PROJECT BLUE BOOK

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U5. AIR FORCE TECHHICAL INFORMATION SHEET

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This questionnaire has bean prepared so that you can give the U. S$. Air Force as mu--
Information as possible concerning the unidentifiod aerial phenomenon that you hove observed,

Please try to answer as many questions as you possibly can. Tha information that you give .
be used for research purposes, and will be ragarded as confidential material, Your nama will »-

be used in connection with any statements, conclusions, or publications without your permissisn.

We request this personal information so that, if it is deamed necessary, wo may contoc? you

further details,

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1, When did you see the object? ay OT OUT ee
ane Hour Mirsees
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can aD : we ae — . — —
Doy Month Yoor (Circle Ons): A.M, or ok

_—--- —_—- —-

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3, Time zone: “
(Circle One): co. Eastern (Circles One): a. Daylight Savin;

‘b, Central “by Standard
¢. Mountain at

d. Pacific

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4, Where wera you when you sow the object?

Neaorest Posto! Addross

Additional remarks: — t= = eopict ids ct a ye ar
5. Estimate how long you saw the object, —__ oe
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
‘b, Fairly certain d. Justa guess

&, What ~o8 the condition of the sky?

,’ Bright daylight d, Justa trace of daylight

(Circle One): (a
as
b. Dull daylight e. No trace of dayligh?
¢. Bright twilight #, Don’t remember

_—- =

7. IF you saw the object
tha object?

during DAYLIGHT, TWILIGHT, or DAWN, where was the SUN located as

(Circle One): a. In front of you

d,
b, In back of you 8,
c. To your right f,

To your left
Overhead
Don't remember

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ATIC FORM NO, 164(13 OCT 54)

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5. IF you saw the object at NIGHT, TWILIGHT, or DAWN, what did you notice concerning tha STARS and MOON? |

‘ ’ Y J '
8.} STARS (Circle Ona): , 8.2 MOON (Circle One):

—_
5, None a. Bright moonlight
b. A fow b, Dull moonlight

Cc, Many

¢. No moonlight — pitch dark

’
d, Don’t remember d. Don’? romamber

——_—< —— : _—--

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

(Circle One):

——=— nee a

a, Yes b. No c. Don’t remember

-_— ——

—_——— _ —_ -

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

(Circle One) a. A mile or mora away (a distant car)?

; i
b, Saveral blocks away?
c. A block away?
d. Several yards away?
0. Othor
1}, Did the objec: (Circle Ona for each question)
q
a, Appear to stand still at ony time? Yes No Don’t Know
b. Suddenly speed up and rush swey at any tims? Yes No Don’t Know
c, Break up into parts or explode? Yes No Don't Know
d, Give off smoke? Yes No Don’t Know
@e, Change brightness? Yos No Don’t Know
f. Change shape? Yes No* Don’t Know
~ ge Flicker, throb, or pulsate? Yes No Don't Know
12. Did the object move behind something at anytime, particularly a cloud?
(Cirele One): Yes No Don’t Know, IF you answered YES, then toll whee
it moved behind: sas ms ike
13. Did the object move in front of something at anytime, particularly a cloud? |
(Circle Ons, Yes No Don't Know, IF you answered YES, thon tell what
it moved in front of: ——___ ' a i eS A ee Ribaesedhcltient at os
14, Did the object appear: (Circle One): a. Solld? b, Transperent? ¢. Don’t Know, |
15. Did you observe the object through any of the following?
a. Eyeglasses Yos No fo, Binoculars Yes No
b, Sunglasses ©! Yes No fF. Telescope Yes Ne
c, Windshield Yos No q. Theodolite Yos No
d, Window aiass Yos No a. Tothee See es Sd SE

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) 16 Tall tn a fow words the following things about the object.
I an cl asd eisai tines prime ehanestasatee
b, Golor one eupes ; Se : quem & eee oe eet 6 Sete Cee ome nce 66 CEE Set. Os ee 0 ee a — ee: eA ee eee ee ee we aS en
Slain enbinastnemmntiamnanivantiien ee er wnaiha ep sieibachiene ~~ S 7.
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| 77, Draw e@ pletore that will show the shape of the object or objects. Labal and Include in your sketch eny dotalls

—_—<_

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of the abject thot you saw such as wings, protrusions, ete., and especially exhaust trails or vapor trails, Ploce
’

an arrow baside the drawing to show the direction tha object waa moving.

