PROJECT BLUE BOOK

PROJECT 10073 RECORD CARD

2. LOCATION 12. CONCLUSIONS
mie ‘3 0 Wes Belloon
29 Jan 62 Ganado, ..rizona BD Frobety Beicon
3. DATE-TIME GROUP & TYPE OF OBSERVATION © Popeley Saleen
2100-24909 7 O Wes Aircraft
Local __< a ae a tye tite od 0 Ground-Reder Q Probobly Aircraft
GMT -B0/ JH) = - 0 AirVisuol — 0 Air-Intercept Rader DO Possibly Aircroft
5. PHOTOS &. SOURCE D Was Astronomical
O Yes DO Probobly Astronomical
Q No *$urd 1 tar 0 Possibly Astronomical
| 7. LENGTH OF OBSERVATION 8. NUMBER OF OBJECTS | 9. COURSE GO Other Poscibl s pieae
0 Insufficient Date for Evaluction
0 Unknown
10, BRIEF SUMMARY OF SIGHTING y 11. COMMENTS L eer
jean at ie ee ; jt ae i robrit ne lignt sour
i : p04) 0 oo g ho 1w~Stort,? Pav 1 2Feo. LUPAT re
mies : gre WNYOUE ignt in i = 2f witne he
° Ys hee § t ad stil, ree seen i em oftner oceasseion id:
: ’ J ass, fi 1 3n eO Ssiivt Eni Ne lusion.

ATIC FORM 329 (REV 26 SEP 52)

-_-_=—-—

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 ore 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.

Bi (Do Not Write in This Space)
(Please Print CODE:
scx emo

DATE <-

my Uwmds s SQ ow a Mies eid ed
(Ase -148025¢) — aca cat eae wf beeen, Qt —
DVasar- Ahre Sreeae of. On PBX onary,

ee et ee ON (60") SR. Sette “th

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 details.

1. When did you see the object? 2. Time of day: ow PSe'e, eee
4 \" , oh Hour Minutes
ad me x eg,
a= yaaa ee (Circle One): A.M. or (Pi?
L
3. Time Zone:
gs i (Circle One): : zee (Circle One): o. paxlight Saving
. Centra b. Standard,
S. Mountain) gsc
. Pacific

e. Other

4. Where were you when you saw the ob ect? oS |

ra

State.or Country

City or Town

Additional remarks?

——

5. How long was object in sight?

Hours Minutes Seconds
5.1 How was time in sight determined? } j laut i an bet} r
Ti f iT ety etey
a. Certain c. Not very sure “i '
b. Fairly certain d. Just a guess CLE dey Yow dicd
6. What was the condition of the sky?
DAY NIGHT

a. Bright (a. Bright)
b. Cloudy b. Cloudy

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
c. To your right f. Don't remember
FORM

FTD JUL 61 164 Thisform supersedes ATIC 164, Feb 60, which is obsolete,

Page 2

_—_——_—

——

8. IF you sew the object at NIGHT, what did you notice concerning ihe STARS and MOON?

8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None «| Bright mod light:
ee SS “ee.
b. A few b. OulT moontight ae
ce Many” fc. No moonlight -— pitch dark’
d. Don’t remember d. Don't remember ria

—

9. The object appeared:

-
(Circle One): on o light b. Shiny c. Dark d. Don’t remember

———~ ——- — — -

10. If it appeared as a light, was it brighter than the brightest stors?

Cf iw
11. Did the object: (Circle One for each question)
i,
o. Appecr to stand still at any time? Yos: No Don't Know
b. Suddenly speed up and rush away at any time? Yes. No Don’t Know
¢. Break up into ports or explode? Yes No’ Don’t Know
d. Give off smoke? Yus (No Den’? Know
e. Chorge brightness? (Yas No Don’? Know
f, Charge chore? as (No! Don's Know
g: Flosh or flicker? Yes" Is Don't Know
h, Olsennear and reerpsar ? (Vea No Don't Know
12. Did the objact mova behind somathing et any time, particularly a o! aud?
= — eee tii
(Cirele One): Yes No \ Don't Knew. IF you erawered YES, then tal} whet

lt moved behind:

