PROJECT BLUE BOOK

1. DATE - TIME GROUP

) ve £4 —) fee
32 duly 53 wets

NUMBER OF OBJECTS

Ad +

_—

LENGTH OF OBSERVATION

“*en *

eee wy

——

Poye 5

26. Were you (Circle One)

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

a. Inside a building
b. Ina cor

a he airplone
e. At sea
f, Other

e In the business section of a city?,
b. 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?

g- Other

27. What were you doing at the ti om ho meee wr'- amgaleine yeesagmmaes
Zitelo wy fecek oY. Se L oe L, Z , EM? -
4 }

JG 736

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

28.1 What direction were you moving? (Circle One)

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

af

28.2 How fast were you moving? — = > EEE smiles per hour.

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

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

@. North c. East G. Sou
b. Northeast d. Southeast » Southwest
30. What direction were you looking whan you last sow the object? (Circle One)
e. North c. East (@. [—s g. West
b. Northeast d. Southeast " st h. Northwest

31. 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 wos upward from the horizon (elevation).

31.1 When it first appeared:

. From true North ~2b0. degrees.
b. “i ane ae wil w_. degrest.

31.2 When it disappeared:

a. From true North _-— bo degrees.
b. From horizon <a degrees.

Poge 6

——— - —

— = — oe

32. In the following sketch, imagine that you ore at the point shown, Ploce an “A” on the curved line to show how
high the object was above the horizon (skyline) when you first sow it. Place a “B” on the some curved line to
show how high the object was above the horizon (skyline) when you Jost saw it.

!

Oh

a

Gl Spin

yA en fo. Ras oe
erst "

- >. aang . : ' .
roe meh On sa? TH, re Ered | ,

tian a>
‘io om *
fi

/

33. In the following larger sketch place an “A” at the position the object was when you first sow it, and o "B” at its
position when you last saw it. Refer to smaller sketch as an example of how to complete the larger sketch,

(ee cei i me ;
’

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

34,1 CLOUDS (Circle One) 34.2 WIND (Circle One)
@. Clear sky 6. No wind_.
b. Hozy . a k. Slight breezd
‘Re Scattered clouds” ¢. Strong wind
d. Thick or heavy clouds d. Don't remember
e. Don't remember
34,3 ray (Circle One) 34.4 TEMPERATURE (Circle One)
, a. Cold
ey mist, or light rain e —
¢. Moderate orheovy rain
d. Snow aoe
e. Don't remember ‘t remember v
35, When did i. ? ee ae ear ae OR re me

 —-& “fe £5 ‘Ee. ; = ° v

%6. i Cieieeeaisieuett Gp ties we ee Ge ttet

(Circle One) \Yes No
36,1 IF you answered YES, did they see the object too?
(Circle One) (Yes ) No

37. Wes this the first time thet you had seen an object or objects like this?

(Circle One) os? No
37.1 IF you onswered 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?

rae

eer ee

Poge 8

39, Do you think you con estimate the speed of the object?

3 ; be ‘
(Circle One) Yes No Vstok, dette his jer Ben cre ff

IF you answered YES, then whot speed would you ostisate? m.p.h,
40. Do you think you can estimate how for away ry ou the object was? iets
(Circle One) Vee Lew veuf EU foe os wi or fy 7 fete f
Les Bae. ef area Lin
IF you answered YES, then how far aw CM yo say It was? ‘deinen COU

41, Please give the following information about yourself:

/ 7) S22 at | xy
—— tii? C (<x at Aide.
TELEPHONE —

Ss

What is your present job? * clecs \ AS SP 28

Age ,) OS ae

Ploase indicate any special educational training that you have had.

eo. Grade schoo! SS a es e.e. Technical rr xX
b. High school us (Type) - +
c. College — Eo re

d. Post graduate

42, Date you completed this questionnaire:

Form 5

_—_——_—

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

In order thet your information may be filed and coded as accurately as possible, pleose use
the following space to write out a short description of the event that you observed. You may re-
peat Information that you have already given in the questionnaire, and add any further commants,
statements, or sketches that you belleve are important. Try to present the details of the observa-
tion In the order in which they occurred. Additional pages of the same size poper may be attached
Uf they are needed.

