PROJECT BLUE BOOK

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; | _ PROJECT 10073 RECORD CARD

2. LOCATION

LL A LEO A th

12. CONCLUSIONS

fT) Wos Bailoon
= Ohic 3 Probably Bolloon

4. TYPE OF OBSERVATION ey een '

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3. DATE-TIME GROU

tocol Li0Q |G round-Vi sual O Ground-Rodar B) Erobslis hivcate
out / 19007 0 Air Visual O Air-Intercept Radar GO Possibly Aircraft
5. PHOTOS ees 6. SOURCE i sd Wes: Astronomical
O Yes O Probobly Astronomical
No ii 6e Liag QO Possibly Astronomical!

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‘7. LENGTH OF OBSERVATION |. NUMBER OF OBJECTS | 9. COURSE

O OrherUurelinnico Rot
D. Insufficient Dato for Evaluation
0

Unknown

o few seconds _ _... Ons SF A ty ‘oe ae

0. BRIEF SUMMARY OF SIGHTING 11. COMMENTS
Silver, metallic, rough edged object, | From information given, observer
Size of a quarter, falling, is not considered reliable. Obj

ect supposediy fell from sky land-
ing 40° from observer. He didn't
go to pick it up but instead
phoned in a UFO report,

ATIC FORM 329 (FEV 26 SEP 52)

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U.S. AIR FORCE TECHNICAL INFORMATION SHEET

This questionnaire has been prepared so that you can give the U. S. Air Force as much
Information as possible concerning the unidentified aerial phenomenon that you have observed,
Please try to answer as many questions os you possibly can, The information that you give will
be used for research purposes, and will be regarded as confidential material, Your name will nor
ba 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,

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}. When did you see the object? 2. Time of day:
J mn AY Hour Minutes
Ea DEE J -
Day - Month Year (Circle One): A.M. or Eu
3. Time zone: we
(Circle One): Gor"Bustern (Circle One): a, Daylight Saving
b, Contral b, Standard
¢. Mountain
d. Pacific
e, Other
4, Whore were you when you saw the object?
Oa a, ae 2p wok wre le lean
Nearest Postal Addross City or Town State or Country ha

Additional ramorks:

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5, Estimate how long you saw the object,

Hours inutes Seconds Pe

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5.1 Circle one of the following to indicate how certain you are of your answer to Question 5.

o, Certain c. Not very sure

b. Fairly certain (4. Just QO guess

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6, What wes the condition of the sky?

(Circie One): ( a,/ Bright daylight d, Justa trace of daylight
» Dull doylight e. No trace of daylight
¢. Bright twilight f, Don't remember

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HT, TWILIGHT, or DAWN, where was the SUN located as you looked at -

7. IF you saw the object during DAYLIG
the object?

(Circle One): aa In front of you d. To your left
{ In 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 MOON?
8,1 STARS (Circle One): 8.2 MOON (Circle One):

a. None a. Bright moonlight

b. A few b. Dull moonlight
ec. Many c. No moonlight — pitch dark
d. Don't remombar d. Don't romember

—-- — eee _——~- --

(Circle One): a. Yes f bw No c. Don’t remember

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ie 9. Was the object brighter than the background of the sky?
i

10, IF it was 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?

pr Se Sage shies ee ee OR = a... a
11, Did the object: (Circle One for each question)
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. Broak up into ports or explode? Yes No Don’t Know
| d. Give off smoke? Yes No } } Don’t Know
e. Change brightness? Yos No? y Don’t Know
f, Change shape? Yes No Don't Know

| g. Flicker, throb, or pulsate? ‘Yes (No) Don't Know

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12. Did the object move behind something st anytime, particularly a cloud?

( Circle One): x f No/ | Don’t Know.. cok IF you | Aiea. YES, then tell what
it moved behind: — er = sage . sty St ~ meeasiie rer. weer ee S <= — a .

