PROJECT BLUE BOOK

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PROJECT 10073 RECORD CARD

1. DATE 2. LOCATION 12. CONCLUSIONS
: 0 Was Balloon
ti November 1957 wood, Davton, Ohio | 5 Ponultls Bellon
3. OATE-TIME GROUP 4. TYPE OF C OF OBSERVATION ene mere
Se “O°Ground- Vi sual D Ground-Rodar O Wos Aircraft
Pinoculars Q Probobly Aircroft
GMT 0D Air Vi sual 0 Air-Intercept Rador O Possibly Aircraft
5. PHOTOS C3). Was Astronomical | 273)
© Yes 0D Probably Astronomical
[0\Ne Civilian) 0D Possibly Astronomical
7. LENGTH OF OBSERVATION 8. NUMBER OF OBJECTS | 9. COURSE O Other.
0 Insufficient Deto for Evaluation
; " O Unknown
lO minutes One stationary
10, BRIEF SUMMARY OF SIGHTING 11. COMMENTS
Biuc-wni te onject with possible red Undoubtedly Venus, which was in
point on top, changed brightness wery | position described and very briht
Slightly, size of head of pin or pea,
diminished in brightness and moved
siowly north,
ATIC FORM 329 (REV 26 SEP 52)
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yf U.S AIR FORCE TECHNICAL INFORMATION SHEET vA |
This questionnaire has been prepared so that you can give the U.S. Air Force as much ae

information as possible concerning the unidentified aerial phenomenon that you have observed,

Please try to answer as mony questions as you possibly can. The information that you give will
be used for research purposes, and will be regarded as confidential material. Your name will nos
be used in connection with any statements, conclusions, or publications without your pormission.
We request this personal information so that, if it is deemed necessary, we may contact you for
further details,

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2. Timea of day: re a a aa | |
: | ; Hour Minutes |
/ / ftv | samen |

a Day (Circle One): AM @& PM |

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3. Time zone: —
| (Circle One): d. Eastern, (Circle One): a, Daylight Saving

Ceniral ‘4 b, Standard

c¢. Mountain
d. Pacific
e, Other

4, Where were you when yo object?

bn ve or

Stote or Country

Additional remorks:

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5. Estimate how long you saw the object, ——__ a 2

FF LEC VF JG 4
/ ¢ 19'S p) U /- 4)

5.1 Circle one of the following to indicate how certain you are of your answer to Question 5. Tree
‘ay Certain c. Not very sure
“b. Fairly certain d. Justa guess
é. What was tne condition of the sky? clea. ,e 4 A EN aaa
| .¥ ~i pane Sof Cc
(Circie One): a. Bright daylight (d.) Just a trace of daylight
b, Dull daylight e, No trace of daylight
fc. Bright twilight f, Don't remember

Pane co”

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7. IF you saw the object during DAYLIGHT, TWILIGHT, or DAWN, where wes the SUN located as you locked at
the object?

(Circle One): a. In front of you d. To your left

b. !n back of you e. Overhead
c, To your right f. Don’t remember

- - = _—

ATIC FORM NO, 164 (13 OCT 54)

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

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

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

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(Circle One): 6. Yes. b. No ¢, Don’t remember

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

(Circle Ons) a. A mile or more away (a distant car)?

r 4. Severe blocks away? |

¢. Ablock away?

d. Several yards away?

ble alee Loe s a pe 2 eo. Other %

11, Did ihe object: (Cirele One for each question)

a. Appear to stand still at any time? CYes> No Don’t Know
b. Suddenly speed up and rush eway at any time? Yes No} Don’t Know
¢. Break up into parts or explode? Yes NgQ Don’t Know
d. Give off smoke? A Yos (Noy Don’t Know
e. Changs brightness? oad ols CS or Don’t Know
f. Change shape? Yes (No> Don't Know
g. Flicker, throb, or pulsate? cos No Don't Know

12, Did the object move behind something at anytime, particularly a cloud?
(Circle One): Yes CNoy Don't Know. IF you answered YES, than tell what
AF TIN CUE tee lias

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13. Did the objec? move in front of something at anytims, particulerly a cloud?

(Circle One): Yes (Ke) Don't Know. IF you answared YES, than tell what
it moved in front of: : seo :
| 44, Did the object appear: (Circle One): ,) Solid? b, Transporent?
15. Did you observe the object through any of tha following? es =
a, Eyeglasses Yes No e, Binoculars? JS Yes)
. b, Sun glasses Yes No tf, Teloscope Yes
c. Windshield Yes No g. Theodolite Yes No
d, Window glass Yes No h,

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16. Tall lina fow words the following things about the object.