(Do Not Write in This Space)
CODE:

y aM al hfs gute ch O AYN nt Pk. cd atvoe? tb MIS U,
ies gx ay ee ele ato wd Ay, ia fie Pe tng fP ee er
Mane. Fhe ot -P-tivee . ee Le oH Avy dives VT Mra

hinaee oh Gf Atel ds Core Gnd ahkeod, ey f a OG i Sth 4
GUD dN |AZ bf Vhrw 20% ae f} le bade ee
Z Wo eo) Me TL Ltlee AA OLED?

bee otter ye ee
iy (2 Len Tho, Peis (Ws y «re he pe aera!
Blow ah dal 0 f af Ue ervics ho the Goulf
C2

Go Mconge and ovtinugs tomers
/)} <e vA ‘ ol ches focal be aS Ss oe Te AL. Ke Ot cep V
ch; stink b wy Y a. Clty, Clete Lo Mire... bE. 4in

“Tho ved mt Zh ep) OVC, Wo,

MQOCAMA FORM NO. SB0cA Of |

3 MAY 1949
OKLAHOMA CITY AIR MATERIEL AREA OCIs/THI/ 3p
TINKER AIR FORCE BASE
IN REPLY REFER TO: OKLAHOMA CITY. OKLAHOMA
7 July 199 |

SUBICT: Unidentified Flying Object eparting |

TOs Director of Intellizerce
lig USAF

Washingten 25, De Ceo

1, Disregard message, this 9 (Ci0e2i=js for \iliins,
FIYOOROT.
2, Dject definitely identified as woatwr »>alloon.

YOR TiS COMO ARs

Copy Surnianeds DAVID Ae POR,
/AI2l, iim? APB, Ohio Lt Colonel, USaP
Cazmnider, int Ar5, Chisf, sommity indostrimtion Crfice
Colorado Sorings, Colo. - Iuspoctor Uoneral’s vitice
Camnnder, ASC, jie” 173, Ohie

EL — |

- -=282 eer oo eee Se ot 6 eee Weertw es 88H Ww EE eo Seswrt ew

JEDWP7AIR TECHNICAL INTELLIGENCE CENTER WRIGHT PATTERSON AFB OHIO

JEDEN/COMDR ENT AFB COLO
JEDWP/COMDR AMC YRIGHT PATTERSON AFB OXIO UNCLASSIFIED

eg 0-27-72. FOR ATIAA=2C, FLYOBRPT.
1. REPCRTED 3 iq Ayowa crtTy AT 1325¢.

ASQUT THE SIZE OF A GOLF BALL. SILVER. VERY HIGH. MOVING VERY
SLOW WESTWARD. REPORTED AGAIN AT 1235C. MOVED FAR TO THE EAST,

NC¥ MOVING SOUTHWEST, VERIFIED BY TINKER TOWER AND AO CAPT WILLIAM
© HAGERTY. APPEARS TO BE A WEATHER BALLCCA,

2e 1325¢ TO 18435C

3. VISUAL

4e OKLAMOMA CITY. STRAIGHT ABOVE.

5, DEFINITE.

PAGE TWO JWFNK.2A

se CLEAR. WINDS ALOFT CALM.

7, NONEe

se PICTURES TAKEN BY TINKER TOWER.

» SENIOR CONTROLLER 33RD AD ADVISED AT 1827¢
ide UNKNOWN

SIGNED FLIGHT OPERATIONS

WNGRADED A >
/5/91392 JUL JWFNK pO DECLASSIFIED Arran ie dental
| DOD DIR 5200.10

UNCLASSIFIED i

—_—_— -—— ——_—— - -

ae { JOINT MESSAGEFORM ( —

~ \ ( ws

ie WT UNCLASSIFIED

SPACE ABOVE FOR COMMUNICATIONS CENTER ONLY

DATE.TIME GROUP ire CrATargAt ous:
e-~ ~s > he ee CR?