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| 18, The adges of the object were:
(Circle One): a. Fuzzy er blurred i. ROR co Lacath tol idan oe

b. Like a bright star

c. Sharply outlined
d. Don't remamber - —-- ——- * |

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19, IF thera was MORE THAN ONE object, then how many were thera? ont ae |

Draw a pictura of how they were crrangad, and put an arrow to show the direction that they wera traveling.

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20. Draw a picture that will show the motion that the object or objects made, Placa an “A” at the beginning
of the path, a “B” at the end of the path, and show any changes In direction during ths course,

2\. iF POSSIBLE, try to guess or estimate what tha raal size of the object was In its longest dimension.
feet,

22. How large did the object or objects appear as compored with one of the following objects. held in the hand
ord at obout orm’s length?

(Circle One): a. Hoad of a pin g» Silver dollor
b. Pea h. Busaball
¢, Dime i. Grapefrule
d. Nickel j. Basketball
Quarter k. Other

Se.
#. Half dol}or

22.1 (Circle One of the following to indicate how certain you ara of your answar to Question 22,

a. Cartain c. No? very sure
b, Fairly certaln d, Uncartain

———_—_— — .———— —— ee — _

23, How did the obiect or oblects disappecr from viaw?

24. In order that you can give os cleor a picture as possible of what you sow, we would like for you fo Imagina thet you could
construct the odjeet thet you saw. Of whot type material would you make it? How large would It be, end what shape
would it have? Describe in your own words a tommon object or objects which whan placed up in the sky would give the
same oppevranee o8 the object which you sow,

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25. Where were you located when you saw the object? 26. Were you (Circle One)
(Circle One):
.
a. ln 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?
%.) Outdoors d. Flying near an airfield?
a. Inan airplane e, Flying over a city?
e. At sea f, Flying over open country?
f, Other sualleeiadiaah taeniDesAdaidiasiciiihics dain btetihetniliaetadbcential ee = q. Other ec — ———— =
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y re te +O aS + Oweie Aero es oe nga or crest ceeebe Sce=esemce ° ee HO. ee - oe -- en ee es ns ee = wee — ~ — ethane <ititieatinstebtis
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. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:
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28,1 What direction were you moving? (Circle One)
a. North e. ast e. South g. West
&. Northeast d. Southeast f. Southwest h., Northwest
28.2 How fast were you moving? 00 smiles 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)
L, a. North c. East e. South g. West
b. Northeast d. Southeast f..‘ Southwest h. Northwest
_— ss :
30. What direction were you looking when you last saw the object? (Circle One)
a. North c. East e. South (gy. West
b, Northeast d. Southeast f. » Southwest h. Northwest
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31. If you are fomiliar with bearing terms (angular direction), try to estimate the number of degrees the object was
from true Nerth and also the number of degrees it was upward from the horizon (elevation).
Beech i. |
31.1 When it first appeared: | y
a. From true North _.. _-____.____ degrees .
, 9
b. From horizon _..__:_y’__. degrees.

31.2 When it disappcored:

a. From true North. degrees.
b. From horizon wk degreos.

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32. In the following sketch, imagine that you aie ct 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 te
show how high the object was above the horizon (skyline) when you lost saw it,

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——— —— al

ewing larger sketch piace an “A” at the position the object was when you first saw it, and a “B” at its
when you last saw it. Refer to smaller sketch as an example of how to complete the larger sketch.

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34. What were the weather conditions at the tima you saw the object? ;
34.1 CLOUDS (Circle One) 34.2 WIND (Circle One) |
a. Clear sky a. No wind |
b. Hazy Be Slight breeze
G. )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)
o. Dry | au. Cold
b. Fog, mist, or light rain b. Cool
¢. Moderate orheavy rain ic. Warm |
d. Snow (d, Hot
e. Don't remember e. Don't remember

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

;

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ay Month Y ear

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26. Wds anyone else with you at the time you saw the object?

(Circle One) Yes No
36.1 |F you answered YES, did they see the object too?
(Circle One) Yes No

36.2 Please list their names and addresses:

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— —_ — _ -- - - _—

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

(Circle One) Yes No )

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 obiect was and what might have caused it? |
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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 moy re-
peat information that you have already given in the questionnaire, and add ony further comments,
statements, or sketches that you beliave are important. Try to presert the details of the observa-

tion in the order in which they occurred. Additional pages of the some size paper may be attached
if they are needed...

