PROJECT BLUE BOOK

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PROJECT 10073 RECORD CARD

1. DATE | 2. LOCATION

12, CONCLUSIONS

r 0 Was Balloon
27 May 1955 : _Englewood, Ohio O Probably Balloon
3. DATE-TIME GROUP 4. TYPE OF OBSERVATION Th ee eee
913 :
Local 2130 EST | XXGround-Vi sual 0 Ground-Redar }C} Was Aircraft
oe . QO Probably Aircraft
- a ee ‘ ‘
ont S/o Z VE? | _D Air Visual C1 Air-Intercopt Radar | Possibly Aircraft
5. PHOTOS OL Ae ae se » SOURCE 0 Was Astronorical
0 Yes ogi O Probably Astronomical
XUNo ~ yA Civilian 0 Possibly Astronomical
7. LENGTH OF OBSERVATION 8. NUMBER OF OBJECTS | 9. COURSE Nx Other _Slaa
0 Insufficient Dcto for Evaluation
QO Unknown
N/A one _ N/A

10. BRIEF SUMMARY OF SIGHTING
Found light-weight rock,

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|11. COMMENTS

| Source visited ATIC w/evidence,
Rock was extremely hard, very

| poarous.,. Evaluated as slag
formation, Specimen In File,

|

ATIC FORM 329 (REV 26 SEP 52)

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Form A

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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 that you have observed,
Please try to answer as many questions as you possibly can. The information that you give will
bs used for research purposes, and will be regarded os confidential material, Your nama will not
be used In connaction 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,

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], When did you see the object? 2. Time of day: 2 /_ ree ids.
Hour Minutes
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Day ontn Yaor (Cirele Ona): ee or CPM) |
|
3 ae Be a "i m Es al i i
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(Circle Ona): 67 Enstaxn> (Circle One): a, Daylight Saving |
b. Central & Standard PN.
¢. Mountain 0! Ny
d. Pacific hie
e. Other siping aaaiaastine A %
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4, Where ware you when you sow the object?

ts Wena: City or Town State or Country

Additional remarks:

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5. Estimate how long you sow the object, —___O. 2) Rea

Hours Minutes Seconds

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

a. Certain c, Not vary sure |
b. Fairly certain Cd, Justa guess > |
a

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6, What vii the condition of the sky?

(Circle One): a. Bright daylight d, Just a trace of daylight
b, Dull daylight C 2._No trece of CoylishT >
c, Bright twilight f. Don't remember

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

(Circle One): o. In front of you d. To your left
b. In back of you e. Overhead |
c. To your right f. Don't remember |

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Q. JF you saw the object at NIGHT, TWILIGHT, or DAWN, what did you no! oo concerning the STARS and MOUN?

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Bi STARS (Circle Ong): 8.2 MOON (Circle One):
a, None a. Bright moonlight
b. A faw b. Dull moonlight
c, Many ¢. No moonlight — pitch durk
d. Don’t remamber d. Don't remember

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

er ere Ons} a, Yes b. No C. Don't ramember

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iG, IF it was BRIGHTER TH IAN the sky beckground, was the brightness like that of an automobile hesadlight?:

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

c. Ablock away?
d. Several yards away?

ORS a ee OR. a
1}. Did the object: (Circle One for each question)
a. Appecr fo stand still at ony time? Yes No Don’t Know
| b. Suddenly speed up ond rush away at any time? Yes No Don't Know
c, Breck up into parts or explode? Yos No _ Don't Know
d. Give off smoke? Yes No Don't Know
e. Change brightness? Yes No Don’t Know
f. Change shape? Yes Nov Don’t Know
g. Flicker, throb, or pulsate? Yes No Don’t Know

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12. Did the object move behind <siied at anytime, particularly @ cloud?
| ( Cirele One): ri ¥ es) Don't Know, IF you answered YES, then tell whe:

it moved bahind: ee a ol ae

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| 13. Did the object move in front of something ct anytime, wattiotarty a cloud?

