PROJECT BLUE BOOK

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——

U.S. AIR FORCE TECHNICAL INFORMATION SHEET |
i

This questionnaire has been prepared so that you can give the U.S. Air Force as much
informstion as possible concerning the unidentified aerial phenomenon that you have observed,
Piease try to enswer es many questions as you possibly can. The information that you give will
be used for research purposes, end will be regarded as confidential material. Your name will not
be used in connection with cny statements, conclusions, or publications without your permission,
We request this persone! information :so that, if it 1s deemed necessary, wa may contact you for
further details.

we = === es = —S =< ee —_— = — OSes a — SS
1. When did you see the object? ‘2. Time of day: ———
* Hour Minutes
rm jeer ae i ~ 2. —
“Bey Month Yoor (Circle One}: A.M. or (P. A,

earned pt tao a a ay eee
ti

3. Time Zone: |. Sm - ;
(Circle One}: a. Ecstarn_ (Circle One}: a. Dayiight Saving

b. Central Cb. Standard °

¢. Mountain ini 6 ex ee :

d. Pacific
' e. Ciner
r + ‘
4. Where were you when you sew the object?
! {si ~ 8 CRN Fowy Dy aera oo :
| Nearest Postal Addross City or Town Stetoa or Country

pe Be gh te
} Additions! remarks: = — £2 BSL At ae
ore <
5. How long wes object in sight? r
Hours Minutes Seconds
5.) How was time in sight determined?
é. Certain om c. Not very sure
= Fairly certain d, Just a guess
r 5 inne
6. What was ire condition of the sky?
§ pees, i
DAY ~ NIGHT i
' a. Bright (a. Bright :
b. Cloudy b. Cloudy
| 7, IF you sow the obiect during DAYLIGHT, where was the SUN loceted as you looked at the object?
] , ni
(Circle Ove): . In front of you d. To your left
: b. Ina back of you e. Overhead
¢. To your right f, Don’t remember
i — —_— - -_ —_——_——- = — - ——— rn
FORM

PTD jut 6t 164 rntetoom supersedes atic 164, Feb 60, which In obsolete,

Vv

3754 4
8. IF you sow the object.ct NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
) c. None (a, Bright moonlight
4%. A few’ b, Dull moonlight
c. Many ¢. No moonlight — pitch dark
; 3, Don’t remember d. Don't remember
i os. at fe
; a
~- i pen . . ; se o% “a a% y Aas: al
9. The object appecred: GAs SIS 72 7 * we ‘tiny
Led at "J< — *% ¢ bo t < . J
Circle One): a. Aso light b. Shiny ¢. Dark 3. Don't remember
10. If.ir snpecred as a fight, was it brighter than the brightest stars?
yes
1}. Did the object: (Circie One for each question}
. : . dl lS ‘
¢. Aspear to stand stifl ot any time? \ Yes- No Don't Know
(3. Suddenly speed up and rush .cway at any time? 4 Yes —~ No Don't Know
: ¢. Break up into parts or exs'ode? Yos No Don’? Kno~
en)
d. Sive off smoke? Yes C No Don't Kno~
| e. Change brightness? Yes CN ; Don't Know
f. Change shape? Yos ¢ No Don’t Krew
| q. Flash or flicker? Yos (No Don't Kas
h. Disappear and reappecr ? Yes (No Don's Kne~
| 12, Did the object move behind something at any time, particularly a cloud?
(Circle One}: [Yes — Ne Don't Know. IF you answered YES, then te
it moved behind: A. enh Ss _
it moved behind ee
‘ 13. Did the oo\ect move in front of something.ot any time, particularly a cloud?
; - an ‘
i (Circle One); Yes ( Ne Don't Know. IF you answered YES, then:s «©
; in frorr of: af le eee ee
.
ee ae
- (ae : , . ?
14. Did the object appeor: (Circle One): a. Solid b. Troensporent c. Vapor d. D>-
_ = = _— : eres
' 15. Did you observe the object through any of the following?
;
a. Eyeglasses Yes No e, Binoculars Yes Ne ;
”
| b. Sun glosses Yes No f. Telescope Yes Mo
c. Windshield Yes No g. Theodolite Yes No
TT a we
d. Window glass Yes No A Ger CE j
Saws aS = ae ae = ———

—ooe A

.