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(Do Not Write in This Space)
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(Please Print)

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U.S. AIR FORCE TECHNICAL INFORMATION SHEET

This questionnaire has been prepared 30 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.

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2. Time of day:

“Hour Minutes
Sa rreperrs aig. "hi (Circle One): A.M... or P.M;
3. Time Zone: }
(Circle One): o. Eastern (Circle One): a, Daylight Saving
b, Central -b. Standard
¢. Mountain
d. Pacific
e. Other

4, Where were you when you saw the object?

f i” 48

Neorest Postal cs lage, . City or Town State or Country.
A Pi us Fy
*.* s ' J ew Pw
Additional remarks: LV —+ _ a ‘
5. How long was object in sight?
Hours Minutes Seconds

5.1 How was time in sight determined?

~*

‘a. Certain c. Not very sure
b, Fairly certain d. Just a guess
6. What wes the condition of the sky? |
DAY NIGHT |
a. Bright a, Bright
b. Cloudy b. Cloudy
“ am .

7. IF you saw the object during DAYLIGHT, 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

FS -—-.

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AT| ¢ FEB 60 164 This form supersedes ATIC 164, 135 Oct 54.

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8. IF you saw the object.ct NIGHT, whet did you notice conc ening 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
¢ Many ¢. No inoonlight — pitch dark
d. Don’t remember d. Don’t remember

—_—_ — _ -_— -_-__eoOo le oe ee 3 wee ee

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9. The object appeared:

(Circle One): oa. As a light b. Shiny c. Dark d. Don't remember

RS — _ —— -_- _ — =

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10. If it oppeared as a light, was it brighter than the brightest stars?

,

-— —

11. Did the object:

(Circle One for each question)

Appear to stand still ot any time? Yes No Don’t Know
Suddenly speed up and rush away at any time? Yes No Don't Know
Sreak up into parts or explode? Yes No Don't Know
. Give off smoke? Yes No Don’t Know
Change brightness? Y Yes No Don’t Know
Change shape? ~ Yes No Don’t Know
. Fiash or flicker? Yes No Don’t Know
. Disappear.and reappear ? Se : No ___ Don’t Know

12. Did the object move behind something at any time, particularly a cloud?

(Circle One): Yes No Don't Know. IF you answered YES, then tell whet
it moved behind: mse

_~__—_— _—--—o —_

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¢

13. Did the object.move in front of something at any time, particulorly.a cloud?

(Circie One): Yes No Don’t Know. IF you cnswered YES, then tell what

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IN fron? OF

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14, Did the object.appear: —§ (Circle One): a. Solid b. Transparent c. Vapor d. Don't Know

= - —_——

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
c. Windshield Yes No g. Theodolite Yes No

Window glass Yes No h. Other

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

a) ee ne ee ne

—- ——_<-

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b. Color Ladi i ie eae eel 4

17. Draw 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 as wings, protrusions, etc., and especially exhaust trails or vapor trails.
Place an crrow beside the drawing to show the direction the object was. moving.

_—eoeo-- se Cer a

—— ——s —_——- + re  - + — —_— — — —— —___

18 The edges of the object were:

(Circle One): a. Fuzzy or blurred e. Other —
b. Like a bright star
ee. Sharply outlined

~

d. Don’t remember

19, IF there wes MORE THAN ONE object, then how many were there? Ar

Draw a picture of how they were arranged, and put an crrow to show the direction that they were traveling.

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Page 4

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20. Draw a picture that will show the motion that the object or objects made, Place an "A" at the beginning of
the path, a ''B’® at the end of the path, and show any changes in direction during the coursa.

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21. How lorge did the object appecr to you as compared to an object with which you are familiar?

‘

22. We wish to know the angular size. Hold a match stick at orm’s length in line with a known object.and note
how much of the object.is covered by the head of the match. If you had performed this experiment:at ths time
of the sighting, how much of the object would have been covered by the match head?

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23. Did the object disappear while you were watching it? If so, how?

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24. In order thet you can give as clear.a picture as possible of what you saw, describe in your own words a

common object or objects which, when placed up in the sky, would give the same appearance os the object
which you sew, | :

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PR Seren reree npr I IT eee I Fee mn NL EN ee TIMI Hem cerececr | e oeemmeme eek MINN ITSRMERNL DROME» 9 a. sgn nme

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25, Where were you located when you saw the object? | 96. Were you (Circle One)
(Circle One):

| . J J
a, In the business section of a city?

a. Inside a building b. In the residential section of.a city?
b. Ina car c, In open countryside?

