PROJECT BLUE BOOK

Probably Bailoon
3. DATE-TIME GROUP TYPE OF OBSERVATION Possibly Bolloon
Local_ 0145, 2332,0055 Ground-Visual Ground-Rodor Was Aircraft
000 Probably Aircraft
CMT. 0545, 0332, 0555 AirVisual Air-Intercept Radar Possibly Aircraft
5. PHOTOS 6. SOURCE Was Astronomical
Yes 000 Probably Astronomical
I No Civilian Possibly Astronomical
7. LENGTH CP OBSERVATION 0. NUMBER OF OBJECTS COURSE 6
D D Insulficiant Data for Evaluation
Varied fm 5 to 20 min Unknown
1
10. BRIEF SUMMARY OF SIGHTING White-yellOwish light I1. comments It was daterinined thnt an
was observed moving beck and forth for approx advertising campaign was undervay in
20 min. Cbjt appeared to fade as it resched Dayton and that a Search light was being
limits of its path. Cbjt would disappear used to attract attention. Sport fm this
just before reversing its direction. Appeared (by witnesses.
brighter than a star and quite a bit larger.
ATIC FORM 329 (REV 25 3EP 32) ATIC FORM 329 (REV 25 SEP 52)
.
.
I

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 is deemed necessary, we may contact you for
further details.
1. When did you see the object? 2. Time of day:
Hour Minutes
Day Month Year (Circle One): A.M. Or P.M.
3. Time Zone: (Circle One): a.
Eastern (Circle One): o. Daylight Saving
b. Central b. Standard
c. Mountain
d. d. Pocific Pocific
e. Other e. Other
4.Where were you when you saw the object? 4. Where were you when you saw the object?
0)
adress ddress City or Town State or Country Stato or Country
Additional remarks: Additional remarks:
How long was object in sight? object in sight?
Hours Minutes Soconds Seconds
OR5ET LAS OOSET EAS STILL STILL REING ORSEIUCD ORSEIUCD DARWG, DARWG PHONC PHOOC COAOLRSATIOA COAULRSATIOA
5.1 How was time in sight determined?
a. Conci c. Not very sure
. Fairly certain) d. Just a guess
6.What wes the condifton of the sky?
DAY NIGHT
a. Bright a. Bright
b. Cloudy b. Cloudy
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 i. Don't ramember
FORM
FTD JUL 61 164 Thisform sup-rnedea ATiC 164, Feb 60, whlch is obaolete.

8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
6. A few b. Dull moonlight
Many c. No moonlight.- pitch dark BUTIT
d. Don't remember d. Don't remember
9.The abject appeared:
(Cirele One): .As a light b. Shiny e. Dark d. Don't remember
10.If. it ppeared as a light, was it brighter than the brightest stars?
11. Did the object: (Circle One for each quastion)
o. Appear to stand stiil at any time? Yes No Don't Know
6. b. Suddenly speed up and rush away at any time? Suddenly speed up and rush away at any time? Yes No No Don't Know Don't Know
c. Break up into parts or explode? Yes Yes No No Don't Know Don't Know
d. Give off smnoke? Give off srnoke? Yes No Don't Know Don't Know
e. Change brightness? Yes No Don't Know
f. i. Change shape? Change shape? Yes No Don't Know
g. Flash or flicker? Yes No Don't Know
h. Disappear and reappear ? h. Disappear and reappear? Yes No Don'v Know
1.Did the object move something at any time, particularly a cloud?
(Circle One): (Circle One): Yes Yes No Don't Know. IF you answered YES, then tell what
it moved behind: it moved behind:
.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 whar
in front oft
14. Did the object appear: (Circle One): a. Solid b. Transparent c. Vapor d. Don't Know
15. Did you observe the object through any of the following?
a. Eyeglasses No . e. Binoculars Yes
b. Sun glasses Yes No f. Telescope $22}$
c. Windshield Yes No g. Theodolite Yes
d. Window glass Yes No h. Other

18. The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
Like a bright star
c. Sharply outlined
d. Don't remember
19. IF there was MORE THAN ONE object, then how many were there?
Draw a picture of ho
LIE CGJECT RACK RAD