——_——— oe me eee died — ee ee ee ee te ee ee

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

(Circle One): Yes Don’t Know, IF you answered YES, than tel! what

it moved in front of: aa sect an

—_—<+ --~-~ ---—- — —_ =o — aes ee —-
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14, Did the object appear: (Circle One): & Solid? b. Transparent? ¢, Don’t Know.
15. Did you observe the object through any of the following?

a. Eyeglasses Yes Not e. Binoculars Yes No

b, Sun glasses Yes No“ {. Telescope Yes No

c. Windshield Yes No g. Theodolite Yes Na.

d. Window glass Yos No h. Other __

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16. Tell ina few words the following things about the object,

a. Sound eRe SS

b, Color >! LY ‘a

(

i ce

17, Drow o pleture that will show the shape of the object or objects. Lobel and Include in your sketch any detatls

of the object thot you saw such os wings, protrusions, ete., ond especially exhaust tralls or vapor trails, Place
on orrow beside the drawing to show the direction the object was moving,

—_ —_ _ —— ——- ~- - - dC +--+ — tee —_— —_——— -hC- Or- - —-—— — ee ee

18 The edges of the object were:

main To
(Circles One): a. Fuzzy or blurred e. Other _ ux TA 1
b, Like a bright stor F
c. Sharply outlined Ce es a A.
d. Don’t remember

19, IF there was MORE THAN ONE object, then how mony were there? ila aK it ielbsaelindeitptinaimmaaitt

Draw o picture of how they were crranged, and put an arrow to show the direction thot they were traveling.

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Page 4

20. Draw a picture shot will show the motion that the object or objects made, Ploca on “A” ot the beginning
of the path, a “B® at the ond of the path, and show any changes In direction during the course.

_foet.

21. IF fe 07 try ‘to guess or estimate who? the real size of the object was In its longest dimension.

22, How large-did the object or objacts oppear as compared with one of the following objects. bald in the hand
and at about orm’s length?

(Circle One): a. Head of a pin g. Silver dollar
b. Pea h. Baseball
ec. Dime : i, Grapefruit
d. Nicket ~~ j. Basketball
(e) Quarter k. Other

f. Half dollar
22.1 (Circle One of the following to indicats how certain you are of your answer to Question 22,

CG Certain c. Not very sure |
» Fairly certain ut “de Uncertain “ad fy“

23, How did the object or objects disoppeor from view? raat a i |
Ae nALUEOI SH! asuetek ! of
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24. In order that you con give as cleor a pleture os possible of what you saw, we would like for you te imagine that you could
conatruct the object thot you sow. Of whot type moterlal would you make It? How large would it bs, and what shope
would It hove? Describe in your own words a tommon object or objects which when ploced up In the sky would gly» the
same oppearance as the object which you sow,

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25. Where were you located when you saw the object? 26. Were you (Circle One)
(Circle One):

a. In the business section of a city?

a. Inside a building b. In the residential section of a city?
b. Ina cor © In open countryside?

c. Outdoors | Flying near an airfield?

d. In an airplane e. Flying over a city?

e. At sea f. Flying over open country?

f. Other 7 Aekche baths 2 Art Nee | g. Other aia

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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? miles 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)

= ee
a. North Ce. Egat e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest

—— +

30. What direction were you looking when at ae the object? (Circle One)

Po
Pe

ao. North S: Bg e. South g. West
b. Northeast “Southeast f. Southwest h. Northwest

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31. 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 J degrees.
b. From horizon... Ss Ss degrees.

31.2 When it disappeared:

a. From true Nori __...... degrees.
b. From horizon. Ss egrees.

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Page 6

32. 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.

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33. In the following larger sketch place an “A” at the position the object was when you first saw it, anda “B” at its
position when you /ast saw it. Refer to smaller sketch as an example of how to complete the larger sketch.

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SS A i A I i a a mt

34. What were the weather conditions at the time you sow the object?

34,1 CLOUDS (Circle One) 34.2 WIND (Circle One)
/a. “Clear sky a. No wind
\be Harry” b. Slight breeze

Oe oe me

¢. Scattered clouds
d. Thick or heavy clouds

e. Don't remember

(_ Seo-Strong-wind—)
d. 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 ¢. Warm
d. Snow d. Hot
e. Don't remember e. Don't remember

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35. When did you report to some official that you had seen the object?
\ as /) ] } i'/

Day Month Year

_ ———-— ee we ee ee

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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 list their names and addresses:

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37. Was this the first time that you had seen an object or objects like this?
(Circle One) Yes / No

37.1 IF you answere WE thes 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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