PROJECT BLUE BOOK

.
PROJECT 10073 RECORD CARD
1. DATE 2. LocaTioNI Fairborn, Ohio 12. CONCLUSIONS
7
2. Dayton, Ohio 0 Was Balloon
8_November 1957 3.Xenia.Ohio 0 Probably Balloon
3. DATE-TIME GROUP 4. TYPE OF OBSERVATION 0 Possibly Balloon
Local Ground-Visual Ground-Radar D Was Aircraft
0 Probably Aircraft
GMT. *1 AirVisual AirVisual Air-Intercept Radar 0 PossiblyAircraft
5. 5. PHOTOS b. 6. SOURCE SOURCE XWas Astronomical Venus
Yes Probably Astronomical
D.No Civilian 0 Possibly Astronomical PossiblyAstronomical
7. LÉNGTH LENGTH OF OBSERVATION OF OBSERVATION 8. NUMBER OF OBJECTS 9. COURSE COURSE Other. Other_
000 Insufficient Insufficient Data for Data for Evaluation
Unknown
*2 one stationary stationary
10. BRIEF SUMMARY OF SIGHTING 0. BRIEF SUMMARY OF SIGHTING 11. COMMENTS
1 *1 09/2400Z *2 40 minutes Probably Venus. Venus.
Object with clear bluish-white color
changing to orange. Just a point of changing to nge. Just a point of
bright the size
teacup.
*1 09/2330Z indefinite
Amber colored object, appearance of
bright star. No sound. Btationary
3) *1 09/2230Z *2 1 hr 30 min
White light with rose tint, starlike
size ofhalrpea.
ATIC FORM 329 (RPV 26 SEP 52)
z
J

Page 9
U. S. AIR FORCE TECHNICAL INFORMATION SHEET
In order that your information may be filed and coded as accurately as possible, please use
the following space to write short description of the event that you observed. You may ro-
peat information that you have already given in the questionnaire, and add any further comments,
statements, or skatches that you believe are important. Try to present the details of the observa-
tion in the order in which they occurred. Additional pages of the same size paper may be attached
if thay are needed.
NAM (Do Not Write in This Space)
Print)
CODE:
SIGNATURE
DAT C
I

9/23302
Multi
U.S. AIR FORCE TECHNICAL INFORMATION SHEET
This quostionnairo has been preparad so that you can give tho U. S. Air Force as much
infermation as possiblo cancarning the unidontified aorial phenomenon that you havs observed.
Plnass try to answar as many questions as you possibly can. The information that you give will
bo usod for resoarch purposas, and will be regarded as confidential matarial. Your nama will not
bo used in connaction with any statements, conclusions, or publications without your permission.
Wo requant this personal information so that, if it is deamed necessary, ws may contact you for
further datails.
1. Whan did you ses the objact? 2.Time of day: 1730
Hour Minutos
11 57
Day Month (Circla One): A.M or P.M.
3. Time xone: 3. Time xone:
(Circle One): a. Eastorn (Circls One): a. Daylight Saving (Circlo Ons): a. Daylight Saving
b. Contral b. Central b. Standard
c. Mountain Mountain
d. Pacific d. Pacific
. Other -
Wher Whor saw the object? the object?
Nearost Ppatal Addross Nearost Poalal Addrass ily or Town Stats or Country Stots or Country
Additional romarks:
5. Estimats how long you sow the objoct-- 30
Hours Minutss Seconds
5.1 Circl one of the following to indicata how cartain you are of your answer to Quastion 5.
2. Cortain c.Not very sure
b. Fairly certain d. Just a guess
What was the condition of the sky?
(Circle One): a, Bright daylight d. Just a tracs of daylight
b. Dull daylight e. No trace of daylight)
Bright twilight f. Don't remember
7. IF you saw tha object during DAYLI IGHT, TWILIGHT, or DAWN, where WOs the SUN located os you looked at
the object?
(Circle One): a. In front of you d. To your left
b. In back of you e. Overhead
c. To your right f. Don't remember
ATIC FORM NO. 164 (13 OCT 54) 0na21 Uiiis C i

