PROJECT BLUE BOOK

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.cs you possibly can. The information that you give will
be used for research purposes, and will be regarded. as confidential material. Your name will nof
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.

]. When did yousee the object?

30 AVE SIE /

Day Month Year

2. Time of day: £9 _3° CG
lat fotos, abet ZOZ7ItIlx~..
(Circle One): A.M. of (7M)

3. Time Zone:
(Circle meray Eastern (Circle One): a. Daylight Saving
. Central Ch.) Standard
¢. Mountain
d. Pacifie
e. Other

4. Where were you wh

eares?t Posta State or Country

Additional remarks:

5. How long was object in sight?

5.1 How was time in sight determined?

a. Certain
b. Fairly certain

6. What was the condition of the sky?

DAY

a. Bright
b, Cloudy

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

ATI C FEB 60 164 This form supersedes ATIC 164, 13 Oct 54.

ash JW sinc amet fy a

Ae be.” wAt. Milan

Page 2

IF you saw the object.ct NIGHT, what did you notice concerning the STARS and MOON?

8.1 STARS (Circle One):

.Q. None
b. A few

8.2 MOON (Circle One):

a, Bright moonlight
b. Dull. moonlight

piteh dark
d. Don't remember

10. If it appeared as a light, -was it brighter than the brightest:stars? //2

Vardi tm ap wo0rd Pol mreyptol om abort SH paypotele ‘

Did the object:

a. Appear.to stand still at any time?

b. Suddenly speed up and rush away at any time?

c. Break up into ports or explode?
d. Give off smoke?

e. Change brightness?

f. Change shape?

g- “Flash or flicker?

h. Disappear.and reappear ?

12. Did the object.move behind something.ct ony time, particularly a cloud?

(ee)

(Cirele One):
it moved behind:

Yes

(Cirele One):

Yes
in front of: x

14. Did the object.appeor: - (Circle One):

Yes
Yes
Yes
Yes

. Eyeglasses
. Sun glasses

- Windshield
. Window glass

&
QD
G&D
@

Don’t Know.

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

Don't Know. |

| b. Transporent

15. Did you observe the object through any of the fol lowing? |

- Binoculors

- Telescope
- Theodolite

- Other.

Don't Know
Don’t Know
Don’t Know
Don't Know
Don’t Know

a 3 Don’t Knowy- o

‘c. Vapor

Don’t Know

Don’t Know

IF you.answered YES, then tell what |

IF you answered YES, then tell what

d. Don't Know

Page 3

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

b. Color POtlon+-war7e

7. 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 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
b. Like a bright star
e Lorn sutlined

“19. IF there was MORE THAN ONE object, then how many were there?
'_ Draw a picture of how they were arranged, and put an orrow to show the direction that they.were traveling.

Page 4

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

W

Vi(Lw
hootine Uf PF

Cetera SpPreree

‘21. How large did: the object :appear.to you as compares to an object.with which you are familiar?
Pour (4 SPACE Simiupe Tre STAR

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

Porn7,

23. Did the object. disoppeor: while you were » watching it? . so, how?
YES. Wewr BEtOwW OBsEKUETEE AOL 20 nN ,

24. In order that 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 as the object

which you sow.
SCower?

SiM1itAR To n CYS LING SATERLISFE G4? focker FTE PY,

See a ee ee SE ee ee eel bi
’

Paye 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?

“bin the residential section of o city?

c. In open.countryside?
d. Neor an airfield?

@. Flying over a city?

f. Flying over open country?
g- Other __

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

a. Inside a building
b. Ina car

e_Ourdoorss
d. In an airplane (type)
e. At sea

f. Other

THttKiNG, WATCHWE SKY, Within PAST S$ Miures YAN BERR SCV SSIVE
_ Poss+ Gres OF Setmwe

ft SAr@iwrE Ar 7? RfrrPen TI & —- HEWwee.

yTety warcnink&® Fbfe Ai Moines Peper AtAINST sTATe.
| 3 SCK CHEN

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 es c. East | e. South , .g- .West
b. Northeast: - d. Southeast —f. Southwest h. Northwest

