PROJECT BLUE BOOK

PROJECT 10073 RECORD CARD

—_— + -—- et ee

1 DATE l 2. LOCATION 12. CONCLUSIONS
i } 0 Was Bolloon
22 March 1957 Dayton, Ohio (KP robably Balloon
3. DATE-TIME GROUP TYPE OF OBSERVATION  Ressey Balieon
Lect SO0-180S~-1310 CX Ground- Vi sual O Ground-Radar O Was Aircraft
pean QO Prebably Aircraft
GMT = 22/2302 0 Aire Visual O Air-Intercep? Radar D Possibly Aircraft
5. PHOTOS 6 SOURCE O Was Astronomi-<al
O Yes . O Prebably Astronomical
r 3SkNo Piers Civilian O Possibly Astronomical
7. LENGTH OF OBSERVATION 8. NUMBER OF OSJECTS | 9. COURSE DO Other
i Sie Teas 2) FFici
3 sightings same. area mostly oO) eee BEN ENE oo |
Shs te At hte 30 mi one stationary | a
10; BRIEF SUMMARY OF SIGHTING 11. COMMENTS

-

One object described

by all observers as AS this coincides with release
a kite to parachute sh

ape color white of weather balloons from Sui-
ationary altitude. phur grove these sightings are
o 4500ft, most logicaily a WX balloon.

and remained mostly ‘s
cuessed foom +000 fr t

‘OD; Dets

2 ee wwe

ATIC FORM 329 (REV 26 SEP 52)

eran Ni Ay whe

18, Tell In a few wards the following things about the object.

b, Color

17, Drow o pleture that will show the shape of the object or objects. Label end Include In your sketch any details
af the objec? thet you saw auch a3 wings, protrusions, ete., ond especially exhaust trails or vapor trolls, Place
on arrow beside the drawing to show the direction the objact was moving.

18, The edges of the object worn:
(Circis One): a. Fuzzy or blurred a. Other

. Sherply outlined

b. Like ao bright ster
i c
ad, Don’? remember

79, IF there wes MORE THAN ONE object, than how mony were thers?
Draw @ pleture of how they wera arranged, and put on arrow to show the direction thet they were traveling,

eee he ee ee 8 ee,

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Page 7

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

24,1 CLOUDS (Circle One) 34,2 WIND (Circle One)
a, Clear sky a. No wind
b. Hazy b. Slight breeze
¢. Scottered 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
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?

”

Day Month Year

26. 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

324.2 Please ‘ist their names and addresses:

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

oe)
““d

(Circle One} Yes No

37,1 IF you answered NO, then when, where, and under what circumstances did you see other ones?

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

bw lm wade 2 Leet ou

— —

Poge 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? 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 feet.
41, Please give the following, infor shion about yourself:
ff SS.
NAME fj - re ee etd ial i j gg +» « magic N
: é ° ° iF ereNome iddie Nome
SN aie
‘ f . \ EY oy hom j
ADDRESS rae 2; we ey
rd “ ’ City 7 Zone State
TELEPHONE NUMBER
What is your present job? = E —
Age Sex
Please indicate any special educational training that you have had.
a. Grade school e.@. Technical school
b. High school . (Type)
¢. College f, Other special training
d. Post graduate
. Date youc leted this stionnaire: é
42 ‘Date you complete is que — pea 7

=

heer -ee

Pago 9
Mast 20 ae u et ci) i]
y S$. AIR FORCE TECHNICAL INFORMATION SHEET | |
(SUMMARY DATA) |
in order that your information may ba filed and coded as accurately as possibla, please uss |
tha following space to write out a short description of the event that you observed. You may re-
pest information thet you have alraady given in the questionnaire, and add an; furthar comments,
statements, or sketches that you believe ara important. Try to present the details of the observa-
tion in the order in which they occurred, Additional pages of ths same size paper may be attached
if they cre neaded,
NAME (Do Not Write in This Space) _
(Plsasea Print)
CODE:
SIGNATURE
i
DATE 3 pe |
‘ “ Ae TAL i“ Z Zr- é — ~ 4 S - . . ' y
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VW Apt Oe Ct |
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U. 5. AIR FORCE TECHNICAL INFORMATION SHEET

This quastionnaira has been prepared so that you can give the U. S. Air Force as much
informetion as possible concerning the unidentified aerial phenomenon that you have observed.