Fese 3s
[ — — — Se Se ee —- —— <<.  - . . —
; 14. Tellin e few words the following things about. the object.
: }
; Ae » '
a. Sound - :- — : aie — SS SS en TO
| b. Color " = a4
} 17. Draw ¢ picture that will-show the shape of the object or objects. Label.and include in your sketch ony details |
: of the cajsct thet you saw such.os wings, protrusions, etc., and especially.oxheust tratls or vapor trails, |
: Piace on arrow baside.the drawing:to show.the direction the object was.moving.
i i
: |
;
' }
: |
if :
* ’
,
’ /
:
;
: ;
:
t ' . . r
| 15 The etoes of the object were: }
-, ‘
(Circle One): a. Fuzzy or blurred e. Other eetis eS
, ; , al
; b. -Like a bright sta Se leuiniaciblisiieeadeastamepaie: |
c. Shorply outlined ee a al ‘ ore Le
d. Don’t remember
i
. . — ~}
19, IF there was MORE THAN ONE object, then how many were there? q
,
; Drow a picture of how they were orranged, and put an arrow to show the direction that they were traveling. :
| j
|
|
i
<

— ae +2 — ie eee 7 ste = - _— — Owe ee ee 5 ee

Pons 4

_-— a -_

Sa en ny
20. Draw a picture that will show the motion that the object or objects ade. Place an “A” at the beginning of

Seow “ets

the path, a “*B"’ at the end of the path, ond show any changes in direction during the course.
t

wt

——

21. How forse did the obiect apsecr to you es comperod to an object with which you cre familiar?
fle 6 PORE Ee

:
22. We wish to know the-angular size. Hold a match stick at arm's length in fine with @ known obiect.and note
how much of the object:is covered by the head of the match. ‘If you hod performed this oxperiment.at the time
of the sighting, how much of the oaject would have been covered by the match head?
!
23, Did the object disappear while you ware watching it? If so, how?
D785. we OSS Fed

24. In order that you can give as clecr.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 cs the objec:
which you sew.

eR en ee ae

Di a, eed ——7

Poco 5

—

25. Where were you located when you saw the object? 26. Were you (Circle One}

(Circle One): rae
/o.' In the business section of a city?
a. Inside o building | (b. In the residential section of a city?
b. Ino cor c. In open countryside?
Feo Ostdoors | d. Neor on airfield?
d. !n on cirplane (type) 2. Flying over a city?

4.

@. At sea f. Flying over open country?
f, Other Q. Other _

or --

= — a ee ee ee

—— - —_—- —— oe

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

Ss ew RAS ee ON’ Gee eet eet) Se Glan Ce?

ae = = _ - -_-——_—- -

|

a0 | =|

al = - ———=- ——— _

————— - _ _

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

28. #het direction were you moving? (Circle One)

i a

a. North c. East 2. South g- West
b. Northeast? ¢. Southeast f. Southwest h. Northwest
23.2 How fost were you moving? miles per hour.

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

(Circle One} Yes Ne

— ~~ _—_—_ —_

29. What direction were you locking when you first sow the object? (Circle One)

_ g. West
ee
@. North c. East C 2. 'South h. Northwest
5. Northess? ¢d. Southeast f. Southwes? i. Overheed

30. Whet direction were you looking when you last saw the object? (Circle One)
hn gs. Wes?
(a, North c, East e. South h. Northwes?

b. Norrseas? d, Southeast f, Southwest i. Overhead

——— one —_

o~

J}. if you are familiar with bearing terms (angular diraction), try to estimate the number of degrees tha obloct wes
from true North (thru east) ond also the number of denrces it was upward from the horizon feievation),

31.1 When it first appeared:

a. From true North degrees.

oe ee roams al

b. From horizon __ _ degrees.

— ——

31.2 When it diseppeared:

a, From true North ____ degrees.

—r ce oo —

ee ew em 08 eee CONS nee 46 ea) Phe eee i ae ca

b. From horizon____ degrees.

