PROJECT BLUE BOOK

PROJECT 10073 RECORD CARD

2. LOCATION 12. CONCLUSIONS
= : D Was Balloon
= oot 61 Axron, Ohio D Probably Balloon
3. DATE-Time GROUP 4. TYPE OF OBSERVATION D Possibly Bolleon
322% = ET: t QO Wos Aircraft
Loco Batson * EX Grovund- Vi sual D Ground-Rodar | ax Probably Alrarelt
GMT =J ~~ je % D Air Vi sual 0 Air-Intercept Radar i Possibly Aircroft
5. PROTSS 6. SOURCE 'Q Was Astronomical
0 Yes |Q Probably Astronomicel
DNe civilian 9S Possibly Astronomical
7. LENGTH OF OBSERVATION 8. NUMBER OF OBJECTS | 9. COURSE 'D Other
12 Insufficient Dota for Evaluation
: Me > \O Unknown
=in +=) b
10, BRIEF SUMMARY OF sOHTINE 4- RP objts 2nanging 1}. COMMENTS UDC scribed by witnesses
rake ie ae = like bright ars. Bluish-wnite. wve all charecstsristics ascribed to high
Kppesr2= 28 2 or ¥ formation noving we. flying a/c laving formation lights.
' There is no evidente availabae in this
report which would indicate that objts
| reported by witnesses were other than hig
Piying jet Zcplaying formation ligts

ATIC FORM 329 (REV 26 SEP $2)

Poge 2

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):

a. None

| @ Bright moonlight
b. A few b. Dull moonlight
c. Mony c. No moonlight — pitch dark

d. Don't remember

d. Don't remember

——

9. The object appeared:

—_—

ad - 7 —"

By ge 0 OF

Dork

Oo <

(Circle One): o. Asa light b. Shiny

¢. d. Don't remember

—_—— —— +=

10. If it appeared os a light, was it brighter than the brightest stars?

_

- —— ——

11. Did the object: (Circle One for each question)
a. Appeor to stand still at any time? Yes No j Don't Know
b. Suddenly speed up ond rush away at any time? Yes j No ' Don't Know
c. Break up into ports 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. Change shope? “Yes ;_No Don't Know
g- Flosh or flicker? Yes i No —— Don't Know
h. Disappeor ond reappear ? Reid alc ate OSX Vag No Don't Know

—

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

(Circle One):
it moved behind:

| No

Wunou oO Ss

_

Don’t Know.

Yes IF you answered YES, then tell what

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

(Circle One): Yes | No Don't Know. IF you onswered YES, then tell what
in front of:
7 % Pola ~~ OF Ct Gdi7 ;
14. Did the object appeor: (Circle One): a. lid b. Tronsparent c. Vapor d. Don’t Know
15. Did you observe the object through any of the following?
o. Eyeglosses [ Yes _—___ No e. Binoculors Yes No
b. Sun glosses Yes No f. Telescope Yes No
c. Windshield Yes No g- Theodolite Yes No
d. Window glass Yes No h, Other

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

b. Color ') es cS iv - Ci) i-+ } os

Fees

—yr

—~

17. Draw a picture that will show the shape of the object or objects. Lobel.and include in your sketch ony detoi!s
of the object that you saw such as wings, protrusions, etc., and especially exhoust trails or vapor trails.
Place on arrow beside the drawing to show the direction the object wos moving.

18. The edges of the object were:

(Circle One): o. Fuzzy or blurred
b. Like a bright star
c. Shorply outlined
d. Don't remember

—

19, IF there was MORE THAN ONE object, then how many were there? BD HE n Fe THEA
Draw o picture of how they were orranged, and put an arrow to show the direction that they were traveling.

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

in oe, twG Tew fs SS re Cu & 2 7

ROMA Ea s7

—-

—

—_—

-—_—

21. How large did the object appear to you as compared to cn object with which you are familiar?
mn aa (> CEC wt A-< STA& -

————

—

22. We wish to know the ongulor size. Hold a match stick ot orm's length in line with a known object.ond note
how much of the object is covered by the head of the metch. 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?

Neeroy. MLE 53m

aS - —_ = _-

— —

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

ci a
PTO ECE id HOOK UO

—————o —_—— —

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 appeorance os the object
which you saw.

