PROJECT BLUE BOOK

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PROJECT 10073 RECORD CARD

1. DATE 2. LOCATION 12. CONCLUSIONS
5 Nov &! ia ieee 6 Wos Balloon
: © Nov 54 BRANDENBURG, KENTUCKY QO Probobly Bolloon
‘ | 3. DATE-TIME GROUP 4. TYPE OF OBSERVATION OD Possibly Belleon
; QO Wes Aircraft
Locel QO,Ground- Vi sual O Ground-Rador ry Prohabiy Aiveniti
4 2) 0 Air Visual O Air-Intercept Rodar O Possibly Aircralt
5. PHOTOS &. SOURCE re As Bate eed ual
O Yes 0 Probably Astronomicol
OD No : O Possibly Astronomical
7. LENGTH OF OBSERVATION 8, NUM BER OF DBIECTS | 9. COURSE O Other
0 Insufficient Dota for Evaluation
ten minutes two stationary O Unknown
10, BRIEF SUMMARY OF SIGHTING 1). COMMENTS
05j nigh in sky, light was not bright but Objs appear to be a balloon

appeared similar to foresent lights, appeared reflecting light fror )
S ; I Yrom the s °
to be reflecting light. Tops of obj more . . beg

luminous. Aopeared to be stationary.

ATIC FORM 329 (REV 26 SEP $72)

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Page 8
39. Do you think you can estimate the speed of the object?
(Circle One) Yes (No
IF you answered YES, then what speed would you estimate? ee Se
[ ‘ Saeeeaee" :
40. Do you think you can estimate how far away from you the object was?
(Circle One) Yes (No
IF you answered YES, then how far away would you say it was? feet.
41, Please give the following information about yourself:
| NAME : _ Se ss
ost Nome First Name Middle Name
| ADDRESS a Sess “a the &
Street City Zone State
TELEPHONE NUMBER
What is your present job? ‘4 +.
Age Sex
Please indicate any special educational training that you have had.
a. Grade school - e.e. Technical school ae
(be High school (Type) Ts
c. College f, Other special training
d. Post graduate
42, Date you completed this questionnaire: fi!
Month Yoor

|

Day

-_

Page 7

a

——

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

34,2 WIND (Circle Ona)

34,1 CLOUDS (Circle One)

a. Clear sky

b, Hazy

c. Scattered clouds

d. Thick or heavy clouds
e. Don't remember

a. No wind

b. Slight breeze
c. Strong wind

d. Don't remember

34.3 WEATHER (Circle One) 34.4 TEMPERATURE (Circle One)
@. Dry a. Cold
b. Fog, mist, or light rain _b.. Coo!
c. Moderate orheavy rain ec. Warm
d. Snow d, Hot
e. Don’t remember

e. Don't remember

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

| S 4!
Month

Day © Year

36.

— —

Wos anyone else with you ct the time you saw the object?

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

(Circle One) No

36.2 Please list their names and addresses:

Yes

go ree a

37.

Was this the first time that you had seenon 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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Page 6

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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 cbhove the horizon (skyline) when you last sow it.

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

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Page 5

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

o. In the business section of a city?
a. Inside a building b. In the residential section of a city?
| b.> In a car c. In open countryside?
c. Outdoors d. Flying near an airfield?
. d. In an airplane e. Flying over a city?
| e. At sea f, Flying over open country?
f, Other ll gq: Other oo... ne |
_ ~ ~ —_

27. What were you doing at the time you saw the object, and how did you happen to notice it?

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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)

2) once eens oe

a. North c. East e. South g. West
b. Northeast d. Southeast f, Southwest h. Northwest
. 28.2 How fast were you moving? Le ts 2s miles per hour.

28,3 Did you stop at any time while you were looking at the object?
(Circle One) Yes Ko

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

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

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

a. North c. East Ce. South gq. 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 decrees it was upward from the horizon (elevation).

ee ee

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é 31.1 When it first appeared:
a, From true North degrees.
b, From horizon degrees.

31.2 When it disappeared:

a, From true North __ _. degrees.
b. From horizon _ degrees.

SE

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Page 4

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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.