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Liana

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Page 7

TS NT ee oo

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

CLOUDS {Circle Ona)

a. Clear sky

b. Hazy

ce. Scattered clouds

d, Thick or keavy clouds

WEATHER (Circle One)

a. Dry

b. Fog, mist, or light rain
c. Moderate or heavy rain
d. Snow

e. Don't remember

oa

35. When ond to whom did you report that you had.soen the objsct?

——~— — --+
**\

Dev Mocth

= ae ee oe ee + ++

Yoor

26 Wes cnyone else with you ct the tims you saw the object?

{Circle One) Yes No

36.3 !* you onswared YES, did they see the object too?

‘Circle Ona} Yes No

26,2 ?'ecse jist their names on7 addrassoas:

re oe eer

—- ayae

37. Wos this the flest time tha? you had-seen an object or objects like this?

a, N\

{Circle One) C Yee: No

——

37.1 IF you answered NO, then when, whare, and under what clecumstances did you'see other ones?

——_

a A we oe ee eee gE

33. In your opinion what do you think the object wes and who? might have caused ir?

ES SS

—

de ww .2520=

U.S. AIR FORCE TECHNICAL INFORMATION SHEET

This questionnaire has been prepcred:so thet you can give the U.S. Air Force as much
information as possible concerning the unidentified aerial! phenomenon that you have observed.
Piease try to answer as mony questions os you possibly can. The information that you give will
be used for reasearch purposes, and will be regarded as confidential material. Your name will-no?
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 ysu for
further details.

~ = om Eos SSS Sg: SSS ees: 5 =
1. When cig yousee the object? 2. Tinmet den woe" — E2er
tiour Minutes
<> ee Zit & 5. G “ <>
Bay Month Year (Circle One}: CAM. or P.M.
3. Time Zone: ee
(Circle One): px Ecsterp (Circle One): a. Daylight Saving

o> Ceviral b, Standard
¢

4. Where were you when you saw the object?
A AL
— ) Noe Mel sl a Cf FF EO ae

Nearest Postal Address City or town State or Country
Additional remarks: — ——--—~——_____— _ —_ ——— :
5. How long wes object in sight? the - —---
Hours Minutes Seconds
5.1 How was time in sight determined?
c. Certain c. Not very sure
<5. Fairly certain d. Just a guess
6. What wes t>e condition of the sky?
DAY NIGHT
a. Bright Sa, Bright
b. Cloudy b. Cloudy

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
b. In back of you e. Overhead
¢. To your right f. Don’t remember

ee Oe ha pee ee ee ee ee Er, eee we SE TE He ee ee Oe ete a eee. ee eet ee Re este
so a.
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FORM
, hae ; ;
3UL 6) 164 Thistonn wupersedos ATIC 164, Feb 60, which ty obsolete

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ee —— oe ween. Ss + ewe emcee + -

m1
cm |

or

U.S. AIR FORCE TECHNICAL JANFORMATION

2

This questionnaire has been prepared ao that you can give the ULS. Air Force as much

information os 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 confidentiol material. Your name will nor
be used in connection with ony statements, conclusions, or publications without your permission.

We request this personal information so thot, if it is deemed necessary, we may contact you for

turther details.

i

ge;

<= —- — SSS See Se ee a == Ss = = <2 >
Lf £2) Ss
1. When did you see the object? 2. Time of day: —-_____ =.
tlour Minutes
= a Fe ba'y 3
(> a eee Bas ~ She PRR See SMT bee
Dey Month Yoor (Circle One): A.M. orf P.M. .
3. Time Zone: =“,
(Circle One): a. (Eastern * (Circle One): 0. Daylight Saving
b. Central (b. Standard >
c. Meuntain
d. Pacific
-~
OR a er
4. Where were you when you sow the object? ¥
ra a te at f- fy ;
728° 7 g->'F <q
sorest Posta ~ Gityer town” Stats or Country
rn . = -?) . - 5 waive SIC £
mi. py f- i “5 & ov ¢ . — — ef 7 - % ‘
Additional remarks; -——~——-- i he Miia 1 i Pa
- i a
5. How long wes object in sight? ~-----—-- -_———_- —- a
Hours Minutes Seconds

5.1 How was time in sight determined?

a. Certgin
’ c . H + °
2. FoOirly certain .

