PROJECT BLUE BOOK

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Page 9

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Uv. S. AIR FORCE TECHNIC, INFORMATION Shi

SUMMARY DATA)

In order that your information may be filed and coded as accurately as possible, pisass use
the following spoce to write out a short description of the event that you ot “sa od. You may re-
peor ~formation that you have already given in the quastionnairs, « and adda ny further ue nents,
statements, OF sketches that you beliave ore important. Try to present the details of the observa-

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bon In the order in which they occurred. Additional pages of the same size paper may be attached

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Thy sstionnoira has been proparad so that you can give the U. 5S. Air Force as much

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; ‘formation os oossibla concorning the unidentified aerial phenomenon that you hove observed.

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‘ease ivy lo answer 93 many questions os you possibly can. Tha information tha? you give will

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ne vi sorch purposes, cad will be regarded as confidential material, Your name will nor

9 Utec fh tonrection with any statements, conclusions, or publications without your permission,

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i > Estimate how jong you saw ine oojsct, ——... __.._. aE — aaiieiaenimeaen
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3,1 Circle one of the following to indicate how certain you are of your onswer to Quastion 5,
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/ /\Vartain » Mo? very Sure

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§. Teil in a fow words the following things about the object.
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17. Drow a pleturs thar will show the shape of the object or objects. Lobel and include in your sketch any details |
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ithe object het you saw such os wings, prolmalons, etc., and espacialiy oxhava? trails or vapor trails, Place |
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wn arrow Seelde the drawing to77 row the’ direction - 9 obj sctwag moving,
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(Circle One): a.CPuzay or blurred a. Other _.
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c. Sharply outlined
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. IF there was MORE THAN ONE object, then how mony wore thers? ;
Draw a pleturs of how they were crronged, end pu? on arrow to show the direction thot they wars traveling.

19

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. : fine will af I sHon thal the oblect or oblects made, Place an “A” ad the beginning
rien row al pictures iat will show tha morons: al ines Onlect of Ov} ; 3¢, sac an + : : Ning
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of the pcth, a “B” at the end of the path, end show any chorgas In direction during the course,
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; i= P sLz, try to guess of saiimole whet the real size of the object was In [ts longes? dimension.
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22, How large did the object or cbiects oppecr as comporsd with one of the follow!ng objects heid in the hand

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(Circis One): a. Heed of a pin g. Silver dollor
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b. Peo h. Baseoall
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c. Dime <i, Grovetruit
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d. Nicke? j. Basketball
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e, Quarter k. Other — sass
f. ‘Half doller
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59,1 (Circle One of tha following te indicate how corteln you are of your answer to Question 22.
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Ca. Certain. c. Not very sure
b, Fairly cartoin d, Uncertain
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23, How did the object of objects disoppecr from view? 142+ ££ 8s 4 Le A
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94, in order thot you con give as cleor o picture o8 possible of what you saw, we would like for you to Imagine that you could
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sonstruet the object thet you sow. Of whe? type motarial would you moke it? How lorge would it be, ard whot shope
i would 1) have? Descrive In your own words a Lammen object or objects which when ploced up in the aky would give the
: Same Oopecroncs os the object which you a0w,
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| 34 hat were the weather conditions at the time you saw the object?
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OUDS (Circle One) 34,2 WIND (Circia One) |
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a dy, Slight oreaza-

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| c. Scattered clouds c. Sirong wind

) Thiek or heavy clouds d, Don't ramember
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' , : mist, or fi St rain 0D. Cool
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- ‘arf *? or heaves rain Se rorm :
| 1, Hot |
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i 74 Vien did r ort to some official tha? you had seen the object?
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24. ¥ ls it! u at the time you saw the object?
26. Was anyone else witn you at the time 5
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| 97. Was this the first time that you had seen an object o objects like this?
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| 38. In your opinion whet co you think the object was ond what mignl nave ‘
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