PROJECT BLUE BOOK

PROJECT 10073 RECORD CARD

— ee

2. LOCATION 12. CONCLUSIONS
. ; 0 Was Balloon
i] re ‘ © j )
17 Oct 61 Canton, Ohic O Probably Balloon
3. DATE-TIME GROUP 4 TYPE OF OBSERVATION O Possibly Balloon
2 ;
Locol 0039 OD Ground- Vi suol 0 Ground-Reder QO Wos Aircraft
| 1705207 n Probably Aircroft
GMT oh ial" dchne D Air Vi svol 0 Air-Intercept Reodar OD Possibly Aircroft
5. PHOTOS 6. SOURCE GO Wes Astronomical
0 Yes O Probably Astronomicol
OiNoe Civilian O Possibly Astronomical
7. LENGTH OF OBSERVATION 8. NUMBER OF OBJECTS | 9. COURSE 0 Other
DX Insufficient Dota for Evaluation
0 Unknown
2h min c , ‘ !
10. BRIEF SUMMARY OF SIGHTING © silver freen Lift 11. COMMENTS (coors fm ot lying & sev er Fan
lying in "X" formation fm W to & at speed who goes out looking for things as hoodby.
Lightly ower than airliner. ri to detexmine amount of di: vortign
nm Yerort, Ca listed as insufficient
1Ca.
aM a ad eee errr OT - ——_———- -- —— =

ATIC FORM 329 (REV 26 SEP 52)

PROJECT 10073 RECORD CARD -—— -

1. DATE 2. LOCATION 12. CONCLUSIONS
7 ™ 0 Wos Bolloon
31 Oct 61 Canton, Ohio QO Probobly Balloon
3. DATE-TIME GROUP 4. TYPE OF OBSERVATION 2. Eosihy Saree
2115-2 £4 , 7 QO Was Aircraft
Local 2115-2155 = D‘Ground- Vi sucl O Ground-Rodar O Probably Aircroft
GMT D Air Viavol 0 Air-Intercept Radar QO Possibly Aircraft
5. PHOTOS 6. SOURCE © Wes Asheneaieal
D Yes O Probably Astronomicol
TXNo Civilian Ns Possibly Astronomical
7. LENGTH OF OBSERVATION 8. NUMBER OF OBJECTS | 9. COURSE 44 Other__Unreliable Repo
0 Insufficient Dota for Evaluation
); , }|0O Unknown
4+O inin many varied

10, BRIEF SUMMARY OF SIGHTING R port fm "saucer fan”
on series of lights of varying cclor and
movement in and around Canton Airport. Lights
not accompained by sound and random movement
noted.

ATIC FORM 329 (REV 26 BEP $2)

1). COMMENTS Report fm UFO observer who
goes out looking for UFO's as a hobby.
Random movements and u multi sightings
prevent logical attempt at cvaluation,
Case listed as an unreliable report.

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 1s deemed necessary, we may contact you for

further desails.

= a a:

1. When did youse object? 2. Time of day: - 7 7
our inutes
I oct GI GIL
i on ees | (Circle One): A.M. or Em)
3. Time Zone:
ola gi (Circle One): Eastern (Circle One): a, Daylight Saving
Cb) Central b. Standard
c. Mountain
d. Pacific
e. Other _
4. Where were you when you saw the object? * en
j .
s ; CAN i WV pe / )
Nearest Postal Address City or Town State or Country
io os
Additional remarks: ft seaaien oa
. How! ject in si :
. Feng Nee REA Stay Hours Minutes Seconds
5.1 How was time in sight determined?
a. Certcin c. Not very sure
Fairly certain d. Just o guess
6. What was the condition of the sky?
DAY F NIGHT 9

a. Bright

', a, Bright oe
b. Cloudy A pr¥i_Rcloud BCs “i ly

—

7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?

(Circie 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

FORM
FTD JUL 61 164 This form supersedes ATIC 164, Feb 60, which is obsolete.

