PROJECT BLUE BOOK

PROJECT 10073 RECORD CARD
12. CONCLUSIONS
1. DATE 2. LOCATION
Kentucky Was Balloon
B Probably Balloon
October 1958 Mavsville, Lexington, Buck) Possibly Balloon
DATE-TIME GROUP 4. TYPE OF OBSERYATION 0 Was Aircraft
3. Ground-Rodar 0 Probably Aircraft
Local Ground-Visual D Possibly Aircraft
14/2230Z AirVisual Air-Intercept Radar
GMT. 6. SOURCE 0 Was Astronomical
5. PHOTOS 0 Probably Astronomical Astronomical
Yes Possibly
.No Civilian Other.
8. NUMBER OF OBJECTS 9. COURSE 0 Insufficient Data for Evaluation
7. LENGTH OF OBSERVATION 0 Unknown
still in sight one stationary
11. COMMENTS
10. BRIEF SUMMARY OF SIGHTING Obj observed at Buckley at 2230z,
Silver colored, cigar shaped obj, at Maysville at 2355Z, & at Lex-
size of dime. Stationary. ington at O03cZ w/characteristics
of a balloon.
.
ATIC FORM 329 (REV 26 SEP 52)
te

Page 2
IF y sa  j  NIGHT TWILIGHT  DAWN, what  yu  con  STARS a MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight .
b. A fow b. Dull moonlight
c. Many c. No moonlight - pitch dark
d. Don't remomber d. Don't romember
.Was the object brighter than the background of the sky?
(Circle One): a. Yes b. No c. Don't remember
(Circle One) a. A mile or more away (a distant car)?
b. Soveral blocks away?
c. A block away?
d. Sovoral yards away?
. Other . Other
Did the object: Did the object: (Circle One for each question)
a. Appear to stand still at any time? Appear to stand still at any time? Yes No Don't Know
b. Suddenly speed up and rush away at any time? b.Suddenly speed up and rush away at any time? Yes Yes No Don't Know
c. Break up into parts or explodo? Yes Yes No Don't Know Don't Know
d. Give off smoke? Yes No No Don't Know
e. Change brightness? Yes No Don't Know
f. Change shape? Yes No Don't Know Don't Know
g. Flicker, throb, or pulsate? 'Yes No Don't Know
Did the object movo behind somothing at anytime, particularly a cloud? 1. Did the object movo behind somothing at anytime, particularly a cloud?
(Circle One): (Circle One): Yes No Don't Know. IF you answered YES, then tell what IF you answered YES, then tell what
it moved behind:. it moved behind: .
Did tho object move i .
(Circle One): Yes No Don't Know. IF you answered YES, than tell what
it moved in front of:
.Did the object appear:( (Circle One): a. Solld? b. Transparent? c. Don't Know.
15. Did you observe the objoct through any of the following?
a. Eyeglasses Yes No o. Binoculars Yes No
b. Sun glasses Yos No f. Teloscope Yes No
c. Windshiold Yes No g. Thoodolito S No /
d. Window glass Yos No h. Other
y

17. Draw a plcture that will show the shape of the bject orbloct. Label and Include In your skatch any detalls
of the obloct that you saw such as wings, protrusions, atc., and ospocially exhaust trails or vapor trails. Place
an arrow besido the drawing to show tho directlon the object was moving.
18. The edges of the object were:
(Circlo Ona): a. Fuzzy or blurred . Other Other
b. Like a bright star
c. c. Sharply outlined
d. Don'tremember
. IF there was MORE THAN ONE object, then how many were there? 1. IF thero was MORE THAN ONE object, then how many were there?
Draw a picture of how thoy were arranged, and put an arrow to show the direction that they wore travel ing.

a. Ins ide a building b. In the residential section of a city?
b. In a car c. In open countryside?
c. Outdoors d. Flying near an airfield?
d. tn an airplane e. Flying over a city?
e. At sea f. Flying gover open country?
f. Other _ g. Other
2. What were you doing at the time you saw the object, and how did you happen to notice it?
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 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
29. What direction were you looking when you first saw the object? (Circle One) 2. What direction were you looking when you first saw the object? (Circle One)
a. North c. · East c. · East e. South South g. West
6. Northeast d. Southeast Southeast f. Southwest h. Northwest
30. What direction were you looking when you last saw .What direction were you looking when you last saw e object? eobject? (Circle One)
a. North c. East e. e. South g. West
b. Northeast b. Northeast d. Southeast Southeast f. 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 _ 45degrees.
b. From horizon53_degrees. reasused
31.2 When it disappeared:
a. From true North ._ degrees.
b. From horizon _ degrees.

