PROJECT BLUE BOOK

Puge 8

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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? oe m.p.h,
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? a mae feet.

41, Please give the following information about yourself;

NAME ee _— ss
Last Name ame

——— FT rr rr _ —_- —

ee a ee

Middle Nome
‘Hae, Vero vane Qe /, } :
ADDRESS BO ASE ae es é sty WS A
Street City Zone State
| ;
TELEPHONE NUMBER i.
What is your present job? SOAS oe ae a
,
| Age _ Sex ! S
Please indicate any special educational training that you have had,
co. Grade school 2. @. Technical school
b, High school —__ : t (Type) —__
c, College f, Other special training
d. Post graduate az oti
. Date you completed thi estionnaire: a Pa os
a ere ae “as Day Month Y ear

Page 9

| U.S. AIR FORCE TECHNICAL INFORMATION SHEET
(SUMMARY DATA}

| In order that your information may be filed and coded as accurately as possible, please use

the following space to write outa 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 comments,
statements, or sketches that you believe are important. Try to present the details of the observa-

tien in the order in which they occurred. Additional pages of the same size paper may be attached
if they are needed.

NAME (Do Not Write in This Space)
: "lease Print)

CODE:

DATE B: pe ace rae

;

—————— —_—~

Le ea ae

~~ ———o- o

—_— et

Mp.

West HartYord 7, Connecticut

Dear ir, Qe

Your letter oF 17 July 1956, addressed to United States Air
Force, Washington, D.C., has been forwarded to the iir Technical

Intelligence Center for reply.

The unidentified flying object sighting which you reported h
not been definitely identified to date; however, the information will
be used in our continuing analysis. A more detailed report is needed
for Pinal analysis. Inclosed is one (1) copy USAF Technical Information
Sheet. Please fiil out and return to the Air Technical Intelligence
Center, Wright Patterson Air lorce Base, Chio.

Attached for your information is the USAF Suumary of Eyents and
Information Concerning the Unidentified Flying Ooject Program. Also,
whe USAF Press Release.

We hope the inclosed intcrmation is of interest to you. You may
92 aAsSured that your interes* in this program is greatly sonprectated.

Sincerely,
3 Incls WALLACE W. ELWOOD
i. USAF Tech Info Sheet Ist Li., USAF
2, USAF Sumary Assisiant Adjutant

3. USAF Press Release

cre el a hades ER lta on Re eS

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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 1o answer cs many questions as you possibly can. The information that you give will
be used for resecrch purposes, and will be regarded as confidential material. Your name will nor

bs 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,

ss ae

1, When did you see the object? Oot File OF UU oo
‘ Hour Minutes
fe i me | 4 7 $"G =a
Day Month) Yeor (Circle One): A.M. or =.~P.M>,
ba nl

eae Seen

3, Time zons:

(Circle One): a! Ester (Circle One): a, Daylight Saving
bCentral b, Standard

¢. Mountain

d. Pacific
2, Other a eee

4, Where were you when you sow the object?

}
}
a 2) . aD 7. i . ‘ NS ’ '- i”
AT seg WM \~ AS | 7 ae SUMITIA = er . . v\) Ae
1 City or Town j Stote or Country
| Additiene! ramarks: ae a

—— : : ” a x= se

5. Estimore how isng you sow fne obiect. i... a ess =
Hours Minutes Seconds

_ Se ree een ee

5,1 Cirvcie one of the following to indicate how certain you are of your answer to Question 5,

Po emeaas... \
o.( Certain’ c, Not very sure

b. Fairly certain d. Justa guess

Aer —_ —— OO
6, Who wos the condition of the sxy?

(Circle Ona): o, Bright dey!ignt d, Justo trace of daylight
b. Dull daylight e. No trace of daylight -
c. Bright twilight f, Don't remember

eS

7, IF you saw the object during DAYLIGHT, TWILIGHT, or DAWN, where wos the SUN located os you looked at

the object?
(Circie One): a. tn front of you d, To your left
b, In back of you e. Overhead
! ¢. To your right f, Don’t remember

LLL LLG LL ELLE ALA ti et ty em, ye a

—_-

ATIC FORM NO. (54 (14 OCT $4)

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—-—-{

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Page 7

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| 8. IF you saw the ovject, at NIGHT, TWILIGHT, or DAWN, what did you notice concerning the STARS and MOON?
8,1. STARS (Cirele One): 8.2 MOON (Circle One):

a. None o. Bright jesenltiha :

b, A few b. Dull ‘moonlight

c/ Many; c. No moonlight — pitch dork
d Bon? 't remomber d, Don't remember

— — — — -—-- -—-———— — — —_ —_ —— —— _ _—~

_—_-__-

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

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

—_—_> Sia —- — —

-_—_——_—_:-- CU

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

(Circle One} a. Amile or more away (a distant col? -

<_ ——-- > *

~b. Several blocks away?

