a. orth @.e South
be Northeast f£. Southwest
Ce East ge West
a. Southeast he Northwest
7e2 How fast were you moving? miles per hour.

7-3 Did you stop at any time while you were looking at the object?
(Circle One): Yes or No

8. Whet direction were you looking when you first saw the object?

(Circle One): a. North e. South
be. Northeast f. Southwest
c. East ge West

d. (Southeast h. Northwest

Pe coe Oe
FRAME 040 / 059tesseract-200dpi
Page 3

8.1 What direction were you looking when the object disappeared?

(Circle One): a. North e. Sov
be. Northeast f. \ Southwest >
c. East Ge
d. Southeast he Northwest

8.2 Circle one of the following to indicate how certain you are of

BE gee to the above question and preceding question (8 and
el ®

Be ¢ Certain ce Not very sure
b Fi certain dad. dust a guess

9, Were you wearing eye glasses when you saw the object? (Circle One):

" Pe. \

Yes or {No /
10. How was the object seen?

(Circle One): a. Through window glass e. Through theodolite
b. Through windshield f. Through sunglasses
c. Through binoculars ge Through open space->
ad. Through telescope h. Other

ll. What do you remember about the weather conditions at the time you saw the

object?
11.1 CLOUDS (Circle One) 11.3 WEATHER (Circle One)
Be Glear sky Be Dry »
b. Hazy be. Fog, Mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d, Snow
e. Don't remember ee Don't remember
11.2 WIND (Circle One) 11.4, TEMPERATURE (Circle One)
é<<Ge1a >
b. Cool
ce Warm
ad. Hot
e. Don't remember
SECTION C
12. Estimate how long you saw the object? { FO

~~flours ~ lunmutes  #§ Seconds
FRAME 041 / 059tesseract-200dpi
~~

2 A ee es

7¢ i

Page h

12.1 Circle one of the following to indicate how certain you are of your
“answer to Question 12:

Cc. Not very sure
ad dust a guess

13. Did the object look: (Circle One) Solid oor Transparent

1h. Did the object at any time:

(Circle One for each question)

14.1 Change direction? Yes Don't know

14.2 Change speed? Yes Don't know

14.3 Change size? Yes ’ Don't know

ls. Change color? Yes To.) Don't know

14.5 Break up into parts or Yes No) Don't know
explode? a

14.6 Give off smoke? Yes Don't know

14.7 Change brightness? Yes Aa. Dontt know

14.8 Flicker, throb, or Yes ‘Wo ) Don?t know
pulsate? +

14.9 Remain motionless? Cies> No Don't know

1S. Did the object give off a light? (Circle One): . Yes) No No Don't know

, j ee OD 8S #,
15.1 IF you answered YES, what was the color of the light? Ms fA gt 7 th i

16. Tell in a few wrds the following things about the object?
15.1 Sound ;
16.2 Color

17. IF there was MORE THAN ONE object, then how many were there? & ten: 4

Draw a picture of how they were arranged and put arrow to show the -
direction they were ee pod

~ 4 $f ea + ae

ie

18, Did the object at any times

13.1 Move behind something? (Circle One) Yes io ) Don't know

La”

IF you answered YES, then tell what it moved behind.
FRAME 042 / 059tesseract-200dpi
Page 5

18.2 Move in front of something? (Circle One) Yes (ie Don't know
IF you answered YES, then tell what it moved in front of.

18.3 Blend with the background? (Circle One) Yes No Don't know
19. Which of the following objects is ee the same wad cas size as the object

you saw? eee Lats, z J: a Fela tas" a fpoy bah Q Wm “.—,
Ae Pea f. Automobile
b. Baseball g@. Small airplane
ce Basketball * he Large airplane
dad. Bicycle wheel i. Dirigible
e. Office desk je Other

19el Circle one of the following to indicate how certain you are of your
answer to Question 19.

avtein >
Qe Certain, > ce Not very sure
b. ‘Fairly certain de Uncertain

20. Try to tell the following things about the object:

20.1 How high above the earth was it? ‘i ID Leet. 7
20.2 How far was it from you? feet or Mess Chenin”
20.3 How fast was it going? miles per hour.

20.4 Circle one of the following to indicate how certain ei are of your
answer to the above questions:

eat,

ae Certain c. Not very sure ‘;
b. Fairly certain ad. Just a guess
21. How did the object disappear from view?
(Circle One): a c. Other
bo. Gradually d. Don't remember

SECTION D

22. in the following sketch, imagine your eye at the point shown. Place an "A"
on the curved line to show how high the object was above the horizon

(slorline) when you first saw it. Place a "B" to show where it was when
vou last saw it. tiene

Horizon

You
FRAME 043 / 059tesseract-200dpi
—_ eae ee ee ee oe ee ee

Page 6

23. In the following sketch place an "A" at the position the object was when
you first saw it, and a "B" at its position when you last saw it.