28.2 How fast were you moving?

aaaies __ 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)

g: West
a. North c. East ‘e. South -h. Northwest
b. Northeast d. Southeast f. Southwest }
30. . What direction were you looking when you last saw the object? (Circle One) nl |
g- West
‘a. North Ce. East > seer e. South h. Northwest
b. Northeast d. Southeast f. Southwest |, 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: | " wh a AO y “f Thies
a. .From true North__7 50 degrees. a

"a lane , AoC piace gyieo Muah vlna
b. From horizon i ite degrees. E ot :

31.2 When it disappeared: thc, frueu

°

a. Fromtrue North £920 degrees. £ i ——- iI
b. From horizon 20° degrees. 7 ie aaa vec de
eed LAPT m4 o , aae ae MV Ul
3 Prem (kt theme, protove & ,

LS sata — siden ER vel ie hee eat Ae ri owed

——EEE RT Re A RRR IY Thm RHR eRe am FORM MMEES Ser

32. In the following sketch, imagine that you are at the point shown, Place an “A” on the curved line te 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 lost saw it.

A

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

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

CLOUDS (Circle One) WEATHER (Circle One)

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

e. Don’t remember

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

YO

Month

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

(Circle One) No

36.1 IF you onewored YES, did they see the object too?

(Circle One) Yes No

36.2 Please list their names and addresses:

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

(Circle One)

_ 37.1 IF you answered NO, then when, where, and under what circumstances did you see other ones?

PLEV/O Se IA S47,

38. In your opinion what do you think the object was and what might have caused it?
SATEtLrTEC CR SPT ERE YY, DOES RENT Apioedie C 2t0CI7' kas

CeOlArAnmME wirH

2I90-—- Fee pre SATE Cir es.

RNR issih sistas stint et inom nT a eh Aaa

Pepe 7

ECH
YO Cf OTre7 COT8r3 BAF 1000 OR “00LE AP 1(EeS,
VElCciTy More VERY Cerne pesr with My SIMI AZ Y OFF

al Ee a Ae? bid a ,

Page 8

99. Do yeu think you con estimate the speed ef the object?
(Circle One) Gey) 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 for away would you say it was?

41, Please give the following ae about yourself: r en,
Ane Lonn _— Or ro
a ity ~~ —— - —. !
TELEPHONE NuMBER <i

Age I6 Sex Vad A

Indicate any additional information: about yourself, including any education, which might:be pertinent.

-

42. Date you completed this questionnaire:

a 7 7

LEAL APOE BELLE LTH OM OE Oe Oe me: Ber O8 ew Ke: —anee sere)

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 -nof
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.

oo _——— --- =

= —

—p—
]. When did yousee the object? 2. Time of day: 2-5 -—s
/ Hour «Minutes
i A ae A a oor
Day Month” Yoar (Circle One): A.M.. or (P.M.
3. Time Zone: _
(Circle One)ya. Eastern (Circle One): a, Daylight Saving
“b. Central (b. Standard
c. Mountain
d. Pacific
e. Orner

—— ~—— =

4. Where were you when you saw the object?

: ad jf >, PP say Pak
Saf f {7 OV ‘6 aa.
ecrest Posta City or Town Siate or Country
‘

Additional remarks:

—— — — — —_ = —

ee 7 7
5. How long wos object in sight? £ ~
Hours Minutes Seconds
5.1 How was time in sight determined?
| a. Certain c. Not very sure
| “%. Fairly certain d. Just a guess Pa era
6. What was the condition of the sky?
DAY NIGHT
a, Bright a. Bright
q ( b.' Cloudy b, Cloudy

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

— ee ———eoOo

ATI ( FEB 40 164 This form supersedes ATIC 164, 13 Oct 54.

Page 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 present 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.

int).

DATE 3/ H 7767.

(Do Not Write in This Spece)
CODE:

Lf aboot 2027 E57, 70 fut 61 Lb rhourd 4 erty ob nt, HS
o a had Chat trem at & peat or rg wirchn, ted abort S perth of Uh
hermim (Leiritd thy 0 Arrt ), Kathe tyne abort JOO tar td

~

a

EEE ELV eT eS ee eee GO a EEE —_—

wv a ae

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 yousee the object?
ay nth Year

- Time Zone:
3. Time Zone (Circle Grad: (Circle One): a, Daylight Saving

b. Centra b. Standard
c. Mountain

d. Pacific
e. Other

4. Where were you when you saw the object?

t

| ~ FAT OER
City or Town

Additional remarks:

Minutes

5. How long was object in sight?

5.1 How was time in sight determined?

a. Certain ; c. Not very sure
b. Fairly certain d. Just a guess
6. What was the condition of the:sky? : ‘
DAY | NIGHT

a. Bright a. Bright)
b. Cioudy b. Cloudy

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

ATI G FEB C0 164: This form supersedes ATIC 164, 13 Oct 54.