.c. Outdoors d. Near an airfield?

d. in an airplane (type) | e. Flying over a city?

e. At seo f, Flying over open country?
f, Other pI ae Say # | g» Other mileadi un

-~--

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

22.) 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? 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)
Fors g: West
a. North iy East e. South h. Northwest
ob. Northeast d. Southeast f, Southwest i. Overhead
30. What direction were you looking when you last saw the object? (Circle One) =
g. West
a. North c. East e, South h. Northwest
b. Northeast d. Southeast f. Southwest i. Overhead

31. If you are familiar with bearing terms (angular direction), try to estimate the number of degrees the object was
from true North (thru east) and also the number of degrees it was upward from the horizon (elevation),

31.1 When it first appeared:

a. From true North. _._.degreas,

b. From horizon degrees.
31.2 When it disappeared:

a. From true North _ _degrees.

-—- —

b. From horizon... ___ degrees.

—— * — —_~ #.

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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 sama curved line to

show how high the object was obove the horizon (skyline) when you last saw it.

—- ——_— —

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<2 an “A” at the position the object was when you first saw it, and a “B” at its
ster to smaller sketch as an example of how to complete the larger sketch,

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33. In the following larger sketch pic
position when you Jast saw it, &

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

CLOUDS (Circle One) WEATHER (Circle One)

Cleor sky a. Dry

Hazy b. Fog, mist, or fight rain
Scattered clouds c, Moderate or heavy rain
Thick or heavy clouds d, Snow

e. Don’t remember

—

35. When and to whom did you report that yc. had seen the object?

—— + - eal _ ———

Dey Month Yeor

__

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

Circle One) Yes No

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a.
36.1 IF you answered YES, did they see the object too?

(Circle One) Yes No

36.2 Please list their names and addresses:

4i ff o
f7/ fice
ff

Seetieiieeal rs eens —

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

(Circle One) Yes No

37.1 !F you enswered NO, then when, where, and under what circumstances did you see other ones?

ae — —- —- —

38. In your opinion what do you think the object was and what might have caused it?

— ee

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 No

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

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41, Please give the following information about yourself:

i=
NAME "= ne Name

ADDRESS =

Street

TELEPHONE NUMBER ae

Age_/: Sex

indicete any additional informetion about yourself, including any education, which might: be partinent.

42. Date you completed this questionnaire:

Month

ed tin i Elbe btabacike ew wh 40 nr 5

NAME

Pade 9

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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-
pect information that you have already given in the questionnaire, and add any further comments,
stctements, or sketches that you believe are important. Try to present 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.

(Do Not Write in This Space)
CODE:

(Please Print)

SIGNATURE
‘DATE

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~~ 4 f > 7 7 ” 4 ; J
’ ; “ y, J a
a
* / ifr = om F F
/
er —-
- “ > ‘
7 / ¢
“ /
= P A A ‘
a -
~~ - . 7
Ps A ( vA Ce -
- ” :
_ ~ , 4
ls y
/
s ‘
4 2
a

PROJECT 10073 RECORD CARD

DATE 2. LOCATION

.

12. CONCLUSIONS

ATIC FORM 329 (RZV 26 SEP 52)

ae ea a Aid os 0 Was Balloon
@5 JW. Ol POLPoOOrN, VOLO O Probably Balloon
3. DATE-TIME GROUP 4. TYPE OF OBSERVATION ee ee
Shs ; x O Was Alreraft
Lecal 3 2X Ground. Vi sucl 0 Ground-Rodar O Probably Airerafe
' GMT. 2 320452 0 Air Vi sual 0 Air-Intercept Radar O Possibly Aircraft
5S. PHOTOS & SOURCE O Was Astronomical
Yes }o Probably Astronomical
<0 Neo | ttviiian 0 Possibly Astronomical
"7. LENGTH OF.C3SERVATION | 3. NUMBER OF OBJECTS | 9. COURSE ~ (OX Other 2xploscion of sin
O Insufficient Dota for Evoluction
ar , Se We | Unknown
10. BRIEF SUMMARY OF SIGHTING Dari: objss Mn sun, Did [1. COMMENTS. rlyst called witness a’ 1300
t move. Viewed for 20 min with binoculars. Bea 25 dul 61 and ns stated that
he had ‘os r eTUuM . Dart
| ae was told tn: ne HW se
Explosion on thi in.