13. Did the object move in front of something ot any tims, particularly a cloud?

LO ne,

(Cirele Ons); Yes No  < Don't Know. - 'F you onewered YES, then reli what
in front of: —_———

———

14, Did the object appecr: {Circle One): (3 Solid bh, Transparent e, Vapor d. Don’? Know

- eae --

~
15. Did you observe the object through any of the following?
foe .
a. Eyeglasses C Yee No ». Binoculars Yes Ne
b. Sun glasses Yes No \ i. Telescape ( Yes No
c. Windsli-'d Yor No ' Tosa lira Yes Na

d. Winds =‘ to No ' + Onhes

On . —- + ee ee ews ‘ — ee er eet te eee | + ee Re oe ee ee

——- |

Page 3

16. Tell in a few words the foliowing things about the object.
a. Sound |

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 vopor trails.
Place on arrow beside the drawing to show the direction the object was. moving.

2 SS =. —
\.

\£y “IX
ae |

t

18, The edges of the object were:

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

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

SS—SQ431(VHVe,—esssSssSsSseseseeeoeeseseeeesseo—————

Draw « picture of how they were arranged, and put on 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, a ‘*B"’ at the end of the path, and show any changes in direction during the course.

How large did the object appear to you as compared to an object with which you are familiar?
: é AF a LU

We wish to know the angulor 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? =”

¢
‘ r

Did the object disappecr while you were watching It? If so, how?

fis

In order that you can give as clear.a picture os 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 sow.

Retr viele el ef TI ;

;
w Ose. 1 LC ,

Page 5

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

a. In the business section of.a city?
b. In the residential section of a city?
b. Ina car €,_In open countryside?

a. Inside a building

Ce, Outdoors” d. Near an airfield? —
d. In an airplane (type) e. Flying over a city?
e. At seo f. Flying over open country?
f. Other g- Other min se

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

nae Avie ae

eae at |

— —

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 ce. East e. South qg. 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 locking ot the object?

(Cirele One) Yes No
29. What direction were you looking when you first saw the object? (Circle One)
g. West
o. North ct Bast) e. South h. Northwest
b. Northeast d. Scapheost f. Southwest i. Overhead
30. What direction were you looking when you last saw the object? (Circle One)
_——~ g. West
o. North (e. East ) e. South h. Northwest
b. Northeost d. Southeast f. Southwest _ i, Overhead

31. If you are familior with bearing 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 upward from the horizon (elevation).

31.1 When it first appeared:

e, From true North degrees. l bey Byte
b. From horizon degrees. |

31.2 When it disappeared: ele I
a. From true So hy: a degrees.

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 sow it.

Fs 1 Me , |

————~+~-

—— ~+~

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 Jest saw it. Refer to smclier sketch as an example of how to complete the larger sketch.

Page 7

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

CLOUDS (Circle One) WEATHER (Circle One)

—_ os

a. Cleor sky ' 6. Dry
b. Hazy b. 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? ,

© otF 3 eee \ wf» i, | a (: 2a yvUU, C : kK. 4“, rEtL
_o : — Se
Dey Month Year CA, Ci 7) pvt.

36. Was anyone else with you at the time you saw the object?
cae
(Circle One) Nes 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 had seen an object or objects like this?

(Circle One) Yes No
peed

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? Z tg bb t fu

oA og oti at | Sa Ay pe of LG r - - af § ay P
fo ? 2% . Me ric ,

Gay CLs Li.

Page 8

39. Do you think you can estimate the speed of the object?
aa ke | oe t
(Circle One) (es) No Dunas a, “thé Ap ced of. A
IF you answered YES, then what speed would you estimate? (. I tl. Bf pact a at '
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 it was? fo (oo . LU
41. Please give the following information .about yourself:
nos st Name rat Name
ADDRESS a Pale ca Pema 502°
. ap ane Street . ity Zone State
TELEPHONE NUMBERS
Age_{ Sex 2 cpl

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

’ OF
Nig (t mY y j t l ;
‘ oy =

{ ’ f. f E.
a A i . ‘
42. Date you completed this questionnaire: ! ; thie poeh | oz. 4
‘Dey Mont Yeor
ae

Pege 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 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.