-
0713152 JUL 53 Son old Wap a Oy) arte

Se ACTION INFORMATION
SOMDR ATIC > to ae

COMDR TINKER AFB OKLA [_] 200n messace [[] ontoma, messace
J ies EN Ke CRYPTOPRECAUTION
[_] muctipce aoonsss ves Z] x0

REFERS TO MESSAGE:
IDENTIFICATION | CLASSIFICATION

OCHO-2T-7-2E

were

JES Te ,CTED UNCLASSIFIED

;
. —

/‘FROM: AFOTN-ATTAB-~7=8-

Reurmsg OCEO<2T-7-2E. Request you forward 1) source's full address so that question-
naire can be sent and 2) winds aloft up to and including 60,000 ft. ATIC concurs
with you that this sighting may have been a weather balloon.

In reply cite Project Blue Book.

DOWNGRADED AT 3 YEAR INTERVALS:
DOD Diz

OFFICIAL FILE COPY
ATIAE-5
Office of Record ‘

ORAFT Qa ae (4 |» fap

Lt R.M.Oisson/ jos" | t kt
7 4 ITAL A ie
SYMBOL ATIAE~ ———— | im, T942 ROBERT C. BROWN, Major, -USAl

oe 3 Spe BB+ el

fy

be—Seeze-2 ow. 8. coveenecur patatine ovrics

m - ee ee wea wif

ject of shudy<tby Air Technical
Intelligence: Veenter officers ms
; Wright-Patterson Air Force base

turned @ ques sent tion!

_ hae-beee Soe teed neat
on incident,

the ATIC, : |

“All we know thus far,” said a
‘spokesman, “is that the object!

~~ might ee Som a weather bal-

loon,”
Though” : check revealed that
no balloon was up from this area

. ora

ae object! 6:45 p.m. It was stationary.

Flabiinade Wphher than & gama wale
Band flying overhead at the time.

spe She shane wen eee Se

Focht told the officials he sawlsaid, the object moved

when he stepped
is Tipp City home about) vanished behind eee

upward,
out-! turned south and, moving rapidly,

x
y aw
N\A ct

mR JEDWR—
Pr

De JUFNK 64A. |
a if

——

R SBLI5*°°Z ZNJ
(DR OCANA TINKER AFS OKLA

TO COMDR ATIC WRIGHT PATTERSON AFB OHIO “UNCLASSIFIED
Sey OCIS-7-2-E URNSG OFOIN“ATIAE-7-S"E CITE PROJICT
SLUC DOCK. 1 da_ieeemememmmmees, 011.0101: CITY OXIA,

2/ JINDS ALOFT RUN FOR TAFB 4 JUL 1549 /CST/ BY FT DEGREES /DIR

.

oO
©
iJ

AND KNOTS 5929 349 23 16059 279 29 14099 262 2E 20490 247 23 54554
229 £03 39459 199 9 76 45559 232 43 54249 299 49. SOME LOWER READINGS
OMITTED.

S3/1939Z2 JUL JUFNK /

a 3 - Ww

4 -.
i? ina i (<p /, Oe tet oe.

DOWNGRADED AT 3 YEAR INTERVALS;

DECLASSIFIED AFTER 12 YEA

OKLAHOMA CITY AIR MATERIEL AREA ocrs/VVH/jp

TINKER AIR FORCE BASE

i REPLY REFER TO: OXLAWOMA CITY, OKLAMOMA
7 duly 1955

SUBJZCT: Unidentified Flying Object Reporting

TOs Canmander
Air Technical Intelligence Center
ATTY: ATIAA-20
Wright-Patterson Air Force Base, Ohio