25. Where were you located when you sow the object? 26. Were you (Circle One)
(Circle One):
ug, In the business section of a city?
2. Inside o building b. In the residential section of o city?
'b. Ino cor (Him dewe Corr c. In open countryside?
c. Outdoors d. Neor an airfield?
2. In on airplane (type) e. Flying over a city?
e. At sea | f. Flying over open country?
*, Other g- Other

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

bt rewi NG 4

—_—

23. = you were MOVING IN AN AUTOMOBILE or other vehicle ot the time, then complete the following questions:

28.1 Whet direction were you moving? (Circle One)

c. North c. East e. South g- West
b. Northeast d. Southeost f. Southwest h. Northwest
23.2 How fost were you moving? miles per hour.

26.3 Did you stop at any time while you were looking at the object?

(Circle One) Yes No
23. “net direction were you looking when you first saw the object? (Circle One)
g- West
c. North c East ' e. South h. Northwest
>. Northeast d. Southeost f. Southwest i. Overhead
3a. *het direction were you looking when you lost sow the object? (Circle One)
g. West
=. North c. East e. South \h. Northwest
>. Northeost d. Southeast f. Southwest “i. Overhead —

31. |f you ore familior with beoring terms (angular direction), try to estimate the number of degrees the object was
trom true North (thru east) and also the number of degrees it was upword from the horizon (elevation).

31.1 When it first appeared:

LL degrees.
degrees.

ce. From true North
b. From horizon é

GO

31.2 When it disappeared:

oc. From true North 95 C degrees.
b. From horizon 40 degrees.

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

CLOUDS (Circle One) WEATHER (Circle One)

o. Cleor sky ry
b. Hazy ~ b. Fog, mist, or light rain

e. Dry
_
| ¢. Scattered clouds _ c. Moderate or heavy rain
d
e

d. Thick or heavy clouds . Snow

. Don't remember

—_ - a

Poge 7

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

Doy Month Year

——--- ——

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

(Circle One) Yes No

2

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

36.2 Pleose list their names and addresses:

SPN

-—

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, ond under what circumstances did you see other ones?

—

— —

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

Poge 8

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

(Circle One) Yes ‘No

IF you answered YES, then what speed would youestimate? fF AS7~,

40. Do you think you can estimate how far away from you the object was?

(Circle One) Yes | No
eae

IF you answered YES, then how far away would you say it was? Ve {CY Ht

41. Please give the following information about yourself:

NAME. Re ‘Wome rat Name Middle Nome
° |

Seren Ue) Tl ff C

ADDRESS sed BE he

treet City Zone State

TELEPHONE <x . =

Age Sex 7“ /

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

42. Date you completed this questionnaire:
‘Day Month Year

U.S. AIR FORCE TECHNICAL INFORMATION SHEET

This questionnaire has been prepored so that you can give the U.S. Air Force os much
information as possible concerning the unidentified aerial phenomenon that you have observed.
Pleose try to answer as many questions os you possibly con. The information that you give will
be used for research purposes, and will be regarded as confidential material. Your nome 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 contoct you for
further details.

1. When did yousee the object? 2. Time of day: =
3 - Hour Minutes
Bay Shanes Veor (Circle One): A.M. of P.M,
3. Time Zone:
ee eee (Circle One): a. Eastern (Circle One): 0, Daylight Saving
b. Central b. Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when " - the object?
Necrest Postal Address oe City or Town State or Country
Additionel remarks:
. How! object in sight? —_—_—_—_- -——_-_-—--
5 iii ad. “i “7 Hours Minutes Seconds

5.1 How was time in sight determined?

co. Certain c. Not very sure
_b. Fairly certain d. Just o guess

-_—-~-

6. What wes the condition of the sky?

DAY NIGHT
oe. Bright o. Bright
b. Cloudy —_b. Cloudy —_—

7. IF you sew the object during DAYLIGHT, where was the SUN located as you looked ot 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 zr , o

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

Poge 2

—_—

OS LT LT

8. 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):
/ 2» None a. Bright moonlight
~b. A few b. Dull moonlight
c. Many c. No moonlight — pitch dork
d. Don’t remember _d, Don't remember
‘9. The object appeared: e.
(Circle One): a. Aso light b. Shiny c. Dark d. Don't remember
10. If it appeared oF 5 light, wos it brighter than the brightest ‘stors?
11. Did the object: (Circle One for each question)
a. Appear to stand still ot any time? Yes No Don't Know
b. Suddenly speed up and rush away at any time? Yes No Don't Know
c. Break up into ports 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.aond reappear ? Yes No Don’t Know
12. Did the object move behind something at any time, particularly o cloud?

