PROJECT BLUE BOOK

PROJECT 10073 RECORD CARD .
1. DATE 2LOCATION 12. CONCLUSIONS
Was Balloon
27 September 1957 w Jefferson, Ohio o Probably Balloon
3. DATE-TIME GROUP 4. TYPE OF OBSERVATION D Possibly Balloon
.Local 1930 XGround-Visual Ground-Rodar 0 Was Aircraft
KProbably Aireroft
GMT_28/0030Z AirVisual Air-Intercept Radar Possibly Aircraft
5. PHOTOS . SOURCE 0 Was Astronomical
aYes 000 Probobly Astronomical
XOKNe Civilian Possibly Astronomiceal
7. LENGTH OF.OBSERVATION . NUMBER OBJECTS 9. COURSE Other.
000 Insufficient Data for Evaluation
Unknown
2 minutes one SW
10. BRIEF SUMMARY OP SIGHTING 11. COMMENTS
Object sighted looked like a red fireball Probably a/c sighting.
going on a SW course. Moved going on a SW course. Moved from hori- from hori-
zon to horizon in 2 minutes
)
ATIC FOrM 329 (REV 26 SEP 52)
,
1
J 5

27 3/00302 .1
Nulti 13
U. S. AIR FORCE TECHNICAL INFORMATION SHEET
This questionnair has been prepared so that you can give the U. S. Air Force as much
Information as poss oncerning 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
bo used for rosearch purposes, and will garded as confidential material. Your name will not
bo 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.
1. When did you see the pblect? 2. Time of day: 1930
Minutes
20 Lent
Nonth (Circle One): (Circle One): A.M. A.M P.M. P.M.
3. Time zone: 3. Time zone:
(Circle One):C (Circle One):Ca Eastern Eastorn (Circle One): Daylight Saving
b. Contral Standard
c. Mountain
d. Pacific d. Pacific
Other •, Othe .
Where were you whon you sow the objec!?
H.ellerson Qhis
Nearest Pos State or Country
Additional remarks:
5. Estimate how long you saw th objoet.
Hours Minutes Seconds
5.1 Circle one of the following to indicate how certain you are of your answer to Question 5.
a. Certain c. Not very sure
Fairly certain d.Just a guess Xpeople
6.What was the condition of the sky?
cleam
(Circle One): a. Bright daylight d.Just a trace of daylight d. Just a trace of daylight
b. b. Dull daylight .No trace of daylight . No trace of daylight
c. Bright wilight Bright twilight f. Don't remember f. Don't remember
.IF you saw the object during DAYLIGHT, TWILIGHT, or DAWN, where was the SUN located as you looked at
the object? the object?
(Circle One): a. In front of you To your left
b. In back of you Overhead
c. To your right Don't remember
ATIC FORM NO. 164 (13 OCT 54)

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16. Toll In a few words the following things about the oblect.
nd
@. Sound
b.Color.
of the objoct that you saw such as wings, protruslone, ote., and especlally exhaust tralls or vapor trails. Place
an arrew beaide the drawing to show the direetlen the eblect was moving.
loals laaks lih lihi a a
ball fil
fall fin
8. The edges of the object wore:
(Circle Ono): Fuzzy or blurred . Other
Like a beight star
Sharply outlined
d. Don'tremomber
19. IF there was MORE THAN ONE ob|ect, then how many were there?
Dra pict ohow thy we orangedand pun arrow  show th drectlon that ty wetravelin.

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IF you saw the oulect, at 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 Bright moonlight
b Dull moonlight
Many c. No moonlight — pitch dark
d.Don't remember d. Don't remember
9.Was the object brighter than the background of the sky? red
(Cirele One): 0. Yes b. No c. Don't remember
1IF It was BRIGHTER THAN the sky background, was the brightness like that of an automoble headlight?: 10. IF It was BRIGHTER THAN the sky background, was t ghtness like that of an automoblle headlight?:
(Cirele One) a. A mile or more away (a distant car)? (Circle One) a. A mile or more away (a distant car)?
b) b Several blocks away? Several blocks away?
c. A block away?
d.Sevoral yards away? d.Several yards away?
. Other
Did the object: 1. Did the object: (Circle One for each question)
a. Appear to stand still a ony tIme? Yes No Don't Know
b.Suddenly speed up and rush oway 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 No Don't Know
. Change brightness? Yes No Don't Know
f. Change shape? Yes No2 Don't Know
g. Flicker, throb, or pulsate? Yos No Don't Know
1.Did the object move behind something at anytime, particularly a cloud?
(Circle One): Yes Don't Know. IF you answered YES, then tell what
it moved behind:
.Did the object move in front of something at anytime, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answered YES, than toll what
it moved in front of: -
.Did the object appear: 14. Did the object appear: (Circl One): (Circle One): a.Solld? b. Transparent? c. Don't Know. c. Don't Know.
1.Did you observe the objoct through any of the following? 1Did you observe the object through any of the following?
a. Eyeglasses Yes No •. Binoculars Yes No
. Sun glasses b. Sun glasses Yes No f. Telescope Telescope Yos No
c. Windshield Yes 2 No g. Theodolite Theodolite Yos No
d.Window glass Yos h. Other
141