1. Attention invited to inclosed copy of letter to Director of
Intelligence, Hq USAF, dated 7 July 1953-

2. Inolosed also are exposed film and "U.S. Air Force Technical
Inforration Sheet." Although the object has been identified as weather
Ly oat ' bal loom the date is. being ©oriarded for the possibility of suggestions
or recommendations concerning use of camera. It shoulda be noted that
film used are twenty (20) exposures in lieu of thirty-six (36) forvarded
by your office. The photographer was umable to obtain the film you had
sent, therefore he purchased these and did not notice the number of ox-
posures until camera had jammed. The exposed film was removed by a
gualified technician in base Photo Lab dark room. The technician re-
ports that sprocket holes are ripped out and possibility of double ox-

posures oxists,
FOR THE COMMANDER:

veer

3 Incl DAVID Ae P
1. Letter dated Lt Colonel, USAF
7 Jul 3B Chief, Security Indoctrination Office
2, Fila Inspector General's Office
3. USAF Tech Info Sheet
Form A and B

Air Peree-0C-348-4-3-568

(pndncengedicendarin ess rns ener em

Form A

U. S. AIR FORCE TECHNICAL INFORMATION SHEET

This questionnaire hos been prepored so that you can give the U. S. Air Force as much
information as possible concerning the unidentified aerial phenomenon that you have observed.

Please try te answer os 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 nor
be used in connection with any stotements, 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.

2. Time of day: ALBOO oe ) a

1, When did you see the object?
~ c2 Hour Minutes
Dey Month Yoor (Circle One): A.M or @. M)
3. Time zone:
(Circle One): o. Eastern (Circle One): a, z = t Saving
c. Cental :
d. Pacific
e. Other
4. Where were you when you sew the object?
v« + + | S Fistes Ar BR. O Kinkema C. Oka.
. Neorest a Address City or Town Stote of Country 1k
Additional remarks:
, a= we
5. Estimate how long you sow the object o— 4S __ — 22

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

& Certain c. Not very sure
b. Fairly certain d. Just a quess

6. Whet wos the condition of the sky?

(Cirele One): @ Bright daylight d. Just a trace of daylight
Dull daylight e. No trace of daylight
c. 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
& To your right f. Don't remember

Page ?

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

6.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None 0. Bright moonlight
b. A few b. Dull moonlight
c. Many ¢. No moonlight — pitch dark
d. Don't remember d. Don’t remember
9. Was the object brighter than the background of the sky?
(Circle One): 0. (Yes b. No c. Don't remember
10, IF it wos BRIGHTER THAN the sky bockground, was the brightness like that of an automobile headlight?: Nos
itv" RLeotKed Li Re os ileg~ gerne Th «+ Riu Ky

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

ce. Ablock awey?
d. Several yords away?
NEALE A
11, Did the object: (Circle One for each question)
@. Appear to stond still at ony time? CYes> No Don't Know
b. Suddenly speed up and rush away at any time? Yes a Don’t Know
c. Break up into ports or explode? Yes Don't Know
d. Give off smoke? Yes Don't Know
e. Change brightness? Yes Don't Know
f. Chenge shape? Yes Don't Know
g- Flicker, threb, or pulsate? Yes Don't Know
12. Did the object move behind something at anytime, particulerly a cloud?
(Cirele One): Yes @) Don't Know. IF you onswered YES, then tell what
it moved behind:
13. Did the object move in front of something of anytime, porticulerly o cloud?
(Circle One): Yes (Ne) Don't Know. IF you answered YES, than tell what
eee OS ES ee ee TN
14, Did the object appear: (Circle One): &. Solid? > b. Transporent? ¢. Don't Know,
15. Did you observe the object through any of the following?
a. Eyeglosses Yes No e. Binoculors Os No
b. Sun glasses Yes No f. Telescope e No
c. Windshield Yes No g. Theodolite Yes No
d. Window gloss Yes No GE

Pege 3

16. Tell in o few words the following things about the object.

e. NS
ESS SE

17, Draw @ pleture thet will show the shape of the object or objects. Lobel and include in your sketch ony details

of the object thet you sew such as wings, protrusions, ete., end especially exhaust trails or vapor trails. Place
on arrow beside the drewing to show the direction the object was moving.

ie

18. The edges of the object were:
(Circle One): o. Fussy or blurred
b. Like @ bright ster

Sher ply outlined
» Don’t remember

19. IF there wes MORE THAN ONE object, then how mony were there? Oma.
Drew o picture of how they were errenged, and put on arrow te show the direction thet they were travel ing.