Page 7
.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 c. Strong wind
d.Thick or heavy clouds d. Don't remamber
.Dor't remember
34.3 WEATHER (Circle One) 34.4 TEMPERATURE (Circle One)
a. Dry a. Cold
b. Fog, mist, or light rain b. Cool
c. Moderate or heavy rain c. Warm
d. Snow d. Hot
Don't remember . Don't remember
35. When did you report to some official that you had seen the object?
141 O t 58
Day Month Year
36Was 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
.
Was this the first time that you had seen an object or objects like this? Ws th e st  tat u  en n c j  ?
(Circle One) (Circle One) Yes Yes No
37.1 IF you answered NO, then when, where, and under what circumstances did you see other ones? 37.1 IF you answered NO, then when, where, and under what circumstances did you see other ones?
8 In your opinion what do you think the object was and what might have caused it?
.
.

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?
ject was?
(Circle One) . Yos No
IF you answered YES, then how far away would you say it was? foot.
NAME Middle Name
ADDRESS 2 Maysville 2o
City State
TELEPHONE NUMBER
I .
Ago Sox _N
:
Please indicate any special educational training that you have had.
a. Grade school .. Technical school.
. High school _ b. High school (Type) _ (Type) -
c. College _ f. Other special training f. Other special training -
d. Post graduate d. Post graduate
Date you completed this questionnaire: 42.Date you completed this questionnaire: Month Month Yoar Year
Day
Sgt stalton Sgt Salton
Reported ly
Chiif Observor Observor
4674 OS
984t A4W

We request this personal information so that, If it is deemed necessary, we may contact you for
further dotails.
1. When did you see the object? 30
Oct 5 Minutes
$ac Month V88r (Circle Ono): A.M. P.M.
or
3. Time zone:
(Circle One): Eastern (Circle Ono): a. Daylight Saving
b. Central b. Standard
c. Mountain
d. Pacific
. Other -
4. Where were you whon you saw the object?
Rnier Shid. FJ34 x./J
Nearest Postal Address Bclty or ow Bclty or Towag ttote or Country stote or Country
AddItional remarks: AddItional remarks:
5. Estimate how long you saw the object. 5. Estimate how long you saw the object. 3
Hours Minutos Minutes Seconds
5.1 Circle one of the following to indicate how certain you are of your answer to Question 5. Circle one of the following to indicate how certain you are of your answer to Question 5.
So. Certain So. Certain c. Not very sure c.Not very sure
b. Fairly certain . Fairly certain d. Just a guess d. Just a guess
What was the condition of the sky? 6. What was the condition of tho sky?
(Circlo One): a. Bright daylight d. Just a trace of daylight
b. Dull daylight e. No trace of daylight
c. Bright twilight f. Don't remember
7.1 IF you saw the object during DAYLIGH WILIGHT, or ,where was the SUN located as you looked at
the object?
(Circle Ono): 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).

Page ?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None . Bright moonlight
b. A fow b. Dull moonlight
c. Many c.No moonlight — pitch dark
d. Don't remomber d. Don't romember
Was the object brighter than the background of the sky?
(Circle One): a. Yes b. No c. Don't romomber
(Circle One) a. A mile or more away (a distant car)?
.Several blocks away?
c. A block away?
d. Several yards away?
. Other
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 at any time? Yes No Don't Know
c. Break up into parts or explodo? Yes No Don't Know
d. Give off smoke? Yes No Don't Know
o. o. Change brightness? Change brightness? Yes Yes No No Don't Know Don't Know
f. f. Change shape? Change shape? Yes No Don't Know
g. Flicker, throb, or pulsate? 'Yes No Don't Know
Did the object move behind something at anytime, particularly a cloud? .Did the object move behind something at anytime, particularly a cloud?
(Circle One): Yes No Don't Know. . Don't Know. . IF you answered YES, then tell what
it moved behind: it moved behind:..
Did tho object move in front of something at anytime, particularly a cloud?
(Circle One): Yes No No Don't Know. Don't Know. IF you answered YES, than tell what
it moved in front of: _ it moved in front of: _.
14. Did the object appear: (Circle One): .Solld? b. Transparent? c. Don't Know.
Did you observo the bjoct through any of the following?
a. Eyeglasses Yes No e. Binoculars Yes
Sun glasses Yos No f. Telescope Yes.
c, Windshield Yes No g. Theodolite Yos No
d. Window glass Yes No h. Other
2
A