21. IF POSSIBLE, try to guess or estimate whot the real size of the object was in its longest dimension.
a _ a 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? Q hes < |
(Circle One): a. Head of ¢ bin yy, | ‘. Silver dollar
| b. Pea 7 h. Baseball
| c. Dime i. Grapefruit
d. Nickel j. Basketball
e. Quorter k, Other.
f. Half dollar
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
b. Fairly certain d, Uncertain
23. How did the object or objects disappecr from view? PP, ht tte abil . Fait ie |

a “ * “ - . .
, a i- , 7 ” ‘'« ; pe Os “a 4

aus

24. In order that you can give as cleor o picture as possible of what you saw, we would like for you to imagine that you could
construct the object that you saw. Of what type material would you moke it? How large 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 ths

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same oppearance as the object which you saw, 7

—. As

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

a. Sound 2 . et SS. Se ene

b, Color 2 _ il aioe

— —

17, Drew 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 saw such as wings, protrusions, etc., ond especially exhaust trails or vapor trails. Place |
on arrow beside the drawing to show the direction the object was moving.

18. The edges of the object were:

(Circle One): a. Fuzzy or blurred e. Other _ .
b. Like a bright star
c. Sharoly outlined
d. Don’t remember

19. IF there was MORE THAN ONE object, then how many were there? . | are ital

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

—_—

»?

Page ?

—

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

8.1 STARS (Circle One): 8.2 MOON (Circle One):
C 9. None a. Bright moonlight
| b. A few b. Dull moonlight
| c. Many c. No moonlight — pitch dork
d. Don’t remember d. Don’t remember
9, Was the object brighter than the background of the sky?
(Circle One): “a, You b. No c. Don’t remember

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

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

b. Several blocks away?

c. Ablock away?

d. Several yards away?

——s—
|

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11, Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes») No Don’t Know
b. Suddenly speed up and rush away at any time? Yes No Don't Know
c. Break up into parts or explode? Yes CNo- Don’t Know
d. Give off smoke? Yes No Don’t Know
e. Change brightness? Yes (No Don’t Know
f. Change shape? Yes No) Don't Know
g. Flicker, throb, or pulsate? Yes No. Don’t Know

— — on —— —_

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, then tell what
it moved in front of:
14, Did the object appear: (Circle One): Ca. Solid? b, Transparent? c. Don’t Know,

15. Did you observe the object through any of the following?

a. Eyeglasses Yes No e. Binoculors Yes No
b, Sun glasses Yes No f. Telescope Yes No
c, Windshield Yes No g. Theodolite Yes No
d, Window glass Yes No h. Other

-— —

—

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.
U. Ss AIR FORCE TECHNICAL INFORMATION SHEET
|
7 ‘ : i ‘ — '
fhis questionnaire has be Prepared so that you can give the U, S. Air Force as much
information as pessible concerning the unidentified aerial phenomenon that you hove 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 confidentia! meterial. Your name will not
| be used in connection with any statements, conclusions, or publications without your permission.
We request this persona! intormation so that, if it is deemed necessary, we may contact you for
further details.
—- _———_—— re a a ne nn —_————— eee eE—e—eE — —_—- t
|
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| 1, When did you see the object? 2. Time of day: _“2- _ és oe |
, Hour Minutes
j - |
Cee ee, Lm a a:
Day Month Yeor (Circle One) ALM. or P.M,
|
ens ee Se a ss EEL SRO Aone ae =o ee
!
3. Time zone:
| (Circle One): a. Eastern (Circle One): a. Daylight Saving
~ ° }
| b, Central b. Standard
c. Mountain ,
'
| d. Pacific
e. Other
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4. Where were you when you saw the object?
|

| Neores? Postal Address

Additional remarks: _. ial ™

})

DASHLAAEL ted 47.4, eee a a ae

State or Country

City or Town ¢%

5. Estimate how long you saw the object.

Jo

Hours

5.1 Circle one of the following to indicate how

a. Certain
b. Fairly certain

Minutes Seconds

certain you are of your answer to Question 5.

c. Not very sure
d. Justo guess

6. What was the condition of the sky?

a. Bright daylight
b. Dull daylight
ce. Bright twilight

(Circle One):

d, Justa tees of daylight
e. No trace of daylight
f, Don't remember

7. IF you saw the object during DAYLIGHT, TWILIGH

the object?

(Circle One): a. In front of you
b, In ba ck of you

c. To your right

or DAWN, where was the SUN located as you looked at

——<—- —

d. To your left
e. Overhead

f. Don't remember

ric FORM NO. 164(13 OCT §4)

| U. Ss. 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 tne unidentified aerial phenomenon that you have ebserved.

