PROJECT BLUE BOOK

PROJECT 10073 RECORD CARD

DATE 2. LOCATION 12. CONCLUSIONS
. , . rae QO Was Balloon
29 Nov 61 Englewood, ©nio OD Probebly Balloon
3. DATE-TIME GROUP 4. TYPE OF OBSERVATION OB. FossiRy Patieen
9215 ey R 0D Was Aircraft
Locel —____ 8-Ground- Vi sual 0 Greund-Reder O Probobly Aircroft
GMT 300% 15 D Air Vi sol © Air-Intercept Rodar = Possibly Airerefy CA ETAT LS
5. PHOTOS 6. SOURCE O Was Astronomicol FE 4-7 C$
0 Yes “| Probebly Astronomico
XONe Civa.ian a) Possibly Astronomical
7. LENGTH OF OBSERVATION 8. NUMBER OF OBJECTS | 9 COURSE D Other
D oe Dato for Eveluotion
- ‘ Oo nown
30 min 1
10. BRIEF beige OF SIGHTINGROUNd Obj’ about | ike ll. COMMENTSrrobabiy moon and brignt star
star, ily brighter; yellow-crange as glow =r. Regulus (Le 2) magnitude Lede Moon is on
rire, Aisapp eared to q, Viewed in ust and + just below horizon and is probably
Sertember. istorted by atmospheric wefraction,
iding to confusion of witness in near
occultation of star Regulus. Eariier
ightings by witness were probaoly due
|to eigher ecl ipse of moon on 26 ug or
| occultation of Aldebaran on 1 Sez 61.

ATIC FORM 329 (REV 26 SEP 52)

NEVER USE FOR APPROVALS, DISAPPROVALS.
MEMO ROUTING SLIP COMCURMENCES, OR SIMILAR ACTIONS

1 NAME OR TITLE INITIALS CIRCULATE

ORGANIZATION ANDO LOCATION | COORDINATION

INFORMATION

NECESSARY
ACTION

| NOTE AND
RETURN

’

_ Sf& ME

———-- 4 ———- —__ __ —__ —

S\GNATURE

REMARKS {A
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-19° 36° 34.79" (Occ)

FROM NAME OR TITLE

ORGANIZATION AND LOCATION TELEPHONE

: FORM Replaces DA AGO Form 8
D D 1 FEB 50 9 5 Form 12, 10 Nov 47, which

Aprd48,andAFHQ  ¢23—-14—740487-2
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28
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U.S. AIR FORCE TECHNICAL INFORMATION SHEET

This questionnaire has been prepared so thot you con give the U.S. Air Force as much
information as possible concerning the unidentified cerial phenomenon that you have observed.
Please try to answer as many questions os you possibly can. The information that you give will
be used for research purposes, and will be regarded os confidential materiol. 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 Is deemed necessory, we may contact you for
further details.

: 7 ¥ 1s
1. When did yousee the object? 2. Time of day: —— A Sows
‘Hour Minutes
27d kJ 6) 17 @ / —
Doy Month Year (Circle One): A.M.. or (P.M.
. Time Zone: >
Pili ai (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?

eorest Postal Address City or Town State or Country

Additional remarks:

es a
~*~ -

5. How long was object in sight? ian aoe

Hours Minutes - Seconds

5.1 How was time in sight determined?

a. Certain c. Not very sure
b. Fairly certain d. Just o guess 1 ee

6. Whot wos the condition of the:sky?

DAY NIGHT
a. Bright a.) Bright
is Cloudy 5 B Cloudy

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

(Circle One): o. 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 FED 60 164 This form supersedes ATIC 164, 13 Oct 54.