Page 4
20. Draw a picture that will show the motlon that the object or objocts made. Place an "A" ot the beginning
of the path, a "B' at the end of the path, and show any changes in directlon during the course.
t the real size of the object was in its longest dimenslon.
.feet.
22. How large did the object or objects appear as compared with o
and at about arm's length?
(Circle One): a. Hoad of a pin g. Silver dollar
b. Poa h. Baseball
c. Dime 1. Grapofruit
d. Nicket 1. Basketball
. Quarter k. Other
f. Half dollar
22.1 (Circle One of the following to indicate how certaln you are of your answer to Questlon 22.
a. Certain c. Not very sure
b. Fairly certaln o Tuirycoriamn d. Uncertain oneorrum
—
24.1 In order that you can give as clear a pleture as possible of what you saw, wo would like for you to Imagine that you could 2S
construct the object that you saw. Of what type material would you make it? How large would it be, and what shape construct the oblect that you saw. Of what type material would you make it? How large would it be, and what shape
would it have? Describe In your own words a common object or objects which when placed up In the sky would give the
same appearance as the oblect which you saw. T
0.

34. What were the weather conditions at the timo you saw the object?
34.1 CLOUDS (Circle One) 34.2 WIND (Circle One)
a. Clear sky a. No wind
b. Hazy Slight breeze
c. Scattered clouds Strong wind
d. Thick or heavy clouds d. Don't remember
. 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
c. Moderate or heavy rain c. Warm
Snow d. Hot
Don't remember e.
35. When did you report to some official that you had seen the object?
14 Ot 58
Day Month Year
(Circle One) Yes No
36.1 IF you answered YES, did they see the object too?
(Circle One) Yes No
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?
In your opinion what do you think the object was and what might have caused it? 38. In your opinion what do you think the object was and what might have caused it?
MEA

Page 3
1.Tall in a fow words the following things about the object.
0. Sound None
b. Colorilver -
7. Include In your sketch any detalls
of the objoct that you saw such as wings, protrusions, atc., and especlally exhaust tralls or vapor tralls. Place
an arrow beside the drawing to show the directlon the objoct was moving.
→
18. The edges of the object were:
(Circlo One): a. Fuzzy or blurred (Circlo One): a. Fuzzy or blurred e. Other _
b. Like a bright star
c. Sharply outlined
d. Don't remember
1. IF thore was MORE THAN ONE object, then how many were there? 19. IF thore was MORE THAN ONE object, then how many were there?
Draw a picture of how they were arranged, and put an arrow to show the direction that they waro traveling. Draw a picture ofhow they were aranged and put an arrowshow te diection that they war traveling
.

we may contact you for
further dotails.
.When did you see the object? 2. Time of day: 030 Z
Hour Minutes
15 Oct 1958 30 Cae
Day Month Year (Circle One): A.M. or P.M.
3. Time zono:
(Circle One): a. Eastern a. Daylight Saving
b. Central b. Standard
c. Mountain
d. Pacific
. Pocitic Gvenwich
Where were you whon you saw the object?
Nearest Fostal Addre City or Town Stote or Country
on
stαtcon xdar
5.Estimate how long you saw the object.. .Estimate how long you saw the object.
Hours 20M Minutes Soconde iseves?
02-2
a. Certain c. Not very sure c. Not very sure
.Fairly certain d.Just a guess
What was the condition of the sky? Sct Clouds clouds
(Circlo One): a. Bright daylight d. Just a trace of daylight
.Dull daylight e. No trace of daylight
c. Bright twilight f. Don't remember
7.IF you sow the object during DAYLI N located as you looked at .
the object?
(Circle Ono): 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)

a. Dry a. Cold
b. Fog, mist, or light rain b. Cool
c. Moderate or heavy rain c. Warm
d. Snow d. Hot
.Don't remember e. Don't remember
35. When did you report to some official that you had seen the object?
14 Ot 58
Day Month Year
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
3. Was this the first time that you had seen an object or objects like this? Was this the first time that you had seen an object or objects like this?
(Circle One) (Circle One) Yes Yes No No
37.1 IF you answered NO, then when, where, and under what circumstances did you see other ones?
4
38. In your opinion what do you think the object was and what might have caused it?
.
1