Pisase try 9 answer as mony questions as you possibly can. The information that you give will
be yvsed for ressarch purposes, and will be ragarded a8 confidential material. Your name will no?
ba used in connection with any statements, conclusions, of publications without your permission,
We request this personal information so that, if it is deemed necessary, we may contact you for
further details.

¢. Mountain
d. Pacific
e. Other

4, Where were you when you saw the object?

A
r ill
a : i. c

Ss i, \ VWiey OF ' [ t*.
eeree? Posiai Address . ! _ Cityor Town Stote or Country
, . A. op ae + Le, - : i! f 3 ¥
Addiviagal ve marks: ee XIE EV VI kat stk Wed mam ew,

1, When did you see the object? EE BE _—
Hour Minutes
ba nen “Year i’ (Circle One): A.M or P.M,
3. Time zone:
(Circia Ona): a. Eastern - (Circle One): a, Daylight Saving
b, Centra) b, Standard ~

5, Estimate haw long you sow the object, —
Hours | _, Minutes , Seconds

og OE 7 _—— ;
—C---4 a Oe etl Ma ce f ie f

4 co > a > a 7
5.1 Circle one of the following to indicate how certain you are of your answer to Question 5.

a, Cartoin: c. Not very sure —
b Fairly certain d, Justo guess

——— aie

6 What wes the condition of the sky?

(Cirele One): a, Bright daylight — d, Justa trace of daylight
b. Dull daylight e, No trace of daylight
c. Bright twilight f, Don’t remember

tha obiact?

{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

—_— =

te ee ee ~~
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ATIC FORM NO. '164(13 OCT 54)

7. iF you sow the object during DAYLIGHT, TWILIGHT, or DAWN, where was the SUN located as you looked at |

bee eee

Page 2

B, IF you saw the ovject at NIGHT, TWILIGHT, or DAWN, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle Ons):
| a. None a, 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): o. Yas b, No c. Don’t ramember

——— a

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

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

c. Ablock away?
d, Several yards away?

ae 5 ‘4 = e, Other :
11, Did ihe object: } | __ (Circle One for each question)

a, Appear to stand still at ony time? Ye No Don’t Know
b. Suddenly speed up and rush away at any time? Yes No Don’t Know

¢. Break up into parts or explode? Yes No Don’t Know

d. Give off smoke? Yes No Don’t Know

e. Changs brightness? Yos No Don’t Know

_{. Chenge shape? Yes . Noe 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 C Ne’ Don’t Know, IF you answered YES, then tell what

‘X
ee”

it moved behind: —_ aod a, $s

—_———_ — _——

—_— ——— os ow —_—_ = -_- eee ——_ od _

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

ee

(Circle One): Yes No Don't Know. IF you answered YES, than tel} what
it moved in front of: 2

-_--_——

— —- —_—-+ —— —_ — —- ——

14, Did the object appeor: (Circle One): a. Solld? b, Transparant? ¢. Don’t Know, 1

— —

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

|

a. Eyeglasses Yos No 2, Binoculars Yos No
b. Sun glasses Yes No f, Talescope Yes No

j ec. Windshield Yes No g. Theedolite Yos No

d. Windew glass Yes No h, Other

|

—_ 2-2 —— S iedl

Poge 3

eos — a ee ee ee - oe ——_- — i Eas

14, Tell in a few words the following things about the object.

-
————— eee me <8 ce ee

&. Sound

b. Color

or + owe ee e- oa .  — — o

17, Drow a pleture that will show the shape of the object or objects. Lobel ond Include In your sketch ony details
of the object tho? you saw such os wings, protrusions, efe., ond especially exhaust trails or vapor trails. Place
an arrew beside the drawing to show the direction the object wos moving,

18 The edges of the object were:

(Circle One): o. Fuzzy or blurred il Se EES EA ee ee a aa re |
b. Like o bright ster
c. Sharply outlined |
4d. Don't remember

19, iF there was MORE THAN ONE cbiect, then how mony were there? — ee,
Drow a picture of how they were orranged, and put on arrow to show the direction that they were traveling,

j - --
eS ' or

t «
Vv ~- —_— “ _* ~—

ee ee ee rt =e ere ee ee we

eyes, Draw o pictura that will show the motion that the object or objects meds, Plocw an “A” at the beginning
of the poth, c “B” of the end of the path, and show any changes in direction during the course.