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.
5 ee ———SSSS = = = =< | es = — eee lleeEeEeEeeS eee
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1], When did you see the object? | ey NUMO OF Gay). ee an :
Hour Minutes
/ -
. P /. - - 7. fom, ;
Day Month Yeor (Circle One): A.M. or ff P.M.
| |
oilBecasie EL fee er SN: Mere ew a ee eae saci
3. Time zone:
(Circle One): a. Eastern (Circle One): a, Daylight Saving
= hig ? sn a a,
bi Centrai> \ b. Standard |
. —s ‘ ’ . > I
c. Mountain als
ee
d. Pacific |
e. Other ert
—— — —— ~—
4, Where were you when you saw the object?
; —_ sah aa '
 Neorest Postal Address i a City or Town a State or Country Tr
Additional remarks: ..- ar tN atin _ S roa : ’
nee a ‘ =, | ' . - —s iy }
5. Estimate how long you saw the object. rAd” ie |
Hours Minutes Seconds
;
5.1 Circle one of the following to indicate how certain you are of your answer to Question 5,
:
ae. Certain c, Not very sure |
b. Fairly certain 1, Justo guess / |
sie silk MoD Sb tok F |
- — ee os — —— - -—-—_—+
5. Wheat was the condition of the sky?
- —r S .
(Circle One):<.a,_ Bright daylight veut «4 d, Justa trace of daylight
ver = = } a8 |
b. Dull daylight “Siu. £7 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 ct |
'
the object?
;
7 (Circle One): a. In front of you d. To your left
ys b, In back of you e. Overhead
- F - agi 3 ™ , ' i
.¢. to your right ft. Don't remember |
scents
wl _ “ef
— — SE a —_— - ———— ————_-_ — ae |

FORM NO. 164 (13 OCT 54)

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34, What were the weather conditions at the time you saw the object?
34,3 CLOUDS (Circle One) 34.2 WIND (Circle One)
a. Clear sky a. No wind
b. Hazy b. 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
b. Fog, mist, or light rain ““b. Coo} ©
c. Moderate orheavy rain “e. 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?
me 5 L/ ee i /
Day Month Yeor
36. Was anyone else with you at the time you saw the object?
(Circle One) “Yes. No
36.1 IF you answered YES, did they see the object too?
(Circle One) ~. Yes No
34.2 Please list their pe “i fice
J } “ bees oe
5 ge
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?
ws { Ee ap fp 7 a wht reat / ~ eet de |
a a. ' Pe _f res is !
a ieee if birt t = a ,
/ J a sefuate- port “1
4 rg . — i nmin ; : ne /
wey ‘ re ; j wa 2

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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 last saw it.

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

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Page 5

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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?

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

b. Ina cor _. In open countryside?

c. Outdoors d. Flying near an airfield?

d. In anairplane e. Flying over a city?

e. At sea f, Flying over open country?

f, Other wa r as g- Other a - = ca

27. What were you doing at the time you saw the object, and how did you happen to notice it?

‘
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aa 4 4 ? - : y y -- $ Dah , P a : f AM a 4,” } ; / P +t , a. hameeeed
4 A *. i / Pee ae Le? ft , é 5 d / swt ~ se i 2 4 ‘

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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 g. West

| b. Northeast d. Southeast xf. Southwest } h. Northwest

28.2 How fast were you moving? ee 2 miles per hour.

28.3 Did you stop at any time while you were looking at the object? |
(Circle One) Yer No —
| : |
| 29. Whot direction were you looking when you first saw the object? (Circle One) |
| a. North c. East e. South g- West |
b, Northeast d. Southeast “—. Southwest ’ h. Northwest
i el

| 30. What direction were you looking when you last saw the object? (Circle One)

~; d TT eS fh hams Sh
a, North ic. East 7 e. South q. 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 upward from the horizon (elevation).

31.1 When it first oppeared:

a. From true North fs > degrees.

. 7
b. From horizon degrees.

31.2 When it disappeared: | |

a. From true North a _ degrees.
b. From horizon (ig degrees.

Se Pe

Page 4

— - — — )

| 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.

| 21. IF POSSIBLE, try to guess or estimate what the real size of the object was in its longest dimension.
ra T= <=, / feet. We / eth) i, = r { rz 7. . ; 2 j r ra 5 ra ,

is

22. How large did the object or objects appear as compored 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
| e. Quorter k. Other is

f. Half doilar

22.1 (Circle One of the following to indicate how certain you are of your answer to Question 22.
har ony —-

a. Certain c. No? very sure

b. Fairly certain d. Uncertain

a ae t

oe / ; few
/ ° .

