PROJECT BLUE BOOK

1. DATE

4 December 1957

PROJECT 10073 RECORD CARD

2. LOCATION

|Dayton, Ohio

3. DATE-TIME GROUP
eer 0900 Al Wt. ws

se
5. PHOT
O Yes
5 >No

7. LENGTH OF OBSERVATION

10 seconds
10, BRIEF SUMMARY OF SIGHTING

One object very high,
sharply outlined,

ATIC FORM 329 (REV 26 SEP 52)

bright silver,
moving from N to SSW,

oo

4 TYPE OF OBSERVATION
D2Ground-Visval
Oo Air Visual

D Ground-Radar
DO Air-Intercept Radar

-_——

12.

————

« SOUF

ivilian - 15 year old boy

6. NUMBER OF OBJECTS | 9. COURSE

SSW
11, COMMENTS

one

eee yew

ooo ooo oog ooo

Call operations and
tions stated
that general

CONCLUSIONS

Woes Balloon
Probably Balloon
Possibly Balloon

Was Aircraft
Probably Aircroft
Possibly Aircraft

Was Astronomical
Probably Astronomical
Possibly Astronomical

Other ee i tt
Insufficient Dota for Evaluation
Unknown

—_—___-_-

WX, Opnera-
two aircraft’ in
area at that time

Ee ee ee a! ee ee a Pe er Pee yee || eral ee ee aang Pe ee rermmrentrs

PROJECT 10073 RECORD CARD

1. DATE 2 LOCATION 12 CONCLUSIONS

Was Balloon
14 December 195 Dayton, Qhic Probably Balloon

3. DATE-TIME GROUP 4. TYPE OF OBSERVATION Possibly Bolloon

Was Aircraft
cut__ 15/0305 03052 iM 0 Air Visual O Air-intercept Radar Possibly Aivcroft
5. PHOTOS YUP Was Astronomical Star

0 Yes Probobly Astronomical
DWo Civilian Possibly Astronomical

—_——_-_-- + _—_-— ~~

7. LENGTH OF OBSERVATION 8. NUMBER OF OBJECTS "9. COURSE Other fama ies
' Insufficient Deta for Evaluation

nk
not given ‘one stationary | shai

10, BRIEF SUMMARY OF SIGHTING 11. COMMENTS

Unusual flashing star in the sky to the Could have been one of any num-

ber of stars which were very
bright in the SE at this time,

ATIC FORM 329 (REV 26 SEP 52)

PROJECT 10073 RECORD CARD
1. DATE | 2. LOCATION 12, CONCLUSIONS
© Was Balicon
QO Probably Balloon
13. DATE-TIME GROUP 7. TYPE oe OBSERVATION O Possibly Belloen
2024 i O Wes Aircraft
Lecal WGround- Visual O Ground-Reder Q Probably Aircraft
ao) ee VOSS) O Air Vi sual O Air-Intercept Radar GQ Possibly Aircroft
5. PHOTOS 6. SOURCE XK Was Astronomical MOtCor |
CO Yes CO Probably Astronomical
ZDNo Civaian O Possibly Astronomical
7. LENGTH OF OBSERVATION 8 NUMBER OF OBJECTS | 9. COURSE gs eS a
© Insufficient Data for Evaluation
O Unknown
2 seconds one South
10. BRIEF SUMMARY OF SIGHTING 11, COMMENTS
Very bright object, looked like an The earth is now passing through

archlight. Bright blue-white. Looked like several meteoric showers.
a shooting star, traveling very fast

and just disappeared from sight.

ATIC FORM 329 (REV 26 SEP 52)

_———

(Ns
r. J
=
4

\¥. $ AIR FORCE TECHNICAL INFORMATION SHEET

“— o

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 mony questions os you possibly can. The information that you give will
be used for research purposes, and will be regarded os confidential material. Your name will not
be 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 object? 2. Time of day: wets
; Minutes
iL
(Circle One): or LP. A,
3. Time zone: em
(Circle One): o. Eastern (Circle One): a, Daylight Saving
b. Central ‘ b. Standard
¢. Mountain
d. Pacific
e, Other

4, Where were you when you sew the object?