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

——.

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:
14. Did the object appeor: (Circle One): a. Solid b. Tronsporent c. Vapor dd. Don’t Know
15. Did you observe the object through any of the following?

o. Eyeglasses Yes No e. Binoculers 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

16. Tell in o few words the following things cbout the object.
eo. Sound

b. Color _

i —

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 sow such os wings, protrusions, etc., and especially exhoust trails or vapor trails,
Place on orrow beside the drawing to show the direction the object was. moving.

—_——

18 The edges of the object were:

(Circle One): ao. Fuzzy or blurred
b, Like a bright stor
c. Sharply outlined
d. Don’t remember

-

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

Drow o picture of how they were crranged, and put an arrow to show the direction that they were troveling.

Poge 4

20. Drow a picture thot will show the motion that the object or objects made. Place on ‘A’ at the beginning of
the path, o ‘*B”’ at the end of the path, and show any chonges in direction during the course.

— —_-— —— ~_—— —_—_—

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

s”

—— - —

22. We wish to know the ongulor size. Hold a match stick ot arm's length in line with a known object_and note
how much of the object is covered by the head of the motch. If you hod performed this experiment ot the time
of the sighting, how much of the object would hcve been covered by the match head?

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

24. In order thet you con give os 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.

Poge §

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

— —_—_——- + ———— ———— —— ——- — ——— -_

27. What were you doing at the time you sow 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 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
o. 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)
‘g- West
a. North c. East e. South h. Northwest
b. Northeost d. Southeast f. Southwest i. Overhead

31. If you are familior with beoring 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 upword from the horizon (elevation).

31.1 When it first appeared:

a. From true North degrees.

b. From horizon degrees. a

31.2 When it disoppeored:

a. From true North degrees.

b. From horizon degrees.

Poge 7

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

CLOUDS (Circle One) WEATHER (Circle One)

a. Clear sky a Dry - 24 Ze

b. Hazy b. Fog, mist, or light rain

c. Scattered clouds c. Moderate or heavy rain
(d, Thick of heavy clouds d. Snow

e. Don't remember

— —_—— $i

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

Doy Month Yeor

— ———

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

(Circle One) “Yes 7 No
>,
36.1 IF you onswered 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) Yes No

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

— _———
— —_ -_

— —_— —_—-
— —

— ae — — as —

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

— Te

Poge 8

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?

r

oo

49. Do you think you can estimate how for away from you the object was?

(Circle One) Yes No

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

41], Pleose give the following information. about yourself:

ame Saag. es

Last Name First Nome Middle Nome
anaes ema :
ADO R ESS Street | ~ City Zone Sas i
TELEPHONE NUM: Sa

Sex

Y
“)
oO

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

42. Dete you completed this questionnaire:

U.S. AIR FORCE TECHNICAL INFORMATION SHEET

This questionnaire has been prepored so that you can give the U.S. Air Force as much
information as possible concerning the unidentified aerial phenomenon thot you hove observed.
Please try to answer as many questions os you possibly can. The informotion 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 publicotions without your permission.
We request this personal information so thot, if it 1s deemed necessary, we moy contact you for

further details.

ee

A / rake,

a ee eee Se oo ee

1. When did yousee the object? | 2. Time of day:
, ; Hour Minutes
ZS Se al ES
Day C Month Yeor (Circle One): A.M or P.M. /
- Time Zone:
: 1 ar (Circle One): a. Eastern (Circle One): o, Daylight Saving
b. Central fb. Standard
c. Mountain :
d. Pacific
e. Other
ere were you when you saw the object?
Abie fee as S 3 AAs o
Necrest Postal Address City or Town Stote of Country
Additional remarks:
. How | sei
ct: Hew Feng Sees pace hn Howe Hours Minutes Seconds
5.1 How was time in sight determined?
a. Certain c. Not very sure _
b. Fairly certain . Just o guess
6. Whot was the condition of the sky?
DAY NIGHT
a. Bright a. Bright

b. Cloudy Chewy

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