PROJECT BLUE BOOK

PROJECT 10073 RECORD CARD

1. DATE 2. LOCATION 12. CONCLUSIONS
QO Wos Balloon
IP Aug 59 Elburn, Ili Q Probably Balloon
t ¢ QO Possibly Balloon
} 3. DATE-TIME GROUP 4. TYPE OF OBSERVATION
Local O Ground- Vi sual O Ground-Rador = Peobauly Airecelt
om #20/02302 O- Air Vi suol O Air-Intercept Radar G Possibly Aircraft
5. PHOTOS 6. SOURCE O Was Astronomical
O Yes | wa O Probably Astronomical
Ne Civilian Pilot Q Possibly Astronomical
7. LENGTH OF OBSERVATION 8. NUMBER OF OBJECTS | 9. COURSE O Other
Qx eer cene Data for Evaluction
; Oo VU
3-5 sees 3 Or + not given re
10. BRIEF SUMMARY OF SIGHTING 11. COMMENTS
Objs appeared as a string of three or info is very limited, precluding a
four white lights. Prior to disappearing, a valid conclusion.
the? 2emed to form in one obj. The
ppeared the size 1 pea at arh's length.

ATIC FORM 329 (REV 26 SEP 5

2)

et»

{
+
Ms
;

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 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.

1. When did you see the object? 2. Time of day: OG QO B

Hour Minutes

BSE 2O Ryauss SEQ,
Day Mont Year (Circle One): A.M or P.M,

3, Time zone:

(Circle One): a. Eastern (Circle One): a, Daylight Saving
b, Central b, Standard
c. Mountain
d. Pacific
e, Other

4, Where were you when you saw the object?

& dv¥ VL SAA

Stote or Country

Nearest Postal Address City or Town
Additional remarks: x *SBOO ex
Qoessod Does = Ow, Sor Ses Wiss Loma

—

5. Estimate how long you saw the object. S-*DS> S&Cs.

Hours Minutes Seconds

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

(a?) Certain c. Not very sure
D. Fairly certain d. Justa guess

&:. What was the condition of the sky?

(Circle One): a. Bright daylight d, Justa trace of daylight
b, Dull daylight @:) No trace of daylight
c. Bright twilight f, Don’t remember

7. \F 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 e. Overhead
c. To your right f. Don’t remember

ATIC FORM NO, 164 (13 OCT 54)

Poge 2

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 @) Bright moonlight
b. A few b. Dull moonlight
CdD Many c. No moonlight — pitch dark
d. Don’t remomber d. Don’t remember

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

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

|

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

(Circle One) a. A mile of more away (a distant car)?
b. Several blocks away?

(e) A block away?
d. Several yards away?

ms e. Other a
1}, Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes GD Don't Know
b, Suddenly speed up and rush away at any time? Yes Don’t Know
c. Break up into parts or explode? Yes Don’t Know
d. Give off smoke? Yes r Don’t Know
e. Change brightness? Yes Don’t Know
f, Change shape? Yes No™ Don't Know
g. Flicker, throb, or pulsote? Yes CNo) Don’t Know

i2. 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:

13. Did the object move In front of something at anytime, particularly a cloud?
(Circie One): Yes Don't Know. IF you answered YES, than tell what

it moved in front of:

—-

|
|

14, Did the obiect appear: (Circle Ona): @ Solid? b. Transparent? a Dante Manor

;
:

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

a. Eyeglasses Yes No e. Binoculars Yes No
b. Sun glasses Yes No f. Telescope Yes No

(er Windshield Yes No g. Theodolite Yos No
1 Window gloss Yos No h. Other

—_—_—

Poga 3

16. Tell in a few words the following things about the object,

a. Sound

b, Color Wate _

17, Draw a picture that will show the shape of the object or objects. Label and include In your sketch ony details
of the object that you saw such as wings, protrusions, ete., and especially exhaust trails or vapor trails. Place
an arrow beside the drawing to show the direction the object was moving,

-

18, The edges of the object were:

(Circle One): a. Fuzzy or blurred e. Other _
b. Like a bright stor

Per) Sharply outlined

» Don't ramember

19. IF thers was MORE THAN ONE object, then how many were there? se
Drow a picturs of how they were arranged, and put on arrow to show the direction thot they were troveling,

eo les sated Swerve a yeerad Xo

‘ae Swrere oY Wau o\ \eoXs ee 2. Se
Ow'iger (3) Sis ARHLAvEA Sey ROS VAS ny,
So Eek wike COWL,

|

Page 4

Fal

20. Drow 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 chonges In direction during the course.

Fe

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

22. How large did the object or objects oppear as compored with one of the following objects. held in the hand
and at about arm's length?

(Circle One): a. Head of a pin g- Silver dollor
cs Poo h. Baseball
c. Dime i. Grapefruit
d. Nickel j- Basketball
e. Quarter k. Other

f. Halt 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 certain d, Uncertain

= oe ee ee eee ~~ —_

23. How did the object or objects disappear from view? Sa 26a Xo AN

ad

24. In order thot you con give as clear a picture os possible of what you saw, we would like for you to imagine that you could
construct the object thot you sow. Of what type material would you make it? How lorge would it be, and who? shape
would }t hove? Describe in your own words a tommon object or objects which when placed up In the sky would give the
same oppeorance os the object which you sow,

Xs o's’ wok (s) 3 eared as 93 str
\ LVeE
ON. Wat's \\ | | |

Page 5

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. Insidea building | b. In the residential section of a city?
b. Inacar (@ In open countryside?
c. Outdoors d. Flying near an airfield?
C&S In an airplane e. Flying over a city?
e. At sea f. Flying over open country?
f, Other g. Other .

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

Seas Dawn 2 wwe Nias. ate ae © Soa) Aa

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 cs) 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 ae looking when you first saw the object? (Circle One)

W) WK

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

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

a. YY» c. East e. South gq. 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).

21.1 When it first cppecred:

a. From true North degrees.
b. From horizon . _ degrees.

31.2 When it disappeared:

a. From true North ss degrees.
b. From horizon ss degrees.

Page 7

34. Whot were the weather conditions at the time you saw the object?

34,1 CLOUDS (Circle One) 34,2 WIND (Circle One)
Cas 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
b. Fog, mist, or light rain b, Cool
c. 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?

SA Se ee
Day Month Yoar

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

(Circle One) Yo’) No
36.1 IF you answered YES, did they see the object too?
(Circle One) Yes) No

and addresses:

37. Was this the first time that you had seen an object or objects like this?
(Circle One) C¥e8) No

37.1 IF you answered NO, then 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?

--—-—- -— - — -<--—— eee. — - ~~

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? _—

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

(Circle One) Yes ®

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

feet.

ft
’ ‘
+

oy
Betas
the

‘i

NAME

ADDRES

Baciane © “ae

What is your present job?

41, Please give the following information about i Wri abs act OMS Ry

RE.

Ny

o
ax

AGO se

Please indicate any special educational training that you have had.

a. Grade school __ e. e. Technical school

(Type)

school __ a ee

ee <o tl al

d, Post qradtate

b. High

c. College — fs
OAs

f. Other special training

Y¥AAWN | re AZ
7k

—-*e1.

42, Date you completed this questionnaire:

Day

Month

-_-—-- «