PROJECT BLUE BOOK

7

PROJECT 10073 RECORD CARD

1, DATE | 2. LOCATION 12. CONCLUSIONS
o don Rac ae
4 Novomber jt pf Columbus, Ohi O Probably Bolloon
3. DATE-TIME GROUP 4. TYPE OF OBSERVATION D Pessibty Sstloon
Local. 2055 ae O Ground-Visuel O Ground-Reder O Becbouly hiecisti
GMT_2:3. 462 SO7_ = QO: Air Visual 0 Air-Intercept Rader O Possibly Aircraft
0 Yes |0 Probably Astronomica
No Militar: O Possibly Astronomical
7. LENGTH OF OSSERVATION | 8. NUMBER OF OBJECTS | 9 COURSE O Other
10 Insufficient Data for Evaluation
a | ie, oo O Unknown
3 Seconds Ong falling rt. Lae
10. BRIEF SUMMARY OF SIGHTING Tl. COMMENTS
Round, green obj, size of head of We Leor,
pin to pea, vailing straight down,
nit ground & exploded giving white
flash upon inpact.
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ATIC FORM 329 (REV 26 SEP 52)

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AIR FORCE TECHNICAL INFORMATION SHEET

This questionnaire has been prepared so that you can give the U, S, Alr Force as much
infermation os possible concerning the unidentified aerial phenomanon that you have observed,
Piaase Iry to answer as many quastions a3 you possibly can. The informotion that you give will
he usad for research purposes, and will be ragardad os confidential material, Your name will not
be wsed in connection with any statements, conclusions, of publications without your permission. |
We request this personal information so that, if it is deemed necessary, we may contact you for

further datails,

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}, When did you soa the object? 2. Time of day: |
; Hour Minutes
fis, |
7 Day ~~ Manth Yaor (Circle One): A.M, oO P.M,
oe a !
3. Tima zons:
(Cirsia Ona): <a, Eastern (Circle Ons): a, Daylight Saving
b, Central -b, ° Standard
c. Mountain
d, Pacific
a, Other eee a

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—_ >

4, Where were you when you saw the object?

-

:
be —

-

—

Noarest Poste! Address

Additional ramarks:

Stote or Country

— |

——

5. Estimate how long you saw the object.

-_-—_———

“os
)

—_

Siconds

Hours Minutes
5,1 Circle one of the following to indicate how certain you are of your answer to Question 5, |
a, Certain c. Not very surs

b. Fairly certain

(d, Justa guess

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$6, What was the condition of the sky?

{Circle Ona): a, Bright daylight
b. Duli daylight

¢. Bright twilight

d, Justa trace of daylight
e. No trace of daylight
f. Don't remember

—4

7, IF you saw. the object during DAYLIGHT, TWILIGHT, or DAWN, where wos the SUN located as you looked at

the object?

(Ciscle One}: a. In front of you
b. In back of you
¢, fo your righ?

d, To your left
Overhead
Don't remember

e.

f,

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ATIC

FORM NO, 154 (13 OCT §4)

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

|

8,1! STARS (Circle Ona): 8,2 MOON (Circle One):
a, None a, Bright moonlight
b, A fow b, Dull moonlight
| ec. Many _¢»+ No moontight — pitch dark
\_ d. Don't remember d. Don't romomber

9, Wes the obiect brightor than the background of tha sky?

~

(Cirela One): oa, Yes b. No ¢. Don't remember

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

(Cirela One) a, A mile or more away (a distant car)?

b, Several blocks away?

2a, A block away?

3. Severo! yards away?

| Te Pook i i a, Other ft. .
11, Did tho object: (Circle One for each question)
a. Appear to stand still at any time? Yes No Don’t Know
b. Suddenly spead up and rush away of any time? Yes No Don’t Know
¢. Breck up into parts or explode? Yes No Don’t Know
d. Give off smoke? Yes No Don’t Know
e. Change brightness? Yas No. Don’t Know
f. Change shape? Yes No Don’t Know
g. Flicker, throb, or pulsate? Yes No Don’t Know

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: a whe =
3 — - ee ee em ee - a _— -_————— ~ _~ — -_