Not very sure
Just a guess

6. Wheat wes the condition of the sky?

me ee es ee re

DAY ( NIGHT
a. Bright a. Gright
b. Cloudy b. Cloudy
i 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. Ts your right f. Don’t remember
: wd ~ FOreM oA , , i _£
Al i C FEG 60 164 This form supersedes ATIC. 164, 15 Oct a

Page 2

8. IF you sow the object.ct NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One);

c. None a. Bright moonlight
b. A fow 5. Dull moonlight

ys Many oe

ad. Don't ramember

¢. No moonlight.— pitch dark
d, Don’t remember.

(Oa

9. The cbiect cppecred:

(Circle One): a. Asa light > b. Shiny ce. Dark

cd. Don’t remember

}

iO. If.it copecred as a light, wes i> brighter then the brightest stars?

a RE ee 08 ae A 9 2 Oe me OS ice

a

1}. Did the object: (Circle One for each question)

;

cs. Appear to stand stil! ct any time? Yes No C Don't Know

&. Suddenty speed up and rush.cway a? any time? ‘Yes? No Don Know i

¢. Sreak:up into pacts or exslode? Yos No” Don't Know :

d, Clive off smoke? Yes © No» Don't Know :

e. Chenge brightness? Yes (No> Don’? Know i

#. Chenge shape? Yes 7 No Don't Know !
Flesh or flicker? Yes (Now Don’t Know
Disappear.and reappear ? Yes th 07 Don't Know

—

12. Did the object move behind something at any tima, particularly a cloud?

— a. tO RR oe Ce ee ae TTT oo eee cet e Oe eS Oe erm te eee ee ee —Tea) «eee
. .

wy ;
{Circle One); Yes (No Don’t Know. iF you answered YES, then tell wher |
it moved behind: ;
13. Did the object move in front of something at any time, perticularly a cloud? :
L- ae ;
(Circle One): Yes fNo/ Don't Know. iF you cnswered YES, then tell what
in frort of Uh = Pe ee Ss
= tale — lh = % = = — ed = :
Ss iF
14, Did the object appear: (Circle Ona): (a. Solid / b. Tremsparent = c. Vapor I. Don't Snow
ie aes : : — ae
15. Did you observe the ebdject through any of tha following?
a. Eyeglasses Yes ‘No’ e. Binoculars Yes ‘9
b. Sun glasses Yes No! f. Telescope Yes FP
¢. Windshield Yes Mo’ q. Thecdolite Yes
d. Window giass Yes \ No’ h. Other - . 1c oe

a ee ——— ee

16. Tell in a few words the following things about.the object.

f/ 4
O. Sound ae :
5 4 yt a
b, Color Vey. # Babes SG Lack d

Z, ’ za

of the object that you-saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails.
Place on arrow beside the drawing :to show the direction the object was.moving.

a { 1 Aes ree fe (i

_“(~-"7

17, Drow o picture that will-show the:shope of the object or objects. Lebel.and inciuds in your sketch aay details

18. The edges of the object. were:

(Cirele One): a. Fuzzy or blurred e. Other -

Cb. ‘Like a bright stap : #
¢. Sharply outlined

d. Don’t remember

,

19. IF there was MORE THAN ONE object, then how many were there? (9 12 Oey

; . o Vv .
Drow o picture of how they were arranged, and put en crrow to show the direction that they were traveling,

.
——— pantera ener eme Binder Le ET FP i 8 ee ew tee Ee ee ee ee Pee See YB et ke ee ee

eS ee ee ee — -— —_———— _ —

—) << ee be ht oe ee ee ee ee

“<< .
“y)? 4

- -_ -—-

20. Drow a picture that will show the motion that the object or objects made, Place an A" at the beginnin

~

&3
a

* . ’
uring ihe course.