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25. Where were you located when you saw the object? 26. Were you (Circle One)
(Circle One):
In the business section of a city?
a. Inside a building b. In the residential section of a city?
In a car C. In open countryside?
Outdoors d. Flying near an airfield?
In an airplane e. Flying over a city?
D. At sea f. Flying over open country?
f. g. Other
27. What were you doing at the time you saw the object, and how did you happen to notice it?
ltab
pleangling
2 IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:
28.1 What direction were you nioving? (Circle One) 28.1 What direction were you moving? (Circle One)
a. North c. East East South g. West
b. Northeast b. Northeast d. Southeast Southeast f. Southwest h. Northwest Northwest
28.2 How fast were you moving? miles per hour.
28.3 Did you stop at any tine 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) 6 -
a. North c. East Sbuth g. West
b. Northeast d. Southeast Southwest h. Northwest
30. What direction were you looking when you last saw the object? (Circle One)
a. North East e. South g. West
b. Northeast d.Southeast f. Southwest h. Northwest
from true North and also the number of degrees it wa's upward from the horizon (elevation). from true North and also the number of degrees it was upward from the horizon (elevation).
31.1 When it first appeared: DOES NOT IDOES NOT
31.1 When it first appeared: COINCIdE
a. From true North _ a.From true North 9 0 0 _degrees. degrees.
b. From horizon_ b. From horizon _ degrees.
31.2 When it disappeared: 31.2 When it disappeared:
a.From true North degrees.
b. From horizon b. From horizon_ degrees.

Poge 4
2. Draw a picture shat will show the motion that the object or objects made. Place an "A' at the begining
of the path, a "B' at the end of the path, and show any changes in direction during the course.
wil
.feet. o sela 2las
How large did the object or objects appear as compared with one of the fotfowing objects held In the hand 22 How large did the object or objects oppear as compared with one of the fotlowing objects beld in the hand
and at about orm's longth? and at about arm's length?
(Circle One): a. Head of  pin Head of  pin Silver dollar
b. b. Pea h. Basoball
c. Dino Dine 10 i. Grapefruit
d. d. Nicket i. i. Basketball
. . Qure tor Qun tor k. Other
f. Holl doll Holl dollor
22.1 (Circle One of the following to Indicate how certaln you are of your answer to Question 22.
a. Cortain Unh c. Not very sure
b. Falrly certain d.Uncertain
23. ect or objegts disoppeor from viow?e
spád
24. In order that you can give as cloar a pleture as possible of what you saw, we would like for you to Imegine that you could
construct the object that you saw. Of what type meterlal would you make it? How large weuld it be, and what shepe
would it have? Describe in yowr own words  common oblect or objeete whlch when ploced up in the sky would give the
same appearance as the oblect which you sow.

?
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What were the weather conditions at the time you saw the object?
34.1 CLOUDS (Circle One) 34.2 V WIND (Circl One)
a. Clear sky a.(No wind...
b. Hazy Wo b. Slight breeze
c. Scattered clouds c.Strong wind
d. Thick or heavy clouds dDon't remember
Don't remember
34.3 WEATHER (Circle One) 34.4 TEMPERATURE (Cirel One)
a. Dry a. Cold
b. Fog, mist, or light rain Cool
c. Moderate or heqvy rain c. Warm
d. Snow d.Hot
Don't remember .
When did you report to some official that you had seen the object? 35. When did you report to some I that you had seen the object?
Day Month Year 70 on
3 Was anyone else with you at the time you saw the object? 36. Was anyone else with you at the time you saw the object?
(Circle One) (Yes (Circle One) Yes No No
36.1 IF you answered YES, did thoy seo the object too? 36.1 IF you answered YES, did thoy see the object too?
(Circle One) Yos) No
36.2 Please list thei names an
. Was this the first time that you hod seen an ouject or odjecis li this?
(Circle One) Yes No
37.1 IF you answered NO, then when, where, and under what circumstances did you see other ones?
Last Atmmen
In your opinion what do you think the object was and what might have caused it? In your opinion what do you think the object was and what might have caused it?
not a falling not a falling stan-
Mefitily Mefinitely
Yih Plil anahe nahe
mone mone a

Pago 6
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.
3/3
33. In the following larger sketch place an "A" at the position the object was when you first saw it, and a "B" at its
position when you last saw it. Refer to smaller sketch as an example of how to complete the larger sketch.
B
2

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Do you think you can estimate the speed of the object? to
(Circle One) Yes No henger houghn
IF you answered YES, then what speed would you estimate? ...m.p.h.
(Circle One) Yes No
IF you answered YEs, then how far away would you say it was? _feet.
Please give the following information about yourself:
NAME Last Name First Name Middie Name
. Nt. Jiffen 2t. Fiffenan Ohio
ADDRESS Zone
Strest Streat Zone State
TELEPHONE TELEPHONE NUMBE NUMBE
Sulent l
What is your present job?
Ago015 Sox Mc
Please indicate any speci I educational training that you have had.
.Grade school. . e. Technical school
b. High school g2amanl (Type) _
c. College
d. Post graduate.
Date you completed this questionnaire: Month Year
Day
4
.