Puge 2

ee

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):

- Bright moonlight Dt Sm

a
b. Dull moonlight

c. Many ¢. No moonlight — pitch dark
d

d. Don’t remember . Don’t remember

9. The object appeared:

fe -x ? ;
Att ki bus tar PIAAS + Lert ; |
(Circle One): Cas a light b. Shiny c. Dark d.. ‘Ben's tatianber

_ —-

10. If it appeared as a light, was it brighter than the brightest stars?
JA wha Kd firs Fee a3 wy otpr-

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

-_--—- - +--+

a. Appear to stand still at any time? Yos Don't Know
b. Suddenly speed up and rush away at any time? Yes Don't Know
c. Break up into parts or explode? Yes Don’t Know
d. Give off smoke? \ Yos Don't Know
e. Change brightness? flLemwrn~—~ Yes Don’t Know
f, Change shope? You Don’t Know
g:» Flosh or flicker? Yos Don't Know
h. Disappear.and reappear 7 Yos Don't Know

12, Did the object move behind somathing ot any time, particularly o cloud?

(Cirele One): Yos Don't Know, IF you cnsweored YES, then tell what
It moved behind; eS ESN. See Ee Se oe eee eR

13. Did the object. move In front of something ot any time, perticulerly a cloud?

(Circle Ons): Yos No Don’t Know. IF you answered YES, then tall whee
In fron? of: ~ ee BS Sin Pe hee : a_i
ae ————— wesailasaal exit . « LZ a ee ee es
14, Did the object appear; (Circle One): a. Solid b, Trdnsparant ¢, Vapor d. Don’t Know

— a =

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

c a Yan .
og; Os Mo

b. Sun glosses Yes - No f. Telescope
c. Windshield Yes No g- Thasdolite
d. Window glass Yor No h, Other

GS a EN IER EE A Ne li OR A te OE te NR ea

eee

Page 3

16. Tell in o few words the sgh i about the object,

/
a. Sound LX StU* jase = .

at
bs Colew. . Leg PA em a

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

18. The edges of the t.were:

(Circle One), a..,Fuzzy or blurred e. Other
b. Like a bright star
c. Sharply outlined
d. Don't remember

—S -—

=: — -_

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

Draw © picture of how they were arranged, and put an arrow 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.

a —_———__—_— — —-——~— —-

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

A? Ves AL | Z rutd cryeN <

22. We wish to: know the-ongular: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? SD
Povyg,

A 4a
a

——— — ties —_ —

oN,

or “pen~..

24. ‘In order that you can give as clear:a picture as possible of. what you:saw, describe.in your own.words.o
common oblect or objects which, when placed.up in the sky, would give the same appearance.as the object
which you saw.

ine

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

(Circle One):

a. Inside a building
b. Ina car
utdoors
~ In an airplane (type)
e. At sea

f. Other

Poge 5

26. Were you (Circle One)

» In the business section of.a city?

» Inthe residential section of.a city?

c. In open countryside?

d. Near an airfield?

e. Flying over a city?

f. Flying over open country?

ot. g- Other ne

o 2

—

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

UY aj aw flea
ae | ae

iF

s.

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 ( 2 ened f, Southwest i. Overhead
30. : What direction were you looking when you last saw the object? (Circle One) “
g- West
a. North ast e. South h. Northwest
b. Northeast . Southeast f. Southwest i. Overhead
31. If you are familiar with bearing terms (angular diraction), try to estimate the number of degrees the oblect was

from true North (theu east) and also the number of degrees it was upward from the horizon (elevation).

31.1 When it first appeared:

a, .From true North

b. From horizon

U 0 A ogrees.

_____. degrees.

31.2 When ft disappeared:

Ga. From true North

b. From horizon

fe

_ degrees.

. : ~ a

VY
'

sale _degrees.

Page 7

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

CLOUDS (Circle One) WEATHER (Circle One)

a. Clear sky Cdn
b. Hazy b. Fog, mist, or light rain

C2 Rene clouds c. Moderate or heavy rain
hick or heavy:clouds

d. Snow
e. Don't remember

fs
—— ——

35. When and to whom did you report that you had seen the object? 7 ra DM nfe

]

Day Month Yeor

36. Was anyone else with you e time you saw the object?
(Circle One) Yes No

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

(Cc ircle One) Yes No

36.2 Please list their names and addresses:

d) Wheto
es 'S Rp Fea

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

(Circle One) Yes

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

t

—_—

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

i; | :
Axx £&£5 }

Page 8

39. -Do you think you can estimate the speed of the object?