the path, a '’B’’ at the end of the path, ond show any changes in direction

2t. How large did the obiect appear to you as compared to an objec? with which you are familiar?
/ . | = ) a
{5 te , oy a peas AS nN 3 x \ ae a

;

EA A AO OF ST Ow ce A

22. We wish to know the angulor size. Hold a match stick at orn’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?

fel q ad

23. Did the object disapoecr while you were watching it? If so, how? AO —- g get -hieptes
v4)

/ oer
Luts bran + SAA GIL EON

i

—

ore

———— ee ee

—- — ——-—ee =

te ee er eye

24. In order that you can give as cleer a picture as possible of what you saw, describe in your own words a
common object of objects which, when placad up in the sky, would give tre same oppecrance as the object

which you saw. 4

ne At, le ec i i OE IE YS es Ei = at) er een ee Fe ee eee ee

. =~ ; s - ; c Ko: a
re ¢ Ae J2 ; ; So: 2 /
S24 G da —_—. fo neh / ot Cotte etl en, Se ee
4 ye / j
‘
;
}
|
;
t
.
’
{
—_—_ —_ —_— —-— _— _— — _ —
———_——— -

Pace 5
25. Where were you located when you saw the object? 26. Were you (Circle One) |
(Circle One}: ; 4
o. in the business section of.a city?
a. Inside a building C b. In the residential section of a city?
b. Inc car c. In open countryside?
ve. Ourdeors’s d. Neor an oirfield? ;
d. [4 on cirplane (type) o. Flying over a city?
6. Atsen f, Flying over opan country?
f, Orher g. Other wae. oe
} i I FA a al
27. Whet were you doing at the time you saw the object, end how did you happen to notice it?
a 9 . Y ; "hs : f ts
Ta NA Cent Ls Jit ~~. Lila oe wet te Gf Soran. = = n

-_ - — ee

<=

28. IF you were MOVING !N AN AUTOMOBILE or other vehicle ct the time, then complete.the following questions

23.’ What direction were you moving? (Circle One)

c. North c. East e. South g. West
5. Northeast d. Southeast f. Southwest h. Northwest
28.2 How fast were you moving? miles per hour.

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

f
|
i
!
|
'
{
|
|
|
‘
}
:

(Circle One) Yes No
29. What direction were you looking whan you first saw the object? (Circle One)
g. West
a. North c. East 8. South h. Northwest
b. Northeast C4 “Southeasi_> fF. Southwest i, Overhecd
30, What direction were you looking when you last saw the object? (Circle One)
g. West
a. North s. East e, South h, Northwest
b. Northecsr Cd. Southeast > f, Southwest i. Overhead

i ie a eomeen ate — a Oe EP ER ee EE te te ee ee ee LLL LLL LE OLE PN PA i Ce

— — — ae 8 eee

,

r t
31. If you are familiar with bearing terms (angulor direction), try to estimate the number of degrees the oblec? was
from teve North (thru east) and also the number of deqrces it was upward from the horizon (elevation).

31.1 When it first appeared:
a. From true Nerth__. _.degroes.
b. From horizon _ degrees. 9
31.2 When it disappeared: :
'
:
a. From true North degrees.
b. From horizon. degrees.

——_ —- = a _ weet eee a ~ — _——*

PROJECT 10073 RECORD CARD

—— eee

—_—_—

‘e ~~ © «

2. LOCATION

' : ag n

ne |

a ee

12. CONCLUSIONS

Was Balloon
Probably Bolloon

“0

3. DATE-TIME GROUP
Loenl

Gi T.

2 ah

~~ — >
a

Le ee Fe
3230

a

4. TYPE OF OBSERVATION
G Ground- Vi sual
0 Air Visual

Possibly Balloon

Wos Aircrait
Probebly Aircraft
Possibly Aircrott

0 Ground-Roadar

O Air-intercep? Rodor

5. PHOTOS
CS Yes

=

bi]

3. SOURCE

f*ier4 14
ae te

Wos Astronomical
Probobly Astronomical
Possibly Astronomical

oo0 soo cocoa

|

wn

3. NUMBER OF O

7. LENGTH OF C3SERVATION BJECTS | 9% COURSE fh Orher Prob i. ;
D fravilicient Doto for Evaivetion

| " 'e}
: -

10, BRIZP SUMMARY OF SIGHTING = Oris. Scax like ODJE 11. Comments © iane %

ad at bottom, wes ovserved low in W by 2 233" and .low on

“nesses tn Dayton, Chio. When viewed ignting. Planet

hrough binoculars objt sappesred eas a round identified due

inkt. Cbjt was reported to fiash and flicker |by atmospheric retr

id to be moving slowly toward W. The wx as planet 6

me of sighting clear.