,
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?
DISAPPCAREY PeFORl RLOAr DIRECTION
In order that you can give as clear a picture as passible of what you saw, describe in your own words a
common object or objacts which, when placed up in the sky, would give the same common object or objacts which, when placed up in the sky, would give the same app arance as the object
which you saw.
PNCE SPUTNIK
CTD

a. At sea
f. Other g. Other_
27. What were you doing at the time you saw the object, ond how did you happen to notice it?
OA
IF yu were MOVING IN AN AUTOMOBILE or other vehicle ot the tine, then complate the following questions:
28.1 What direction were you moving? (Circle One)
c. North c. East o. South g. West
b. Northeast d. Southeast 6. Southwest h. Northwest
28.2 How fast were you moving?. miles per hour.
(Circle One) Yes Yes No
29.What direction were you looking when you first saw the object? (Circle One) the object? (Circle One)
g. West
c. North c. North c. Egst c. Egst e. South . South h. Northwest
. Northeast 5. Northeast d. Southeast i. Southwest i. Overhaad Overhaad
30. What direction were you locking when you last saw the object? (Circle One)
g. West
aNorth c. East- e. South h. Northwast
. Northeast d. Southeast f. Southwest i. Overhead
If you are familiar with baaring terms (angular direction), try to estimate the number of degrees the objeet 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:
a. From true North degrees.
b. From horizon_ degrees.
31.2 When it disappeared:
a.From true North degrees.
From horizon degrees.
8

Pag9 5
3. In the following skatch, imagine that you are ot the point shown. Place on "A" on the curved lina to show how high the object was above the horizon (skyline) when you first saw it. Ploce a "8° on the same curved line to
show how high the objoet was above the horizon (skyline) whan 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 lts position whan you last saw it. Refer to smaller sketch as an axample of how to complete the larger sketch.
+'0

Paga 7
34. What were the weather conditions:at the time you sow the object?
CLOUDS (Circle One) WEATHEI (Circle One)
a. Clear sky c.) Dry
b. Hazy b. Fog, mist, or light.rain
c. Scatrered clouds Moderate or heavy rain
d. Thick or hnovy clouds Snow
e. Don't remember
35. When and to whom did you report that you had seen the object? FTD DUTYOFFEP
Dey Month Yoar
36. Was anyone else with you.at the time you saw the object?
(Circle One) Yes No
id they see.the object too?
(Circle One) Yos No
.
YS,
NEWARC,
37.Was this the first time that you had seen an object or objects like this?
(Circle One) Yes No
37.1 iF you answere ,then when, where, and under what circumstances did you see other ones? , then when, where, and under what circumstances did you see other ones?
SATELiLTES
In your opinion what do you think the object was and what might have caused it?
DODTICNOD-THAT CAAD
.you CIN ESSENCE)

al
Pago 8
39. Do you think you can estimate the speed of the object?
(Circle One) Yes
IF
40.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?.
4.Pleasa give the following information about yourself:
F NAME astNama Middl Nom
ADDRESS Stresy Zone State
TELEPHONE NUMBER
Age. SexEM Sex EM
indiatany aditional information about yourself, including ny education,which might b pertinent. indicate any additional information about yourself, including any education, which might be pertinent.
42. Date you completed this questionnaire:
Day Month Year

ion in the order in which they occurred. Additional pages of the:some size paper may.be attached
If they are needed.
NAME (Da Not Write in This Space)
(Pladse Print) cObE:
SIGNATURE
DATE
D 2

be used for research purposes, and will regarded.as confidential material. Your name will not
be used in connection with any statements, conclusions, or publications withoul your permission.
We request this personal information so that, if it is deemed necsssary, we may contact you for
further details.
1.When did yousee the object? 2Time of day: 15
Hour Minutes
Juan 6
Boy Month Yoar (Circle One): A.M. or P.M.
3.Time Zone:
(Circle One): a. Ecstern (Circle One): o. Daylight Saving
b. Central b. Standard
c. Mountain
d. d. Pocifie Pocifle
e. Other Other
Where were you when you saw the object?
Kettering Kettering ohio
Mesrost Postal Address est Posral Addres3 City or Town City or Town State or Country
Additional remarks: - - Additional remarks: -- 1n shyodof hyodof
How long wes object in sight? O C 5
Hours Hours Minutes Seconds
5.1 How was time in sight determined?
a. Certain c. Not very sure
5. Fairly certain d. Just a guess
6.What was the condition of the sky?
DAY NIGHT
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 Thlaform superaedea. ATIC 164, Fob 60, whlch is obvolete.