20 2/2
Puge 7
IF you saw the oujoct, 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 a.Bright moonlight
b.(Afew) b. Dull moonlight
c. Many c. No moonlight - pitch dark
d. Don't remamber d. Don't remember
.Was the object brighter than the background of the sky?
(Circle One): a. Yos b. No c. Don't romember
IFtwas BRIGHTERTHAN th y background was th rightness k that a autoobi headlight?:
(Circla One) a. A mile or more away (a distant car)?
.Saveral blocks away?
c. A block away?
d. Several yards away?
.)Other Other
Did the object: 1.Did the object: (Circle One for each question)
a. Appear to stand still at ony time? a. Appear to stand still at ony time? Yes No Don't Know
b. Suddenly speed up and rush away at any tims? Yos No No Don't Know
c, C. Broak up into parts or explode? Yes No Don't Know
d. Give off smoke? Yes No Don't Know
. e. Change brighiness? Change brighiness? Yos No Don't Know
f. Change shape? Yes Yes No Don't Know
g. Flicker, throb, or pulsate? Yes No Don't Know
. Did tha object move behind something at anytime, particularly a cloud? 1. Did tha object move behind something at anytime, particularly a cloud?
(Circle One): Yeu No 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: .
14. Did the object appaar: (Circle One): a. Solld? b. Transparont? Don't Know.
15. Did you observe the objact through any of the following?
a. Eyeglasses Yas No . Binoculars Yes
b. Sun glasses f. Tolescope Yes No
c. Windshiald Yes No g. Theodolita Yas
d. Window glass Yes No h. Other

of the abjoct that you saw such as wings, protruslons, ote., and especlally axhaust tralls or vapor tralla. Placs
an arrow beslde the drawing to show the diroctlon the object was moving.
stan lite
The odges of the object wers:
(Cirels One): . Fuzzy or blurred . Other
Like a bright star
C. Shazoly outllnad
Draw a picturs of ho
/

of the path, a "B" at the and of the path, and show any changes in diryctlon duing tho cowse.
—
.feet.
22 How large did the object or objects appear as compared with cne of the following objocts hald in the hand
and at about arm's length?
(Circle Ona): a. Head of a pin g. Silver dollor
b. Poa h. Baseball
c. Dima 1. Gropofruit
d. Nickat d. Nickat 1. i. Boskatball /2Rea /2Rea
. Qvartor Qrartor k. Other - k. Othor.
f. Half dollor
22.1 (Circl One of the following to indicats how certaln you are of your answer to Questlon 22. 22.1 (Circl One of the following to Indicats how certaln you are of your answer to Questlon 22.
G. a. Certain c. Not very sure
Fairly cortaln d. Uncertain
23. How did the object or objects disappear from viaw? 23. How did the object or objects disappear from viow? E
24. In order that you can give as cloar a pleture as posslble of what you sow, ws would like for you to imagins that you could
construct the object that you saw. Of what type motorlal would you make I!? How large would It be, and what shope
would It have? Dascribe in your own words a tommon oblect or objocts whlch when placed up In the sky would give tho
same appearanes as the object whlch you saw.
a Itan

b. c.
c Outdoors d. Flying near an airfield?
d. In an airplane e. Flying over a city?
e. At sea f. Flying over open country?
f. Other _ g. Other
What were you doing at the time you saw the object, and how did you happen to notice it?
oh
28.1 What direction were you moving? (Circle One) 28.1 What direction were you moving? (Circle One)
a. North a.North c. East e. e. South g. West West
b. Northeast d. Southeast f. Southwest h. Northwest Northwest
28.2 How fast were you moving? miles per hour.
28.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No No
What direction were you looking when you first saw the object? (Circle One) 2.What direction were you oking when you first saw the object? (Circle One)
195 ,
a. North c. East e South g. West
b, Northeast d. Southeast f. Southwest h. Northwest
30. What direction were you looking when you last saw the object? (Circle One)
North East South 193 West
a. c. g.
b. Northeast d. Southeast f. Southwest h. Northwest
. 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 appeared:
a.From true North 145 degrees.
b. From horizon _ 2degrees.
31.2 When it disappeared:
degrees.
b. From horizon  degrees.

Poge 6
In the following sketch, imagine that you are at the point shown. Place an A" on the curved line to show how
igh 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.
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 complets the larger skatch.

