PROJECT BLUE BOOK

ese 4 7 PROJECT 10073 RECORD CARD ,
DATE | 2. LOCATION 12. CONCLUSIONS
0 Wes Balloon
11 Sep 61 Englewood Hills, Ohio O Prebebly Balloon
3. DATE-TIME GROUP 4. TYPE OF OBSERVATION QO Possibly Balloon
2° O Was Aircraft
Local a ~ : 7 Ground Vi sual 0 Ground-Reder a Probably Airer an
cmt__// OLCo & D Air Vi suel © Air-Intercept Reder |% Possibly Aircraft
5. PHOTOS © | OURI EX We Astronomical/S )
OYes — o Probably Astro Si,
1XNe Civilian DO Possibly Astronomical
7. LENGTH OF OBSERVATION 6. NUMBER OF OBJECTS | 9. COURSE Se
| = ihe Dote fer Evaluation
2 hrs 2 Nw silted

10. BRIEF SUMMARY OF SIGHTIN@ Jichts observed for abou. COMMENTSSighting was obviously of astroy-

2 hrs. with 1 disappearing, both in NW. Same omical bodies due to presence in same locd-

objts viewed all last week. Described only as j|tion on sucessive days and observation of

lights w/changing brightness. relatively long durations (2 hrs.) Planet
Venus and lst Mag Star Capella are in locd =°
tions described by witness.

ATIC FORM 329 (REV 26 SEP 52)

Mind ita on Cr ee eer Rea ee) oe

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 thot, if it 1s deemed necessory, we may contact you for
further details.

1. When did yousee the object?

J Hour Minutes
7 eae
—“ enth Veer (Circle One) A.M.. or P.M?)
3. Time Zone:
een (Circle OnelCS> Eastern (Circle One): a, Daylight Saving
- Central b. Stendard
c. Mountain
d. Pacific

e. Other

4. Where were

Se ae

ddres . ¥] = ‘State or Country

Additional remarks: ———

5. How long wos object:in sight?

Minutes Seconds

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?

DAY NIGHT
| a. Bright @ Bright
b. Cloudy Cloudy

7. \F 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.

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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):

a. None a. Bright moonlight
b. A few b. Dull. moonlight

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

The object appeared:

(Cirele One): CY Asalight —_b. Shiny

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

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

. Appear.to stand still at any time? Yes No Don’t Know
. Suddenly speed.up and rush: away at any time? Yes No Don't Know

a
b

c. Break up into parts or explode? Yes No Don't Know
d. Give off smoke? No Don't Know
e. Change brightness? No Don’t Know
f. Change shape? No Don't Know
g- Flash or flicker? | No Don’t Know
h. Disappear.and reappear ? No Don’t Know

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

(Circle One): Yes CN Don’t Know. IF you answered YES, then tell what
it moved behind:

. 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: ss , | ,

- Did the object appear: . (Circle One): a. ‘Solid b, Transporent ‘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
.d. Window glass Yes ~No h. Other Gagne oe ae

Poge 4

20. Drow 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.

Os eer SVavena ry’

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

22. We wish to know the angular size. Hold:a 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?

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

oe objects ‘GNC lsappearet
- 4

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 ploced.up in the sky, would give the same appearance as the object
which you saw. /

om cas Pee .

Poge 5

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

26. Were you (Circle One)

a. In the business section of.a city?

a. Inside a building (SY In the residential section of a city?

b. Ina car c. In open countryside?

(Ey Outdoors d. Near an airfield?

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

e. At sea 3 f. Flying over open country?
f. Other su g. Other

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

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

sf?
fi, /7 28.1 What direction were you moving? (Circle One)

a. North c. East e. South .g. .West
b. Northeast Es d. Southeast f. Southwest h. Northwest
28.2 How fast were you ella se Ral 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 chD Northwest
‘b. Northeast d. Southeast f, Southwest i. Overhead

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

| ‘ g. West .
a. North c. East e. South Ch. Northwest
b. Northeast d. Southeast f. Southwest i, Overhead

31. If you ore familiar with bearing terms (angular direction), try to estimots the number of degraes 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__<+~S~__ degrees.
b. From horizon 7S __ degrees.

31.2 When it disappeared:

a. From true North
b. From horizon __.________degrees.

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 same curved line to
show how high the object was above the horizon (skyline) when you lost saw it.

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

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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 fer away would you say it was?

} Engle Wood Jt U- 04,2
uh ity Zone State

41, Please give the following information about yourself:
NAM

ADDRE

TELEPHONE NUMBER

Age Sex

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

42. Date you completed this questionnaire: / in 7. ol
‘Dey —— Yeor —

/

PT TO NE TE ANT FLY EI Ry Ag a ee ~ -

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

CLOUDS (Circle One) WEATHER (Circle One)

(3) Clear sky | a. Dry
b. Hazy b. Fog, mist, or light rain

ce. 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?

Dey . Menth Yeor

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:

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

(Circle One) ‘Yes

_ 37.1 IF you onswered 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 object was and what might have caused it?