.. . : %
" | Page 4

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

by & we
Pa.

21. IF POSSIBLE, try to guess or estimate what the real size of the object was in its longest dimension.
LS  *

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

(Circle One): Head of a pin g- Silver dollar

. Pea h. Baseboll
ce. Dime i. Grapefruit
d. Nickel j. Boaskerbell
e. Quorter k. Other
f. Half dollar

22.1 (Circle One of the following to indicate how certain you ore of your answer to Question 22.
in c. Not very sure
b. Fairly certain d. Uncertain
23. How did the object or objects disoppeor from view? Disepoenst , fo» Suuden

-_——-

24. In order thet you can give os cleer o picture os possible of whet you sow, we would like fer you te imegine thet you could
construct the object thet you sew. Of whot type material would you moke it? How lerge would it be, and whet shepe
would it heve? Describe in your own werds @ Lommon object or objects which when ploced up in the sky would give the

seme oppeerence os the object which you sew.

Wanatkher Ba lleew

Page 5

25. Where were you located when you sow the object?
(Circle One):

o. Inside o building

26. Were you (Circle One)

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

b. Ina cor c. In open countryside?

c. Outdoors d. Flying near an airfield?

d. r* on alrplane e. Flying over o city?

e. At sea f, Fi over country?

t. Other va ee a we 9: A AT An Air Porta Bss30

27. What were you doing at the time you sow the object, and how did you happen to notice it?
'fiacd sf Tie ’

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

28.1 Wheat direction were you moving? (Circle One)

Qs North ce. East @, South 9- West
b. Northeast d. Southeast f. Southwest h. Northwest

28.2 How fast were you moving? — = EE omiles por hour,

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

29. What direction were you looking when you first sow the object? (Circle One) Di me hy Mverhernd

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

30. Whet direction were you looking when you last sow the object? (Circle Ome) “D>, +2.) &» Over Ken

a. North c. Eost e. South g- West
b. Northeast d. Southeast f. Southwest h. Northwest

31. 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 upword from the horizon (elevation).

31,1 When it first appeared:

a. From true North _

<3 degrees.
b. From horizon _©& 5° degrees.

31.2 When it disoppeared:
o. From true North _________. degrees.

b. From horizon 92° _ __ degrees.

2 - es yr ery eres

Page 6

32. In the following sketch, imagine thot you are ot the point shown. Place on “A” on the curved line to show how

high the object wos above the horizon (skyline) when you first saw it. Place a “B” on the some curved line to
show how high the object was above the horizon (skyline) when you Jost saw it.

me @,

ate”
7 va ah \ ae “=
—_ om . ne a

TS th oF, ATs elt! be

33. In the following larger sketch ploce an “A” at the position the object was when you first sow it, ond a “B” at its

position when you last saw it. Refer to smaller sketch as an example of how to complete the larger sketch. —_—_ n
Overt Almes D. eertly Over send Moved tw Ve ve ha cle
Rise ctiien~

6 A

A
—

Poge 7

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

34,1 CLOUDS (Circle One) 34,2 WIND (Circle One)
Ca) Clear sky a, No wind
b. Hazy CD Slight breeze /¢ XT
c. Scattered clouds Cc. Strong wind
d. Thick or heavy clouds d, Don't remember
Don't remember

34,3 WEATHER (Circle One) 34.4 TEMPERATURE (Circle One)
Dry oe. Cold
+ Fog, mist, of light rain b. Cool
c. Moderate orheovy rain c. Worm
d. Snow Hot