Poge 7
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
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 34.4 TEMPERATURE (Circle One)
Dry Cold
5. Fog, mist, or light rain b. Cool
Moderate or heavy rain c. Warm
d. Snow d. Hot
.e. e. Don't remember
.When did you report to some official that you had seen the object?
9 11 57
Doy Month Year
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 No No
36.1 IF you answered YES, did they see the object too? yo yos
(Circle One) Ye (Circle One) Ye No No
36.2 Please list their 36.2 Please list thei 7.20
.Was this the first time that you had seen an object or objects like this?
(Circle One) Yes No
IF you answered NO,then when, where, and under what circustances dd you s other ones?
In your opinion what do you think the object was and what might have caused it?
UFO
mory

Page 8
3Do you think you can estimate the speed of the object?
(Circle One) Yes No
IF you answered YEs, then what speed would you estimate? th
Do you think you can estimate how far away from you the object was?
(Cirele One) Yes No 1 mils
hundreda
IF you answered YEs, then how far away would you say it was? fet.
Please give the following information about yourself:
-
NAME First Name Middl Nam
ADDRESS Lesit en
City Zone Stato
TELEPHONE NUME TELEPHO
What is your present job? _ What is your present job? ti a. Dere aeft. Di
Ago 56 Ago 56 Sex- Sex
, ,
Please indicate any special educational training that you have had. Please indicate any special educational training that you have had.
a. Grade school _ e.e. e.e. Technical school. Technical school
b. High school _ b. Hiab school (Type)- (Typa)
c. College _ V f. Other special training-
d. Post graduate Mini
2.Date you completed this questionnaire: Dav Month Yoor

In order that your information may be filed and coded as accuratsly as possibla, ploase usa
the following space to wri short description of t that you observed. You may ro-
peat information that you have already given in the questionnaire, and add any further comments,
statoments, or sketches that you beliove are important. Try to present the details of the obsarva-
sion in the order in which they occurred. Additional pages of the same size paper may bs attached
if thay are needed.
NAME (Do Not Write in This Space)
nt
CODE:
SIGNATURE
DATE NOV 57
Ropnted seoned sung
as presanted
facte fact as

U. S. AIR
/
This quastionnaire has beon preparad so that you can give the U. S. Air Forco as much
Infarmation as pos ncarning the unidentified aarial phenomenon that you have obsarved.
Ploase try to answ syou possibly can. The information that you give will
be used for res purposas, and will b regarded as confidontial matorial. Your name will not
ba used in connsction with any staternents, conclusions, or publications without your parmission.
Wa requas: this porsonal information so that, If it is deerned necessary, we may contact you for
furthor datoils.
1. Whon pid you ses the object? 2.Time of day: 30
Minutes
NOV
Month (Circlo One): A.M or P.M.
3. Time zons: 3. Time zone:
(Circle One): Eastorn Eastorn (Circls Ons): a. o. Daylight Saving Daylight Saving
5. Central Contral b. Standard Standard
c. Mountain
d. Pacific
8. Other - Othor -
4. Whare wore you when you sow the objsct? 4. Whare wore you when you sow the objoct?
PAytoN pAytON OH10
drose City or Town State or Country
Additional romarks: Additional romarks:.
5. Estimats how long you saw the objoct. fivite
Hours Minutes Soconds
5.1 Circle one of the following to indicate how certain you are of your answer to Question 5.
Certain .Not very sure
. Fairly certain d. Just a guess
What was the sondition of the sky?
(Circle Ona): Bright daylight @ Just a trace of daylight
b. Dull daylight . No trace of daylight
c. Bright twilight f. Don't remember
.IF you saw the object during DAYLIGHT, TWILIGHT, or DAWN, where was the SUN located as you looked at
the objoct?
(Circle One): In front of you d. To your left
D, In back of you e, Overhead
c. To your right 1. Don't remember
ATIC FORM NO. 164 (13 OCT 54)

