PROJECT BLUE BOOK

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PROJECT 10073 RECORD CARD
2. LOCATION i so 12. CONCLUSIONS ——S
; : sao 0 Was Bolloon
30 Mar 61 Akron, Ohio O Probobly Bolloon
3. DATE-TIME GROUP &. TYPE OF OBSERVATION O Possibly Selleon
Local 1800 BE) Ground- Vi sual © Ground-Roadar = Prkahin irerets
GMT O Air Visuel O Air-intercept Rodor |2 Possibly Aircroft
O Yes 0 Probebly Astronomicol
0 Ne Civilian O Possibly Astronomical
7. LENGTH OF OBSERVATION 8. NUMBER OF OBJECTS | 9. COURSE O Other
Insufficient Dota for Evaluction
0O Unknown |
LO-15_ min 1 N-w
10. BRIEF SUMMARY OF SIGHTING ] objt giving off sparkd'" COMMENTS Tnoomplete info. Until such
j travel owly to W. Objt dard color. time as the taped interviews are receive:
Mr th obtained tapes of interview jand further evaluation can be made case |
| wit servers. Request for tapes initiated, [listed as insufficéent data.
however they have not as yet (Dec 27, 1961)
been received. |

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ATIC FORM 329 (REV 24 SEP 52)

(3° Ner )
Al a ppiesimarely 2355 Yeceive d all from

ane ece eh (Ph: ‘ name Afren, Ohio

COneeeniny UFO He did not see c hb ect perse nally,
bet ero is head oF Jacal UFO Ke seayeh Com mitlee.
and Sa id he Knew Cap } jo bex t Smith and Capt

Farl Welf of ATic.

Some in Fe or\ ob, ec f given by hin ) oma but Sine ¢
he did net sce i7 he was nov ft oO Sure of da YoJ/s

j es ‘
qave names ef reMowing eyewstne cses

; ) 0
We a Iso reperte d that rad sc etativ )) ee

Mv TS, Lloded by ralls o| other viewers.

Attached js ATIC. Fer-m/64 Mth Lmtedg info

U.S. AIR FORCE TECHNICAL INFORMATION SHEET

This questionnaire has been prepored 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 1s deemed necessary, we may contact you for
further details.

1. When did you see the object? 2. Time of day: 6 ne
Hour Minutes
30 Al AY A 9G) —_—-
"as Meath Year (Circle One): A.M. or ( P.M,
’ / Ak A; “S440 y rie
3. Time Zone: Zeocaul AAKKON os
(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 sow the object?
AES, Ak rey) : Lon c)
| Neorest Postal Address City of Town Stote of Country
Additional remarks: |
5. How long wos object in sight? ' fongial - :
Hours Minutes Seconds
i
5.] How was time in sight determined?
a. Certain _ c. Not very sure
.b. Fairly certain— d. Just o guess
| 6. What was the condition of the sky?
| DAY Tsnclignt NIGHT
a. Bright CLeat a. Bright
b. Cloudy b. Cloudy

:

IF you saw the object during DAYLIGHT, where wos the SUN located as you looked at the object?

(Circle One): a. In front of you d. Toyourlefr , ;
b. In back of you -#, Overhead. :s , h
cs. To your right f, Don't cemember

’ 4

Ee

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ATIC

FORM

Z
FES 60 164 This form supersedes ATIC 164, 13 Oct 54.

Page 2
8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
e. None a. Bright moonlight
Cb. A few b. Dull moonlight
c. Many c. No moonlight — pitch dark
d. Don't remember d. Don't remember
9. The object appeared:
(Circle One): a. Asa light b. Shiny ( -¢. Dark d. Don't remember
10. If it appeared as a light, wos it brighter than the brightest stors?
11. Did the object: Gave of F S Pre iwad , (Circle One for each question)
© i «lea thowily Jowayvd PA. W es7,
a. Appeor to stand still at ony 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 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? Yos No Don’t Know
g. Flash or flicker? Yes No Don't Know
h. Disappeor and reappear ? Yes No Don't Know
| 12. Did the object move behind something at ony time, porticularly a cloud?
(Circle One): Yes No Don't Know. IF you answered YES, then tell whot
| it moved behind:
}
13. Did the object move in front of something at any time, particulorly a cloud?
(Circle One): Yes No Don’t Know. IF you answered YES, then tell what
in front of:
14. Did the object oppeor: (Circle One): a. Solid b. Transparent c. Vapor d. Don't Know

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

-— ———.
o. Eyeglasses Yes No e. Binoculors f Yos No
f . ; ;
5 o8ses Yes No f. Telescope Yes No
c. Windsnieid Yes No g- Theodolite Yes No

d. Window glass Yes No h. Other |

a ee ee ee

_—_—_——— + eS

Poge 3

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

ce. Sound fy one

b. Color Dark

17. Drow a picture that will show the shape of the object or objects. Label and include in your sketch any details
of the object that you saw such os wings, protrusions, etc., and especiolly exhaust trails of vapor trails.
Place an orrow 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 o bright stor
c. Sharply outlined

d. Don't remember

19. IF there was MORE THAN ONE object, then how many were there?
Drow a picture of how they were orranged, and put an orrow to show the direction that they were troveling.