PROJECT BLUE BOOK

PROJECT 10073 RECORD CARD

-_- ——— - ll

12. CONCLUSIONS |
Was Balloon

1. DATE 2. LOCATION
ri , sect ]' 7 syracuse, Ingigna =
3. DATE-TIME GROUP 4. TYPE OF OBSERVATION
Loco! 206 2 Eat “fC? Ground- Vi sucl 0 Ground-Rodar
GM Liye 5 O Air Vi sual © Air-intercept Redar
5. PROTOS {4 SOURCE
C Yes
Q No Civilian

7. LENGTH OF OBSERVATION

5 rate ws
[> €¥ 9 5

3. NUMBER OF OBJECTS | 9. COURSE

y |

“og0 oo0 ooo OOD

Probably Balicon
Possibly Bailoon

Woes Aircraft
Probably Aircraft
Possibly Aircraft

Was Astronomical
Probably Astronomical
Possibly Astronomical

Other ar
Insufficient Deta for Evaluation
Unkeown

SRIE= SUMMARY OF SIGHTING

+ 2 -
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irecie

ATIC 7O#™M 329 (REV 26 SEP 5$2)

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1l. COMMENTS

U. 5. AIR FORCE TECHNICAL INFORMATION SHEET

This questionnaire hes bean prepared seo that you can give the U. S. Air Force as much
information as possible concerning the unidentified aerial phenomenon that you have observed,

Piscse try 19 answer cs many questions as you possibly can. The information that you give will
be used for research purposes, and will be regarded as confidential meterial, Your name will not

be used in connection with any statements, conclusions, of publications without your permiasion,
Wa rocuest this parsona! information so that, If it is deemed necessary, we may contact you for

further details,

*

ae

]. When did you sae the object? 2. Time of day:
Hove Minules
/y
; - = = :
Dey Month Year (Cirele One): A.M or P.M,
be fete. ; |
3. Tima zone:
i (Circia Ona): cc. Eastern (Circle One): sc. Daylight Saving
b. Cantal b, Standord
c. Mountein
= '
: - a .
| 4. Whore were you when you sow the object? |
’ fo -> f

ty Actus S (Fol Wawhsez ) |
Nearest Peatei Addrass = City of Town “if Stete of Country
Additiona! remarks: a etbanlll Se - |
——— — -
| 5. Estimote how long you sow the object. - |
Hours Minutes Seconds |
5.1 Circle one of the following to indicate how certain you are of your answer to Question 5.
ae Certein c. Not very sure
b, Feirly certain d. Justa quess
— . —
&, Whotwas ine condition of the sky? |

(Cirele Ore): a, Bright doylight d. Justa trace of daylight
b. Dull daylight 3. No trace of daylight
¢. Bright twilight f, Don't remember

7. 'F you saw the object during DAYLIGHT, TWILIGHT, or DAWN, where wos the SUN located as you looked at
ihe object?

(Circle Dea): av tn front of you d. To your lef?
b. in Back of you e. Overhead
c, To your right f. Don't remember

ATIC PORM NO, 194613 OCT $4)

Page?

_— =

B.t STARS (Cirela One}: 8.2 MOON (Circle Gre):
a. tone a. Bright moontight
b. A fow b. Dull moonlight
¢. Many ¢. No moonlight — pitch dark
¢d. Don’t remember d. Don't remember

BR, IF you saw the ouject ai NIGHT, TWILIGHT, or DAWN, what did you notice concerning the STARS end MOON? |

—_

9, Wes the object brightar than the background of the sky?

a .

_ (Circle One): 3. Yas. b, No c, Don't remambar
. On

—

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

(Circle One) ‘a, A mila or more away (a distant car)?
b. Several blocks cway?

ct, Ablock away?
d. Several yords awoy?

i ed ata cial: hed ie Ra ee a alla

2. Other
Tt, Old the cbiecr: (Circle One for each question)
a, Appear to stond still ct any time? Yos No Don’t Know
b. Suddenly speed vo end rush away ot ony time? (Yas No Don’t Know
c. Break up into perts or explode? Yos No Don’t Know
d, Give otf smoke? Yes No Don't Know
e. Changs brightness? Yes No Don't Know
f, Chenge thepe? Yes No> Don't Know |
g. Flicker, throb, or puisate? Yos No Don't Know
- - —-— —
12. Did the object move behind something at anytime, particularly o cloud? |
( Circle One): Yes No Don’? Know. IF you answered YES, then teil what |
it moved Senind:
13, Did the object move in front of something at anytime, particularly a cloud?
(Circle Ore): Yes Ne Don’t Know. 'F vou answered YES, than tell what '
it moved in front of: = |
5 6 rm |
14, Did the obiect cppear: (Circle One): a, Solid? b, Transperent? c. Don't Knew. |
18, Did veu observe the object through any of the following?
a. Eyeg'asses Yos Ne 2. Binoculars Yes No |
9. Sur glasses Yes Ne f, Telescope Yas Ne
¢. Windshield fes No g. Theodclite 5 No |
d, Window glass fes No AR 30) Se ee eee ;

—— ———— —— —— —- ]

14. Toil ir « fow words the following things about the object.

a. Sound > —— _- —_— - ——-= -

b, Caler

— —— ——— a -_—

eee _————— See —_———-——- i —_—————

17. Drow @ picture ther will show the shape of the objec? or objects. Label end Include In your sketch ony details |
of the object thet you sow such ca wings, protrusions, ete., and eapecially oxhaus? tralis or vapor trails. Place
en arrow beside the drawing to show the direction the object wes moving,

-—

78. The edges of the object wore:
(Circle One}: a. Fursy of blurred @. Other SE Sn eae
b. Like o brigh? ster
¢. Sharply outlined
d. Don't remember NT — —--——

—_—_ een a a a Sa ee Ce ee

19, IF there wos MORE THAN ONE object, then how mony were there? —
Drow ¢ picture of how thay were arranged, end pul en arrow to show the direction thet they were travel ing,

— — = oe om

SS ee tt

— ———

$, 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)
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 officiel that you had seen the object?

Day Month Yoor

36. Was anyone else with you af the time you sew the object?

(Circle One) fes No

5,.did they see the object too?

36.1 IF you answered °
(Circle One) Yes No

26.2 Please list theie nomes and oddresses:

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

(Circle One) Yes No
77.1 (© vou answered NO, then when, where, and under what circumstances did you see other ones?

—

te ee

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

—

— 1

a Se ee 6 «See eee os

A se le

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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? _m.p.h.,
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 wos? feet.

41,

NAME _— 4mm

Please give the following information about yourself:

Los? Nome

First ai Middla Nome

ADDRESS ____ Z SEFAS os

Street City Zone Stote
TELEPHONE NUMBER SS
What is your present job? __ 3H: aie ‘ = edie _=
Age Sex

Please indicate any soecia! educational training that you have hed.

Technical school _

ao. Grode school _ : e. @. aienenia
b. High school — (Type)
. College = f. Other special training

d. Post oreducte _ =

4

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4.

Dete you completed this questionnaire: :
Dev Month

=