.
pject was?
(Circle One) Yes 3 No
IF you answered YES, then how far away would you say it was? feot.
Please give the following information about yourself:
NAME First Name Middle Name
ADDRESS Buckley Ki
Street City Zone
TELEPHONE NUMBER
What is your present job?
Ago Sox N
Please indicate any special educational training that you have had.
a. Grade school Grade school .. Technical school _ Technical school =
b.High school b. High school _ (Type)- (Type) _
c. College _ f. Other special training f. Other special training . .
c. College _
d. Post graduate
Date you completed this questionnaire: Doy Doy Month Year
Refported thoug 56 Fighonditer.Sg 56 Fightn diten. Lg
1
.

be used for research purposes, and wi gardod as confidential matorial. Your namo will not
be used in connection with any statements, conclusions, or publications without your pormission.
We requast this porsonal information so that, If it is deemed necessary, we may contact you for
further details.
.When did you see the object? 30
Minutes
14 DcA 1958
Day Month Year (Circle One): A.M. or P.M.
3. Time zone:
(Circle One) Eastern (Circle Ono): a. Daylight Saving
b. Central b. Standard
c. Mountain
d. Pacific
. Other_
4. Where were you when you saw the object?
Buckle Ky Grid FJ-34
Nearest Postal Address City or Town
Additional remarks:
5. Estimate how long you saw the object. 5. Estimate how long you saw the object.
Hours Minutes Seconds
5.1 Circle one of the following to indicate how certain you are of your answer to Quostion 5. 5.1 Circle one of the following to indicate how certain you are of your answer to Question 5.
a. Certain . Not very sure c.Not very sure
Fairly certain .Fairly certain d. Just a guess d. Just a guess
What was the condition of the sky?
;
(Circle One): (Circle One): a{ Bright daylight d.Just a trace of daylight d. Just a trace of daylight
b. Dull daylight b. Dull daylight No trace of daylight e. No trace of daylight
c. Bright twilight f. Don't remember
7.IF you sow the located as 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)

Page ?
8.1 STARS (Circle Ono): 8.2 MOON (Circle Ono):
a. None a.Bright moonlight
b. A fow b.Dull moonlight
c. Many c.No moonlight — pitch dark
d. Don't remomber
Ws t igher thane bacrun th y?
(Circle One): a. Yes b. No c. Don't remember
(Circle One) a. A mile or more away (a distant car)?
b. Several blocks away?
c. A block away?
d. Sevoral yards away?
. Other
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 at any time? Yes No Don't Know Tew
c. c. Break up into parts or explodo? Yes Yes No Don't Know
d.Give off smoke? d. Give off smoke? Yes No Don't Know
. . Change brightness? Change brightness? Yos Yes No Don't Know
f. f.' Change shape? Yes Yes No Don't Know
g. g. Flicker, throb, or pulsate? 'Yos No Don't Know
Did the object move behind something at anytime, particularly a cloud? 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:
Did tho object move In front of something at anytimo, particularly a cloud? Did the object move In front of something at anytimo, particularly a cloud?
(Circle One): Yes Yes No Don't Know. Don't Know. IF you answered YES, than tell what IF you answered YES, than tell what
it moved in front of:
Did the object appear: (Circle One): a. Solld? b. Transparent? c. Don't Know.
Did you observe the object through any of the following?
a. Eyeglassos Yes •. Binoculars Yes No
b. Sun glasses f. Tolescope Yes No
c. Windshield g. Theodolito Yes No
d. Window glass Yes No h. Other

Page 4
20. Draw a picture shat will show the motion that the object or objects made. Place an "A'a beginning
of the path, a "B at the ond of the path, and show any changes in directlon during the course.
.IF POssiBLE, try to guess or astimate what tho real size of the objoct was in its longest dimenslon.
.feet. ian shipd- tne.
2. How large did the abject or objects appear as compared with one of the following objects. held in the hand
and at about arm's length?
(Circle One): a. Hoad of a pin g. Silver dollar
b. Pea Baseball
Dime Dil Grapofruit
d. Nicket T. Basketball
e. Quarter k. Other
f. Half dollar
22.1 (Circle One of the following to indicate how certain you are of your answer to Question 22.
a. Cortain c. Not vory sure
b. Fairly certain d. Uncertain
3. How did the object or objects disappear from viow? the object or objects disappear from viow? -
- A.
4. In order that you can give as clear a plcture as possible of what you saw, we would like for you to imagine that you could In order that you can give as clear a plcture as possible of what you saw, we would like for you to Imagine that you could
construct the oblect that you saw. Of what typo materlal would you make It? How large would it be, and what shape
would it have? Doscribe in your awn words a cammon objoct or objects which when placed up in the sky would glve the would it have? Doscribe in your own words a common obloct or objects which when placed up in the sky would glve the
same appearance as the object which you saw.
X 4
)
A