(Rial arcadia Ricrrinictanestnsctinuionns-ninroweriiie meron 6

8. IF you saw the object.ct NIGHT, what did you notice.concerning the STARS.and MOON?
8.1 STARS (Cirele One): 8.2 MOON (Circle One):

.a. None a. Bright —

b. A few < ;. Dull moonlight >
Ce. Many ) | | ‘¢e No moonlight — pitch dork .
d. | Don't remember d. Don't remember

‘9. The object. appeared:

(Circle One): b. Shiny

10. If it appeered as.a light, wos it brighter than the brightest stars?

Wo Lh By 7 Kounly As b2ight

11. Did the object: | (Circle One for each question)

- Appear.to stand still at any time? | Yes He) Don’t Know
No

Suddenly speed.up and rush.away at any time? Yes Don't Know
- Break up into parts or explode? Yes Don’t Know

ee |

» Give off smoke? Yes_ Don't Know)

Change brightness? Don’t Know

- Change shape? Yes Don't Know
- ‘Flash or flicker? | Ni Don’t Know

. Disappear.and reappear ? Yes Don't Know

12. Did the object.move behind something.ot-ony time, particularly a cloud?

(Circle One): Yes Don’t Know. IF you answered YES, then tell what —
OB bE | aS GS a ee ea

13. Did the object.move in front of something at any time, particulorly.a.cloud?
(Circle One): (Yes) No Don’t Know. IF you. onswered YES, then tell whot

in front of:
SS 7H

14. Did the object .appeor: . (Cirele One): | a. Solid ) -b. Transparent ‘ce Vapor d. Don’t Know

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

- ~~

a. Eyeglasses Yes e. Binoculors Yes (No)
b. Sun glasses ‘Yes No f. Telescope Yes ( No!
c. Windshield Yes g- Theodolite Yes (No)
d. Window glass Yes f No J h. Other = a ae

Page 3

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

EC NS Sa a a a ee
Se 8 ate Le ep eb lilt AA Ab i a RA

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 arrow beside. the drawing to show the direction.the object: was. moving.

Appraised 6 ae A light Se nts lre-7e
Zo JAhat oye JOR bx yh tarr S’77171_S

18. The edges of the object.were:
(Circle One): a. Fuzzy or blurred e. Other

EL

-

b. Like a bright star '
c. Sharply outlined
d. Don’t remember

19. IF there wos MORE THAN ONE object, then how many were there? | is
: Draw o picture of how they.were arranged, and put on crrow.to show the direction that they were traveling.

OG ly COW we~

ee Lemna

= ” ae = i 7
- ‘

Page 4

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 course.

sh aster Pye ae Waster Te
ARST | |
Fir 7 NENG HE CRER OLER-~
arr. |

21. How large did: the cbiect: oppear.to you as compared to an object.with which you ore familiar?
t/t fC ¢t 6-e# p>

22. We wish to knew .the-ongulor size. ‘Hold: match stick at arm'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 the time
of the sighting, how much of the object would have been covered by the match head?

fb /l

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

SET — Ae. SH ppeaeTe | w,  Lotae 7 oe Bye sight

a Se RR 2

24. In order that you can give as cleor: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 appecrance.as the object
which you sow.

74- Che pa ES her Mt 2 CR ag 7 Curl sSranrty
Liha le Ki ght Mew suka CA# Speed oF= we ce

Cb Fx Pt.) Zeres Be ae es A. ae a a TST,

RO el teeaineesaeenaiediemnetartenes eee liad le ll ce i bbe
‘

Page 5

25. Where were you located when you saw the object?

26. Were you (Circle One)
(Circle One):

. In the business section of.a city?
Cb . In ‘the residential section of a city?

eee nee me. Oe eet ee.

c. In open. countryside?
d. Neor an airfield?