(Circle One) Yes No | WVWA het wy we a A a

Gg eed

. IF you answered YES, then what cing would you estimate? 5 AN f ; Sf Dw KZ

—_—_——_——— — — one mar 8

| 40. Do you think you can estimate how far van from you the object was? ‘j

7 | f Ya

: (Circle One) Yes fro

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

41, Please give the following information.about yourself:

4

. Bae Ye ~ Cast Nome First Name Middle Name
Katia treet «lity Zone ‘State

et

eg St |) a re
Age Sex

Indicate any additional Information:about yourself, Including any education, which.might:be pertinent.

eS ee SS C—O

- °° SS  —

42. Date you completed this questionnaire: \j An} CF,
Day ‘Mont Yeo

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 thot you have already given in the questionnaire, and add any further comments,
statements, or sketches thot 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.

at ee ae ete . ee (Do Not Write in This Space)
(Pleose Print) CODE:
SIGNATURE —O
LO: A a a ane ae ae —
———e mI a

Aan FriAbher~ Ske Dad ret Mek at f ( — .

bie nt 4/4 Seek we,

; SF armas we f) me
Wy ; ’ f ;

further details.

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 mony questions as you possibly can. The information that you give will
be used for research purposes, and wil! 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 thot, if it 1s deemed necessary, we may contact you for

5.1 How was time in sight determined?

a. Certain ~~

b. Fairly certain’

a a "ad mae ~ _
]. When did yousee the object? 2. Time of day: | > 49
’ Hour Minutes
abe ik Sa e4 —
Bar “haaai aan ES (Circle One): (A.M. or P.M.
3. Time Zone:
(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 saw the object?
eo ss fi City or Town a State or Country
Additional remarks: _ =
5. How! object in sight? ae
eT ee eee en Hours Minutes Seconds

c. Not very sure
d. Just a quess

_
pip gat ST OcOet

6. What was the condition of the sky?

DAY _NIGHT™
a. Bright .a._.Bright
b. Cloudy b. “Cloudy

(Circle One): a. In front of you dey.
b. In back of you

c. To your right

Y

'

1

7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked ot the object?

d. To your left
e. Overhead
f. Don’t remember

— _ —_—-

FORMA
FEB 60

ATIC

164 This form supersedes ATIC 164, 13 Oct 54.

No Case (Information Only) late October 1961
Fall River Mills, California

.. The most interesting sighting of
“Vycentt wernt occurred in late October, in Yall River Mille, Calif. At dusk, a
man and his wife saw a hovering oval-shaped objact that seemed to bo divided
in three areas of flashing lights. It was seen to release two smaller ob-
jects, also oval and with the same licht formations. These amaller UFCs each.
took off on its own and returned to the “mother chip" about an hour Lleter!!
Finally the larger object departed at ersat speed, The same drama was watched
ona different nicht by the same couples, ‘and by t¥s othsr people who made on,
independent report. (Researchers interested in more details should write for
the Cet. 26th issus of the Fall River Mills, Ceiif. Inter Mountein News)- —

"MOTHER 3HIP* SIGH] ING IN CALIFORNIA: Usdwr “Nowe Brisfs,* on Page
1© of our lest iesus, wo surmdrized an ususually interesting caneear report
“om the Fall River Mills, Caltfornia “Inter Mountain Newal Lec of space pre-
| nted ua from crinting more tetalis at that tins. tm inswes to several re-
cuests from readers, wo now ci7e thw verbatim report fror the “Intor Mountain

News" of October 25th, i194]:

"Three separate sightings have been reperted on unidentified fly-
inz objects over the Fall River Valley last wesk, The Sirst two were ssen Kt
7:00 and 7105 p.ta. Wednesday, October 1&th. A MeArthur wan and his wile suw
the firat one over Coble Mountain, apprextaately ten miles southesst of Fail

~

River Mills. It was dusk when they first saw the hovering, ¢ ~shaped object

1 hrainat the horizen, itis said it seemed to be diviand a three areas of
into lights. The bottom area clowed red, the middle whites, «and the tap |
sreen, The saucar-shaped obisect hovered over Coble Mountsin az the conple
wate hed it for throes hours. It rsleasei two cther objects, 2140 oval with the

game light formations, Srom sither side.