Page 7
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 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
Fog, mist, or light rain b. Cool
c. Moderate or heavy rain c. Warm
d. Snow d. Hot
e. Don't remember e. Don't remember
.When did you report to some official that you had seen the object?
14 Oct 1958
Day Month Year
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
Was this the first time that you had seen an object or objects like this? .Was this the first time that you had seen an object or objects like this?
(Circle One) Yes Yes No
37.1 IF you answered NO, then when, where, and under what circumstances did you see other ones?
T
In your opinion what do you think the object was and what might have caused it?
vy

Page 8
D you think you can estimate the speed of the oject?
(Circle One) Yes No
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.
41. lowing information about yourself:
NAM
First Name Middle Name
ADDRESS Bere Kys
Streat Zona
TELEPHONE NUMBI A
What is your present job?
Age SexM
Please indicate any special educational training that you have had.
a. a. Grade school Grade school . e.e. e.e. Technical school Technical school
b. High school (Type)_ (Type) _
c. College f. Other special training f. Other special training
d. Post graduate
.. .
Date you completed this questionnaire: Date you completed this questionnaire: Month Year
Day Yoaor

DATA)
the following space to write In order that your information may be filed and coded as accuratoly as possible, please use a short description of the t that you obscrved. Yeu may re-
statements, or sketches that you believe are important. Try to peat information that you have already given in the questionnaire, and add any further comments, 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.
NAME (Please Print) (Do Not Wite in This Space)
CODE:
SIGNATURE
DATE
Relayed to ATIC from Maj AheaCar
at sright Pattrison eho,n
FOD
recived il fro from A/sc A/sc
temn 88
mondlin montlin
Ext 72234. 72234.
Cll  H EEI'S il a Hhe EEI'S bvere tvere 2a
ccas 20n.

Page 7
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None . Bright moonlight
b. A fow b. Dull moonlight
c. Many c. No moonlight - pitch dark
d. Don't remomber. d. Don't romomber
Was the object brighter than the background of the sky?
(Circle One): a.Yes .No c. Don't remomber
(Circle One) a. A mile or more away (a distant car)?
b. Several blocks away?
c. A block away?
d. Several yards away?
. Other
Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes Ne Don't Know
b. Suddenly speed up and rush away at any time? Yes No Don't Know
c. c. Break up into parts or explode? Break up into parts or explode? Yes No No Don't Know Don't Know
d. Give off smoke? Yes No Don't Know Don't Know
. Change brightness? Yes No Don't Know Don't Know
f. Change shape? Yes No- Don't Know Don't Know
g. Flicker, throb, or pulsate? 'Yes 'Yes No Don't Know
Did the object move behind something at anytime, particularly a cloud? Did the object move behind something at anytime, particularly a cloud?
(Circle One): Yes Yes No Don't Know. IF you answered YES, then tell what
it moved behind: _ it moved behind:_
.
object move front of something at anytime, particularly a cloud?
(Circle One): Yes Yos No No Don't Know. Don't Know. IF you answered YES, than tell what
it moved in front of:.
Did tho object appear: Circle One): a. Solld? b. Transparent? c. Don't Know.
1.Did you observe the object through any of the following?
Eyoglasses Yes No o. Binoculars. Yes No
b. Sun glasses Yos No f. Telescope Yes No
c. Windshield Yes g. Theodolite Yes No
d. Window glass Yes No h. Other - esight