“« = - ows, ~~
A fir:
ete ee oo oihee 2 Ie ae 1 Me
i

Necrest Postci Address City er Town Stote or Country

Additional :smerks:

5, Estimote how jong you saw the object. a ee
Hours Minutes Seconds

5,1 Circie one of the following to indicate how certain you are of your answer to Question 5,

¢. Certain ¢. Not very sure
b. Foirly certain d, Justa guess

6. What wes the condition of the sky?

(Circle One): a, Bright daylight d. Just a trace of daylight
b. Dull daylight <> No trace of daylight
¢. Bright twilight f, Don’t remember
7, IF you sow the object during DAYLIGHT, TWILIGHT, or DAWN, where was the SUN located as you foskad et
the object? | ab py
PA ; c / ‘ : '
(Circle One): a. In front of you d. To your left
b. In back of you e. Overhead
¢, To your right f. Don't remember

——

OT _
— - - —

ATIC FORM NO, i164(13 OCT §4)

| 10,

V1.

12.

Page ?

IF you saw the ovject, at NIGHT, TWILIGHT, or DAWN, what did you notice concerning the STARS and MOON?

8,1 STARS (Cirele One): 8.2 MOON

None
A few
c. Many

d. Don't remomber

a,
’

—-_e---—oS OO - —_-__—_—- ————

_ Was the object brighter than the background of the sky?

—
-~

‘ a. Yes

—_

(Circle One): b. No

(Circle One):

eo, Bright moonlight

b. Dull moonlight

c. No moonlight — pitch dark
cd Don't remember

c. Don’t remember

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)?

era
b. Several blocks away? peewee LIKE
c. Ablock away? m4 reer
(4; Several yords away? file ge
-#
a tad eA. ; |
Did the object: (Circle One for each question)
a, Appear to stand still at ony time? Yes No Don’t Know
b. Suddenly speed up and rush away ot any time? Yes No Don’t Know
¢. Break up inte ports or explode? Yes No Don’t Know
d. Give off smoke? Yes No Don’t Know
e. Change brightness? Yes No Don’t Know
f, Change shape? Yes No* Don’t Know
g. Flicker, throb, or pulsate? Yes No Don’t Know

—_—— -—

<=)

—s

——

—.

Did the object move behind something at anytime, particularly o cloud?

(Circle One):
it moved behind:

Yes

No

Don't Know,

IF you answered YES, then tell what

13. Did the object move in front of something ot anytime, particularly a cloud?

(Circle One): Yes No Don't Know. IF you answered YES, than tell what
it moved in front of:
14, Did the object oppear: (Circle One): “0 Solid? b. Transparent? c. Don't Know.
15. Did you observe the object through any of the following? -
a. Eyeglasses Yes (No) e. Binoculors Yes No.
b. Sun glasses Yes "Ne f. Telescope Yes No
c. Windshield Yes No g- Theedolite Yes No
d. Window glass Yes No h. Other *

Pege 3 |

16. Tell ine few words the following things about the object.

17. Drew o pleture that will show the shape of the object or objects, Lobel and include In your sketch ony details
of the object thet you sow such as wings, protrusions, efe., ond especially exhaust traile or vapor trails. Place
on arrow beside the drawing to show the direction the object wos moving.

18, The edges of the object were:

(Circle One): a. Fuzzy or blurred
b. Like o bright ster
c. Sharply outlined

d. Don't remember prove e

20 F4o-7.

19, IF there was MORE THAN ONE object, then how mony were there?
Drew @ picture of how they were orranged, and put an arrew to show the direction that they were travel ing.

=

90. Draw a picture that will show the motion that the object or objects made, Place on “A” et the beginning
of the path, o “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,
eaaaennctaanensnea GON Rea At Uf Hp Aa

'
i

22. Hew large did the object or objects appear as compared with one of the following objects held in the hand
and at ebout arm’s length?