Overhead

Horizon Horizon
You

2h. Draw a picture that will show the motion that the object made. Place an
"A" at the beginning of its path anda "B" at the end of its path.

25 Draw 2 picture thet will show the shape of the object. Label and include
in your sketch any details of the object that you saw and place an arrow
beside the draving to show the direction the object was moving.
FRAME 044 / 059tesseract-200dpi
Page 7

SECTION E
26. ‘Was this the first time that you have seen an object like this?

(Circle One)s{ Yes) or No

26.1 IF you answered NO, then when, where, and under what conditions did
you see other ones?

27. In your opinion what do you think the object was and what might have caused
it? f
8

28. Give the about ae

ae 68 Name

De iim

TA me City ,zon oye? ’

ADDRESS

TELEPHONE NUMBER

29. Was anyone else with you at the time you saw the object?
a,
(Cirele One): Ees/ or No

2.1 IF you cnateened YES, did they see the object too?

i
(Circle One): “Yes. or Wo

23.2 Please list their names and addresses?
Lantiga - par ff Sad
FRAME 045 / 059tesseract-200dpi
13.

16,

17.

18,

‘
" ’
>
’

Page

12.1 Circle one of the following to indicate how certain you are of your
answer to Question 12:

ae Certain c. Not very sure

ow be Fairly sure. ds Just a guess

Did the object look: (Circle One) Solid or Transparent
Did the object at any time: Se

(Circle One for each question)

lye1 Change direction? Yes Don't know

lh4e2 Change speed? Yes Don't know

14.3 Change size? Yes Don't know

14.4 Change color? Yes | Dontt know

14.5 Break up into parts or Yes Cio) Don't know
explode? saga

1h.6 Give off smoke? Yes (No! Don't know

1h.7 Change brightness? Yes ~Yo Don't know

14.8 Flicker, throb, or Yes To’ Don't know
pulsate? Pa

14.9 Remain motionless? Yes ‘ No) Don't know

Did the object give off a light? (Circle One): (xes) No Don't know

15.1 IF you answered YES, what was the color of the light? he teh

Tell in a few words the following things about the object?

15.1 Sound Wr —

15.2 Color

I? there was MORE THAN ONE object, then how many were there?

Draw a picture of how they were arranged and put an arrow to show the
direction they were traveling.

Did the object at any time:
13.1 Move behind something? (Circle One) Yes No Don't know

IF you answered YES, then tell what it moved behind,

> a. »
FRAME 046 / 059tesseract-200dpi
Page 8

30. Please add here any further comments which you believe are important.
Use additional sheets of the same size paper, if necessary.

hes pecan ga.) He Tuo ty oF a ed
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FRAME 047 / 059tesseract-200dpi
TENTATIVE

} 5. ‘
a  — —________

SBOTION A

1. When did you see the object:

lel Dates 2 4 es is
Day Month i. Year

1.2 Time of Day: // ra ts / ks i A.M. or P.M. (Circle One)

1.3 Time Zone: (Circle One):

a. Eastern va ad. Pacific
b. Central e. Other
ce Mountain

(Circle One): a. Daylight Saving
b. Standard _~

1.4 Circle one of the following to indicate how certain you are of
your answer to the above question 1.2:

a. Cortein c. Not very sure
b. Fairly certain ad. dust a guess

ts

7
Layton fo O..
8 City or Town State “Country”
# , | 2 ;
Additional Remarks: x ,. / —  f ce-my iS f a em f, x - ie f—

/

/j f ef ,
i ww tt2 Cb 0.Ft af Atel = Py. Ts.04% Qe § “pn A
7

= ww

3, Where were you located when you saw the object:

(Circle One): a. Inside a building d. In an airplane
be In acar e. At sea
c. Outdoors.  f. Other

3,1 Were yous

(Circle One): ae In the business section of a city?
b. In the residential section of a city?
ce In open countryside? .~~
ad. Flying near an airfield? :
e. Flying over a city? ‘

f. Flying over open country?
g.- Other

> SS _—--
FRAME 048 / 059tesseract-200dpi
4 a . a .

Page 2
lhe How did you happen to notice the object? ed ote oo J RA

5. ‘when did you report to some official that you had seen the object?

p *
72 2. 9 << ares “)
Day Month Year ,

SECTION B

6.1 What had you been doing for the 30 minutes before you saw the object?

Try to list the activity or activities and the approximate amount
of time spent on each.

i , 7 re
tee 4 4 £7? nar

aa * 4 PS} oie prenttLrug

Lvifehe

7. Were you moving at any time while you saw the object? (Circle One):

ies or (%)

IF you answered Y=S, then complete the following questions:
7+l What direction were you moving?