c. Ablock oway?
d. Several yords away?

baa ee e. Other : Ss | tea tat ae aka.
1], 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 oway at ony time? Yes >> No Don’t Know
¢. Break up into ports or explode? Yeo No Don't Know
d. Give off smoke? _ Yes No" Don’t Know
e. Change brightness? Yos No > Don’t Know
f, Chonge shape? Yes No* Don’t Know
g. Flicker, throb, or pulsote? 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

~

1¢ meved behind: = es

— -_——- — —

SS _ ——_—_~—- _ -

—_

-~ —- - + - _ — al _-- _——_ —- — —

See ee eS ee - _—_——

br — -——-- oo ~———

13. Did the object move in front of something at anytime, porticularly o cloud?

{Circle One): Yes No Don't Know. iF you answerad YES, than tell whot

— —- _——- ———— a

it moved in front of: — = eioos

— - ——_— —_—_—— _-_-- + ——— ~- —_—— -—

-_

b. Transparent? c. Don’t Know,

—_—_—_—-

(Circle One: a, ‘Solid?

14, Did the object cppeor:

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
c. Windshield Yes No g. Theodolite Yes Na
d, Window glass Yes No h. Other — ‘ =

{
Se sae ett eC chr Or OE.) OO SS ee Or -hCU —_—_

ee St a hr

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16. Tell in a fow words the following things about the object.
“1 mah ae i > a -

e. Sound

b, Color

17, Drow a picture thet will show the hope of the object or objects, Lobel and include In your sketch ony detulla
of the object thot you saw such as wings, protrusions, etc., ond especially exhaust trails or vapor trails, Place
on crrow beside the drowing to show the direction the object wos moving,

V8, The edges sf the object were:

(Cirels One): o. Fuzzy or blurred a. Other
; b, Like a bright ster >
| c. Sharply outlined

: d. Don’t remember |

19, IF there wes MORE THAN ONE object, then how many wore there? mil ‘
Drow © picture of how they were crrenged, and put on arrow to show the direction that they were traveling,

[

| |
| |

p ee) ae ee le ee ee”) lL 1 re) oe ee 2 ee

~~

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

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 oppecr as compored with one of the following objects held in the hand
and of chout arm's length?

(Circle One):

co. Head of a pin
b..Pea >

c. Dime

d. Nicket

e. Qvorter
f. Half dollar

g- Silver dollor
h. Baseball

i, Grapefruit

j- Bosketboll
k. Other

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

c. Not very sure

d. Uncertain |

a

—————

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oy e ‘ Seng

23, How did the object or objects disoppecr from view? — ~2--

24. In order that you can give as clecr o picture os possible of what you sow, we would like for you to Imagine thet you could
construc? the object thet you sow. Of whet type material would you make it? How large would it be, ond what shope
would It hove? Describe in your own words a éommon object or objects which when ploced up In the sky would give the

some cpepecrance as the object which you sow,

oe.

ee —_—-- — —-- —— ——

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 o building b, In the residential section of a city?
b. Ina car c. In open countryside?

cx Outdoors* d. Flying neor an airfield?

d, In an airplane e. Flying over a city?

e. At sea f, Flying over open country?

f, Other ue g- Other eee hee

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

—_—

[oe —
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 f. Southwest h. Northwest
28.2 How fast were you moving? aids miles per hour.

28,3 Did you stop ot any time while you were looking at the object?

; \ pen aA Ay ea = -. on iat Fae
We etctie  1Kne arars -— we SAW twe

(Circle One) Yes No
an ae ate i. = =
| 29. Whet direction were you looking when you first saw the object? (Circle One)
c. North c. East e. South g. West
>. Northeast d. Southeast. f, Southwest h. Northwest

- — eo

——_ - -—-—_—_-- Oe

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

¢. North _ c. East e. South g- West
b., Northeast d. Southeast f. Southwest h. Northwest >
———————E ——ee == ——< oon —— eee

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 cppeared:

ec. From true North T=. degrees.

b. From horizon degrees.
31.2 When it disappeared:

c. From true North : v degrees.

b. From horizon degrees.

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SS

32. In the following sketch, imagine thay ,
high the object was above the !uwiz-,,
show how high the object was above s,

33. In the following larger sketch place an °

position when you last saw it, Refer t<

a a

—- ~ _ - — —

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

34,1 CLOUDS (Circle One) 34.2 WIND (Circle One)
Clear sky” a..No wind ~

a.
'b. Hazy b. Slight breeze
¢. 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,. Coal-
c, Moderate orheavy rain c. 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?

x -_—

>

Day Month Year

ee eee

—— ——s

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

36.2 Please list p names and addresses:

a

—_ —s

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

(Circle One) Yes No
37.) !F you answered NO, then when, where, ond 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?

———~ at] = =e =

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