(Circle One): a. Head of a pin g- Silver dollor
“b) Pea h. Baseball
c. Dime 1. Gropefruit
d. Nickef j. Basketball
e. Quarter k. Other

f. Half dollar |
22.1 (Circle One of the following to indicate how certain you ore of your answer to Question 22.

e. Certain c. Not very sure
b. Foirly certgin d. Uncertain

23. How did the object or objects disappear from view? .

In order that you con give os clear @ picture os possible of whet you sow, we would like fer you te imagine thet yeu could
construe? the object thet you saw. Of whet type meterial would you meke It? How lerge weuld It be, and whet shape

would it heve? Describe in your awn words @ tommen ebject or objects which when pleced up in the sky would give the
seme appearance os the object which you sew.

- eevee TR

7 - Py. f

Poge 5

25. Where were you lucated when you saw the object? 26. Were you (Circle One)
(Circle One): '
: a. Inthe business section of a city?
a. Inside o building b. In the residential section of a city?
b. Ina car ¢. In open countryside?
c. Outdoors d. Flying near an airfield?
d. In an airplane e. Flying over a city?
e. At sea f. Flying over open country?
ABR? (eh aa ee a g- Other

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

- oo = \ - a

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? — Ts sémilles per hour.

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

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

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)

a. North _ c. East e, South g- West
b. Northeast d. Southeast f. Southwest h. Northwest

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
a. From true North ae degrees.

b. Fromhorizon_____Z © _ degrees.

31.2 When it disappeared:

a. From true North As 5 degrees.
b. From horizon fC degrees.

—_—-—— —_————__-—__—_—_—--- -—r — ——— _——— ———,

Page 6

32. 'n 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 /ast saw it.

MESIAGT ode

. NAL .
Aa Ne eth

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

em FH ne and
SS ian thd apo? *
Xr

aeeete

v3 sae
oe he

ae eee =

Page 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 b. Slight breeze
c. Scattered clouds , Strong wind
(d. Don’t remember

d. Thick or heavy clouds
e. Don't remember

34.3 WEATHER (Circle One) 34.4 TEMPERATURE (Circle One) |

a, Dry a, Cold |
B. Fog, mist, or light rain ; 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 official that you had seen the object?

stn f 6 trie / |
Day Month Yeor

—_—--- = —_-+ —

—_ $$ ee

36. Was anyone else with you at the time you saw the object?

(Circle One) Ves No
36.1 IF you answered YES, did they see the object too? |
(Circle One) Yes No BH

36.2 Please list their names - addresses: |

; la J Pome a , ss

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

(Circle One) Yes No
37,1 IF you answered NO, then when, where, and under whot circumstances did you see other ones?

& {) Low? | COs aw ARH LPL me

War Stes Legh os tok Aca

U.S. AIR FORCE TECHNICAL INFORMATION SHEET a

This questionnaire has been prepared so that you can give the U. S. Alr Force as much oe a ;
information as possible concerning the unidentified aerial phenomenon that you hove observed. ay we

Please try to answer as many 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 nor

be 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,

]. When did you see the object? 2. Time of day: 5410. Sty. Mine

~~ Howr Minutes —
ae Des maw (Circle One): or Bie

3. Time zone:

(Circle One): a. Eastern (Circle One): a, Daylight Saving
b, Central b. Standard
c. Mountaln
d. Pacifie

eS, Other

4, Where were you when you saw the abject? pee 0 ape
Day Gr Jv. dade; sre et
Stote or Country

Nearest Postal Addrase City or Town
Additional remarks:

—-

5, Estimate how long you saw the objaci,

Hours Minutes Seconds

5,1 Circle one of the following to indicate how certain you are of your answer to Question 5,
oe Certa\) c. Not very sure
b. Fairly certain d. Justa guess
6. Whet was the condition of the sky?

