PROJECT BLUE BOOK

a
PROJECT 10073 RECORD CARD
1. DATE 2. LOCATION 12. CONCLUSIONS
‘: CO Wes Balioon
L Mar 6 BE Orange NJ.  Prabobly Balloon
3. DATE-TIME GROUP 4. TYPE OF OBSERVATION 7 Faempy Carpe
= : 0 Was Airerotr
tocol —- DO Ground- Vi sual O Grouwnd-Rodor Probably Aircraft
__GMT. (ae = ao: 0 Air Vi sol D Air-intercept Rodor CG Possibly Aircraft
| 5. PHOTOS 6. SOURCE GO Was Astronomical
2 Yes O Probobly Astronomical
oN ~% — 0 Possibly Astronomical
— eee en See
7. LENGTH OF OBSERVATION | 3. NUMBER OF OBJECTS | 9 COURSE O Other = _—
' QO Insufficient Dota for Evaluation

| O Unknown

10. BRIEF SUMMARY OF SIGHTING 10 yr O14 heard noise LdtkeGOMMENTSD rotion of observation ang
up. Objt appeared as light. ved in straight Plight chaz risti indicat
| 2th tm NE ° i, Faded fm nt in 3 min. possidliec Ay signting.
100ke round some more and 4 3 other lignts.

rignt nigh’ with full moon,

|

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ATIC FORM 329 (REV 26 SEP 52)

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

CLOUDS (Circle One) WEATHER (Circle One)
oe. Cleor sky G._ Dep
b. Hozy b. Fog, mist, or light rain
ec” Scattered ciouds > ¢. 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?

[¥ SA YS [9¢Z ‘lo The. Awe Sir Ete

Day Month Yoor

26, Was anyone olse with you at the time you saw the object?

(Circle One) CYo3> No
>

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

(Circle One) No

36.2 Pieose list their names and cccresses:

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

(Circle One) (fos) No

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

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

) OW IT kw ow

Pege 8

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

(Circle One) Yes (No) J

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

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

—

i (Circle One) Yes (Ne)

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

41, Please give the following information about yourself:

NAME

ADDRESS

TELEPHONE i a |

7 ’
Age v Sex M
'
Indicate any additional information chout yourself, including any education, which might be pertinent.
— ay D a i loted +h i al °° f.2 & M 3 Ly “7
42. VDate you comoieted this questionrccire: ; Lid rob a oe
Day Month Year
i

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(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 thot you believe cre 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 atteched
if they cre needed.

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NAME Aa (Do Not Write in This Space)
(Pleaye Print)

CODE:

SIGNATURE

DATE

U.S. AIR FORCE TECHNICAL INFORMATION SHEET

U.S. AIR FORCE TECHNICAL INFORMATION SHEET

This questionnaire has been prepared so that you can give the U.S. Air Force as much |

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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 reseerch 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.

*S Se ee ee Se a Se i ee a a a Se ae ees cs as es /

]. When did you see the object? 2. Time of day: ~~ 5G 35 ...

Hour Minutes
(7 Maveh \4@Z

eat ae ee — t (Circle One): A.M. or |

3. Time Zone: aylicht 5 >)
— (Circle One): (Circle One): 0 oC Da xavin
b. Centra b

andard

c. Mountain

d. Pacific

e. Other
4. Where wer, hen you sow the object?

East Ora: =. Newde eyvsey
) dress City or Town State or Country or
Additional remarks: . —

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5. How long wes object in sight? 2 -

Hours Minutes Seconds

5.1 How was time in sight determined?

co. Certain a“ c. Not very sure
b. Fairly certain ~ d. Just a guess

6. What was the condition of the sky?

; DAY NIGHT

‘ a. Bright Girish Fath —
b. Cloudy Cloudy

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

(Circle One): a. In front of you d. To your left
y b. ta back of you e. Overhead

Cc. To your_righd f. Don't remember

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FOPM
| FTD sui 61 164 This form supersedes ATIC 164, Feb 60, which le obsolete.

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16. Tell in a few words the foliowing things cbout the object.

4 .
a. Sound Coc de ete 52 Oak bins dO) a coh > :
. : {\ :
rt POPPE -
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' , 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 thet you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails,
Place on crrow beside the drawing to show the diraction the object was. moving.

ion cece

18. The edges of the object wars:

(Cireie One): a, Fuzzy or Siurred e. Other
b, Like a bright star Ss —_s
c. Sharply outlined

(&. Don’t ramember >

—S - ———————-—--—SOC—s F [----  - -C—Ctia r or er —_—— se oo

Drow o picturs of how they were crranged, and put an crrow to show the direction that they were traveling.

| Tha. Feet ch te mane mpptaned Trae then asm

oat Gintama Taare.

_ ee

Poge 4

20. Draw a picture thot will show the motion that the object or objects made. Ploce 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.

AS At

, 6

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22. We wish to know the engulor 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 match. If you had performed this oxperiment.ct the time
of the sighting, how much of the object would have been covered by the match head?

O

23, Did the obiset disappear. while you were watching It? If a0, how?

oo J edlad

24. In order thet you can give as cleer a picture as possible of what you sow, describe in your own words o
common object or objects which, when placed up in the sky, would give the same appearance as the object
which you sew.

2 We hb bee uritont the aeclek
¢

Poge 5

25. Where were you located when you saw the object? 25. Were you (Circle One)
(Circle One):
a, In the businass section of a city?
a. Inside a building btn the residential section of a city?
b. Ina cor c. In open countryside? anew

ce Outdoors> d. Neor on airfield?

d. In an cirplone (type) e, Flying over a city?
e. At sea f. Flying over open country?
f, Other earings | g- Other

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

Tt made anaise aud we looked up.

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28. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following auestions:

28.1 Whet direction were you moving? (Circle One)

ce. 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

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29. What direction were you looking when you first saw the object? (Circle One)
. g. West
o. North c. Eost ©. South h. Northwest

d; Soupheest $. Southweat i. Overhead

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30. Whet direction were you looking when you last saw the object? (Circle One)
g. West
co. North c. East e. South h, Northwest

b. Northecs? d. Southeast 7 *. Southwesb i, Overhead

31. If you ore *smilicr with bearing terms (anguler direction), try to estimate the number of degrees the object was
from true hsorth (thru east) and also the number of degrees it was upward from the horizon (elevetion).

31.1 When it first appearad:

| a, From true North dagrass.
b. From horizon degrees.
31.2 When I? disappeored:
j a. From true North dogrees.

b. From horizon _._.._dograes,

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

=

oo

33. In the following larger sketch ploce on “A” at the position the object was when you first sow it, and a "B" ot its

position when you last saw it. Refer to smaller sketch as an exampls of how to complete the larger sketch.

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