Please try to answer as many questions.cs 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 Is deemed necessary, we may contact you for
further details.
1. When did you see the object? 2. Time of day: 12: 30
Hour Minutes
34 Mane 1962
Boy Month Yoar (Circle Ona): A.M. or P.M.
3. Tima Zone: (Circle One): a.
Eastern (Circle One): a. Daylight Saving
b. Central b. Standord
c. c. Mountain Mountain
d. Pocific Pacific
e. Other
4. Where were you when you saw the object?
Noarest Postal Address Noarest Postal Addresa City or Town Stote or Country
Additional remarks: Wmi hT 2
5. How long was object in sight? 45 to Toimut
Hours Minutes Soconds
sight determined? wimote imnate
y
o. Certain c. Not very sure
. Fairly certain d. Just a guess
6. What was the condition of the sky?
DAY NIGHT
a. Bright
b. Cloudy b. Cloudy
7. IF you saw the obiect during
(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 Thla form supersedes ATIC 164, Feb 60, whtch is obsolete.

Pog• 2
IF you saw the object.at NiGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Cirele One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
b. A few b. Dull moonlight
c. Many c. No moonlight - pitch dark
d. Don't remember d. Don't remember
.The object appeared:
(Circle One): a. As a light b. Shiny Dark d. Don't remember
10.If. it appeared as a light, was it brighter than the brightest stars?
√
Did the object: (Circle One for each question)
G. Appeur to stand still.at any time? Yes No Don't Know
b. D. Suddenly speed up and rush away at any time? Suddeniy speed up and rush away or any time? Yes Yes No No Don't Know Don't Know
c. Break up into parts or explode? Sreak:up into parts or explode? Yes Yes No No Don't Know Don't Know
d. Give off smoke? Yes No Don't Know
e. Change brightness? Yes No Don't Know
f. f. Change shape? Yes No Don't Know
S. 9. Flash or flicker? Yes No Don't Know
h. Disappear and reappear? Yes No Don't Know
.Did the object move behind something at any time, particularly a cloud?
(Circle One): (Circle One): Yes Yes No Don't Know. IF you answered YES, then tell what IF you answere YES, then tell what
it moved behind: it moved behind:
1.Did the object move in front of something at any time, particularly a cloud?
(Cirele 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 Vapor d. Don't Know
following?
a. Eyeglasses Yes No e. Binoculars Yes
b. Sun glasses Yes No f. Telescope Yes $\f$\frac  }$
c. Windshield Yes No g. Theodolite Yes
d. Window glass Yes No h. Other

18. The edges of the object.were:
(Circle One): a. Fuzzy or blurred o. Other
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?
Draw a picture of he
-

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?
fadad , Ae The )octh
on
2.In order that you can give as clear a pictura 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 saw.
BE

e. At sea 5. Flying over opan country?
f. Other g. Other
What were you doing at the time you saw the object, and how did you happen to notice it?
Litting Motie bailwand
d lae
28.1 What direction were you moving? (Circle One)
a. North c. East e. South g. West
b. Northeast d. Southeast 6. Southwest h. Northwast
28.2 F How fast were you moving? miles per hour.
(Circle One) (Circle One) Yes. Yes No
What direction were yo 29. What direction were you oking when you first sow the object? (Circle One)
g. West
a. North c. East . South e. South h. h. Northwest Northwest
b. Northeast b. Northeast d. Southeast f. Southwest i. 1. Overhead
30. 30. What direction were you looking when you last saw the object? (Circle Ona) Ona)
g. West
a. North c. East o. South h. Northwest
b. Northeast d. Southeast f. Southwest i. Overhead
from true North (thru east) and also the number of degrees it was upward from the horizon (elevation).
31.1 When it first appeared:
.From true North .degrees.
b. From horizon_ degrees.
31.2 When it disappecred:
a.From true North degrees.
b. From horizon degrees.