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+.) ‘ Sound C2 Le a
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b, ColerZ ef ‘cf Mime 4480 as pif ( | - rn f eM é 3

17, Draw o pleture that will show the shape of the object or objects. Labal and include In your sketch ony detalls

of tha object that you saw such os wings, protrusions, ate., and especially exhaust trails or vapor trails, Place
on arrow beside the drawing to show the diraction the objoct was moving.
: ‘ fy foi ft
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18, The edges of the object ware:
(Cirela One): a. Furzy or blurred e. Other a Be alipibitin-Ucarmactincpancsiieaiuin

/ Like a bright star
c. Sharply outlined
d. Don’t remember

-_-_e—

19. IF there was MORE THAN ONE object, then how mony wera there? —Brmkaty (herrea +,

Draw a picture of how they were arranged, and put an arrow to show the direction that they wore traveling.

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20. Draw a picture shot will show the motion that the object or objects made. Place an “A” at the baginning
of the path, a “B® at the end of the path, and show any changes In direction during 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 appear as compared with one of the following objects. bald in the hand
end at about arm’s length?

(Circle One): iG, Head of a pin g. Silver dollar
‘<e. ‘Pea h. Baseball
“—e Dime }. Crapefruit
d. Nicket j. Basketball
e. Quarter k, Other

fF. Half dollar

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

a. Certain c. Not very sure

Cb. Fairly certain d, Uncertain

23, How did the object or objects disappeor from view?
A} 2 aA : f é Fi A, aitrtu rd
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24. In order that you can give as cleor a picture as possible of whot you saw, we would like for you to Imagine that you could

construct the object thot you sow. Of whot type material would you make it? How lorge would it be, and wha? shape
would It have? Describe in your own words o tommon object or objects which whan placed up in the sky would give the

same oppearance as the object which you sow,

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26. Were you (Circle One)

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25. Where were you located when you saw the object?

(Circle One):

a. Inthe business section of a city?
(be) In the residential section of a city?
c. In open countryside?
d. Flying near an airfield?
e. Flying over a city?
f, Flying over open country?
ie g. Other _

a. Inside a building
b, Ina car
c.} Outdoors

. In'an airplane
e. At sea

f, Other

— — —_

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—= - —

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

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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? —-_- smiles per hour,

28.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No

—_~_

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29. What direction were you looking when you first saw the object? (Circle One)

as North c. East e. South ct West (vsgut}
b. Northeast d. Southeast f. Southwest . Northwest

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

o. North c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest

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—__--- —_——_-—_—_-—_—_- -—_— ———$

31. If you cre 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: ,

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a. From true North (7. O degrees. 4
b. From horizon A degrees.

31.2 When it disappeared:

a. From true North ss ss degrees.
b. From horizon... Ss degrees.

— — - -_

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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)

‘a. Clear sky /&y 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)

fe.) Dry a, Cold

b. Fog, mist, or light rain 7b) Cool

c. Moderate orheavy rain “e. 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?

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Day Month Year

_——— -_ = -_ — -- - _—

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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 |i aioe s and addresses:

37. 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?

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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?

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40. Do you think you can estimate how far away from you the object was? .
Ci wos . J aad ; . a sn a Pal fe
(Circle One) Yes (Nos GAMMA SK S/S BL eit i
No ee |
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IF you answered YES, then how far away would you say it was? Ree _feet,

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41, Please give the following information about yourself:

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Last Name Fiest Name dle Nemes

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Whot is your present job? __.

__ pAewoohs of

City Zone State

Age 5 Sex

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Please indicate any special educational training that you have had.

a. Grade school - ; — e.e@. Technical school ™
b. High school wi ? (Type) = -
c, College _ 2 f. Orher special training en — an

d. Post graduate -

42, Date you completed this questionnaire:

Day Month Yoor

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U. S. AIR FORCE TECHNICAL INFORMATIO? SHEET
(SUMMARY DATA)

In order that your information may be Filed and coded as accurately as possible, please use
the following space to write out o short description of the event that you observed. You may re-
peat information that you heve already given in the questionnaire, and add any further comments,
statements, or sketches that you believe are important. Try to presert the details of the observa-
tion in the order in which they occurred. Additional pages of the same size paper may be attached
if they are needed.

— ——s— a

_ (Go Not Write in This Space)
~ODE:

NAME

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(Please Print)

SIGNATURE

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