— ~~ _——— —_--—— - -—s — — ORE a. ope, Sp eh

21. IF POSSIBLE, try to guess cy estimate who? the real size of the object was in Its longest dimension.
feet,

——~ _--- _ —_— — a

—_— —

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

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

b, Pea h. Baseball

j c. Dime i. Grapefruit

d. Nicket j. Basketball
e. Quarter: k. Other
§. Half doller

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
b. Fairly certain d. Uncertain
- aie opener eee ee |
23, How did the object of objects disappear from view? —__ NE os A OER Soto ee ee

oe

24, in order that you con give as clear a picture es possible of what you sew, we would like fer you te imegine thet you could
construct the object thet you sow, Of whet type material would you meke it? How jarge would it be, and what shape
would It have? Describe in your own words @ Lommon object of objects which when placed up in the sky would give the
same oppearance os the object which you sew,

2 eee ewe ee oe

Pege 5

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25. Where were you located when you saw the object? 26. Were you (Circle One)
(Circle Cae): |
a, 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 opan countryside?
_¢. Outdoors d, Flying near an airfield?
d. In cn airplane e, Flying over a city?
e. At sea f, Flying over open country?
f, Other g. Other
ES = — =

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

— —_—_—— —— —- +--+ -~-- ~---- — _

eee —— — ———— —_—_--——__ — -+--— —_-- -——_—

—_——

28. IF you were MOV!NG 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. Wes*
b, Northeast d. Southeast f. Southwest h. Northwest
28.2 How fast were you moving? miles per hour,

28.3 Did you stop at ony 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 9. West
b, Northeast d. Southeast f. Southwest h. Northwest

—_—_ —_— ——~— —- —— —_-—— — ee

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

9. North c. East e. South g- West

ee eee

b. Northeast d. Southeast f. Southwest h, Northwest

31. |f you are familiar with bearing terms (angular direction), try to estimate the number of degrees the object was
from true North and aiso the number of degrees it was upward from the horizon (elevation).

31,1 When it first appeared: /
|

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

31.2 When it disappeared:

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

Page 7

— — — a

| 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
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 (Circie One) 34.4 TEMPERATURE (Circle One)
a. Dry a. Cold
b. Fog, mist, or light rain b. Cool
¢. 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?

Day Month Year

—— eee

im ——

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 their names and addresses:

o

i : o ; v ~<

~~

| gs , . ow 1A a < ? tb —— - -s ~ —-
= ~ _ ee oe = — = -
Pc ee — ae Oem — tae et -&
- ‘ 4 —
. “

ss ’ “# ms yo” P .

/ ; : " =. — ge a f. t inf tA
Me ir fee TE BO ae go Ree Eo oe ang °
/ - Ps : /
- Z — - Le 5 i — Co

37. Was this the first time that you had seenan 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?

i ———— — -—__—

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

io

Pee a eee eT

Se ee

US. AIR FORCE TECHNICAL INFORMATION SHEET |

This questionnaire has been prepared so that you can give the U. S. Air Farce as much

infeymation as possible concerning the unidentified aerial phenomenon that you have observed,
Plaase try fo answer as many questions 43 you possibly can, The information that you give will
bo usod for resacrch purposes, and wi!! be regarded as confidential material, Your name wil! no?
be wsed In connection with any statements, conclusions, or publications without your permission.
Wa request this persona! information so that, If it is deemed necessary, we may contact you fer

furthar datails,

1, Whan did you sea the object? 2. Time of day; P al
x Hour Minutes
> L. TAP fogs /
Day Month Yeor (Circle One): A.M or P.M,
3, Time zone: =
{Circle One): a, Eastern (Circle One): a, Daylight Saving
>. Central yb, Standard
c. Mountein Ko
d. Pacific
e, Other
4, Where wer ov sow the object? ”
ae vt mea = t/ #2 Yosz i Mia ee
Nearest Poste! Address City of Town . Stete or Country
Additional remarks: _ nae See LEIS SUR Gece nee BNE. 2. EEN ered ee
IRR sus ree rE ees =e ee sae |
5, Estimate how long you saw the object. cere Lr & ‘i ae
Hours Minutes Seconds
5,1. Circle one of the foliewing to indicate how certain you are of your answer to Question 5,
a. Certain c, Not very sure |

b, Fairly certain

d, Justa quess

—

4, What was the condition of the sky?