—- —

Page 2

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):
oa. None a. Bright moonlight
b. A few b. Dull moonlight
c€., Many c. No moonlight — pitch dark
d. Don't remember @) Don't remember
9, The object appeared:

(Circle One): (a) As a light b. Shiny c. Dark d. Don't remember

10. If it oppeared as o light, was it brighter than the brightest stars?
SR ey. sce ays ! wf ban pat Yaw
COL GCe eae eee ¢ a a ow ce BY 4 y
11. Did the object: (Circle One for each question)
a. Appear to stand still at 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 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
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:
13. Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes No) Don't Know. IF you answered YES, then tell what
in front of:
14. Did the object appear: (Circle One): a. Solid b. Transparent cc. Vapor (d> Don’t Know
15. Did you observe the object through any of the following?
poke as
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

Poge 3

16. Tell in o few words the following things about the object.
a. Sound __ Vee

7
-~

b. Color _ Si lews +; >

vr j - P
—— — ae -

—_

—

17. Draw a picture thot will show the shape of the object or objects. Label.and include in your sketch any detoils

of the object that you sow such as wings, protrusions, etc., and especially exhoust trails or vopor troils.
Place on orrow beside the drawing to show the direction the object was moving.

————— —_—-—-- —---—- —_--—

18. The edges of the object were:

(Circle One): o. Fuzzy or blurred
b. Like a bright star
c. Sharply outlined
( dv Don’t remember

—

——- eS OO —_ _- ———_———-

19, IF there wos MORE THAN ONE object, then how mony were there?___
Draw a picture of how they.were arranged, and put on orrow to show the direction that they were traveling.

— ——— -——- ——____—_

Poge 4

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

—_—_—_——_ —_——

21. How large ~ object appear to you as compared to an object with which you are familiar?
ae Tescrrrb&e@

ee = =

———$

22. We wish to know the ongulor size. - Hold o match stick at arm's length in line with o 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 disappear while you were watching it? If so, how?

24. In order thet you con give as clear a picture os 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 sow.

= — —_— — — -_—
)
/

q 9 Ss, : of

iad
/ —

Page 5

25. Where were you locoted when you saw the object? 26. Were you (Circle One)
(Circle One):

0. In the business section of a city?
. Inside o building b. In the residential section of o city?
. Ino cor c.. In open countryside?
. Outdoors d. Near an airfield?
. In an airplane (type) e. Flying over a city?
. At seo f. Flying over open country?
g. Other

a — _ — _ —_ --—

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

2 : ‘ j f j J
Line-l ¢ 2 54 * bLP%*as ya hu T va ao ae a | oO ‘ ‘ ne fe

-—- -— = a

28. IF you were MOVING IN AN AUTOMOBILE or other vehicle ot 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 d. Southeast f. Southwest h. Northwest
28.2 How fast were you moving? miles per hour.

ae

28.3 Did you stop ct eny time while you were looking at the object?

(Circle One) Yes No
Senin m ‘ Sahlbesitiien
29. What direction were you looking when you first saw the object? (Circle One)
g. West
o. North (e. 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)
| ee, om g. West
a. North (e.) East *ower ' “e. South h. Northwest
b. Northeest d. Southeost f. Southwest __i. Overhead
| 31. If you ore 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.
b. From horizon degrees.

31.2 When it disappeored:

a. From true North degrees.

b. From horizon degrees.

— +

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

CLOUDS (Circle One) WEATHER (Circle One)
a, Clear sky (a. Dry

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

e. Don't remember

Poge 7

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

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

A inlaid

-_— —- ——_—

37. Was this the first time thot 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?

j f yf - ‘a ff f
a a Py aa ae oa

“

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

“< tf ”

—— - — —_ — _— —_

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?

Page 8

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

(Circle One) Yes No)

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

41, Please give the following information about yourself:

—_

“Lest Name rat Name

aooness <SiiiliiaagsiRrtnee ~ eal WEEE

TELEPHONE NuMBER__- a

Age 3 << Sex

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

‘ : yp oO) ;
42. Date you completed this questionnaire: <7 L499 >
Dey Month Yeor
J j/
5 7 rCv ? f Pitt r 2
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