.9/24002
Multi VeNd
U. S. AIR FORCE TECHNICAL INFORMATION SHEET
This questionnaire has been prepared so that you can givs the U. S. Air Forca as much
information as pe oncarning the unidentified aerial phenomenon that you have observed.
Please try to answer as many questions as you possibly can. Ths information that you giva will
b used for research purposes, and will regarded as confidential material. Your narne will not
ba used in connection with any statements, conclusions, or publications without your parmisslon.
Wa request this personal information so that, If it is deemed necossary, we may contact you for
further datails.
When did you soe the object? 145
11 57 Minutes
Month Yoor (Circle One): A.M. 8 P.M.
3. Tima zone:
(Circle One): !Cirere Ona): d. a. Eastorn (Cirers Une):" d. Dayignr Saving a. Daylight Saving
b. Central Central b. Standard b. Standard
c. Mountain
d. Pacific
. . Other
4. Where were you when you saw the ob Where were you when you sow the
Noarest P Nearest fress City or Town City or Town State or Country State or Country
Additional remarks:
5.Estimate how long you sow the object.
Hours Minutos Seconds
5.1 Circle one of the following to indicate how certain you are of your answer to Question 5.
Certain c. Not very sure
Fairly certoin d.Just a guess
What was the condition of the sky?
(Circis Ono): a. Bright daylight d. Just a trace of daylight
b. Dull daylight e. No trace of daylight
c.- Bright twilight f. Don't remember
7.IF you sow the object during DAYLIGHT, TWILIGHT, or DAWN, where was the SUN N located as you looked at
the object?
(Circle One): In front of you d. To your left
b. In back of you e. Overhead
c. To your right f. Don't remember
ATIC FORM NO. 164 (13 OCT $4)

Puge ?
IF you saw the ouject, at NIGHT, TWILIGHT, or DAWN, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
. Non Bright moonlight
b. A fow b: Dull moonlight
c. Mony c. No moonlight - pitch dark
d. Don't remomber d. Don't romamber
.Was the objec than the background of the sky?
(Circle One): 0. Yos b. No c. Don't remember
IF it was BRiGHTER THAN the sky background, was the brightness like that of an automoblle headlight?:
(Circle One) a. A mile or more awayYa distant car)?
b. Several blocks away?
c. A block away?
d. Sevoral yards away?
. Other
.Did the object: 1.Did the object: (Circle One for each question)
a. Appear to stand still at any time? a. Appecr to stand still at any time? Yes No Don't Know
b. Suddenly speed up and rush away at any time? Yes No Don't Know
c. Break up into parts or explode? Yes No No Don't Know
d. Give off smoke? d. Give off smoke? Yes No Don't Know
. . Change brightness? Yos No Don't Know
f. Change shape? Change shape? Yes No- Don't Know
g. Flicker, throb, or pulsate? g. Flicker, throb, or pulsate? No Don't Know
Did tha object move behind something at anytime, particularly a cloud?
(Circle One): Yes No Don't Know IF you answered YES, then tell what
it moved behind:
Did tha 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: (Circle Ona): a. Solld? b. Transparent? c. Don't Know.
15. Did you observe the object through any of the following?
a. Eyeglasses Yes No •. Binoculars Yos No
b. Sun glasses No f. Telescope Yes
c. Windshiald No g. Theodolit Yes
d. Window glass Yes No h. Other _

of the object that you saw such as wings, protrusions, otc., and ospeclally exhaust tralls or vapor trails. Placa
an arrow beside the drawing to show the diroctlon the objoct was moving.
briefet
18.The edges of the object were: 18. The edges of the object were:
(Circlo One): a. Fuzzy or blurred . . Other *
Like a bright stor
c. Sharply outlined Sharn
d. Don'tremember
1. IF there was MORE THAN ONE object, then how many were there?
Draw a picturs of how they were arranged, and put an arrow to show the direction that they wr travaling.

ho n
jereptia
22 the following objocts. hald in the hand
and at about arm's length?
(Circle One): a. Hoad of a pin g. Silver dollor
b. Poa h. Baseball...
c. Dime i. Grapefruit
d. Nickot i. Basketball
. Quarter k. Other.
f. Half dollor
a. Cortain c. Not very sure
. Fairly certain d. Uncertain
construct the objoct that you sow. Of what type materlal would you make It? How large would it be, and what shap.
would it havs? Doscribe in yow own words a common oblect or objects whlch when ploced up in the sky would give the
same appeoranes as the objact whlch you sow.
no deeri hosisd
See attachimet inse segitilig.

