PROJECT BLUE BOOK

2. LOCATION

1. DATE - TIME GROUP

31. Varch 53 31/20/52
3, SOURCE
Civi irn

WILiwwis APB,

10. CONCLUSION
RALTOOY

Neo in the area was not ry

4 arte t i\TIC. h pib x12. Want: Fy
NUMBER OF OBJECTS Dalloon is scheduled to be lnunehed at M1002 (15 minutes cfore
sighting) ob Phoenix, Arizona. Vin’s aloft were net sported
One :

LENGTH OF OBSERVATION

10 Secornis
TYPE OF OBSERVATION

Ai re 4 Us A

PHOTOS

O Ves

Zi"Ne
9. PHYSICAL EVIDENCE

O Yee
XICNe

FORM
FTD sep 63 0-329 (TDE) previous editions of thie form may be used.

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39. Do you think you can estimate the speed of the object?
(Circle'One) ‘Yes Ye

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IF you answered YES, then whot speed would you estimate? sah r fps7

ma p.h,
40. Do you think you can estimate how far away from you the object was?
yom a
(Circle One) Yes No AL L£&éf3T
IF you answered YES, then how far away would you say it was? LELS.... fect.

—_—

41, Please give the following information about yourself;

irst Name a4

——

Middle Name
4 (> 7
ADDRESS Gawews Frere ae ee
City Zone State

TELEPHONE NUMBER .

.

What is your present job?

SD off eft} ~~
Age ot 6 Sex Oh *

Please indicate any special educational training that you have had.

—

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PAOPEE >?

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MECHPATE , Lone SPT.
a, Grade school e.e. Technical school 9.7, AUR Foe _

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Lf pated AKERS ‘an ml

b. High school 4 | (Type) WORLD WAR fo |
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c. College _ - f, Other special training Fike T ALL AUEIE
d. Post graduate Givik_ [560 #ovR3$ sooo CRoss
SCowv TRY
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42, Date you completed this questionnaire: & é ff PETE ao.
Day Month Year

? HS fo pESTIONNAIBE WéS ABTE
Ve f Oe Ve er pe aH VEL PROT

Jl THC PERCE Wes.

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Pecos T, L£ |

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DATE

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U. S$. AIR FORCE TECHNICAL INFORMATION SHEET
(SUMMARY DATA)

In order that your information may be filed and coded as accurately os possible, please use
the following space to write out o short description of the event that you observed. You may re-
peat information that you have already given in the questionnaire, and odd any further comments,
statements, or sketches that you believe are important. Try to present the details of the observo-

tion in the order in which they occurred. Additional pages of the some size paper may be attached
if they are needed,

iba mt

, (Do Not Write in This Space)
(Pleose Print)

CODE:

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U. S, AIR FORCE TECHNICAL INFORMATION SHEET

This questionnaire has been prepared so that you can give the U. S. Air Force as much
information as possible concerning the unidentified aerial phenomenon thet you have observed,
Please try to answer as many questions as you possibly can. The information that you give will
be used for research purposes, and will be regarded as confidential material. Your name will not
be used in connection with any statements, conclusions, or publications without your permission.
We request this personal information so that, if it is deemed necessary, we may contact you for
further details.

1, When did you see the object? 2. Time of day: freon / £00 Ms 7
our Minutes

SRB _MagcH _/253

—— —

BI (Circle One): A.M. or PMY

3. Time zone:

4. Where were you when you saw the object?

S6MMLES Wes7 of wihitins AAFE VARA oh

(Circle One): a. Eastern (Circle One): a. Daylight Soving
b, Central <b) Standard
¢. Mountain =~
d. Pacific
e. Other -”
ee ee ee st sk 4

Nearest Postal Address City or Town Stote or Country
Additional remarks: FA LLL G- 3/5 ° JANG. 4000" Mosk ITs MPH
APR AAS CUE ALK ABSB Eko Tae So/TH i
5. Estimate how long you saw the object. i @ |
Hours Minutes Seconds