(Circle One): Bright daytigh> Cham | d. Just a trace of daylight

b, Dull daylight e. No trace of daylight
c. Bright twilight f, Don't remember

a es

7. IF you sow ths object during DAYLIGHT, TWILIGHT, of DAWN, where was the SUN located as you su loekad at

the object?
(Circle One): a. In front of you &_To your leh : E.
b. In back of you e. Overhead , .
¢, Jo your right f. Don’t remember \ a \ =

\ ww wa
[ i: ra -_— al — i) 7 -@ “ r is
ATIC FORM NO, 164(13 OCT 54) fo WS ean \

|

a re —-——_———— —_———

42, Date you completed this questionnaire:

rco---—

J
40. Do you think you can estimate how far away from you the object was?

—

——_—___—_-+-~

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?

(Circle One) Yes No

IF you answered YES, then how far away would you say it was?

—$——_- —-_—

41, Please give the following information about yourself:

vame “SMO,

Last Name First Name
sooress ee
Street City

TELEPHONE NUMBER ___
What is your present job?

Age at Sex

Please indicate any special educational training that you have had.

a. Grade schooi _—éi @.-- Technical school |
OM Ca a ce (Type)
c. College ee ee BF eee f, Other special training

d. Post graducte

Dev

Page 8

m.p.h,

feet.

State

Zone

Month

= ror _ :
° AYO CYL TLE TYPE TU CR TIT ITY or CORR err mer rej noma yay te on OF a deal eee " Me oe ere -

Page 9

U. S$ AIR FORCE TECHNICAL INFORMATION 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 a short description of the event that you observed. You may re-
peat information that you have already given in the questionnaire, and add any further comments,
statements, or sketches 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 they ore needed.

| NAME Se (Do Not Write in This Space)

CODE:

(Pleese Print)

SIGNATURE

DATE cee

PROJECT 10073 RECORD CARD

1. DATE | 2. LOCATION

| 22 December 1957 Dayton, Ohio eee
3. OATE-TIME GROUP 4. TYPE OF OBSERVATION

eet |) Se x Grund vi val

gueccge/2li0s ss |) COA We

5. PHOTOS $. SOURCE -
0 Yes

XR No Civilian

12. CONCLUSIONS

Wes Balloon
Probably Balloon
Possibly Balloon

Wes Aircraft
Probably Aircraft
Possibly Aircraft

Was Astronomical Venus

Probably Astronomical
Possibly Astronomical

—_—_

C3 Ground-Redar

C3 Air-intercept Radar

7. LENGTH OF OBSERVATION 8. NUMBER OF OBJECTS

10 minutes one

9. COURSE

Other

Insufficient Data for Evaluation
Unk no wn

oo0a o0g ooo 000

_ stationary

10. BRIEF SUMMARY OF SIGHTING

Bluish tinted object, like arc light,
very brilliant. No sound, Circular
Shaped and at times tended to go
toward a chevron shape, also at times
looked like strings were attached,

ATIC FORM 329 (REV 26 SEP $2)

—_ —

11. COMMENTS

An astro plot and chars show
Venus to be in exact location
reported. Venus is very Bright
this gear,

DISPOSITION FORM
| Md

SUBJECT

TO AFCINeYEY FROM AFCIN@liX2a DATE 23 Dec zy COMMENT NO. 1
| vind ) Maj Connair/mrg
| 59117 /B1dg263/P-437
2 Following is an extract from SDO, CWO & B Tenold's report of 22 Dec 57 for
your informations M.73268

_ "1730 = Phone call received from a Mr CemmONST, <guiieememessst ,
Dayton, Ohio (Tp: CR 7-9295) on a UFO. Filled out questionaire to best of my ability
from info given by Mr, » Call Mil Flight Service per SDO instructions, Info
mation from Flight Service implied it might be Vems, I called Mr, QR back for
more information and a definite fix on the direction he noted the UFO = was same
direction as Vems was supposed to be in and Mr, SEMAN’ also stated that his neizghbo
for his

1 Incl:
; ATIC Form 16), ;
’ Adjutant
f \ pe
3 f\ }} ;
iy
‘ .
Le
ee
\;
i i
|}
Soa

D D, fen s0 6 REPLACES NME FORM 96, 1 OCT 4#, WHICH MAY BE USED. SHS, TE 8 covmmeaaey mecnine cores

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 os possible concerning the unidentified aerial phenomenon that you have observed,
Please try to answer os many 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 permission.

