PROJECT BLUE BOOK

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PROJECT 10073 RECORD CARD sme

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1. DATE 2. LOCATION 12. CONCLUSIONS
2 Was Boll i
13 Aug 61 Clayton, Ohio is Probobly Bulleon |
3. DATE-TIME GROUP 4. TYPE OF OBSERVATION GB: Feseimy Sateen |
1500-1600 © Wos Aircraft
Local RX Ground- Vi suel © Ground-Reder x P Ta Aiveraft
| eS © a cr D Air Visual D Air-Intercept Reder |% Possibly Aircraft
5. PHOTO! OUR O Was Astronomical
0 Yes O Probably Astronomicel
YEE Ne Civilian 0 Possibly Astronomicel |
7. LENGTH OP OBSERVATION 6. NUMBER OF OBJECTS | 9. COURSE ee
2 Sh hte pa Dete for Evaluation
1 min hor 5 Varied rie |

10, BRIEF SUMMARY OF SIGHTING Bright shiny spot like /'!. COMMENTSThere is no evidence available
light, appeared vapor-like. 2 objts approach-/| which would indicate that objts of sight |
ing fm SSW passed objts and went out of sight) ing were anything other than high flying
Returned fm NE and approached objt again. a/c reflecting sunlight.

Bright shiny spots about size of a/c. Tremen-
dous speeds.

ATIC FORM 329 (REV 26 SEP 52)

U.S. AIR FORCE TECHNICAL INFORMATION SHEET

This questionnaire has ‘been prepared so that you con 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.

“2%, ie
1. When did yousee the object? ‘2. Time of day: De F hae ee
‘Hour Minutes
smh —(fep- —L- (Cirele One): A.M... oF (P.M.
3. Time Z
| ce (Circle One): ¢.) Eastern (Circle One): Daylight Saving
bs Contra "(b,) Stonderd
Mountain
a. Pacific
e. Other

4. Where were you when you saw the object?

eorest Postal Address

Additional remarks:

: 4 " A yf "
(Mayor () FAD
ity ory own State or Country

oy Ae at Ade Ne ee ?

5. How long was object in sight?

5.1 How was time in sight determined?

a. Certain | | Not very sure -
b. Fairly certain @ Just a guess /

6. What was the condition of the:sky?

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
(3 To your right Ree Aaa f. Don't remember

es zy & sor hme

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

Page 2

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

.@, None } / a. Bright moonlight

b. A few | NV /7 b. Dull moonlight
c. Many c. No moonlight — pitch dark.

d. | Don’t remember d. Don’t remember

The object appeared:

(Circle One): ©) a a so iby’ ‘by Shiny

10. If.it appeared as a light, was it avialiioe the the brightest :stars?

Sop hte CU Gicrue »

,.

Lo Adi vo tt ten C ius PLAAeA § . ALAM Ae A pn
Did the object: Bo b a al ai ii fe (Circle One for each mol ai
a. Appear to stand still at any time? Yes

b. Suddenly speed up and rush away at any time? Yes
c. Break up into parts or explode? Yes
d. Give off smoke? Yes
e. Change brightness? Yes
f. Change shape? Yes
g- Flash or flicker? Yes
h. Disappeor.and reoppear ? |

Don't Know

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

Ne)
No

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

(Cirele One): Yes. .No (Don't Know IF you answered YES, then tell what
UB pS Ee Se SLE... 9 Ee ee ee ene ey ee

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

(Circle One): Yes (No) Don’t Know. | IF you nae ee" ‘YES, then tell what
in front of: = 7 . |

¥ .
wee

14. Did the object appeor: . (Circle One): a. Solid b. Transparent (-¢. ; Vapor d. Don't Know

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

“se

. Eyeglasses Yes | (No e. Binoculars

. Sun glasses (Yes No \ f. Telescope
. Windshield Yes No | g- Theodolite
. Window glass

Pege 3

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

b. Color

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

N/A

18 The edges of the object were:

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

(d +) Don’ t remember :
“19, IE phere wos MORE THAN ONE object, then how many were there? eth. tu Y- Stabr 5
ee |

o picture of how they were arranged, .and put an orrow to show.the direction that they were traveling.

SS Se PT ea eae Sas ee en ee eS SS Pe Ft Sete ae ey ee

Poge 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.

21. How lorge did-the object appear .to you as compared to ” object with which you ore familiar?
_ Renk a . vw “beet
22. We wish to know the ongulor size. ‘ Hold:e 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?

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 saw. ; ae wen 2
* {3 - , : “ ‘ ah ) ~ tia - 2
Soltis * Le farrift Som ffeb fart jr
4 of ¥ 7

0d / pay
—. f f +f Lf Soh peal 3
Dbanind ta fate GF

é

Page 5

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

a. Inside a building
b. In a cor

26. Were you (Circle One)

a. In the business section of.a city?
b. In the residential section of a city?
(Es) In open. countryside?

d. Near an airfield?
e. Flying over a city?

f. Flying over open. country?
g- Other

C) Outdoors
. In an airplane (type)

e. At sea’
f. Other

mie What 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) Wa
a. North ec. East » South .g. .West
b. Northeast: t 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 e 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. North c. East e. South
b. Northeast d. Southeast f. Southwest

31. If you are familiar with bearing terms (angular direction), try to estimate the number of degrees the object.wos
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. } y 1 9 7/64
b. From horizon__-____-_ degrees. j Eel hi
it :
31.2 When it disappeared: a
a. From true North degrees.
b. From horizon degrees.

facia dag hace . —~" —s eyieee See Se Pelgui ced OA. ae «| oe oe ke er .

Page 7

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

CLOUDS (Circle One) WEATHER (Circle One)

(a) Cleor sky 7 G Dry
b. Hazy - Fog, mist, or light rain
¢. 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? To 7D at ty Pr

a Month a

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

(Circle One) No

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

36.2. Please list their names and add

37. Was this the first time that you hed 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?

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

/ 1: ae oy”

> a ] ?
oo, ot
~* Pe : #3 2 pee / Pa £& ‘wt

es A eg sine a “ae %

Page 8

39. _Do you think you can estimate the eee the object?

(Circle One) (Yes )

IF you answered YES, then what speed would you estimate? iL yprees 4 ued jet 4/ (

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? bts | ae :% hose 9 6 vd
J 41. Please give the following information about yourself:

rT Davey 4 Hea

TELEPHONE — oe | | |

Age 4b Sex _ MALE

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

| agh a thot teak, gf fisted Wi Ann
ax Aonnglon Ob»

} 42. Date you completed this questionnaire: | —— der —fL-
- et

Page 9

U.S. AIR FORCE TECHNICAL INFORMATION SHEET
(SUMMARY DATA)

In order that your information may be filed and coded os 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.ore needed.

(Please Print)

NAME _ eee (Do Not Write in This Space)

CODE: 4
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