5.1 Circle one of the following to indicate how certain you are of your answer to Question 5.

fa.) Certain c. Not very sure
. Fairly certain d, Justa guess

6. What wos the condition of the sky?

(Circle One): ® Bright daylight d. Just a trace of daylight
» Dull daylight e. No trace of daylight
¢. Bright twilight f. Don’t remember

7. IF you saw the object during DAYLIGHT, TWILIGHT, or DAWN, where was the SUN located as you looked at -
the object?

(Circle One): a. In front of you d. To your left
b, In back of you (e.) Overhead
c. To your right . Don’t remember

-__—_

Page 2

8. IF you saw the object at NIGHT, TWILIGHT, or DAWN, what did you notice concerning the STARS and MOON?

8.1 STARS (Circle One): 8.2 MOON (Circle One):
@ None a. Bright moonlight
» A few b. Dull moonlight
c. Many c¢. No moonlight — pitch dark
d. Don’tremember d. Don't remember

— - — a ——--

9, Was the object brighter than the background of the sky?

(Circle One): (G.) Yes b. No. c. Don’t remember

— —_— — — —

10, IF it was BRIGHTER THAN the sky background, was the brightness like that of an ovnonabite headlight?:

(Circle One) a. A mile or more away (a distant car)?
b. Several blocks away?

ce. Ablock away?
d. Several yards away?

eo. Other AIPAC X. 70? races

oe ——=s ee oe

—_ —- - —

aiimcomnd

11, Did the object: (Circle One for each question)
a. Appeor to stand still at any time? Yes (No> Don't Know
b. Suddenly speed up and rush away at any time? Yes o Don't Know
c. Break up into parts or explode? Yes Don’t Know
d. Give off smoke? Yes iO Don't Know
e. Change brightness? Yes (No Don’t Know
f. Change shape? Yes WN Don't Know
g. Flicker, throb, or pulsate? Yes (No) Don't Know
12. Did the object move behind something at anytime, particularly a cloud?
(Circle One): Yes (No) Don’t Know. IF you answered YES, then tell what
it moved behind: _ ~_

—-

_ ~_ — -

13. Did the object move in front of something at anytime, particularly a cloud?

(Circle One): Yes ( No) Don't Know. IF you answered YES, than tell what
it moved in front of: “"

— as —_ = —_- —_—--—-

14, Did the object appear: (Circle One): Solid? b. Transparent? c. Don’t Know.
15. Did you observe the object through any of the following?
a. Eyeglasses Yes No e. Binoculars Yes No
b. Sun glasses Yes No f. Telescope Yes No
VP CRAFT CED Windshield (Yes) No g. Theodolite Yes No
d. Window glass Yes No h. Other

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16. Tell ina few words the following things about the object.

a, Sound
b. Color

—-

17. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details

of the object that you sow such as wings, protrusions, etc., and especially exhaust trails or vapor trails. Place
an arrow beside the drawing shew the direction the object was moving.

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18. The eden of the object were:

(Circle One): a. Fuzzy or blurred e. Other s e JARE OK Ro ° jodi
b. Like a bright star OBVECT ws 5° FRST we
c. Sharply outlined aa . .
d. Don’t remember SeeLO Ul £2

19. 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 that they were travel ing.

V#E 2ES/ECT WHS CI7ER  sVACC & Cheese 1 OR

ARRECER wD Fuk THER Away Due Fo &KTRENE
SSEED WE wWwkhE UJNAGLE TJ9 PETER ANE JUST
WHAT sIZE /T fEAtCY Wis, we CovwlOD
7s TOET /7T BPD NeT KOVE Ale WHIWES

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20. Draw a picture that will show the motion that the object or objects made, Place an “A” at the beginning
of the path, a “B” at the end of the path, and show any changes in direction during the course.

See. fh

eee cee ew ee ee

— _ —- — —

21. IF Pewee, try to guess or estimate what the real size of the object was in its longest dimension.
aah feet.

—_ —_- _—_—_-—

22. How large did the object or objects appear as compared with one of the following objects held in the hand
and at about arm’s length?