Page 3
a. SoundNone
b. Color Bright = Siver
17.
of the objoct that you saw such as wings, protrusions, etc., and espoclally exhaust tralls or vapor trails. Place
an arrow beslde the drawing to show the directlon the object was moving.
:
8.The edges of tho object were:
(Circle One): a. Fuzzy or blurred (Circle One): a Fuzzy or blurred .Other_ Other
b. Like a bright star
c. Sharply outlined c. Sharply outlined
d. Don'tremembor d. Don'tremembor
19. IF there was MORE THAN ONE object, then how many were there? IF there was MORE THAN ONE object, then how many were there?
Draw a picture of how they were arranged, and put an arrow to show the direction that they wore travel ing. i.
T

feet.
22. How large did the object or objects appear as compared with on
and at about arm's longth?
(Circle One): a. Head of a pin g. Silver dollar
b. Pea . h. Baseball
c. Dime I. Grapofruit
d. Nicket I. Basketball
6. Quarter k. Other _
(. Half dollar
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 oblect or objects disappear from view? 2 How did the oblect or objects disappear from view?
24. In order that you can give as clear a plcture as possible of what you saw, we would like for you to Imagine that you could 24. In order that you can give as clear a plcture as possible of what you saw, we would like for you to imagine that you could
construct the object that you saw. Of what type materlal would you make it? How large would it be, and what shape
would it have? Describe in your own words a common oblect or objects which when placed up in the sky would glve the would it have? Describe in your own words a common object or objects whlch when placed up in the sky would glve the
same appearance as the object which you saw. same appearance as the object which you saw.

e.
e. At sea f. Flying over open country? Post
f. Other Goc. Post g. Other 2OC
What were you doing at the time you saw the object, and how did you happen to notice it?
GOC Observ 24
.
28.1 What direction were you moving? (Circle One)
a. North c. East e. South West
b. Northeast d. Southeast. f. Southwest 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
What direction were you looking when you first saw 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 E. East e. South g. West
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).
I2 #37
From horizon.. degrees. says
fist.
31.2 When it disappeared:
From true Nor th degrees.
b. From hor izon _ degrees. sidn.
xint

Page 7
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 c. Strong wind
d. Thick-or heavy clouds Don't remember
.Don't remember
34.3 WEATHER 34.4 TEMPERATURE (Circle One)
a. Dry a. Cold
.Fog, mist, or light rain b. Cool
c. Moderate or heavy rain c. Warm
d. Snow d. Hot
Don't remember e. Don't remember
When did you report to some official that you had seen the object?
Day Month Year
(Circle One) Yes No
36.1 IF you answered YES, did they see the object too?
(Circle One) Yes No
.
Was this the first time that you had seen an object or objects like this? Was this the first time that you had seen an object or objects like this?
(Circle One) (Circle One) Yes Yes No
T
In your opinion what do you think the object was and what might have caused it?
√

IF you answered YES, then what speed would you estimate? _m.p.h.
Do you think you can estimate how far away from you the object was?
(Circle One) No
IF you answered YES, then how far away would you say it was? feet.
NAME Last Name Middla Name
Et Branch Ks
Street City Zone
TELEPHONE NUMBEN
What is your present job?
Ago SexiN
Please indicate any special educational training that you have had. Please indicate any special educational training that you have had.
Grade school Grade school e. e. Technical school e. e. Technical school
b.High school High school (Type) - .
c. College - c. College f. Other special training ..
d. Post graduate
Date you completed this questionnaire: .Date you completed this questionnaire: Month Year Year
Day

be usod for res regarded as confidontial 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 dotails.
Receuved
1. When did you see the object? 55
Minutes
Day Month Yoar (Circle One): A.M. or P.M.
3. Time zone:
(Circle One): a. Eastera (Circlo One): a. Daylight Saving
b. Central b. Standard
C. Mountain
d. Pacific
e. Other
4. Where wero you when you saw the object?
Nearest PostalA Nearest Pastal Address Address City or Town City or Town State or State or Country Country
AddItional remarks: Addltional remarks:
5. Estimate how long you saw the object. Several several
Hours Hours Minutes Seconds
5.1 Circle one of the following to indicate how certain you are.of your answer to Question 5. 5.1 Circle one of tho following to indicate how certain you are of your answer to Question 5.
Certain c.Not very sure
. Fairly certain b. Fairly certain d. Just a guess
6.What was the condition of the sky? 6. What was the conditicn of the sky?
(Circle Ono): a, Bright doylight d. Just a trace of daylight
b. Dull daylight e. No trace of daylight
c. Bright twilight f. Don't remember
7.1 IF you sow tho object during DAYLIGHT, , where was the SUN located as 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 romember
ATIC FORM NO. 164 (13 OCT 54)