13. Did the object mova in front of something at anytime, particularly a cloud?

(Circle One); Yos No Don't Know, IF you answerad YES, than tell what

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it moved in front of: ~ | 5 i

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14, Did the object copear: (Circle Ona): a, Soild? b, Transparent? c, Don’t Know,

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

a, Eyeglasses Yes No 2, Binoculars Yes No

bh. Sun glasses Yes No f. Telescope Yes No

ce. Windshiold Yes No g. Theodolite Yos No

d, Window glass Yas No h. Other : : Sates *
L eA Ss to

Pogs 3

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18. Tall In a fow words the following things about the object,

a Sound

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b, Color CC tT

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17, Drow a pleture that will show the shape of thy object or objacts. Lobal end Include In your sketch any datalls

of the object tho? you saw such os wings, protrusions, ete,, and ospeclally exhaust trails or vapor tralls. Place
on arrow beside the drawing to show the direction the objact was moving,

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V8, The edges of the object were:

(Circle Ona): a. Fuzzy of blurred @. Other —
b. Like a bright stor

Sharply outlined
Don't ramamber

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—

4

19, IF there waa MORE THAN ONE object, then how mony were there? :
Drow o pleture of how they ware orrenged, and pu? an arrow to show the direction that they ware travaling,

Sill aA il, ie A Bl il AO tad in i hed ee Leal ee

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20. Drow a pleture that will show the motion thai tha object or objects made, Ploce an “A® a? tho beginning
of the path, a “BY at the and of the path, and show any changes In direction during the course.

4

—_— — — a —

2}, iF POSSIBLE, try to guess or astimaia what the real size of the object was in its longest dimension,
feat,

22, How large did the object or objects oppear as comporad with one of the following objects hald in the hand
and of about arm's length?

{Circle One): la, Head of a pin g. Silver dollar
(b, Pea h. Baseball
¢, Dime i. Grapefruit
d. Nicket j. Basketball
©. Quarter k. Other perce Sas

{. Half dollar

22,1 (Circle One of the following to indicate how certain you are of your answer to Question 22.

Ca. Certain | c. Not very sure
b, Fairly cartgin d, Uncertain
23. How did the object or objscts disappear from view? MA Cele iim  --

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24. in order that you can give os clear a picture as possible of what you saw, we would like for you to Imagine that you could

conatruct the objec? thot you saw. Of whot type matarial would you moka It? How large would it be, ond what shape

would it have? Deacribe in your own words c 4ommon object or objects which when ploced up In the sky would give the

20mes copecrcnee cs the object which you saw,

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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. In a car c. In open countryside?
" S, Outdoors d. Flying near an airfield?
‘a. nan airplane e. Flying over a city?
e. At ses -$. Flying over open country?
f, Other g. 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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28.1 What direction were you moving? (Circle One)

a. orth 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

28. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the tima, then complete the following questions:

29. 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 ~ ih. Northwest

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

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

_ ——— = a ee

b, Northeast d, Southeast “*, Southwest h. Northwest

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31. If you are famiiicr 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 : degrees.
b. From horizon. | degrees.

31.2 When it disappeared:

a. From true North = degrees.
b. From horizon _.. __._.. 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 Ona)
a. Clear sky a. No wind
b. Hazy- b. Slight breeze
c. Scattered clouds “ec, Strong wind f
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 b. Cool
c, Moderate orheavy rain c. Warm
d. Snow d. Hot
ea. Don’t remember e. Don't remember
a = eto a - rs iis re

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eg: ant Month

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

i.

-

Year

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_—— ae — —

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36. Was onyone 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:

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

(Circle One) ¢ Yes No
cs

37,1 IF you answered NO, then when, where, and under what circumstances did you see other ones?

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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? ene, ol. ee: WL
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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? £3 at feet.
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41, Please give the following information about yourself:
NAME © . aa —= ie By)
Last Name First Name Middle Nome
Z)
A ee ee
City Zone State
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TELEPHONE aa
A / : r
What is your present job? _“ ~ - . i
Age _=< Sex :
Please indicate any spscial educational training that you have had.
; }
a, Grade school e,e@. Teaclhinical school |
b. High school : (Type) — é
ec. College 2 f, Other special training
d, Post graduate Sas |
ia
42, Date you completed this questionnaire:
: ; r Day Month Yoar