Pog 5
3. 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 sume curved line to
show how high the object was above the horizon (skyline) when you last saw It.
crhew Cinet
Eed
33. In the following larger sketch place an "A" at the posltion the object was when you first saw it, and a "B" at its position when you lost sow it. Refer to smaller skeich as an example of how to complete the larger sketch.
Osehed
TO
$→
rendr
Losking

d. Thick or bavy clouds Snow
o. Don't remember
35. When and to whom did you report that you had sean the object?
June 6
Doy Month Yoor
(Circle One) Yes No
-36.1 d they see the object too?
(Cirale One) Yes No
36.2 Please list their namas and addresses:
37. Was this the first time that you had seen an object or abjects like this?
(Circle One) Yes No
O, then when, where, and under whar circumstances did you'see other ones?
In your opinion what do you think the object was and what might.have caused it?
Sp wvlike oing Lufea
lefinitehy 2-

Pago 8
39. Do you think you can sstimate the speed of the object?
(Circle One) Yes No , but
IF you ans wered S, then what speed would you estimate?
(Circle One) Yes No
IF you answered YEs, then how far away would you soy it was?
41. Please give the following information about yoursall:
NAME Last Nams Nama Middls Nana
ADDRESS Kettalin
Stroet City Zon Stata
TELEPHONE NUMBER,
Aga Sex
Indleate any addirional information dbout yoursall, including any education, which might be pertinent. Indleate any addirional information about yoursall, including any educotion, which might be pertinent.
Date you completed this questionnaire:
Day Month Yoar
Caln i
B

be used in connection with any statements, conclusions, or publications withoul your permission.
We request this persona! information so that, if it is deemed necessary, we may contact you for
Further details.
1. When did you see the object? 2Time of day:
Hour Minutos /
Love
Boy Month Yoar (Circle One): A.M. or P.M.
.Time Zone: (Circle One):
a. Eastern (Circle One): c. Daylight Saving
b. Central b. Standard
c. Mountain
d. Pacific d. Pacific
e. Other . Other
4. Where were you when you saw the object?
Colsl Colsl 1 - D0W) ONLO ONt10
Naarast Posial Address Nearast Posial Address City or Town Stata or Country Stato or Country
Additional remarks:
5. How long was object in sight? How long was object in sight? ?
Hours Minutes Seconds
5.1 How was time in sight determined? 5.1 How was time in sight determined?
a. Certain c. Not very sure
b. Fairly certain d. Just a guess
6. What was the condition of the sky?
DAY NIGHT
a. Bright Bright
b. Cloudy b.
7. IF you saw the obiect during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): a. In front of you d. To your left
. In back of you e. Overhead 1
c. To your right f. Don't remember
FORM
FTD JULSI 164 Thisform supersedes. ATIC 164, Fob 60, which is cbaolete.

Pag* 2
IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Cirele One): 8.2 MOON (Circle One):
c. None a. Bright moonlight
b. A few b. Dull moonlight
cMany c. No moonlight.- pitch dark
Don't remember d. Don't remember
9. The cbject appeared:
TTT
(Cirele One): a. As a light b. Shiny c. Dark d. Don't remember
10. lf.it appeared as a light, was it brighter than the brightest stars?
Yis
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? Suddenly speed up and rush away at any time? Yes No Don't Know
c. Sreak up into parts or explode? Yes No Don't Know
d. Give off smoke? Yes No No Don't Know
e. e. Change brightness? Yes) Yes 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
1.Did the object move behind 12. Did the object move something at any time, particularly a cloud? ething at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answered YES, then tell what
it moved behind:_ it moved behind:
.Did the abject move in front of something at any time, particularly.a cloud?
(Cirale 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 Vapor d. Don't Know
15. Did you observe the object through any of following?
.a. Eyeglasses Yes No e. Binoculars Yes No
b. Sun glasses Yes No f. Telescope Yes No
c. Windshield Yes No g. Theodolite
d. Window glass Yes No h. Other

16. Tell in a few words the foilowing things. about the object.
b. Color CLLOW
17. Draw picture that will show the shape of the object or objecrs. Label.and include in your sketch any details
of the sbject that you saw such as wings, protrusions, ete., and espacially exhaust trails or vapor trails.
Place an arrow baside the drawing to show the direction the object was moving.
Loched dek Chh
DC
18. The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
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?