ATIC FORM 329 (RZV 25 SEP 52)

a rc a ad —— -
= iene ——.—-- ——o— — TT SE = = _———— --— —_
| U.S. AIR FORCE TECHNICAL INFORMATION SHEET
This questiounsire has been prepared so that you con give the U.S. Air Force as much
information as possible concerning the unidentified cerial phenomenon that you have observed.
Please fry to answer as many questions. as you possibly can, The information that you give wil!
be used for reseorch purposes, and will be regarded as confidentiol material. Your name will-nos
. 7: . ’ . ‘ . . *,* . .
i be used in connection with any statements, conclusions, or publications withoul your permission.
We request this personal information so thot, if it 1s deemed necessory, we may contact you for
further details.
SS SS SEE ISS — SS SASS StS SSS SSS ESET
ops. a ons
1. When did you see the object? i2, Time of day: 222% oh Heecie
i Hour Minutes :

— : ; i t
ff SI f/ — _
a

ee wae ee {Circie One}: A.M. or P.M.
oe ae

3. Time Zone:

"
=
i)

(Circie One}ia. | ra (Circle One): «a. Daylight Saving
—=5 b. Standard

c.
d.

e.

_ — = — 7 oe.
-

x (i) tT

a

(?
‘on OW Q
(ac YQ
- ‘oa
“*
o
3

‘¢

ou
¢

:

4. Where were you when you saw the object?

,

ee 7 ae Ee om: _ ———

City of Town | Stats or Country

Svarest Postal Addross

eo

Additional remarks: -- _ —_————_-—-—— = Te

uh ea ee - = ae ee ee ee OS - a ewe ee - —e- <
te eee ne _ -

5. How long was object in sight? ns pa
Houtsy 7 Minutes Seconds
GOA Oe MAtedistiny Jose Lat ‘)

5.1 How was time in sight determined? é- Ces tof 4 SL

.
EO ee

—

Fond PS
ce. Certain c. Not very sure
5. Foirly certain d. Just a quess

= -

6. What wos the condition of the sky?

-—-o- eo

DAY NIGHT |
a. Bright a. Bright ;
b. Cloudy b. Cloudy

7. 1F you saw the object during DAYLIGHT, where was the SUN loceted as you looked at the object?

_—-— —— —— oo —— —— - -——_—=<—+

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

Cc. To cur right f, Don’? ren amber
y $

Se een ee ee ee a SOE EE SRN OS ET EE AI I ESSE OS) ee er
wa

— aa

FORs
F TD JUL 6) 1464 Thianform supersedes ATIC 164, Feb 69, which te abaolete,

8. IF you sow. the object.at NIGHT, whet did you notice concerning the STARS end MOON?
8.1 STARS (Circle One}:

Pages 2

——_———

8.2 MOON (Circle One}:

a, Bright moonlight

b. Dull moonlight

t~

we. No moontig i-

—_—_—_

ae
d. Don’? remember

— —

Z

pitch dark

j say’ mpti A , 5 ine ca y DOLD Pe ee
9. The coject cppeared: fis gl . voce o.. tit? hry “ft ~<¢ 5 saa
Cr) CAetir ~
(Circle One): a. Asa fight b. Shiny c. Dark cd. Don't remember
10. If.it cppeared as a light, was it brighter than the brightest stars?
Fi, | pty
ip Daca on Ley C Lbdnied,

li. Did the object:

c. Appecr to stand still at ony time? Yes Ne Don't Know
b. Suddenly speed up and rush. cway at any time? Yes C Noe Don’? Know
¢.. Break-up into ports or exs!ode? Yes No / Den’? Know
d. Give off smoke? Yes ( “No ~ Don't Know
e. Change brightness? Yes Co Don’t Know
f, Change shape? Yos < ‘No, Don’t Know
g- Flosh or Hicker? oVas > Ko Don't Know
h. Disappear and reappear ? Yes xe ‘Not Don’t Know