23, How did the object or objects discppecr from view?

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|

24. In order that you can give as clear o picture os possible of what you saw, we would like for you to imagine that you could
construct the object thot you saw. Of whot type moterial would you make it? How large 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.

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8. IF you saw the object at N
8.1 STARS (Circle One):

a. None

b. A few
c. Many

d. Don’t remember

GHT, TWILIGHT, or DAWN, what did you notice concerning the STARS and MOON?
8.2 MOON (Circle One):

a. Bright moonlight
b. Dull moonlight
c. No moonlight — pitch dark

d, Don't remember

eS — eae —

9. Was the object brighter than the background of the sky? /lizye f fanra h Too,
(Circle One): a ‘Yes . b, No c. Don’t remember
10, IF it was BRIGHTER THAN the sky bas koran’, was the brightness tike that of on aubepebils headlight?:
: , - oe J- viv - Atlee ee e yy ee 4G f <; Pian, Ft Ot cao © ‘
/ Arey A 1A jydvws eg Sey (Circle One). a. A aie or more dway fo distent car)? /
ne Ay 4 /. sa (ta —
Pry a Ooh IRF T 1b. Several ral blocks away? aes aie
4 —_—— . — . Z ~ >A yo 2 "2 -
’ y —Thie Fe mee —_ Sp Mtg bl ing tne
fe p> i Te A block away?
rs bet te tn en
| CULA jo 4 ho d. Several yards away?
!
6. Oiher 32 Ce ee
11. Did the object: ¥ (Circle One for each question)
a. Appear to stand still at any time? 9 La Yes’ No Don’t Know
b, Suddenly speed up and rush away atany time? ;/~- Yes (No) Don't Know
c. Break up into parts or explode? —— Yes 7No- Don’t Know
d. Give off smoke? Ve,cuviiite at ec 2may Teg rie No . Don’t Know «+ «Ue.e::4.
e. Change brightness? UCT barr ath Lv Yes No ~ Don’t Know 4 ry os, \7
f, Change shape? lO all Yes No Don’t Know_+y , ee |
A e , . ‘v7? ee dt
g. Flicker, throb, or pulsate? — ee Yes JNo, ! Don 't Know !
——— > v Feet fol 7. At PN Le 44 A ol 4 Lihat »/ a. ; PY a, ae wi.

12. Did the object move behind something ar anytime, particularly a cloud?

Yes

(Circle One):
it moved behind:

~

IF you answered YES, then tell what

Neo » Don’t Know.

ee _ es

(Circle One):

it moved in front of:

Yes

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

>
{No

IF you answered YES, than tell what
——

Don’t Know.

—e_ -

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

r
: U. S. AIR FORCE TECHNICAL INFORMATION SHEET
|
This questionnaire hos been prepared so that you can give the U. S. Air Force as much
information os possible concerning the unidentified aerial phenomenon that you have observed.
Please try to answer as many questions os you possibly can. The information that you give will
be used for research purposes, and will be regarded as confidential moterial. Your name will not
be used in connection with any statements, conclusions, or publications without your permission.
| We request this personal information so tnat, if it is deemed necessary, we may contact you for
| further details.
ae SS = +=

2. Time of day: tte Fe - FO

1, When did you see the object?
Hour Minutes

Z // L7H
Dey Month Yeor (Circle One): mre M nan Oe P.M,

3. Time zone:

(Circle One): a. Eastern (Circle One): a+ Daylight-Saving—.
a) Mental) l b, Standard
c. Mountain Series
d. Pacific
e, Other _ :

4, Where were you when you saw the object?

