PROJECT BLUE BOOK

2 er err ee ee —

1. DATE

28 Sen ieOe
3. DATE-TIME GROUP

ye ae ee

GMT 28/0517, oO
5. PHOTOS SOURCE

PROJECT 10073 RECORD CARD

|2 LOCATION

West Carrollton, Onio

12. CONCLUSIONS

{0 Was Bolloon
O Probably Balloon

4 TYPE OF OBSERVATION
© Ground- Vi sual 0 Ground-Rador
Air Vi sual

DO Air-intercep?t Rador

O Possibly Balloon

O Was Aircraft
OQ Probably Aircraft
O Possibly Aircroft

Civilia

n

}.O: Was Astronomicel }ia+ cor
O Probebly Astronomical
oe Possibly Astronomical

10, BRIEF SUMMARY OF SIGHTING

White brilliant obj mov
to the North. No tail.
very brilliant.

ATIC FORM 329 (REV 26 SEP 52)

8. NUMBER OF OBJECTS | 9. COURSE

I]

—— —_—-

0 Other S- a
0 Insufficient Data for Evaluation
0 Unknown

sa —--=-

11. COMMENTS

— —_——-

qne Apparently a meteor at extrem

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 mony 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.

2. Time of day: B'O Ff. i)

Hour Minvites

(Circle One): or / P.M,

3. Time zone:
(Circle One): a. Eastess (Circle One): a, Daylight Saving
b, Central Cb. Standard

c. Mountain
d, Pacific
oS, Other

1. When did you see the object?
28g So7_ 4 PST

Dey Month Yeor

4. Where were you when you sow the object?

Nearest Postal Address | City or Town State or Country
Additional remorks: if Pr tes W750 JS
5, Estimate how long you sow the object, _ Es ,
Hours Minutes Seconds

5.1 Circle one of the following to indicate how certain you ore of your answer to Question 5.

a. Certain c. Not very sure
Cb. Fairly certain d. Justa guess
6, What was the condition of the sky? -
/
(Circle One): a. Bright daylight d, Just a trace of daylight
b, Dull daylight on trace of daylight
c. Bright twilight . Don't remember

7. 'F Gou ssw 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

—= Seite nena

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ATIC FORM NO, 164(13 OCT 54)

Page 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):
o. None a. Bright moonlight
b. A few b. Dull moonlight
> Many 7 (E> No moonlight — pitch dark
d. Don't remomber d. Don’t remember

-_—

9. Was the object brighter than the background of the sky? Lt a Sa | — cll 7%,

(Circle One): a. cae 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. A block away?
d. Several yards away?

= cn e. Other mm
1}. Did the object: (Circle One for each question)
a. Appeor to stand still at any time? Yes fe Don't Know
b. Suddenly speed up and rush away at any time? Yes 0 Don’t Know
c. Break up into 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 Not 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: _§»_EEeesessS nee a ae re ee a oe

_—_— eS — — — ——-

_ —_— —_—— -—_—— _—_— — ~~ _ —_——

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: ~ =" = - a

— — _——— _—

_—__— -- —_ —— $$ ——-— — ————— —_—_—

14, Did the object appear: (Circle One): a. Solid? bh. Transparant? c. Don’? Know.

— — —_— ———————

a. Eyeglasses Yes No~ e. Binoculars Yes No
b. Sun glasses Yes ) f. Telescope Yes No
c. Windshield Yes No g. Theodolite Yes No
d. Window glass Yes No h. Other

!
15. Did you observe the object through ony of the following?
{

Poge 3 |

16. Tell in a fow words the following things about the object.

JU

eo. Sound

17, Drow o 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
on arrow beside the drawing to show the direction the object was moving,

_ = Lee ee Le
18 The edges of the object were:
(Circle One): uzzy or blurred e. Other __ pe 4

| — by Like a bright star
¢. Sharply outlined

d. Don't remember ee eee oe

19. IF there was MORE THAN ONE object, then how mony were there? —--_
Draw a picture of how they were arranged, and put an arrow to show the direction that they were travel ing.

Paye 4

—_———_——_—_ TC FCC Ore eo ss ee eee eee:

20. Draw a picture thot will show the mation thot the object or objects made. Place an “A” ot the beginning
of the path, a "B” at the end of the path, and show any changes in direction during the course.

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

i — nt ~_— —_——

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

(Circle One): a. Head of a pin g- Silver dollar
b. Pea h. Baseball
c, Dime i. Grapefruit
d. Nickel j. Basketball
©. Quarter k. Other =e ie

f. Half doller
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 objects disappear from view? — 4 eee i” sory |
A NN ee ce ies Se SE, oe

=

— — ——— —_——

-_——-+- + - + —_——-- —--~----—

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

same oppeorance as the object which you sow.

—— a Fea” ‘i pease a aed

Poge 5

25. Where were you lucated when you saw the object? 26. Were you (Circle One)

(Circle One):
_ a. In the business section of a city?
a. Inside a building _d In the residential section of a city?
b. Ina car c. In open countryside?
Outdoors | d. Flying neor an airfield?
. In an airplane e. Flying over a city?
f. Flying over open country?

e. At sea .
f, Other ___ (WU | g. Other J

—- ——-— -—_oO-

— --- —_——. eo —_—

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

eae

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? : eis 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)

“a. North c. East e. South g. West
» Northeast d. Southeast f. Southwest h. Northwest
ss pads |

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

.

North c. East e. South g. West |

. Northeast d. Southeast f. Southwest h. Northwest
31. If you are fami! iar 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.

Page 6

— _ — _

—

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 horizon (skyline) when you /ast sow it.

_- — —- ——- ——_ — —— — ee —_—

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

RS A eae wisi" _
. betA tty 20 -
“230 pelo | SM Rae

avrg: (7 vines : i AN Dicat k,
gato AY tant 8 TA ey bal
eal aies Ane

i teal Pad tsa. eA Aye

PS eee — —
- -
8 ¥
.
‘ ae | ‘ ‘ ; .
. ‘
’

Page 7

34, What were the weather conditions ot the time you saw the object?

34,1 CLOUDS (Circle One) 34,2 WIND (Circle One)
a,/Cleor sky a. No wind
> 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)
Ca. Dry a. Cold
—bB. Fog, mist, of light rain b. Cool
c. Moderate orheavy rain Ce. 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?

SE . —_- — ———-- —_—

Day Month Yeor

— _—— we eee

——-

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

(Circle One) Yes Qo

36.1 IF you answered YES, did they see the object too?
(Circle One) Yes No
36.2 Please list their names and addresses:

_-- += — ie

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

(Circle One) (Vos 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?

aS ee ey - Rng yt a

a ey rr ara > &

39. Do you think you can estimate the speed of the object? Wek Pe a ma CK
(Circle One) Yes (Ne? 2

IF you answered YES, then what speed would you estimate? ie 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? po es a

41. Please give the following information about yourself:

nave Sy he
ah... «PTS... Middle Nome

EAs

ADDRESS

Street Zone State

TELEPHONE NUMBER Vane

What is your present job? W Oo of i

es Sex V1

Please indicate any special educational training that you have had.

a. Grade school] __ e. e. Technical school — i - wer
b. High school ee (Type) ___ aac mails a
c. College f, Other special training Pe a

d. Post graduate __

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42, Date you completed this questionnaire: coe ae ea. aT Vad i .