(Circle One): a. North ee South
be. Northeast f. Southwest
Ce East g. West
ad. Southeast he Northwest
7e2 How fast were you moving? miles per hour.

7

\a

Did you stop at any time while you were looking at the object?
(Circle One): Yes or No

8, What direction were you looking when you first saw the object?
(Circle One): ae North .< e. South
d. fortheast f. Southwest
c. East @- West

4, Saatheast h. Northwest
FRAME 049 / 059tesseract-200dpi
Page 3

8.1 What direction were you looking when the object disappeared?

(Circle One): a. North @. South .
b. ‘Northea f. Southwest
| c. Eas g- West
ad. Southeast he Northwest

8.2 Circle one of the following to indicate how certain you are of
—— to the above question and preceding question (8 and
el).

* ce Not very sure
b. certain dad. Just a guess

9, Were you wearing eye glasses when you saw the object? (Circle One):

Yep or (‘oD

10. How was the object seen?

(Circle One): a. Through window glass e. Through theodolite

b. Through windshield f. Through sunglasses 4. -
c. Through binoc r g» Through open space -/4/*” “7 =
a meals. ce 29 & he Other
11. What do ‘you remember about “the weather conditions at the time you saw the
object?
11.1 CLOUDS (Circle One) 11.3 WEATHER (Circle One)
b. Hazy be Fog, Mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
es Don't remember ee Don't remember

11.2 WIND (Circle One) ) 4 11.4 TEMPERATURE (Circle One)

a. (fe wing> Aes! Cold
b. Greet breese Ty teradh i Cool
c. Strong wind c. Warn
d. Don't remember d. Hot

ee Don't remember

SECTION C

wits

ET ee oe
FRAME 050 / 059tesseract-200dpi
Page
12.1 Cirele one of the following to indicate how certain you are of your

answer to Question 12:

a. Certain a Cc. Not very sure
b. Fairly sure d. Just a guess

13. Did the object look: (Circle One) Solid or Transparent 2
1k. Did the object at any times

wa Oe ip Sp Beeglt
: ST n't know /
. Don't know

Change direction?
14.2 Change speed? Wo Don't in

14.3 Change size? n

14. Change color? n ow

14.5 Break up into parts or ‘No n't know
explode? _ peace

14.6 Give off smoke? Yes No Don't know )

14.7 Change brightness? Gee No n't know

14.8 Flicker, throb, or (Tos Don't know
pulsate?

14.9 Remain motionless? Yes No

15. Did the object give off a light? (Circle One):( Yes.) No Don't Imow
ar”

a ; je
15.1 IF you answered YES, what was the color of the light? “oj f%+4: > ¢%" bad
cy Pa ee > ihe va
16. Tell in a few wrds the following things about the object? Pp ip fre Foy
\ re Sap :
16.1 Sound j ‘} } 1 fee S,
G2 tJ : / 7 Ne to oe ee
15.2 Color Mictn tos oe “fee fA e ¢ a

17. IF there was MORE THAN ONE object, then how many were there?

Draw a picture of how they were arranged and put an arrow to show the
direction they were traveling. Pa ;

F
_
~- J ; , a
- ; Z

7 *
/» ’ , a A
i tts fon *8) od

f
i

18. Did the object at any time:

18.1 Move behind something? (Circle One) Yes _ ilo Don't know

IF you answered YES, then tell what it moved behind,

—— Oe ee ee «
FRAME 051 / 059tesseract-200dpi
Page 5

18.2 Move in front of something? (Circle One) Yes No Don't know

IF you answered YES, then tell what it moved in front of.

18.3 Blend with the background? (Circle One) Yes No Don't know

19. Which of the following objects is Fate the same Agige y aartgh as jhe ee
you saw? (Circle One):

shee 7 "bdt.
a. Pea ~- f. Automobile Fine
b. Baseball ' g- Small airplane
c. Basketball he Large airplane
a Bicycle wheel i. Dirigible
e. Office desk je Other

19.1 Circle one of the following to indicate how certain you are of your
answer to Question 19.

ae
we
a. Certain...” ce Not very sure
b. Fairly certain d. Uncertain

20. Try to tell the following things about the object:

ferey 2 2,

20.1 How high above the earth was it? s siensdag feet.
20.2 How far was it from you? feet or Co. miles. f
20.3 How fast was it going? / 7 miles per hour. tet afevoh ~

20.4 Circle one of the following to ahtss te how certain Mos are of your
answer to the above eeashthane

ae Certain Co Not very one
b. Fairly certain d. dust a gues
21. How did the object disappear from view?
(Circle One): a. Suddenly c. Other
be , Sradu, ly 7a Don't remember
vA bre ried Jp Lh,
4, ef ad L¢ LAM, fil

SECTION D

22. In the following sketch, imagine your eye at the point shown. Place an "A"
on the curved line to show how high the object was above the horizon

(skyline) when you first saw it. Place a "B" to show vhere it was when

you lest saw it. ee

Horizon
FRAME 052 / 059tesseract-200dpi
Page 6

23. In the following sketch place an "A" at the position the object was when
you first saw it, and a "B" at its position when you last saw it.