We request this personal information so that, If it is deemed necessary, we may contact you for
further details,

—_———

ee ee ————=

J]. When did you see the object? 2. Time of day; 1209 0  _2.0.:(1710)
Hour Minutes
29 Nec 1957
Dey Month Year (Circle One): A.M or P.M?
3. Time zone: ee ee
(Cirele One):a. Eastern Z (Circle One): a, Daylight Saving
‘Sr Teniral b, Standard
¢. Mountain
d. Pacific
e, Other

4. Where were you when you saw the object?

Pers eere SSS a ee —
' ere... City or Town Stote or Country

| Additional remorks: lo Ra, Ra Ta Se See Se ae NR Seen ne OB tenon Ree —_—_———- |
(ee oe eee
5. Estimate how long you saw the object, Va eens Al hem moore 97)
Hours ~~ Minutes Seconds |
| 5.1 Circle one of the following to indicate how certain you ore of your answer to Question 5.
<o. Certain) c. Not very sure
b. Fairly certain d. Justa guess
6, What was the condition of the sky?
(Circle One): oa. Bright daylight a d. Justo trace of daylight
bt. Cull daylight o- 7 ties 1 e. No trace of daylight
©. Bright twilight@ } te f. Don't remember |
Lowe’ Se) Sat Mw a
7, |F you saw the object during DAYLIGHT, TWILIGHT, or DAWN, where was the SUN located as you looked at
the object?
ite oe Ld th |
(Circle One): a. In front of you : d. To your left
b. Im back of you e. Overhead
£: To your right — f. Don’t remember |

ATIC FORM NO, 164(13 OCT 54)

ee lee

—_----_——_— — —— ——— =

8, IF you saw the ovject, at NIGHT, TWILIGHT, or DAWN, what did you notice concerning the STARS and MOON?

8,1 STARS (Circle One): 8,2 MOON (Circle One):
(9. None_) 0. Bright moonlight
b. A fow b. Dull moonlight
c. Mony ¢. No moonlight — pitch dark
d. Don't remomber d. Don't remember

a =
— - — — -— — — —

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

ya

(Circle One): - @, Yes > b. No c. Don’t remember

— —--- —

— —_— — -— ——

10, IF it was BRIGHTER THAN the sky bockground, wos 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?

e. Other ius Ttoht:s hluich +4nt’

-—-—— — — ~
11. Did the object: (Circle One for each question)

a. Appecr to stand stil! ct ony time? Yes No Don’t Know
b. Suddenly speed up ond rush away at any time? Yes No Don’t Know
¢. Break up into ports or explode? Yes No Don’t Know
d. Give off smoke? Yes No Don’t Know
e. Change brightness? Yos No | Don’t Know
f, Change shape? Yes. No” Don’t Know
g. Flicker, throb, or pu!sate? Yes No Don't Know

—_

| 4 _——_——- —_ — -_ ——

12. Did the 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: __ fe reeanes = =

r ~ ee me ee a ee we ee ee ee wee -—— -— ~ _ -

13. Did the object move in front of something at anytime, porticularly a cloud?

(Circle One): Yes (No. Don't Know, IF you answered YES, than tell what
it moved in front of: =

14, Did the object appear; (Circle One): a. Solid? b. Transparent?
) 15. Did you observe the object through any of the following?
a. Eyeglosses Yes No e, Binoculars
b, Sun glasses Yes No f, Telescope
c. Windshield Yes No g. Theodolite

d. Window glass Yes No h. Other

Se — —_

Page 4

-- -- tote - - — —

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

VY re Awe rae manortead no motinan ’

Foe ye 8

~

SEEN REE EEEReieenetioeeeient

21. IF POSSIBLE, try to guess or estimate whot the real size of the object was in its longest dimension.
feet. 'Inohle to .