@. Don't remember

35. ee 3 Vee
uy TH \
i Je — ent — —
36. ites diate dling Gi denna Windies vee one thw chinadt

(Circle One) (Yes) Ne

36.1 =a»
(Circle One) Ves)
list

————

36.2 Please
Aa

a/?c
rn

~% a Aes
S. AFR ptieed

37. Wes this the firat time thet you hed seen an object or objects like this?

(Circle One) Yes’) Ne

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

38. In your opinion whet do you think the object was and whet might hove caused it?
Weathev Bra lloow

39. Do yow think you cen estimate the speed of the object?

le One Y
(Circle ) of Che >

IF you answered YES, then whot speed would you estimate? ——

40. Do you think you can estimate how for oway from you the object wos?

(Cirele One) Yes CD
IF you answered YES, then how for away would you say it was?

41, Please give the following information about yourself:

= i gg aia

Please indicote any specie! educational training that you have hod.

Di ele eee | ected octet Cunsttnel Taso c 22's!
(Type) Ae Eerce

College! yer _____ sf, Other special treining
42. Date you completed this questionnaire: fe } Tule / LSS

Form B

- — —_—_

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

In order thet your information may be filed and coded as accurately as possible, please use
the following spoce to write out a 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 thet you believe are important. Try to present the details of the observa-
tion in the order in which they occurred. Additional pages of the same size paper may he attached
if they ore needed.

—— ee

| fod
| Do Not Write in This Space)
CODE:

=|. JOINT MESSAGEFORM

SPACE ABOVE FOR COMMUNICATIONS CENTER ONLY

FROM: (Originator)

COMR INT APD COLORADO

PROM: AFODieaTiAbe7el2e5 86 O8 3rd em Cp, lig ( ATS}

The ATIC requeste the following inforzatien for its roject Jlua “cooks 1) as tore

a Meby Dick balleon in the dayton, Chto area on 3 deh 53 at 23.577 2) Are there any
prajecte rolezsing akyhook tyro ballocns other than "ony “ick” ard “insem"? 3) ‘ow
can ‘reject olue “cok obtain core exact ‘information recardin- the “-ingen® project

ATIAE-5 == FILE FOLD COPY

balleen flichts? Can 3 system be set cp with \inzen sinilar to *he one new in use
on the "Yoby Dick” fli-hts?
In veply cite Project “lve Sock.

- CORDIMATICHs
ATTA DATE
ATIAB TATE ‘
Te tol vormeton ~~
\TLa CATE Ww
“Tal Yelulfes "I
—~

Peery’? stra et

RELEASING OFFICER'S SIGNATURE

DRAFTERS NAME (and tignaters, when required)

1% Re Me “lssen/™.c/os

SYMBOL TELEPHONE OFFICIAL TITLE 2C3ERY C. BALM, Ma Jor, ‘rar
2 —
DD icra 173 tmnmrnca te—sowars Wo. censenseat eres errs

Eo nd a?

Form A

U. S$. AIR FORCE TECHNICAL INFORMATION SHEET

This questionnaire hos been prepored so that you con give the U. S. Air Force as much
information as possible concerning the unidentified cerial phenomenon that you hove observed.
Please try to onswer as mony questions os you possibly can. The information that you give will
be used for reseorch purposes, ond will be regorded as confidential material. Your nome will not

’ be used in connection with any statements, conclusions, or publications without your permission.
We request this personal ielereation 80 that, if it is deemed necossory, we may contact you for

further details. eS 7
1, When did you see the object? 2. Time of doy: _— we
—f— Lig. G 2 Cirele O M P
y Monthy eer (Circle One): A. or M,
) Hi ™)
3. Time zone: _——
(Circle One) &,_Eeotenp (Circle One): ee oe Saving
b. Can » Stondorg
c Mountein pts
d. Pacific
e. Other
4. Where were you when you saw the object?
| t Poste Ty) : Stote or wy

Additional remarks:

———e eed

5. Estimate how long you saw the object. ~~~ Midutes Seconds

5.1 Circle one of the following to indicate how certain you ore of your onswer to Question 5,

e. Certain Ge “Not very sure
6. Foirly corte d. Just a guess

6. What was the condition of the sky?

(Circle One): a. Bright “ee d. Just o trace of daylight
b. Dull doyli @. No trace of daylight

é Bright twill f, Don't remember

7. IF you sow the object during DAYLIGHT, TWILIGHT, or DAWN, where was the SUN located os you looked at
the object?

(Circle One): a. In front of you d. To your left
b. | In back of o- e. Overhead
©. . Te ) your our righd f. Don't remember

Page ?

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):
ve. | may a. Bright moonlight
bra ew b. Dull moonlight
c. Many ¢. No moonlight — pitch dark
d. Don't remember d. Don't remember

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

(Circle One): ce Yes) b. No ¢. Don’t remember
10, IF it was BRIGHTER THAN the sky background, was the brightness like that of on automobile headlight?: “7

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

¢. Ablock away?
d. Several yards away?

SO i a a 2 Ae ———

11, Did the object: (Cirele One for each question)
a. Appear to stand still at any time? pt No Don't Know
b. Suddenly speed up and rush away ot any time? es) No Don't Know
c. Break up into ports or explode? ‘Yes Ni Don't Know
d, Give off smoke? Yes Ne | Don't Know
e. Change brightness? Yes Don't Know
f. Change. shape? Yes ‘No Don't Know
g. Flicker, throb, or pulsate? Yes (No Don't Know

12. Did the object move behind something at anytime, particulorly o cloud?
(Circle One): Yes (ne) Don't Know. IF you answered YES, then tell what
DO

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

(Circle One): Yes Know. ¥ JF you answered YES, than tell what
it moved in front of: SO Brarhecs, Magi hitcia” — on

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14, Did the object appear: (Circle One): é. Solid? b, Transparent? c. Don't Know,
15. Did you observe the object through any of the following?

a. Eyeglosses (Yes) No e. Binoculars Yes (No)

b. Sun glasses os Ne f. Telescope Yes No>

c. Windshield Yes fo g. Theodolite Yos No

d. Window gloss Yes No? a er

16 Tell in @ few words the following things obout the object.

17, Drow @ picture that will show the shape of the object or objects. Label and include in your sketch any details
of the object thet you sew such os wings, protrusions, etc., and especially exhaust trails or vapor trails. Place
on arrow beside the drawing to show the direction the object was moving.

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18, The edges of the object were:

(Circle One): a. Fuzzy or blurred @. Other _
b. Like o bright stor

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19. IF there wes MORE THAN ONE object, then how mony were there? (Zico <%)¢_G
Drew o picture of how they were erranged, and put on arrow te show the direction thdt they were trovel ing.

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————— —_ -_— - ——_—-

20. Drew a picture that will show the motion that the, object or objects made, Ploce an “A” at the beginning
of the path, a “B’ ot the end of the path, and show any chenges in direction during the course.

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21. IF POSSIBLE, try to quoss of estimate whot the real size of the object was in its longest dimension.

APES. — feet.

— —— —_—- -_———— -

22. How large did the object or objects appear as compared with one of he following objects held in the hond
ond at about arm's length?

(Circle One): o. Head of a pin h Silver dollar
b. Poa Vapi
c. Dime
d. Nickel ¥. Saha
e. Quarter k. re
f. Half dollar

22.1 (Circle One of the following to indicate how certain you ore of your answer to Question 22.

a, Certain c. Not very sure
&. Fairly ceridin d, Uncertain

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23. How did the object or objects disappear from view? oa 5 thedbat

24. tn order that you con give os clear o picture os possible of whet you sow, we would like for you to imagine thet you could
construct the object thet you sow. Of what type moterial would you make it? How lerge would It be, and whet shope
would it have? Describe in your own words o tommon object of objects which when ploced up in the sky would give the

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