(Circle One): a, Brignt deylight
( b.) Dull daylight

tl

c. Bright twilight

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

—_———_

TWILIGHT, of DAWN, where was the SUN located as you looked at

d, To your left
ev. Overhead

f. Dan't remember

7, \F you sow the object during DAYLIGHT,
:
j ina object?
(Circia One}: a, In front of you
b, In back of you
ce, fo your right
:
ATIC FORM NO. 164 (13 OCT 54)

Dy eoare Tee re eat \

— woe = - —

— we eg ee eee

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Pege 2

-_— 7

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? _.m.p.h.

- — —_—
—

40. Do you think you can estimate how fer 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 _—
Middle Name
ADDRESS /
| Zone State
TELEPHONE NUMBER
What is your present job? Sapciaanes aed

\ge Sex

ee

Please indicate any special educational training that you have had.

a. Grade school 2.e. Technical school :
High school | (Type) |
ec. College f, Other special training

d. Post graduate : |

4?, Dote you completed this questionnaire: <
Dav Month Year

Wt nn

28 ne a ee -

THE LEADER PRINTING COMPANY
PUBLISHERS
THE EVENING LEADER

ST. MARYS, OHIO
March 25, 1957.
Wright Patterson Air Force Base
Public Relations
WPAB, Vayton, 0.

Gentlemen:

Last Friday nisht an object was spotted in the southeastern
aky about 5:30 p.m. It continued to be visible until about 7 p.m.
when it was no longer possible to see because of the dusk/
People who saw it described it as having a red or ruddy colored
base with a prignt, shiny top , that it appeared to be miles
away. Za Do you know if this was a weather balloon sent up
from your dase or do you have any racord of it having deen seen
from other points? Observers hers said it was moving very slowly
but what they were unable to distinguish for sure whether it was a
baivoon. One observer estimated it was 60 miles or more away.

We would appreciate any information you can giva
concerning what it was , from wheres it might have been sent up,
wyere it came down etc The object was first spotted by youngsters.
hey thought _t was a new planet-- thsir very own discovery.

Thanks for what you c

The “vening Leader
St Marys > Ohio .

* 7 1
P.S. It's got my curiosity aroused-- 1 couldn t seal

» although I
tried . Too many obstacles -- buildings trees etc in

y wtision.

B ocr

fhe Evening Leader |
St, Marys, Chilo

Dear Miss Qa

Your letter of 25 March 1957 to the Public Relations Office,
VWeight-Patterson Air force Fase, haa been referred to this Center

for reply.

ONY

——

f

©

ort We are af the opinion that the object sighted in your area about

* 5:20 PM, 22 March was a weather balloon which had been released locally

‘ch just before sumset. Our files reveal that several sightings of the sane

C object ware reported from the general area during the specific times

a you mentioned, These balloons reach an altitude af four to six miles,
SoHE Roe anatbeiaac Wh kate iuchoeed a saath ahatoh vateh iil hed

tiens, We have inclosed a rough ekxetch which will help
» peculiar effects semetimes cbeerved when the oun is

fo bewison. We have alse inclosed a copy of the summary of ar |
=| ect Bluebook Special Repart #4 viich my be ucsfil to you. |

la appreelata your tuterast in the mtter, ani ve ere glad te have
the eppesrtunity to serve you,

yas
Het
i
Pad!

Aneerely,
3 Incle ROBERT E. O'CONNOR
: ‘. Sretch Lépiain, USAF
: 2, WO Summary | Assistant Adjutant

3. News Release

\ CORD IN AT ION:

Page ?