"The first small oval departed from the mother ship about en hour
efter the big craft was first seen, it went townrd the Fail River Jalley srt
returned about an hour later, Aa it re-entered the lerpor enin, * sscend oD-
ject was released from the opposite site. This obfect headed towards Nat Creex
end also raturned in cn hour and entered the larzver craft. ‘4% this tine the
big oval headed toward Redding at a great speed.

"The sees MeArthur couple sow the whole draw re-enacted Sundar
night at 7:05, also over Coble Mountain,

Pin Pall River Mills on October LSth, two Lil-yesr-old beys, Rerti-«
’ . * ? 4
Boll and Randy Bassett were in front of the Rey Pasastt hose, and (*hey) re-
pert that they saw a strange round object at 7:00 p.m. It stayed in view
zeovernl nismtes, owing oetzhter and thea dlener co
“Oo 4: 1h, luo vaelezsa4 248 2 .
‘So, nea 3a UD; everybody! { v4 3) & inde ‘a > Lis —

. ~ bd
ipeter »~yAace Yo Vee cs = ‘ |

A spectacular flying saucer hovered near the Smithsonian satel-
lite-observing station in Curacao, British West Indies, on the night
of October 17, 1961. The station crew observed it with binoculars,
by apogee telescope, and photographed it with the Baker-Nunn
satellite camera. A brilliantly glowing object, it shone in the eastern
sky, moving erratically and fluctuating in brightness. After watching
it for nearly an hour and finding that the nearby airport could not
observe the object, the observers concluded that it must be less
distant than it seemed, and set out by car to try to get a closer look.
About a mile and a half from the station they stopped, and solved
the mystery. A plantation manager and his servant stood in a field,
hanging onto one end of a 1200-foot kite string. At the other end,
high in the sky, soared a kite; hanging from it was a lighted pressure
lantern [14].

21 October 1961

to Case ((i formation Only) New Mexico

Another frighresing UFO encounter--
a WO-mile chase--was reported by Mr. |
and Mrs, Richard DuBois, 13481 Shirley |

Street, Wes@nbiister, £31if, On the night ©
of Oct. Zl, remraing from « vacation,’
they were driving along Reur= éC tn New
Mexico, Excem for their car, the high-
way was deserted, It was about 2 a.m.
when, a ““brilliant ball of whire Light”
fiasned down across the car, slowed,
then turned back and followed alongside.
‘Ar first, I thought it was an alrplane
‘naking an emergency landing,”’ said
Mrs. DuBois, Bat the strange ‘*ball”
streaked back into the sky. DuBots’
conjecture that it might be 1n odd moon-
‘ght reflection was quickly disproved,
For the bright object again down,
raced ahead of the car, then slowedtoler _

“*‘We were really frightened by this: .
time,” Mrs. DuBois reporred. Andtheir
ajarm increased when the strange device
pacing thes suddoniy separated into four
smaller, glowing objecrs. Flying along--
side, the formarion kept pace with the
car until a service station appeared
ehead, When DuBots slowed down, the
four UPO*s Mashed epward and wert out
of slam.
‘se were $0 terrified.” said Mrs.

mis, “thas my bustand Jrove at 100

1.038 an hour to the next town. We asked

—ar eee -

ing blue-white in frou, with a dilfased
reddish cober on the trailing edpe.

ee

30 Oct 61
No Case (INformation Only) Derry, Pen sylvania

oer. 30: Derry, Pa.--Four apparendy
caurotled disc-stvead ohiects were
sighted by Carl Nt, Geary, Jr. Mr.
Feary, an engineer, was fomnerly with
te Army Counter-lutelligence Corps.
in a sisaed report to NICAP, he stated:

“The objects sppeared as ‘uminous
biue di:cs with a baad of lights or ports
on cuter periphery. Lights varied in hve
feom red 10 yellow w olne, Objects ap-
peared to oScillate with a side-wise
rrotion, perpendicular to direction of
travel. When objects reached a bili, they
seemed to explode In 4 Driliiant blue
flash.** (NICAP: Evidently tis was aa
Jtusion, as ai] four cbjects later ap-
peered intact.) “Intensity of glow about

a tive times brighter than rhe planet Jupt-
ter.’