@.. Flying over a city?

f. Flying over open country?
g- Other

a. Inside a building
b. Ina car

€. Outdoors)

. Inn airplane (type)

e. At sea
f. Other

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

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:  @e 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)

a. North c. East ‘e. South
b. Northeast .  d. Southeast f. Southwest

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

g. West ohh
a. North G East ) e. South h. Northwest

b. Northeast J. 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:

From true North___________degrees.

:. From horison.._ 09 degrees.

31.2 When it disappeared:

I” =

a. Fromtrue North / COC © degrees.

b. From horizon___-3 © _degrees.

Pree Ten Wr wren nT SO a Oe connec a wna lila ;

7 ; ‘ 4 ee |
, , T
Pege 6
*

32. In the following sketch, imagine that you are at the point shown. Place an °A” on the curved line to show hew

high the object was above the horizon (skyline) when you first saw it. Place a “B” on the some curved line to
show how high the object was above the horizon (skyline) when you last saw it.

A

(Za

pe fn
Ants <i Sih ot Tae aN ae x

/ Abe

~--

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.

] ‘“

Page 7

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

CLOUDS (Cirele One) WEATHER (Circle One)

@. Cleat sky } | <A, Dry
“Wes. wit, or light rain

b. Hazy
c. Scattered clouds c. Moderate or heavy rain

d. Thick or heavy clouds d. Snow
: : e. Don’t remember

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

Day ; . Month Yeor

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

( Circle One) No

36.1 IF you onnwored YES, did they see the object too? |
7 (Circle One) Yes” No

36.2 Please list their names and addresses:
P11 87

aot IE

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?

A) 4S

are ahd eet. alimeeb tay cmcet Aelia bdibing oJ) aif

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

(Circle One) Yes (We)

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?

yt io
(Circle One) Yes No |

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

41. Please give the following information.a yourself; | !
—_— aa __ ._ =
| sc e rat Neme r"

TELEPHONE NUMBER ic

Age S eam ee At

Indicate _any additional information about yourself, including any education, which might:be pertinent.

42. Date you.completed this questionnaire:

nee treet iy “Zone State |

il eee Te Th ee

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 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.

NAM '
se Pr

DATE —

(Do Not Write in This Space)
CODE:

A &7 gn bee Cwrlle”d ee LY Cad Wren

, | ¥ ' j : y Sh ese; er ae D ay er,

ZL poe 4 LU STS ey Cone TPE tay ®. ee ae sida g PLA

tu 25 7 27 Vf) & re zac b, EC! AXA2 reer Pes: Tox ,
wore wd we a fight Semele 2 LAFF

a

van ae sewed, — 1 pep REA fee yor

= ae aay al SoC 7 Fett (a ly

ae a
: \ i: s “ ph m= y J-t : Bs
JAP A dr2IZdn o£ OF KAs5 (¢6(P1K A. Cc <a

palit Misa Sethe ve omsh Pe PowmfPel’ e
a

Page 2

LBL LL LEG TE Ck. CN te Nt ll et lye ee ll ly

» 8 IF you sow the object at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):

a. None

b. A few . Dull moonlight

a

b
c. Many c. No moonlight — pitch dark
d. Don't remember d

Bright moonlight

. Don't remember

_-- —_— ~-s-so SOo + ese er’ + + eo eo + - + + 2 —_ —_——_— |
——

9. The object appeared:

(Circle One): a. Asa light _b. Shiny c. Dork d. Don't remember

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

ee nee ae ee

11. Did the object:

(Circle One for each question)

! a. Appear to stand still at cny time? Yes “No Don't Know
b. Suddenly speed up and rush away at any time? Yes No Don’t Know
¢. Break up into parts 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 No Don't Know
g. Flash or flicker? Yes No. Don't Know
h. Disappear.and reappear ? Yes No ___ Don't Know _ ae
; 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 what
it moved behind: Hr» C2 /ae0/S wabilhi suite tectinieadenscisas

— ~—~----
eet —_

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:

— — -_— —_—- ee
-—

a —

|' 55) |

14. Did the object appear: © (Circle One): <

—
—_—-_—— =

—_—_—-

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
¢. Windshield Yes No g- Theodolite Yes No

d. Window glass Yes No h. Other

re ere re ee | es ee ee ee ee ee ee

Solid b. Transparent c. Vapor d. sg al Know |
Ss

EE ee en ee re we wer ee

a dpi. at

ete een en ee ees emergent: ’ TN Leste alien

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

a. Sound 1/4.