—— —_—- — — —= _— ee ee ee ———— ==

_~~s _—--

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

8,1 STARS (Cirele Ona): 8.2 MOON (Circle One):
a. None a, Bright moonlight
b. A few b. Dull moonlight
c, Many c. No moonlight — pitch dark
¢d. Don't remember | d. Don't remember

ecmeeaeel

_ — ——- oF

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

(Circle One): (a. Yes b. No ¢. Don’t remember

_—

10, IF it wes 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?
e. Other ; rety J + {
li. 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 eway at any time? ~Y¥es No Don’t Know
: ¢. Break up into parts or explode? Yes No Don't Know
d. Give off smoke? Yes No Don't Know
@. Change brightness? Yes No Don’t Know
f.. Chonge shape? Yes No Don’t Know
Flicker, throb, or pulsate? ? Yes No Don’t Know

12. Did the object move behind aoeremning at anytime, particularly o cloud?
| (Circle One): © (Yes. / Ne Don't Know. IF you answered YES, then tell what

tt moved behind: A Ghee wells ie ee

———_——————— ———— —_—_———— — <a —_—_—

— - — — em = |

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

15. Did yeu ebserve 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 yg. Theodolite Yos No

d, Windew glass Yos No h, Other

(Circle One): - Yes (Ne Don’t Know. IF you answered YES, than tell what
it moved in front of: dk enna
14, Did the object appear: (Circle One): a Solld? b. Transparent? c, Don't Know,

2a
|
i
|
|

= ooo

LS Ll RR

Page d
| 14, Tall in 2 few words the following things about the object, |
a, Sound ) Bi as fd, cr aA ) / aye de

i by, Color

17, Drow @ pletura that will show the shape of the object or objects. Lobel and Include in your sketch any dotails
of the object thot you saw such ca wings, protrusions, ete,, and especially exhaust trails or vapor trails. Plees
en arrow beside the drawing to show the dirsction the objec? was moving,

: |

| 18, The edges of the object were: |

(Circle One): a. Fuzzy or blurred e. Other
7 b, Like a brigh? ster

ts) Sharply outlined.

‘div Don’t remember

; 19. IF there wos 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,

eno ee = ee oe eee te ee =~ ee = ees oe

me ee tt eee

— 2

Puge 4

—

——

Ss

20, Draw a picture that will show the motion that the object or objects made, Place on “A” of the beginning
of the path, o °B” of the ond of the path, and show any changes In direction during the course,

2}. IF POSSIBLE, iry to guess or estimate whot the real size of the object was in its longest dimension.
Srarene fest,

— — —__ eS —-~ Sooo ee eee

22, How large did the object or objects appecr as compored with one of the following objects held in the hend
and of about arm’s length?
(Circle One): c. Head of a pin g. Silver dollar

b. Paa h, Baseball
c. Dime i, Grapefruit
d. Nickel . j. Basketball
2, Quvorter TPR © |, el SER ee

t. Half dollar

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

a. Certain c. No? very sure

b, Fairly certoin d, Uncertain

i _—__—

frag 23, How did the object or objects disappear from view?

—— ——

—_-—— — —~ =. —-— ~~
——

24, in order that you con give os clear a picture as possible of what you saw, we would like for you te imegine thet you could
construct the object thet you saw. Of whet type material would you make it? How lerge would it be, and what shape
would It have? Describe in your own words a éommon object of objects which when pieced up in the sky would give the
some oppecranes os the object which you sow. |

!

(me rn eee

et | + ee ee eee -

Poga 7

c
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
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) |
| qa, Dry a, Cold :
b., Fog, mist, or light rain b. Cool
c. Modercte 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? |
oe Month Your

te 7

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

|

(Circle One) Yes No |

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

36.2 Please list their names and addresses: | we |

—

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

(Circle One) Yes No
37.1 1F you answered NO, then when, where, and under what circumstances did you see other ones?

—_——

38, !n your opinion what do you think the object was and what might have caused it?

Poge 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? __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? feet.