(Do Not Write in This Space)
CODE:

@.R. Hark Ma ov, USAF

re Pololic trite. Drv.
OBR of iva fox sect 10%

<i USA F
Washiwwalen as, D.C.

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 details. |

]. When did you see the object? 2. Time of day; _/2°*° - 12.00
Hour Minutes
2-8
4s nth Year (Circle One): A.M. or P.M
— L
x F Ti Z H
ws aie (Circle One): o. Eastern (Circle One): a, Daylight Saving
b. Central CB. Stan: oe
; ntai
. Pacific
e. Other

—_———

4. Where were you when you saw the object?

Fi\dlis Seabkes\ Can uaicles Anz Zong

Nearest Postal Address City or Town sane or Country

Additional remarks:

7 3
5. How long was object in sight? U =, ie
Hours Minutes Seconds
5.1 How was time in sight determined?
a. Certain c. Not very sure

cb. Fairly certain > d, Just o guess

6. Whot was the condition of the sky?

DAY NIGHT
a. Bright <a, Bright
b. Cloudy b. Cloudy

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
c. To your right f. Don't remember

FORM
“FH JUL 61 164 Thisform supersedes ATIC 164, Feb 60, which ta obsolete,

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 details.

1. When did you see the object? 2. Time of day: sé! 50
Hour Minutes
“
5 / ¢ 2 be
foo
Bey <=——>_—Menth Veise (Circle One): A.M. of ( P.M.)
Ek iss, Sebi | C=
3. Time Zone:
ial (Circle One): a. Eastern (Circle One): a. Daylight Saving
b. tral <b. Standard:
¢. Mountain-:
. Pacific
e. Other
4. Where were you when you saw the object?
fe. bh. ‘ Se hee / CMA Be Y fA v2. 2 .€ 2S
Neorest Postal Address City or Town State or Country
Additional remarks:
How | object in si ead ‘
- bas i i ind Hours Minutes Seconds
5.1 How was time in sight determined?
papas — wad c. Not very sure
bh. “Fairly certain * d. Justaguess
6. What was the condition of the sky?
DAY NIGHT
a. Bright ce Bright »
b. Cloudy oudy 7

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
c. To your right f. Don't remember
FORM

FTD JUL 61 164 Thisform supersedes ATIC 164, Feb 60, which ta obsolete.

-

Page 2

——~ eo

8. IF you saw the object at NIGHT, what did you notics concerning ih

8.1 STARS (Circle One):

= -_ _

e STARS and MOON?

8.2 MOON (Circle One):

ea. None a, Bright moonlight

b. A few ‘es Dull moonlight
Cc. Many “te. No moonlight — pitch dark
“d. Don't remember d. Don’t remember

9. The object appeared:

(Circle One): (2 As a light b. Shiny c. Dark

d. Don’t remember

-_—

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

dy sites

—-

11. Did the object:

a.
i,
¢c.
d.
S.
f,
iy
he

12. Did the object mova behind something at any tima, perticularly a slaud?

(Circle One for each question)

Appeor to stand stiil ct any time? C Yes No Don't Know
Suddenly speed up and rush away at any time? Yos CNo> Don’) Know
Break up into perts or explode? Yus CNo Don’t Know
Give cff smoke? Yas No Don't Know |
Change bright-ess? CY as No Don't Know
Change shepe? You No Don’? Krow i
Flash of flicker? ra Yes Mo Don't Know ;
Disappear and reegpear 2 Yus “No Don’t Know ;
i a caer diaieci asia dace Sine Ropeccens ——

(Cirele One): Yos No Dor’? Knew,

lt moved behind:

13, Did the ebject move in front of something a? any time, perticuicriy u cloud?

iF you enswered YES, than tall whet

- - ~- -——

—— and

—_ -

(Cirele One): Yes (Ne * Don't Know,
in front of:

14, Did the object appeor; {Circle One): a. Solid &, Transparent c, Vapor
15. Did you observe the object through any of the following?

a. Eyeglasses (Yes No *, Bineculars Yes

b. Sun glacses Yes Noe i. Telescope Yos

c. Windsl;i-'d Yeux ho s. thes Yes

: "
: sits “i?
1 : : )
ry _ °
’ + ° . ~~ = . -_—-—- . —
ee ee De ae Oe a+ —_— - = re. eee we _- t* - Te |

~ - ~——— = —

iF you anewered YES, then tell what

—_- —_ a

-———-

— - ee e+

or . -

Wind. {2 No - \ Whe,

Page 3

16. Tell in o few words the foliowing things about the object,
6; Spond ee

b. Color hit gs

— ——

17. Drow 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 arrow beside the drawing to show the direction the object was.moving.

Ce tk 4 sdork Sor: ff wet hey BF
eee fe 7 1s Z J

-

18. The edges of the object were:

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

19, IF there wos MORE THAN ONE object, then how many were there? aca ea
Draw a 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, a ‘*B’’ at the end of the path, and show any changes in direction during the course.

22. We wish to know the ongulor size. Hold a 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 disappecr while you were watching It? If so, how?
i, wale GOO? 1 oy a

7 at

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 sew.

25. Where were you locoted when you sow the object?

(Circle One):

a. Inside a building
b. Ino car
Outdoors
d. In an airplane (type)
e. At sec

f, Other

Page 5

26. Were you (Circle One)

a, In the business section of.c city?
| b. In the residential section of a city?
( c= In open countryside?

d. Near an airfield?

e. Flying over a city?

f. Flying over open country?

g- Other

R.

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

cOh had Been

bf Yn gt . bitin.

4 n af -
Prien ay weer Calle gl Le

CO -; ‘ for Py a .

Pe a le Le De Pen
i

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
b. Northeost

c. East

d. Southeast

e. South
f. Southwest

g. West
h. Northwest

28.2 How fast were you moving?

miles per hour.

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

(Circle One) Yes

—— ee

a. North c. East
“b. Northeast d. Southeast

29. What direction were you looking when you. first saw the object? (Circle One)

a. North ec. East
an Northeast d. Southeast

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

No
g- West
e. South h. Northwest
f. Southwest i. Overhead
g. West
e. South h. Northwest
f. Southwest i. Overhead a

31.

31.1 When it first appeared:

a, From true North ies
b. From horizon / >

31.2 When it disappeored:

a. From true North
b. From horizon

If you are familiar with bearing 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).

—

—_——

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 last 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 /ast sew it. Refer to smaller sketch os an example of how to complete the larger sketch.

“ste oe - we
US aw?

rhs te
{a

SS OE

Page 7

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

CLOUDS (Circle One) WEATHER (Circle One)

a. Cleor sky Ca. 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?

Day Month Year SE tt.4-

—— - —— — a ——— —————

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

_ (um,

(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 ne d addresses:
(fe - ire, :

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?

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

Page 8

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

(Circle One) Yes / No ,
Ce

IF you answered YES, then what speed would you estimate? ___

( Circle One) Yes

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

41, Please give the following information. about yourself:

__ wennetaing

ADDRESS Street : . C ity Zone

TELEPHONE cc —

al

oe | Sex fi}

Indicate any additional information about yourself, including any education, which might be pertinent.
are ee ses: 064 4

‘

42. Date you completed this questionnaire:

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 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 are needed.