——$———_— ——— —_— —-- +

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

-__-

Silver dollar

(Circle One): a. Head of a pin g:
b. Pea h. Baseball
c. Dime i. Grapefruit
d, Nickel j. Basketball ae SG cs.
e. Quorter ky. Oter ese 0 se Fe

f. Half dollor
22.1 (Circle One of the following to indicate how certain you are of your answer to Question 22.

~

a, Certain c. Not very sure
| b, Fairly certain d. Uncertain
23, How did the object or cbjects disappear fromview? 2ti)) $< och i nts ae ey

4 Bee Ye C) 2 ets . ms Arteria > ee

——— —-- a — —_

24. In order thot you con give os clear a picture os possible of what you saw, we would like for you fo imagine that you could
construct the object thet yeu saw. Of whot type material would you make it? How large would it be, and whet shape
would it have? Describe in your own words o tommon object or objects which when placed up in the sky would give the

same oppearance az the chjest which you saw,

sh be hd i. ~ | es"

i tt ee, IB es a =) re : : , SY wag och i
i : + 2 on 2 t Pme5 ry ie +h on Y rad An eures

emid, a+ +¢4mas . Liaoke like strires were >! tonnan e

ate

_—. — —— ei ete oo - 7 . ee —_ebebeina

25. Where were you lucated when you saw the object? 26. Were you (Circle One)
(Circle One): |
In the business section of a city?__
a. Inside a building al a In the residential section of a city?
b. Ina ee “c. In open countryside?
as Outdoors d. Flying neor an airfield?

In an airplane e. Flying over a city?

e. At sea f. Flying over open country?

f, Other a g. Other

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

T. rs ‘ t
Ing at in tre yard, hor erad tn To nl vin at weather vane ™ ho: 1Ge@ and natiaed

the ohtec+

+:

a —

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 hy 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?
(Cirele One) Yes No

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

a. North c. East e. South g. West
b. Northecst d. Southeast f. Southwest h. Northwest

= -—_———_-_——__- —— -

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

—_— =...

a. Nerth c. East ra South ~ g. West
b. Northeast d. Southeast (4. Southwest _ h. Northwest

— — — a —_

31. If you are familiar with bearing terms (angular direction), try to estimate the number of degrees the object was
from true North ond also the number of degrees it was upward from the horizon (elevation).

gee DAA We
| 31.1 When it first appeared: ) } iO
ao. From true North _ __ ‘degrees.
b. From horizon ___ _._.. degrees.
31.2 When it disappeared: Q A pe
“
a. From true North... degrees.

1 b. From horizon. ss Ss degrees.

— me a ee ee ee

Poge 6

ee ee me we eee ---— -

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 horizoi (skyline) when you last saw it.

4
y s Ave PTS: Aad
iL vs a / :
ZG ILOR Nid see
“: ~ pCa / nA = atl 49) t C fea

— — — _—

_ —

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

Page ?

8. IF you saw the ovject at NIGHT, TWILIGHT, or DAWN, what did you notice concerning the STARS and MOON?
8,1 STARS (Cirele One): 8.2 MOON (Circle One):

a, None a. Bright moonlight

b. A few b. Dull moonlight

c. Many c. No moonlight — pitch dark
d. Don't remomber d. Don’t remember

—- — — -_— —— -- —_- —_ ~ a

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

(Circle One): Ca, Yes ) b. No c. Don’t remember

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

(Cirele One) a. A mile or more away (a distant car)? \

b. Several blocks away?

c. A block away? 4), ing bash,

d. Several yards away?