41,

Please give the following information about yourself;

NAME —
Lost Na

Middle Name
ADDRESS ; :
City Zone State

TELEPHONE NUMBER
What is your present job?
Age Sex
Please indicate any special educational training that you have had,

a. Grade schoo! : @.@, Technical school =

b, High school (Type) =

c. College f, Other special training _____

d, Post graduate = . aos

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42,

Date you completed this questionnaire:

Dav Month Yeor

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es

FORCE TECHNICAL INFORMATION SHEET

} u. $. AIR

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-

This quastionnaire has been prepared so that you can give the U. S. Air Force a3 much
infermetion as possible concerning the unidentified aerial phenomenon that you hove observed.

Pisase try to cnswaer c& many questions as you possibly can, Tha information tha? you giva will
be used for research purposes, and will be regarded as confidential material, Your name will nor

be used in connection with any statements, conclusions, or publications without your permission.
We request this personal information ao that, if it is deemed necessary, wa may contact you for

further details.

1, When did you see the object? 2. Time of day: pes SD es

| § Hour Minutes
tn £7 ASSES, 5 /
Day Tent 2 Yoor (Circle One): ALM or P.M,

Co Eee ee | ———— aa — —___ -— _ ——— ———

3, Time zone:

(Circle One): a. Eastern (Circle One): a, Daylight Saving
>, Central b, Standard
c. Mountain

d. Pecifie
i s. Other a

ject?

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ob —~ |

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City ar Town Stete or Country
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Additionel remarks:

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5, Estimote how long you saw the object. oot Seal ae hi mle oS

Hours Minutes Seconds

5,3 Circia one of the following to indicate how certain you are of your answer to Question 5,

c, Not very sure

_a, Certain
d, Justa guess

db, Fairly certain

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4, What waa the condition of the sky?

(Circle One): a. Bright daylight-- d. Justa trace of daylight

b. Dull daylight

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Bright twilight

e. No trace of daylight
f, Don’t remember

_

Vs wou sow the object during DAYLIGHT, TWILIGHT, of DAWN, where was the SUN located as you looked at

the object?

Yi

t
‘

{Circle Ona}: a. In front of you d. To your left

@ b, in back of you e, Overhead
¢, To your rignt f, Dan’? remember -
ATIC FORM NO. 154 ICT $4) a

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Pages 2

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3. IF you sow the ovject, at NIGHT, TWILIGHT, or DAWN, what did you notice concerning the STARS and MOON?

8,1 SFARS (Cirele Ono): 8,2 MOON (Circle One);
3, None a, Bright moonlight
db. A few b. Dull moonlight
¢. Many | c. No moonlight — pitch dark
d. Don’t remembar ; d. Don't remember

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

(Circle One): a, Yes 5. No c, Don't remember

10, iF }t was BRIGHTER THAN the sky background, wos the brightness like that of an automobile headlight?:

(Circle One) a, A mile or mors away (a distant car)?

b. Several! blocks away?

c, Ablock away?
d, Several! yerds away?

: 2, Other *

i}, Did ihe object: (Circle One for each question)
| a, Appear to stand still at any time? , Yes No Don’? Knew
| 5, Suddenly speed up and rush away atanytime? Yas No Don’t Know
c, Break up into perts or explode? Yes No Don’t Know |
| d. Give off smoke? Yos ' Ne Don’? Know ;
| 2. Change brightness? Yes No Don’t Know
| tf, Change shane? Yes No Don’t Know
g. Flicker, throb, or oulsate? Yas No Don’t Know
| _neeeeneeenes |
| 12, Did the object move bahind something at onytime, particularly a cloud?
{ Circle One): Yes No Don’t Know, IF you answered YES, then tell what
tt moved behind: -
; 43. Did the object move in front of somerhing at anytime, particularly a cloud?
{Cirele One): Yes No Don't Know, S iF you answered YES, than tell what
: jt moved in front of: :.
| 14, Did the object appear: (Circle One): a, Solid? b. Transparent? ¢. Don’t Know,
ae +
i = «5, Did you ebserve the object through any of the foliowlng?
a. Eyeglasses Yes No 2, Binoculars Yes No
| b, Sun glasses Yes No f, Telescope Yes No
c, Windshisld Yas No g. Theodolits Yos No
d. Window glass Yas No h, Other F
|

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