(Cirele.One): a. As a light b. Shiny c. Dark d. Don't remember
10. If.it oppeared as a light, was it brighter than the brightest stors?
n
11.Did the object: (Circle One for each question)
c. Appear to stand still at any time? Yes No Don't Know
b. Suddenly speed up and rush away at any time? Suddenly speed up and rush away ct any time? Yes No Don't Know Don't Know
c. Break up into parts or explode? Break up into parts or explode? Yes No Don't Know 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. g. Flash or flicker? Litthe Little Yes Yes No Don't Know
h. Disappear and reappear? h.D Disappear and reappear ? Yes No Don't Know
12. Did the object move behind something at any time, particularly a 1. Did the object move behind something at any time, particularly 8 cloud?
(Circle One): Yes No Don't Know. IF you answered YES, then tell what
it moved behind:_ it moved behind:
13. Did the object move in front of something at any time, particularly.a cloud?
(Cirele One)s Yes No Don't Know. IF you answered YES, then tel! what
in front ota
Cime
14.Did the object appear: (Circle One): a. Solid b. Transparent c. Vapor d. Don't Know
15. Did you observe the object through any of the following?
a. Eyeglasses Yes No e. Binoculars Yes No
b. Sun glasses Yes No f. Telescope Yes No
c. Windshiald Yes No g. Theodolite Yes No
d. Window glass Yes No h. Orher

Pagn 4
20. Draw a picture that will show the motion that the abject or bjects made. Place on "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 objoct with which you dre familiar?
2 3 710 LAA THeIN
how much of the object is covered by the head of the march. if you had performed this experiment at the time
of the sighting, how much of the cbject would have been covered by the match head?
10 MATCH
23. Did the object disappear while you were watching it? If so, how?
ye
24. In order that you can give as clear a picture as possible of what you saw, describe in your own wards a
common object or objects which, when placed up in the sky, would give the same appearance as the object
which you saw. which you sow.

d. In an airplone (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 saw the object, and how did you happen to notice it?
Loo Costrion
28.1 What direction were you moving? ircle One)
a. North d. Norin C. East Cas? e. Sauth e. South g. g. West West
. Northeast d. Southeast Southeast 6. Southwest h. Northwest Northwest
28.2 How fast were you moving?_ miles per hour.
the object?
(Circle One) (Circle One) Yos No
29. What direction were you What direction were you when you first saw first saw the object? (Circle One) the object? (Circle One)
g. West
c. North c. East o. South South h. h. Northwest
b.Northeast b.Northeast d. Southeost d. Southeost f. Southwest i. Overhead
30. What direction were you looking when you last saw 34 w the object? (Circle One)
s. West
a. North East e. South h. Northwest
b. Northeast d. Southeast Southwest i. Overhead
from true North (thru east) and also the number of degrces it was upward from the horizon (elevation).
31.1 When it first appeared:
o.From true North_1.3 degrees.
b. From horizon degrees.
31.2 V When it disappeared:
.From frue North degrees.
b. From horizon_ degrees.
T

show how high the objeet was above the horizon (skyline) when you last saw it.
In the following larger sketch placse an "A" at the position the object was when you first saw it, and a "B" at its
positlon when you last saw it. Refer to smaller sketch as an example of how to complete the larger sketch.
B

WEATHER (Circle One)
a. Clear sky a. Dry
b. Hazy Fog, mist, or light rain
C. Scattered clouds c. Moderate or.heavy rain
d. Thick or boovy clouds Snow 4
Don't remember
35. When and to whom did you report that you had seen the object? LU7Y
Doy Month Your
Was anyone alse with you at the time you saw the object?
(Circle One) Yos No
-36.1 IF you answere they see the object too?
(Circle One) Yos No
36.2 .
DAYTOD
37. Was this the first time that you had seen an object or objects like this?
(Circie One) Yes No
37.1 IF you answered NO, then when, where, and under what circumstancss did you see other ones? 37.1 IF you answered NO O, then when, where, and under what circumstancas did you see other ones?
_-
38. in your opinlon what do you think the object was and what might.have coused it?
7

Pago 8
39. · Do you think you con estimate the speed of the object?
(Circla One) Yes No
IF you answered YES, then what speed would you estimate?
40.Do you think you can estimate how for away from you the object was?
(Circle One) Yes No
iF you anawered YES, then how far away would you say if was?
. Please give the foilowing information about yourself:
NAME.
GirName Nam amne
ADDRESS
City Zone Siata
TELEPHONE NUMBER -
Ago Sox Sox_
Indicate any additional information dbout yoursalf, including any education, which might be pertinent. Indicate any additional Information about yourself, including any education, which might be pertinent.
4.Date you completed this questionnaire:
Doy Month Year