Leary jumped in Sis car and pursued
the UFOs, which were moving slowly,
and paced therm on 4 parallel read. The
ohects finally ditapoeared dbepind a.

muutaln, Geary also slaned thas the |
UPOs travelled o3 2 sifgntly ascending
course, tre plow Increasing In inrensity.
Thev travelled in.« straight-line for-
mation below a sporadic clood cover.

1-3 yovmseR 1961 SIGHTINGS

DATS I OCAT [ON 52 ) EVALUATION
-  ~y Diboll, Texas a SAPELLITS
| “2 Dayton, OHio : AIRCRAFT
| oe 21,15N 170,158 Pacific Military : SATSLLITS
~2=-11 Del Mar, California 1, Astro bore
2, Other (NAVAL GUNFIRE)
“3 New York City, New York Sima AIRCRAFT
~4 N of Cape Canaveral, Florida @Riiiam Astro food
<% Scott AFB, Illinois Military Astro (H@TZOR
~7 Arlington Heights, Illinois Military (RADAR) INSUFFICIENT DATA
~7 Washington, D, C, a, AIRCRAFT
>) 30,05N 175,005 (Far East) Military INSUFFICIENT DATA
~9 Cassville, Wisconsin erie INSUFFICIENT DATA
: ~1o 44,215 128,01" (Pacific) Military Astro (MuSTZOR)
E ae Catalina, California Milit (PHYSICAL SPECDISN) Other (DROPSONDZ)
“Ad Dayton, Ohio ‘sanstenineaimne° mended Astro rene
™112 Guam Military Astro (METEOR
as | 28,34N 163,429 (Pacific) Military SATSLLITS
11-13 Manning, North Dakota Astro (VENUS)
“12 Dayton, Ohio : RN, SATELLITE
“13 Canton, Ohio <I 0. Other (HALLUCINATION)
ae San Mateo, Californis ‘mma INSUFFICIENT DATA
| ~13 Roseburg, Oregon ee INSUFFICIENT DATA
. “15 35.2N 173.9% (Pacizic) Military Astro. (UUTEOR)
| 15 28,4N 69,05W (Atlexntic) Military Other (MISSILE)
; Collins, Ontario, Canad Astro (METZOR
| ~15 Gettysburg, South ——_——-———— Astro (METEOR
mm. ~16 Dawson City, Ganadca Astro (METSOR
~16 Bryan, Texas Military Other (MISSILS)
+17 Lake Charles, Louisisna Military Astro sat
; TA Raleigh, North Carclin> amp Astro (MSTEOR
7 ~17 40N 173W (Pacific) Military AIRCRAFT
77 Makinaw, Illinois ATRCRAPT
20 60 Mi W of Newport, Oregon Military Astro(METZOR)
, ~21 Oldtown, Florida re UNIDENTIFIED
» 2} Siour City, Iowa aaa: UNIDENTIFIED
ee. Denver, Colorado Astro (MSTEOR)
ok Kew Gardens, New York BALLOON
~28 15.19% 51.592 (Gulf of Aden) Military SATELLITE
29 Englewood, Ohio | ER. Astro (OCCULATION OP |
REGULUS )
™ 29 40N 173Y (Pacific) Military INSUFFICIENT DATA
'
ADDITIONAL REPORTED SIGHTIIGS (NOT CAS=S)
DARE LOQCarroy SOURCE: | EY TO;
Nov Universe Science News Ltr
8 Noy Chadrow, Nebraska News Clipping
8 Novy Poplar Grove, Illinois News Clipping
10 Nov Baltimore, Maryland News Clipping
21 Nov Lihus, Hawaii News Clipping