(Circle One): Yes No Don't Know. IF you answered YES, than tell what

it moved in front of: " ie

—_

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| 634. Did the object eppear: {Circle One): a. Solid? b. Transparent? Cc, Don't Know,

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

| & Eyeglasses Yes No e, Binoculars Yes No
| bh, Sun glasses Yes No f, Telescope Yes No
c. Windshield Yes No 9g. Theodolite Yes No

d. Window glass Yos No h. Other __. aa

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20. Draw o pleture that will show the metion that the, object or objects made, Place an "A® at the beginning
| ofthe path, a "B* at the end ef the path, and show any changas in direction during the course,
i .
: :
|
2). IF POSSIBLE, try to guess or estimate what the real size of the object was In its longest dimension.
Wi hadi ic. ; alien ncolinmsttn COU |
— i A ll ly !
22. How large did the object or objects appear as compared with one of the following objects held in tle: fiend |
ond ot about arm's length?
(Circle One): a. Head of a pin g. Silver dollar |
b. Pea h. Basaball |
c. Dime 1. Grapefruit
d. Nickel j. Basketball
e. Quarter Ry OMG? a
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
2%. How did the ue or — disappear lie view? Sod te hp ga betel |
}
24. In order that you can give os clecr a picture os possible of what you sow, wa would like for you to Imagine thot you could |
construct the abject that you saw. Of what type material would you make it? How lorge would It be, and what shapa
| ~ would it have? Dascribe In your own words a Eommon object of objects which when placed up in the sky would give ths
soma oppeurance as the object which you sow,

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25, Whera were you located when you saw the object? 26. Were you (Circle One)
(Girela One):
| a, Inthe business section of a city?

Searnerae e awtralhg b. In the residential section of « clty?

ss | c, In open countryside?

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d. Flying near an cirflold?

e, Flying over o city?
e, Atsan f, Flying over open country?
en ss eda lack case | ae. aoe

d. In-an cirelane

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27. Whot were you doing at ths time you saw the object, and how did you happen to notice i?

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24, IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then completa the following questions:

28.1 What direction wera you moving? (Circle One)

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———_

a. North c tast @, South g. Wost
b. Northeast d. Southeast f. Southwest h. Northwest
28.2 How fost were you moving? x ____._____. 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)
a. North c. East e. South g. Vest
b, Northeast d. Southeast f. Southwest l;. Northwest
30, What direction were you looking when you last saw the object? (Circle One)
a. North c. East e. South g. Wast
b. Northeast d. Southeast f, Southwest : h. Northwest

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| -——-= es — e+ _— — _—— —~ —— —-

31, If you are familiar with bearing terms (angular direction), try to estimate the number of degrees the chject 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:

o. From true North _._ degrees.

b, From horizon _..... , degrees.

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

(Circle Ona) Cr) No :
Obed lor 4

IF you answered YES, then what spsed would you estimate?

ee.

40, Do you think you can estimote how far away from you the object was?

(Circle One) Yes No

IF you answered YES, than how far away would you say it was? ee

—_

_ ——— - --—— -

41, Please give the following information about yourself:

pene | ae * aE a: A. Middle Nome ee ae

ADDRESS eae —
TELEPHONE NUMBER —— asst

What is your present job? _ EE £

Age al — Sex 22 @uee

Please indicate any special educational training that you have had.

a. Grade school deities e.e, Technical school a
SD a enc Se (Type)
c. College ___._ oy f, Other special training

d. Post graduate 4 a “

_ -_—_—

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42. Date you completed this questionnaire:

8 et oe ae ee

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Sihcet a isc a rt eo ree

Form 3)

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NAME

SIGNATURE

DATE

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U, S&S AIR FORCE TECHHICAL INFORMATION SHEET
(SUMMARY DATA) |

In orcdor that your Information may ba filed and coded as accurately a3 possible, please uso
the following space to write out a short description of the event thet you observed, You may re-
peat Information that you hava already givan In the questionnalrs, and add any further comments,
statemonts, oy sketches that you believe ara Important. Try to present the details of the observe

tion In tha order in which they occurred, Additional pages of the same size paper may be attached
if thay are neaded,

St Re: Fee pee ee ee te ee }

(Do Not Write in This Space)
CODE:

{Ploase Print)