3 Bae © ( ee res e. Other i

11, Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes No Don’t Know
b. Suddenly speed up and rush away ot any time: Yes No Don’t Know

¢. Break up into parts or explode? Yes No Don’t Know
d. Give off smoke? / Yes No Don’t Know
e. Change brightness? ‘ Yes No Don’t Know
f. Change shape? Yes No> Don’t Know
g. Flicker, throb, or pulsats? Yes No Don’t Know
12. Did the object move behind something at anytime, particularly a cloud?
(Circle One): No Don’t Know, IF you answered YES, then tell what
it moved behind: ~ 0 SOO ee apneic in | Se a eee

—_—— — — —_— —_

—_—— - ——— _—o — eee eee eee -_——_ -_-—_ -_—_ FT ---—-+

13. 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 tell what
it moved in front of: — en ane Se et Ss =

—_——_—-— ae —- —- —-— + -~——- —------

14, Did the object appear: (Circie One): a, Solid) b, Transparent? c, Don’t Know.

15. Did you observe the object through any of the following?

ERE
eee

a. Eyeglasses Yes No e. Binoculars Yes No
b. Sun glasses Yes No f. Telescope Yes No
c, Windshield Yes No g. Theodolite Yes No
| a US noe ease 5 Yos No h, Other
Se a eh eed

ie DN aida he Sm Near btpeagl Bk LA ater es tac BO ee ee ek CA Bg, ie u% é

Page 7

“a. Clear sky_ | a. No wind

be 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 ~ BL Cool
¢. Moderate orheavy rain c. Worm
d. Snow d. Hot

e. Don't remember e. Don’t remember

_—

35. When ee you report to some official that you had seen the object?

fae 19577
Day Month Year

34, What were the weather conditions at the time you saw the object?
34,1 CLOUDS (Circle One) 34,2 WIND (Circle One)

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

37.1 IF you answered NO, then when, where, and under what circumstances did you see other ones? |

In your opinion what do you think the object was and what might have caused it?

36.2 Please list their names and addresses:
Natrahtay ewe core adawene Se
37. Was this the first time that you had seen an object or objects like this?
(Circle Ore) Yes No

—.
—

oS

Poge 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,
40. 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? feet.

}

——- — + — eet ee

41, Please give the following information about yourself:

NAME QQ _ — aie __ aes: +
Lest Nome irst Nome Middle Nome

ADDRESS BS ess i ni

Street City Zone State

TELEPHONE NUMBER

+e -- —

What is your present job?

,

Age | Soy 6

Please indicate cny special educational training that you have had.

a. Grade schoo! e.e. Technical school ai
b. High schoo! (Type) x =
| c. College f. Other special training — ais 3
d. Post graduste = = =
42, Date you completed this questionnaire: S Ba —_————— 7

Poge 3

16. Tell in @ few words the following things about the object.

f o J

a, Sound WAS VA

b. Color

17. Draw o picture thet will show the shape of the object or objects. Label and inelude in your sketch ony details
of the object tho? you saw such os wings, protrusions, ete., ond especially exhaust trails or vapor trails. Place
an arrow beside the drawing to show the direction the object wos moving,

—

18 The edges of the object were:

(Circle One): o. Furzy o blurred e. Other
b. Like ao brigh? star

= Seely outlined _>
d. Don’t remember

19, IF there was MORE THAN ONE object, then how mony were there? _. = 2

Draw o picture of how they were arranged, and put an arrow to show the direction that they were travel ing,

20. Draw a picture that will show the motion that the object or objects made. Place an “A” et the beginning
of the path, a “B” at the end of the path, and show any changes In direction during the course,

N

21. IF POSSIBLE, try to guess or estimate what the real size of the object was in its longest dimension.
feet.

22, How lorge did the object or objects oppear as compored with one of the following objects held in the hond
and at about orm’s length?