Poge 5
25. Where were you located when you saw the object? Were you (Circle One)
(Circle One):
a. In the business section of a city?
Inside a building bsIn tho residential section of a city?
b. In a car In open countryside?
c. Outdoors d. Flying near an dirfield?
d. In an airplane e. Flying over a city?
e. At sea f. Flying over open country?
f. Other ___ g. Other.
27.What were you doing at the time you saw the object, and how did you happen to notice it?
N8 S.7W
28.1 What direction were you moving? (Circle One)
NA a. North c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
28.2 How fast were you moving? miles per hour.
28.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No
2. What direction were you looking when you first saw the object? (Circle One)
b. Northeast f. Southwest
. If you are fomiliar 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 appeared: H30101
. From true North _ 902degrees. (et senting
b. From horizon _ 1507 .. degrees.
31.2 When it disappeared: ton9
a.From true North
b. From horizon

Page 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.
2at
alle ltityin
B(sigting
.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.
2taing
=sgiti
B
I
(
1
'
1

Poge 7
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_. h: 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)
q.Dry a. Cold
Fog, mist, or light rain b. Cool
c. Moderate or heavy rain c. Warm
d. Snow d. Hot
Don't remember . Don't remember
.When did you report to some official that you had seen the object?
9667
Day Day Month Year
3.6.Was anyone else with you at the time you saw the object? 3.6. Was anyone else with you at the time you saw the object?
(Circle One) (Circle One) Yes) Yes) No
36.1 iF you answered YES, did they see the object too? 36.1 IF you answered YES, did they see the object too?
(Circle One) Yes Yes No
36.2 Please list their names and addresses: 36.2 Please list their names and addresses:
hm
3. Was this the first time that you had seen an 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?
38. In your opinion what do you think the object was and what might have caused it?
no

Puge 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.
4.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? - 2n/enil
41. Please give the following information about yourself:
NAME ast Name First Nam
ADDRESS
Zono State
TELEPHONE NUMBER
What is your present job?.
Ago 3 Sex
Please indicate any special educational training that you have had.
a. e. e. Technical school 13
b. High school ... (Type)_
M02t 20l0 if0
T ae viti very Chase
Etho Eantn.
Uenier

ded south of
m
terul.
"read Baight, x changi
AN
S

Page 2
8.IF you saw the ouject, at NIGHT, TWILIGHT, or DAWN, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Cirele One):
a. None a. Bright moonlight
b. A few b. Dull moonlight
Many No moonlight - pltch dark
d. Don't remamber Don't romember
Was the object brighter than the background of the sky?
(Circle One): a.Yes b. No c. Don't remember
1. IF it was BRIGHTER THAN the sky background, was the brightness like that of an automobils headlight?:
(Circle One) a. A mila or more away (a distant car)?
Several blocks away?
c. A block away?
d. Soveral yards away? d. Sovaral yards away?
e. Other
1.Did the object: 11.Did tha object: (Circle One for each question)
a. Appear to stand still at any time? Don't Know
b. Suddenly speed up and rush away at any time? b. Suddenly speed up and rush away at any tima? Yes Yos Don't Know
c. Break up into parts or explode? c. Break up into parts or explode? Yes Don't Know
d. Give off smoke? Yes Yes 2090092 2090092 Don't Know
Change brightness? Change brightness? Yos Don't Know Don't Know
. Change shape? f. Change shape? Yes Don't Know Don't Know
g. Flicker, throb, or pulsate? g. Flicker, throb, or pulsate? Yes Don't Know
.Did the object move behind something at anytime, particularly a cloud?
(Circle One): Yes N 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: .
14. Did the object appear: (Circle Ons): Solld? b. Transparont? c. Don't Know.
15.Did you observe the objoct through any of tha following?
Eyeglasses Yo3 o. Binoculars Yes
b. Sun glasses Yes 2② f. Telescope
c. Windshield Yes g. Theodolite Yos
d. Window glass Yos h. Other_

an arrow besido the drawing to show the directlon the oblect was moving.
Same as
ITE
18. Ths adges of the object were: 18. The adges of the object wers:
(Cirels One): (Circls One): a. Fuzzy or blurred
6. Like a bright star
c. Sharply outlined
d. Don'tromember
. IF there was MORE THAN ONE objact, then how many were ONLYONJE
Draw a pleture of how they ware crranged, and put an arrow to show th diroction that they wers travel Ing.