P f / , / os , oa f = fp. - ’ a
/¥ ‘BO Aa snr 7, {4 i a “= / at J rd yt ‘ rs . £ , ; a “A - +
Neorest Postal Address | v City of Town Stote or Country |
i . \— ad 4 . As re so + ~NY/
| Additional remarks:\_/ Es Mtoe el AE EP ee a:
|
i ¥ r —- |
5. Estimate how long you saw the obiect. LL
Hours Minutes Seconds
5.1 Circle one of the following to indicate how certain you are of your answer to Question 5.
ri ) Aur GOT AS a CO ea AA Sena) We eS a
a. Certain c. Not very sure ene
b. Fairly certain b. Ae aay c guess Fy a Ane ~ « -
Je fms. ie | -. Com ~ tof ~ q “2: (eu-gt o f “2 —_ 7 2-0 7 - ’
| 6. What was the condition of the sky? ee SH git ale Ce iba
| inn / , ? =e Lp ——"9 esl 22 A+ 5 A arvhe us tet 4 {4 f 4 oa
(Circle One): a. Bright daylight rh Sust a trace a daylight rs t
b. Dull daylight e. No trace of daylight a Ak
¢. Bright twilight f, Don't remember B alvbe

a

7. |F 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
ce To your right », t. Don't remember

\TIC FORM NO. 164 (13 OCT $4)

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Page

U. 5. AIR FORCE TECHNICAL INFORMATION SHEET
(SUMMARY DATA)

In order thot your information may be filed and coded as accurately as possible, please 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 addany further comments,
statements, or sketches thot 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 be attached
if they are needed.

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NAME / fe ; (Do Not Write in This Space}
(Pleose Print)
CODE:

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SIGNATURE .
DATE C2 Liar si #

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Page 8

39. Do you think you can estimate the speed of the object?

(Circle One) Yes No
IF you answered YES, then what speed would you estimate? Min et cae MPN.
40. Do you think you can estimate how far away from you the object was?
(Circle One) Yes (No
IF you answered YES, then how far away would you say it was? z. _ feet.

41, Please give the following information about yourself:

NAME ee os a

Last Name First Nome Middle Name

as te ?
1 oe Sie dies Bisa —_ —— ME; 5 —
ADDRESS e Bits Fe Ha i tice ent is W 22 at ae +. “ ~ ti as
Street / City Zone State
\
TELEPHONE NUMBER - E
What is your present job? :
Age <e Sex 7s sail a
Please indicate any special educational training that you have had.
ce. Grade school Pc e. e. Technical school _ |
b. High school “oe (Type) a ; ~r, |
| |
c. College Se at f. Other special training
d. Post graduate ae y os Py Po a ee ee ee r
‘ . . / a | / a ‘ -
42, Date you completed this questionnaire: LQ Lee, Me

ee

Pege ?
( == - “iid ais a
8. IF you saw the object ct NIGHT, TWILIGHT, or DAWN, what did you notice concerning the STARS and MOON? |
!
8,1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight |
b. A few b. Duil moonlight
c, Many c. No moonlight — pitch dark
d, Don’t remember d. Don’t remember
seschinbuistiheniens e pbecthnkabinns = aati
9. Was the object brighter than the background of the sky?
‘ Es (Circle One): (a, | Yes ) - b. No c. Don’t remember ;
10, IF it was BRIGHTER THAN the sky background, was the brightness like that of an automobile headlight?:
(Circle One) a. A mile or more away (a distant cor)?
b. Several blocks away?
| ce. Ablock away?
d. Several yards away? |
Te) Pee ad x J Lr / f° 3 —
| See Z oe F si Dio ae tt e. Other“« LE Aaa Freya? « SS LE Mika ho lt. peti GeFae eel,
ee - aia - 7 7 —
11, Did the object: C (Circle One for each question)
a. Appear to stand still at any time? CYes) No Don’t Know
b, Suddenly speed up and rush away at any time? Yes (No) Don’t Know
c. Break up into parts or explode? Yes (No | Don’t Know
d, Give off smoke? Yes Nov Don’t Know
e. Change brightness? ee ee ee aa bs Li \ Yes) No Don't Know
| f, Change shape? ee oe Yes fio) Don't Know
g. Flicker, throb, or pulsate? Yes CNo» Don't Know

12. Did the object move behing something at anytime, particularly a cloud?

( Circle One): Yes “No! Don’t Know. IF you answered YES, then tell what
it moved behind: a3,

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

re,
(Circle One): Yes (No) Don’t Know. IF you answered YES, than tell what
| it moved in front of: =

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| | 14, Did the object appear: (Circle One): G. solid? 7 b. Transparent? c. Don't Know.
15. Did you observe the object through any of the following? |
a, Eyeglasses Yes CNo) e. Binoculars Yes No)
b, Sun glasses Yes _No f. Telescope Yes No!
c. Windshield (Yes) No g- Theodolite Yes “No?
d, Window glass Yes No h. Other =

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

0. Sound — =

b, Color =

—_—_- --—

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17. Drew o picture that will show the shope of the object or objects, Label! and include in your sketch any deta’
of the object that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails. P!

en arrow beside the drawing to show the direction the object was moving.