(Circle One): a. Head of a pin g- Silver dollar |
b. Pea h. Baseball |
c. Dime i. Grapefruit
d. Nickel j- Basketball ae ial
e. Quarter k. Other At FeEK. #7 AES ¥
f. Half dollar VT ERE Fee OK LBP
22.1 (Circle One of the following to indicate how certain you are of your answer to Question 22.
a. Certain c. Not very sure
(> Fairly certain d. Uncertain

—

23. How did the object or objects disappear from view? To lee a RICGAT _#Y DP LO
Tre. Asa

—_— -—__

24. In order that you can give as clear a picture os possible of what you saw, we would like for you to imagine that you could
construct the object that you sow. Of what type material would you make it? How lorge would it be, and what shape
would it have? Describe in your own words a éommon object or objects which when placed up in the sky would give the
same appearance as the object which you saw.

SIMVER (NM Cecor
TUREE FEET 2 AAREER WW! SIL SE |
= i DVAR ES oR ov /2

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Page 5

25. Where were you located when you saw the object? 26. Were you (Circle One)
(Circle One):

a. In the business section of a city?
a. Inside a building b. In the residential section of a city?

b. Ina car c. In open countryside?
c. Outdoors d. Flying near an airfield?

@.) In an airplane Flying over a city?

e.
@. At sea Cf) Flying over open country?

SS g- Other

27. What were you doing at the time you saw the object, and how did you happen to notice it?
SE sto’ 4A MINIJTE  AET Down Fo FYyoerly

28. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:

28.1 What direction were you moving? (Circle One)

a. North c. East e. South . West
b. Northeast d. Southeast f. Southwest Northwest

28.2 How fast were you moving? ee PE i miles per hour.

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

(Circle One) Yes (Ne;

29. What direction were you looking when you first saw the object? (Circle One)

a. North c. East e. South g-. West
(8) Northeast d. Southeast f. Southwest h. Northwest

. What direction were you looking when you last saw the object? (Circle One)

a. North . e. South g- West
f. Southwest h. Northwest

. If you are familiar with bearing terms (angular direction), try to estimate the number of degrees the object was
from true North and also the number of degrees it was upward from the horizon (elevation).
31.1 When it first appeared:

a. From true North __

TKAVEC

b. From horizon ged , OF
‘ OpVvoeC Tf

31.2 When it disoppeared:

a. From true North {59 ~ . degrees. > a
b. From horizon LEVEL degrees. A/ OR 9ZI°7AIA- liar att

nae a

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32. In the following sketch, imagine that you are 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” on the same curved line to
show how high the object was above the horizon (skyline) when you lost saw it.

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Pe REPS Wii
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33. In the following larger sketch place an “A” at the position the object was when you first sew it, and a “B” at its

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position when you /ast saw it. Refer to smaller sketch as an example of how to complete the larger sketch.

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Page 7

34. What were the weather conditions at the time you saw the object?

34,1 CLOUDS (Circle One) 34.2 WIND (Circle One)
a.) Clear sky a. No wind
. Hazy Cb) Slight breeze
c. Scattered clouds c. Strong wind
d. Thick or heavy clouds d. Don't remember
e. Don’t remember
34,3 WEATHER (Circle One) 34.4 TEMPERATURE (Circle One)
a) Dry a. Cold
. Fog, mist, or light rain b. Cool
c. Moderate or heavy rain Ce) Warm
d. Snow d. Hot
e. Don't remember e. Don't remember

— _

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

oT Aron sENWIX - CAA - COMWTROL
3 4 FES 2 TH Tower

ooo me a es ee ee —_ _ ~ ~ — omesee

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

(Circle One) ¢ és) No
a
36.1 IF you answered YES, did they see the object too?

(Circle One) Yes) No

36.2 Please list their names and addresses:

Jon-enp- Deiklling Svp7. STAs eIRY (HC.

DAKERSFIELD = CAAIF.

37. Was this the first time that you had seen an object or objects like this?
(Circle One) ¢ Yes No

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

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