*. :
“ep *e

ee eee ne ha

—

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 on 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 star
. c. Sharply outlined
d, Don’t remember

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

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

Ae LL LL LL LLL LLL LLL A AS

tA 84-2 8 ~~! & = ab

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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 course.

_ a SO

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

fe ? - -
i ; , - i Ft &, . , ,
= . yt. ‘y A / g o c y — jf -_. a / a f _ / 7 4

22. We wish to know the angular size. Hold a match stick af arm’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 the time
of the sighting, how much of the object would have been covered by the match head?

= _— —-- a - — — el —_— —

—_ -—_—_--- - -— —

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

ee _

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 as 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. In the business section of a city?

a. Inside a building CB. “In the residential section of a city?
b. Ina car Ce In open countryside?
(e Outdoors (a, Near an airfield?
d. In an airplane (type) e, Flying over a city?
e. At sea f. Flying over open country?
f. Other ee a, g. Other ne ae

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? 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)
; g. West
(a. North c. East ‘e. South h. Northwest
b. Northeast d. Southeast f. Southwest (i. “Overhead
30. - What direction were you looking when you last saw the object? (Circle One)
A g. West |
a. North (c. /East e. South h. Northwest
ib, Northeast d. Southeast f. Southwest i. Overhead

- If you cre 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 degrees.

b. From horizon _ degrees.

31.2 When it disappeared:

a. Fromtrue North ———_—_—s degrees.

b. From horizon... degrees.

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‘

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

CLOUDS (Circle One) WEATHER (Circle One)
a. Clear sky a Dry
cbs Hazy b, Fog, mist, or light rain
/e. Scattered clouds c. Moderate or heavy rain
“d, Thick or heavy clouds d. Snow

e. Don't remember

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35. When and to whom did you report that yo. had seen the object?
fe Cie ows a /
> wit Sb ctintienntsctdl deities
Day Month Year

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

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

36.2 Please list their names and addresses: es

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

Faas
(Circle One) (Yes. 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?

ee barr os

~*e .-

A TS LTT —

+ 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?

i —— << - eee ee

- - —

40. Do you think you can estimate how far away from you the object was?
(Cirele One) Yes No

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

41. Please give the following information about yourself:

a a lc lk
irst Nome Middle Nome

‘

wl : | La / , ; a yA
Lif MeL} fi KS
ADDRESS . a © —_ - —_—— ——— misicaeneo tial sieteihsas
treet City

TELEPHONE — 4

ie )
ms ’ ;

Age _ Sex 7 “|

Indiccte any additional inforretion about yourself, including ony sducation, which might:be pertinent.

42. Date you completed this questionnaire:

Day Month Yeor

122.2 gee Ce

1. DATE
30 Aug 61
3. DATE-TIME GROUP 4. TYPE OF OBSERVATION
a ee | ~ * oe cae £KGround- Vi suel
| Ne: ae D Air Visual
5. PHOTC y
O Ves
XKNe .
7. LENGTH OF OBSERVATION 6. NUMBER OF OBJECTS | 9. COURSE
2 1/2 min 1

10, BRIEF SUMMARY OF SIGHTING Yellow-white point of
1 observed fm overhead, disappearing at
20° elev 100° az. Appearance of tumbling.
Straight flight. :

ATIC FORM 329 (REV, 26 SEP 52)

Military

PROJECT 10073 RECORD CARD mae

2. LOCATION 12. CONCLUSIONS
i
Fairborn, Ohio . sceatly Bal leon |

Possibly Balloon

Was Aircraft
Probably Aircraft
Possibly Aireraft

O Greund-Redor

DO Alr-Intercept Redar

Was Astronomical
Probably Astronomicel
Possibly Astronomicel

0 Insufficient Date for Evaluation
Unknown

SE 5
11. COMMENTS ODjt.has characteristics of
satellite. Only deviation is relative sho
duration of observation. Assumed satellit:
in absence of other conflicting info.

Space track check shows Echo I in area at
0130Z