~ Silver dollor

(Circle One): a, Head of a pin 9

b. Pea h. Baseboll
c, Dime i. Grapefruit
d. Nicke j- Basketball

eedbidl k. Other

lal do

22.1 (Circle One of the mt to Da how certain you ore of your answer to Question 22.

a, Certain c. Not very sure
b, Fairly certgin d. Uncertain

—— —-

23. How did the object or objects disappear from view?

——— or

24. In order that you con give os clear a picture os possible of what you sew, we would like for you fo Imagine thet you could
construct the object that you sow. Of what type material would you make It? How large would it be, and whet shope
would It have? Describe in you own words a tommon object or objects which when placed up in the sky would give the
same appeorance os the object which you sew.

se eS ee et de ee 7 a |

oT sill passa) titan) Aprealeamnen cel dealiniedails RMS Dees dial UK hh ae mt bela eee Ls

Page 5
25. Where were you located when you saw the object? 26. Were you (Circle One)
(Circle One):
._In the business section of a city?
Co) insite a building (b. Jn the residential section of a city?
. Inacar ~ In open countryside?
c. Outdoors d. Flying near an airfield?
d. In anairplane e. Flying over a city?
e. At sea f. Flying over open country?
ABD a iD De ee g- Other
27. What were you doing at the time you saw the = ons ond how did you happen to notice it?
} | to
Oa K 4
ee ee
Sila

—_—_—_—

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/ , |

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

28.2 How fast were you moviny? Seis miles per hour. |

28.3 Did you stop at any time while you were looking at the object?

(Circle One) Yes : No
29. What direction were egy looking when you first saw the object? (Circle One)
bu CANNES
a. North c. East e. South g- West
b. Northeast d. Southeost f. Southwest h. Northwest

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

a. North c. East e. South g- West

b. Northeast d. Southeast h. Northwest

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: 5 wn
a. From true North degrees. S y,
b. From horizon degrees.

31.2 When it disappeared: $$ ni

a. From true North chem degrees.

b. From horizon “sea”. degrees.

-_--oe oO —

Page 6

— eae —: —_ -- -— -~—- ——— ee

—_——— etl —-

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 some curved line to
show how high the object was above the horizon (skyline) when you /ast saw it.

abs ane
(ay . ran.
f\ Reena ete

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 fast saw it, Refer to smaller sketch as an example of how to complete the larger sketch.

oi dit VN eos eae ee] So) at ee

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)
g. Clear sky a. No wind
Hazy Slight breeze
. Scattered clouds Strong wind
d. Thick or heavy clouds d. Don't remember
e. Don’t remember
34.3 WEATHER (Circle One) 34,4 PERATURE (Circle One)
a. )Dry a./Cold
. Fog, mist, or light rain - Cool
c. Moderate orheavy rain c. Warm
d. Snow d. Hot
e. Don't remember e. Don't remember /

—— _— - oe = —

35. When did you report to some official that you had seen the object?

Day Month Yeor

36. Was anyone else with you githe time you saw the object?

(Circle One) ( Yes No
36.1 IF you answered YES, clid they see the object too?
(Circle One) Yes No
36.2 Please list ipa names and add

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

(Circle One) No
37.1 IF you answerec yen when, where, and under what circumstances did you see other ones?

a ee —-

|

38. In your opinion what do you think the object was and what might have caused it?
ee
x \

Ve

r 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? wet i m.p.h,
40. Do you think you can estimate how far away from you the object was? i
(Circle One) Yes No | By fo }
IF you answered YES, then how far away would you say it was? Rae é feet. |
41. Please give the following information about yourself:
NAME
ast Name First Name Middle Name
socress A ELAN, Ce Sd od ie
Street City Zone State
TELEPHONE NUMBER aap
4 ft”
What is your present job?’ S (USE T ae
a eee gee)

Please indicate any special educational training that you have had.

a, Grade school __ ae

at isl e.e. Technical school _._ -= SEE See Sees
b, High school nu ~% oe Liew Un (Type) jt es
c, College ba = f, Other special training ______E fi
d. Post graduate ss = ae eee
—— — —

42, Date you completed this questionnaire:

aan yo