indifinitily.
sue 172M2
. iF PossiBLE, try to guess or estimate what the real slze of the objoct was In Its longest dimonsion.
UNK .foet.
22 How large did the object or objects oppear hald in the hand
and at about arm's length?
(Circle One): a. Head of a pin g. Silver dollar
b. Pea Basaball
c. Dims Dime Grapafruit Grapafruit
d. Nickal i. Basketball Baskotball
e, Quarter k. Other Other
. Half dollor $. Half dollar
22.1 (Circle One of the following to indicate how certain you are of your answer to Question 22.
Cortain c. Not very sura c. Not very sura
b. Fairly certaln b. Fairly cartaln d. Uncortain d. Uncortain
Q
24. In order that you can give as clear a plcture as poaslble of what you sow, we would like for you to Imagine that you could
construct the objoct that you saw. Of what type materlal would you maks It? How large would it bo, and what shape
would It have? Dascrlbe in your own words a common object or objoets which when ploced up in the sky would give the
aame cppeorancs as ths objact which you saw.

2. Were you (Circle One)
(Circle One):
a. In the business section of a city?
a. insida a building In the residential section of a city?
b. In a car c. In open countryside?
C Outdoors d. Flying near an airfield?
d. In an airplane e. Flying over a city?
e. At sea f. Flying ovar open country?
f. Other g. Other.
What were you doing at the time you saw the object, and how did you happen to notice it?
this vary bright Light
28. IF you were MC MOBlLE or other vehicle at the time, then complete tha following questions:
N/A
28.1 What direction were you moving? (Circle One)
a. North C. East East e. South g. g. West
b. Northeast d. d. Southeast Southeast f. Southwest h. Northwest
28.2 How fast ware you moving? 28.2 How fast were you moving? N/A miles per hour.
28.3 Did you stop at any time while you were looking at the object? N/A
(Circle One) (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
30. What direction were you looking when you last saw the object? (Circle One) WAS SHLLI0W
Pasition
o. North c. East e. South 9 West
. Northeast d. Southeast f. Southwest h. Northwest
3. If you are familiar with bearing terms (angular direction), try to estimata 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 appeared:
a. From true North uaX degrees.
b. From horizon... 50 degrees.
31.2 When it disappeared:
Know
a.From true North D degrees.
b. From horizon. Do degrees.

Parge 6
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.
samepanitin
In the following larger sketch place an A" at the position the object was when you first saw it, and a B at its 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 complste the larger sketch.
11
weaner
B
A a
→
a

Page 7
4What ware the weather conditions at the time you saw the object?
34.1 CLOUDS (Circle One) 34.2 WiND (Circle One)
@ Clear sky No wind
b. Hazy Slight breeze
c. Scattered clouds c. Strong wind
d. Thick or heavy clouds d. Don't ramember
. Don't remember
34.3 WEATHER (Circle One) 34.4 TEMPERATURE (Circle One)
Dry Cold
b. Fog, mist, or light rain b. Cool
Moderate or heavy rain c. Warm
Snow d. Hot
e. Don't remember e. Don't remember
.When did you report to some official that you had seen the object?
9 Nov 57
Dcy Month Year
36. Was anyone else with you at the time you saw the object?
(Circle One) Yes
36.1 IF you answered YES, did they see the object too?
(Circle One) Yes No
36.2 Please list their names and addresses:
REsS
7. Was this the first time that you had saen an object or objects like this?
(Circle One) Yes No
37.1 IF you answered NO, then when, where, and under what circumstancss did you see other ones?
a lIKe OBJECT IN APPRO .
EAch time At my lesidence
38. In your opinion what do you think tha object was and what might have causad it?
Do Not KNow

Pago 8
Do you think you can estimats the speed of the object?
(Circle One) Yes No WAS NOT MOVING
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? 5280 foot.
Please give the following information about yourself:
NAME Last Name First Nam
ADDRESS DAyfod lom OHHO
Street City State
TELEPHONE NUMBER
Age 75 Sex IALE Sex MALE
Pleasa indicate any special educational training that you have had. tioininn that vou have had
b. High school Completed 9gznde (Typo) __
c. College
d. Post graduate
.Date you completed this questionnaire: Day Month