PROJECT BLUE BOOK

PROJECT 10073 RECORD CARD )

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2. LOCATION 12. CONCLUSIONS
O Wos Balloon
8 Jul 59 Moraine, Ohio Q Probably Balloon
= 0 Possibly Balloon
3. DATE-TIME GROUP 4. TYPE OF OBSERVATION
MLO : 2 i QO Was Aircraft
Local — i ¢) & Ground-Vi sual O Ground-Rador LOW -Probably Aircroft
GMT 08/99002,_ 0 Air Vi sual D Air-Intercept Rador QO Possibly Aircroft
5. PHOTOS 6. SOURCE © Was Astronomical
0 Yes O Probobly Astronomicol
NTENe Ctyilian O Possibly Astronomical
7. LENGTH OF OBSERVATION 8 NUMBER OF OBJECTS | 9. COURSE O Other
OQ Insufficient Dota for Evaluation
. om 0D Unknown
short time L East
10. BRIEF SUMMARY OF SIGHTING 11. COMMENTS
Obj described as the burning tail section Probably a jet a/c w/afterburneér on.

of an a/e observed by two men.

ATIC FORM 329 (REV 26 SEP 52)

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 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 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: LY

Hour Minutes

ie Se DLA (759 :
Day Month Yeor (Circle One): ( A.M~ or P.M,

3, Time zone;
(Circle One): a. Eastern > (Circle One): a, Daylight Saving
b, Central 4, Standard ~.
c, Mountain
d. Pacific
e, Other

4, Whore were you when you saw the object?

TN, UR BINE ee
Nearest Posto! Address City or Town Stote or Country

: Peo ae ae It a Pm PIE K/L IT” PSL ko / AAI L 3 J \ f=
Additional remarks: Da FT LS ho LO NIE ST EL LSABNGCAAND LD

-

5. Estimate how long you saw the object. SAAT J LL
Hours Minutes Seconds

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

Oe
G. Certain ~> c. Not very sure
b. Fairly certain d. Justa guess

6. What wos the condition of the sky?

(Circle One): a, Bright daylight d. Justa trace of daylight
b. Dull daylight <s,_No trace of daylight>
c, Bright twilight f, Don't remember

7. IF you saw the object during DAYLIGHT, TWILIGHT, or DAWN, 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 8. Overhead

c. To your right f, Don't remember

a

ATIC FORM NO. 164 (13 OCT 54)

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— — —~ + es — — a —_ o=
—— —— — _ Es

Page 8

39. Do you think you can estimate the speed of the object?

(Circle One) Yes No

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?

IF you answered YES, then what speed would you estimate? "es we Ree

m

feet.

.p.h,

41. Please give the following information about yourself: SEE.

o . First Name

-"

SUMMARY DATA SHE7

_ ee ae

Middle Name

OY £2

ADDRESS qe ilies. J 32 FANS
trvet City
TELEPHONE NUMBER Mm”

-

Zone

State

YARE LIV CF £74.

Kija o he i

Please indicate any special educational training that you have had.

What is your present job?  AMA/L PROTECTION  S=2R1G7 De

ee

a. Grade school a .«~Technical school
b. High school _._. Pn ae. eee (Type)
"UN 87.) | EY.) Se es a en) eee f, Other special training
as, Post aruucte ee : ook
hens —- ss Ms eS Se ee se 3
42, Date you completed this questionnaire: = ad tet 19g7

Poge ?

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
c. Many c. No moonlight — pitch dark
Cd,_Don’t remomber>: fe Bech tment >

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

(Circle One): a. Yes b. No c. Don't remember

- a — -——_-——_— —

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. A block away?
d. Several yards away?

: beta 5 eo. Other L
1}, Did the object: (Circle One for sach question)
a. Appear to stand still at any time? Yos 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 explode? Yes No Don’t Know
d. Give off smoke? Yos No Don't Know
e. Change brightness? Yos No Don't Know
f. Change shape? Yos 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: aor

—_——_—- eo col - ~ _ —

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

foo.

(Circle One): Yes No Don't Know. IF you answered YES, than tell whot
it moved in front of: ~
14, Did the object cppeor: (Circle One): a. Solid? b, Transparent? c, Dan’? Know,

—

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

a. Eyeglasses Yes No e. Binoculars Yos No
b. Sun glasses Yes No f. Telescope Yes No
c,. Windshield Yes No g. Theodolite Yos No

1, Window glass Yas No h, Other Zs es

rr

Poge 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 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 OE TNO GES . (Do Not Write in This Space)
(Please Print)
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