7
Pags 9
U.S. AIR FORCE TECHNICAL INFORMATION I SHEET
(SUMMARY DATA) ,
In order that your information muy 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 ro-
statements, or sketches:that you believe are important. Try to prasent the details of the observa-
vion in the order in which they occurred. Additional pages of the:same size paper:may.be attached
If they.are needed.
NAME (Do Not Write in This Space)
(Plaase Print) CODE:
SIGNATURE
DATE
FTD 2
2

of the object that you saw such.as wings, protrusions, ete., and especially exhoust trails or vapor troils.
Placs an arrow beside the:drawing to show the direction.the object:was.moving.
Lile Almieir iz efred
lighted Mallwor nrit cinaubre Mo4t
Whomke
8The edges of the object.were:
(Circle One): a. Fuzzy or.blurred o. Other
b. Like a bright star
c.Sharply outlined c. Sharply outlined
d. Don't remember
1. IF thers was MORE THAN ONE object, then how many were there? 19. IF there was MORE THAN ONE object, then how many were there?
Draw a picture of how Draw a picture of hoy they were arranged, and put an arrow to show the direction that they were traveling.
---

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2 7
Nw N
How large did the object appear to you as compared to an object with which you are familiar?
how much of the object is covered by the head of the march. 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?
23. Did the object disappear while you were watching it? If so, how?
dinippeared hedina treer-
.in order that you can give as clear a picture as possible of what you:saw, describe in your own words a
which you saw.

c. Ourdeors d. Near an cirfield? 5
d. In an airplane (type) e. Flying over a city?
. Ar sea f. Flying over open country?
Other g. Other
27. V What were you doing at the time you saw the object, and how did you happen to notice it?
Tmaeleivag adms
notkd
F you were MOViNG IN AN AUTOMOBiLE or other vehicle at the time, then complete the following quastions:
28.1 What direction were you moving? (Circle One)
. North c. East e. South g. West
b. Northeast d. Southeast 6. Southwest 5. Southwest h. Northwest h. Northwest
TT 28.2 How fast were you moving? 28.2 How fast were you moving?. _miles per hour. _miles per hour.
(Circle One) (Circle One) Yes No
What direction were you 29. when you object? (Circle One)
g. West
o.North o. North c. East South . h. Northwest
b. Northeast b. Northeast d. Southeast f. Southwest i. Overhead Overhead
30. What direction were you looking when you last saw the object? (Circle One) 30. What direction king when you last the ohiact?
g. West
0. North c. East . South h. Northwest
. Northeest d. Southeast f. Southwest 1. Overhead
31. If you are familiar with bearing terms (angular r direction), try to ostimate the number of degrees the object was
from true North (thru east) and also the number of dagrces it was upward from the horizon (elevation).
31.1 When it first appeared:
o. From trua North degroes.
b. From horizon__ degrees.
31.2 When it disappeared:
a.From true North degrees.
b. From horizon degrees.

Paga S
32. In the following skatch, imagine that you are at the point shown. Place an "A" on the cerved 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 cbove the horizen (skyline) when you last saw it.
Lo2w on Q- 20
33. In the following lorger skatch place an "A" at the position the objact was when you first saw it, and a "B" at its
position whan you fast sow it. Refer to smaller sketch ds an example of how to complete the larger sketch.
B

Paga 7
34 What were the weather conditions at the time you saw the object?
CLOUDS (Circle One) WEATHER (Circle One)
a. Cloar sky c. Dry
b. Hozy b. Fog, mist, or light rain
c. Scattered clouds c. Moderate cr.heavy rain
d. Thick or havy clouds d. Snow .
e. Don't remember
35.When and to whom did you report that you had seen the object? he
21 Ma 1962
Day Month Yoar
36. Was anyone else with you at the time you saw the object?
(Circle One) Yes No
o.
e the object too?
(Circle One) Yos No
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Thi
Was this the first time that you had saen an object or objects like this?
(Circle One) Yes No
en, where, and under what circumstances did you see other ones?
—
in your opinlon what do you think the object was and what might have coused it?
Ceit
bant
L

R.
Pago 8
39. Do you think you can estimate the speed of the object?
(Circle One) Yes No
IF you ans wered hat speed would you estimate? 35
40. Do you think you can estimate how far away from you the object was?
(Circle One) Yes No
lrd to be 20
IF you answered YEs, then how far away would you say it was? -
4. Please give the following information about yourself:
NAME_. Lost Name Pirst Nams Middlo Noma
ADDRESS Antioch Cold Yellon Jpheng This
Street City Zone Stato
TELEPHONE NUMBER
Ago Sex
indicate any additional information about yoursalf, including any education, which might ba pertinent.
Codliny Ttudut
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.