Overhead

Horizon Horizon
You

2h. Draw a picture that will show the motion that the object made. Place an
"A" at the beginning of its path and a "B" at the end of its path.

25- Draw a picture that will show the shave of the object. Label and include
in your sketch any details of the object that you saw and place an arrow
beside the drawing to show the direction the object was moving.

oo |
FRAME 053 / 059tesseract-200dpi
Page 7

SECTION &
26, tins this the first time that you have seen an object like this?
(Circle One): Yes or No)

26.1 IF you answered NO, then when, wagyts and under. ata conditions did
you see other ones? p

27. In your opinion what do you, think the object was ya what — wave caused
it? fo. if J : fo ; f "yao a

, Ae ae ea e 4 fom Pm . ee | s a” ra ye
-

. ”

25, Give the following

s

*ormation about

Se.

2st Name first Name Middle Name

ADDRESS
Street City zon —, p f

TELEPHONE NUMBER <q neanry een.

- .
a ‘ > .

What is your present job? bf oy:

(Circle One): (Les. or No
29,1 IF you answered YES, did they see the object too?
(Circle One): (Yes’ or No

23.2 Please list es and addresses:

Pia 3 f - a “> 4 CA OCT ot Pa 4
FRAME 054 / 059POOR LEGIBILITY — PENDING RE-EXAMINATION
Page 8

30. Please add here any further comments which believe
Use additional sh sheets of the same size ape, if —

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FRAME 055 / 059POOR LEGIBILITY — PENDING RE-EXAMINATION
(no machine-readable text on this frame)
FRAME 056 / 059tesseract-200dpi
"

Page 5

18,2 Move in front of something? (Circle Ine) Yes No Don't know
IF you answered YES, then tell what it moved in front of,

18.3 Blend with the background? (Circle One) Yes No Don't know

19. Which of the following objects is about the same actual size as the object
you saw? (Circle One):

» Pea f. Automobile
b. Baseball g» Small airplane
c. Basketball he Large airplane
d. Bicycle wheel i. Dirigible
e. Office desk je Other

19«l Circle one of the following to indicate how certain you are of your
answer to Question 19.

a. Certain c. Not very sure
b. Fairly certain de Uncertain

20. Try to tell the following things about the object: l. /2,09? ras
‘s tt ois area’
20.1 How high above the earth was it? afi if De -" “feebe OVER pen j be
20.2 How far was it from you? hee milese “°

20.3 How fast was it going?

20. Circle one of the following ts indicate how certain you are of your
answer to the above cieahbnads

ae Certain ce Not very sure
b. Fairly certain d. Just a guess
21. How did the object disappear from view? Vey Gut off as
(Circle One): 2. Suddenly c. Other Object moved aed
b. Gradually d. Don't remember bartdin a
SECTION D

22. in the following sketch, imagine your eye at the point shown. Place an "A"
n the curved line to show how high the object was above the seviaia:

skytine) when you first saw it. Place a "B" to show vhere it was when
2 Last saw it. eiiead ”

a.

~
we
7
ss

; Horizon

miles-pes-hour. Like 3 }90 pisac

—_——
FRAME 057 / 059tesseract-200dpi
Page 6

23. In the following sketch place an "A" at the position the object was when
you first saw it, and a "BY at its position when you last saw it.

Overhead

Horizon Horizon
You

2h. Draw a picture that will show the motion that the object made. Place an
"A" at the beginning of its path anda "B" at the end of its path.

25¢ Draw a picture that will show the shape of the object. Label and include
in your sketch any details of the object that you saw and place an arrow
vescide the draving to show the direction the object was moving.

ae
FRAME 058 / 059tesseract-200dpi
Page 7

SECTION &
26, Was this the first time that you have seen an object like this?

(Circle One): Yes) or No

26.1 IF you answered NO, then when, where, and under what conditions did
you see other ones?

27-2 In your opinion what do you think the i was and what might have caused
it? Ll
4

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% ae * . ’ . en ‘t. st h - " 4 4, J “er 2? ’

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a iH 3

Give the followingginformation about a eo
‘ers

ADDRESS

29, War anyone else with you at the time you saw the object?

(Circle one) (tes) or No

2°,1 IF you answered YES, did they see the object too?
(Circle One): (Yes) or Wo

29.2 Please lis r names and addresses?
FRAME 059 / 059tesseract-200dpi
Page 8

30. Please add here any further comments which you believe are important.
Use additional sheets of the same size paper, if necessary.

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