Page 2

—"a—_—_—eee ee —_———_—-— ll +

8. IF you sow the object.ct NIGHT, what did you notice concerning the STARS.and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One): - 4.
IIA / D4
o. None ' a. Bright moonlight oe
b. A few “EB. Dull moonlight
“t. Many ¢. No moonlight — pitch dark
“de-Don"t remember d. Don’t remember
9. The object appeared: (? cu. at | sd tes
(Circle One): (7 o. Asa light b. Shiny c. Dark d. Don't remember
E ( ae Tes te “. 2 ~~ “7 vs f
10. If it appeared as a light, was it brighter than the brightest stars? /\ 4 Se : ;
jo is ;
ae ~ Ay a sa
11. Did the object: 1 (Circle One for each ‘Guestion) AA
os 4 ales
co. Appear to stand still ct ony time? os Yes No Don’t Know
b. Suddenly speed up and rush awoy at any time? 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. Chonge brightness? Yes No Don’t Know
f. Chonge shape? Yes No Don't Know
g- Flash or flicker? Yes No Don't Know
h. Disappear and reappear ? Yes No Don’t Know
12. Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes No. Don't Know. * 1F you onswered YES, then tell what
it moved behind: 14 . Law. dE Le
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: —
= : /. *» oO ZA [93 j » a di . f[
i ag el U : ~
14. Did the object appear: (Circle One): (a. Solid b. Transporent c. Vapor d. Don't Know
15. Did you observe the object through ony of the following? “ares
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

Page 3

—_--_-_-

—_-- — — —----- en

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

ppv Ke

a. Sound

Ag Lavery i
b. Color on™ ae” lh

17. Draw a picture that will show the shape of the object or objects. Lobel.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 orrow beside the drawing to show the direction the object was.moving.

a

L VE jaa bs A hy /, es 6 hs

| ah

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. IF there wos MORE THAN ONE object, then how many were there?
Draw o picture of how they were orranged, and put an arrow to show the direction that they were traveling.

a" }
se " ; ~ P f A Py hd vy 4 4 e.
. >A . : oe’ 5 a 4 . »” ot ‘ ; .
Povo bath CAytr d te (
:

ae -* '

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’’ ot the end of the path, and show any changes in direction during the course.

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

oe

22. We wish to know the angulor size. Hold a match stick ot 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 ot 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?

4 some
if : rf F ve e }
f

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

common object or objects which, when placed up in the sky, would give the same appearance os the object
which you saw.

»
as
PM
hy
Z
f

Poge 5

25. Where were you locoted when you sow the object? 26. Were you (Circle One)
(Circle One):
a, In the business section of a city?
a. Inside a building b. In the residential section of o city?
b. Ina cor c. .In open countryside?
(Outdoors d. Near an airfield?
‘d. Inan airplane (type) e. Flying over o city?
e. At sea f, Flying over open country?
f. Other g- Other

27. Whot were you doing ot the time you saw the object, and how did you hoppen to notice it?

«.
; , ‘ » ov '
¢., ’ -" - ° RT LX } > $ Ca

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)

o. North c. East e. South _g- | West
b. Northeast j d. Southeast f. Southwest OH: 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) ‘in
a West
co. North c. Eost 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)
g. West
a. North C JEcst 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) ond also the number of degrees it was upward from the horizon (elevation).

31.1 When it first appeared:

a. From true North 7 / degrees.

b. From horizon f — © degrees.

31.2 When it disappeored:

a. From true North r degrees. aw"

b. From horizon degrees. —

Page 6
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”
position when you Jast saw it. Refer to smaller sketch as an example of how to complete the

ot its

larger sketch,

a

ao —

— et
. ‘ * ar
ES ane -
” *)
the

—_ +
al tien! _
wenkec ane, -
= + IS
ris. *

ae. ¥

TEE &
= *. ie ’ ‘
. . = <4

ritilve?t re ; we

3, be ty “2 * ta 22 r

: ae .

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--—— ee — —

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

CLOUDS (Circle One)

- ”

WEATHER (Circle One)

( a. Clear sky Cg JDry
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 ir ie object?

/*] iF (of

“Dey Month Year

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

‘

(Circle One) Yes No ‘a

>

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

4 (Circle One) Yes No | S ) j aA

-

36.2 Pleose list their names and — ae

(Circle One)

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

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?

:
’

fAA LY

Page 8

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

(Circle One) Yes No *¢ /) fa } ¥ i ak is ~

. i

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? a1.

seo
(Circle One) Yes No 5 ata Fa NIP deg

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

41, Please give the following information about yourself:

NAM bi Last fl

ADDRESS

First Name Middle Nome

Street City Zone 1 State

TELEPHONE NUMBER

Age__/ i, Sex__/ l

Indicate any additional informotion cbout yourself, including any education, which. might be pertinent.

42. Date you completed this questionnaire:

Doy Month Yeor