(Do Not Write in This Space)

(Please Print) CODE:

SIGNATU

-~
DATE o — (2-62

Page 2

8. IF you sow the object ot NIGHT, what did you notice concerning the STARS and MOON?

8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None Ca. Bright moonfight>
b. A few b. Dull moonlight
c. No moonlight — pitch dark
d. Don’t remember d. Don’t remember

—— —

9. The object appeared:

(Circle One): b. Shiny c. Dark d. Den’t remember

11. Did the object:

a. Appecr to stand still ct any time? No Don't Know
b. Suddenly speed up and rush away at any time? Yous No Don't Know
c. Break up into ports of explode? Yous Don’t Know
d. Give off smoke? ‘fos CNo» Don’t Know
e. Change drightress? " YosJ Neo Don’t Know
§, Change shepe? You Joa’? Xnoe
g» Flash or Hicker? Cres) No Son't Know

h, Olsoppear and vecrpeor 2 No Don't Know

———— ~ _ Ae

12, Did the object mova aehind somathing ot any time, carticularly a sloud?

(Cirele One): Yos No Don't Knew) iF you erawered YES, then tall whet

It moved bahiad:

ma ee

—_——
tam ame —— -—— +o 08 oe —_ - or

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

(Cire/s Ona): Yea No ‘F you anawered YES, then teli what

in front of: __ a Pe ae oe ese

—
— - —_

~—--——-

Solid b, Transperant c. Vapor

— - _

d. Don’t Know

{Circle One):

Did the object appear:

Did you observe the object through any of the following?

a. Eyeglasses C2) No ®. Binoculars (es Neo
b. Sun alarses fee Nip t. Telescope CYss) No

se 4 -*

Cc. Winds! wid aes mo +e Siew iit. Yes Na

Ad. Wirds. sia eke Nis hy (Whag : : es See =o SS
in ebvenchaimicaneatehateiaetecdel ON Be i’ oeohaie “ ~ ee - 400 te cereus ous « em a aaa ty a

-_—

Page 3

. Tell in a few words the foliowing things about the object.

s io a

b. Color —_(2eY ke arom octet ron

Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details
of the object thot 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 object were:

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

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

Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling.

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.

Wold [om A+, 8B te @ Locatm

21. How arse did the object appear to you as compared to an object with which you are familiar?
D/of & .

22. We wish to know the ongulor 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 hod performed this experiment.at the time
of the sighting, how much of the object would have been covered by the match head? Q_O2 4 :

23. Did the object disappecr while you were watching It? If so, how?
CA pred ta Sharon, dod ow
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24. In order thet you con 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 de oppesrance as the object
which you saw. mone sake

ae ae

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

a. Inside o building

b. Inocor _

& Outdoors }

d. In an airplane (type)
e. At sea

Page 5

26. Were you (Circle One)

G. In the business section of.a city?
b. In the residentie’ section of a city?

d. presi an Catan
e. Flying over a city?
f. Flying over open country?

f. Other q: Other

—-— —- OT

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

. of clint, Un |

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 cE L®) 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 ct 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 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) .
aide g. West
a. North c. East e. South h. Northwest
b. Northeost . Southeost f. Southwest i, Overhead

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 wos upward from the horizon (elevation).

a

31.1 When it first appeared:

a, From true Wt a

b. From horizon 75 _ degrees.
31.2 When it disappeared:

a. From true North ie Caer 75 degrees.

b. From horizon _ 20 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 last saw it.

ed a EV.
TENE
Aye ite pies i

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 Jost sow it. Refer to smaller sketch as an example of how to complete the larger sketch.

a
- Oe . - - - _— a
ee ee ee ———$———————_—__—_ ° . ~~ - —

Page 7

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

CLOUDS (Circle One) WEATHER (Circle One)

b. Hazy - 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 seen the object? }

Yow .

Dey Month Year

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?
(Circle One) ( Yes) No

36.2 Please list their ne

yu. gil sl sai geet ay C teacher |

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is or nn | ty Cte Bard, TA Goda , anmadiinn ovSKone x4)

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

(Circle One) Exp ( No )

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

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

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eed ae HG part yPaes -

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Page 8

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

(Circle One) Yes ( Ne")

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 Ne»)

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

41, Please give the following information.about yourself:
Ibe S A
igs —Ia— Arisens

TELEPHONE NuMBER_w |

Age ad Sex V

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

| ee 4
Dt Lewd oticat AAR? - Aopvodo PuttLe Seo

42. Dote you completed this questionnaire: 12 VVAaA
‘Day Mont