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18. The edges of the obje

(Circle One): a. Fuzzy embterred — .

c.

d.

ct were:

Like a bright stor
Sharply outlined “-~*-~
Don’t remember

+

Other __

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

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that they were traveling.

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20. Drow 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. |
|
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21. IF POSSIBLE, try to guess or estimate what the real size of the object was in its longest dimension.
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. Gropefruit
d, Nickel j. Basketball y,
e. Quarter k. Other Sin z4e Sette Aereecwt oe
a r F /
f. Half dollar a Atsgrintes yt arith SA 1 nme tte. Lo » Joeced |
Ban: had 9 Ay se be Mghi Ae Pond Av Met eg Pevekdia tetas 4 a i o>
22.1 (Circle One of the following to indicate how certain you are of your answer to Question 22. \
_ >
a. Certain c. Nov very sure
Sant AT Wipro ee
cb. Fairly certcin™ d. Uncertain
= eet ee eT _ —_—— — . oo ——
23, How did the object or objects disappear from view? — ! Bom ; a f, rae |
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pa Syne ae ae ) f 4s ; |
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24. !n order that you can give as clear a picture as possible of whot you saw, we would like for you to imagine that you could

construct the object thet you saw. Of whot type material would you make it? How large would it be, and what shape

would it have? Describe in your own words a tommon object or objects which when placed up in the sky would give the

same cppearance as the object which you saw.
ers , : a P yf ae ne A LT ee
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25. Where were you lucated 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?
d. In an airplane | e. Flying over a city? |
e. At sea f, Flying over open country?
f. Other g. Other
| ; mn
27. What were you doing at the time you saw the object, and how did you happen to notice it? |
\? =
a eee tal ‘aa rf oe eae etheesti lc Mideedi ed i wo itballiaina®
——— no | w_y “oy
Loud A Me a: i aS <a = =. 20] a ee
‘ f a a ee > ie PO a
Crete? Fala nn PM mot, at ne. —__________..

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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 ce. East (e. South ) g. West
b. Northeast d. Southeost - Southwest h. Northwest
28,2 How fast were you moving? er. le of ok da miles 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 saw the object? (Circle One)

o. North c,. fast _&-—South__ g. West
b. Northeast Cd. Southeast > Lc fmeSourhwest * h, Northwest

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“See OO

—_——

—_ _—

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

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

-_-_o — —_ _—_— =

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 upward from the horizon (elevation).

31.1 When it first appeared:

| a. From true North degrees.
| b, From horizon degrees.

31.2 When it disappeared:

a, From true North degrees.
b. From horizon degrees.

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Page 6

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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.
show how high the object was chove the

horizon (sk

In the following larger sketch place an

wa

A” dt the position the object was when you first saw it, and a “B” ct its

Place a “B" on the same curved line to
cyline) when you last saw it.

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

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Page 7

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34. What were the weather conditions at the time you sow the object?
34,3 CLOUDS (Circle One) 34.2 WIND (Circle One)
a Clear sky. co. No wind
b. Hazy b. 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
b. Fog, mist, or light rain b. Cool
c. Moderate orheavy rain c. Warm
Jd. 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?
2 ai Bist BE Te / ox i
Day Month Year

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

(Circle One) No

36.1 IF you answered YES, did they see the object too?
Brae
(Circle One) ‘Yes. No

326.2 Please fist their names and addresses:

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Yes

—— r

37. Was this the first time that you had seen an object or objects like this?

(Circle One) Yes. No
37.1 |F you answered NO, then when, where, and under what circumstances did you see other ones?

ctecsineicmeiienaanl

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

Page 9

U. S. AIR FORCE TECHNICAL INFORMATION SHEET

(SUMMARY DATA)

In order that your information may be filed and coded os accurately as possible, please use
the following space to write out ao short description of the event that you observed. You may re-
peat information that you hove alreedy given in the questionnaire, and add any further comments,
statements, or sketches that you believe are importont. Try to present the details of the observa-
tion in the order in which they occurred. Additional pages of the same size paper may be attoched

if they are needed.

NAME 2 Setanta

(Pleasa Print)

lon T Une Alii Tamasgaseny

’ * -
“ ° #

pate jie / L77%

(Do Not Write in This Space)
CODE:

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