(Circle One for each question)

12. Did the object move behind something at any time, particularly a cloud?

{Circle One):

it moved behind:

i285

fn
No

Don't Know.

iF you answered YES, then tel] what

-——_

13. Did the o>\ect move in front of something at any time, particularly.a cloud?

ee i Sa en ee eee SS ae. a ae a Et oS 28ers ow. 4 Rw ee  .  e  e ee eee ee ee

(Circle One): Yes No/ Don’t Know. IF you answered YES, then tell what
in front of: = eee

ae adie
' - . Vv , i .
i4. Did the object appear: (Circle One): Ca. Solid” b. Transperent c. Vapor 4. Don’? Know 4
— i
15. Did you observe the object through any of the following? :
Pm ’ 4 F
a, Eyeglasses Yes No e. Binoculars C Yes No A. /tt+<
— a ‘
b. Sun glasses Yes No f. Telescope Yes No i
¢. Windshield Yos No g. theodolite Yos No 1
d. Window glass Yes No ne ee eed

—

Poge 2
8. IF you saw the object ct NIGHT, what did you notice concerning the STARS and MOON?
:
8.1 STARS (Circle One): 8.2 MOON (Circle One):
aA liat :
a. None ss ‘] © viant '
Ak, '
b. A few. D. Day $! ToC sti
“er-Mony © €._No moontight ~- pitch dar
d. Don’t remember d. Don’t remember
sie heen en ea RRS Sid omehdee asieoans i aaspiceieaiahinaminsasiel
9. The object appeared:
= en }
ee |
7 . . * Pow eee ole,
(Circle One): e. Asa light (rb. | Shiny? c. Dark d. Don't remeinber
\ KAN
‘i :
a i
10. |f it appeored as a light, was it brighter than the brightest stars?
P 3 9 C

‘

Way
ied
{
li. Did the object: (Circle One for each question)
(= ‘
a. Appeer to stand stiil ot ony time? Yes { Nox Don’t Know
>. Suddenly speed up end rush away at any time? Yes (No- Don't Know
c. Breck up into parts or explode? Yes No Don’t Know
=. Give off smoke? Yes No Don't Know
e. Change brightness? Yes (No Don’t Know
#, Chonge shape? Yes (No. Don’t Know
3. Flash or flicker? Yes (Ne, Don’t Know
h. Disappear.and recpoeer ? Yes No Don't Know
12, Did the object move behind something a} any time, particularly o cloud?
dias,
Circle One): Yes ( No Don’t Know. IF you answered YES, then tell what
it moved behind: ve Fv tiie ed oo — ----
13, Did the object move in front of sometising at ony time, particulorly a cloud?
/ ie
(Circle One): Yes { No Don't Know. IF you answered YES, then tell whap
in Front of: __5_ ee 2 ee : Se
r, t -, Vape d. Don’? K
14. Did the cbiect appear: (Circle One): { a, Solid b. Transparent c. Vapor - Don’? Know
—— aes > —_—<— e+ ee ee ee * Oo Oe o-oo eee ]
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. Windshield Yes No a. Theodolite Yes No
d. Window glass Yes No h. Othe ~ fh ; 2 ,

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|

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Rage 3

16. Telldn a few words the following things chout the object.

A/a, , &
a, Sound y= C2 i F ;
*. fh p- ont) . iG ‘ y - .
b. Color Lv Lyf OPEN ted Led tae wt ieee

= —

17. Drow o picture that will show the:shape of the object of objects. Label.and include in your sketch any details
of the object that you'saw-such.as wings, protrusions, etc., ond especially exhaust? trails of vapor traij}s.
Ploce 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 e. Other hotw£ “8 w A :
b. ‘Like. bright star et Ok pfietchail, pee “

c. Sharply outlined
d, Don’t remember

— _

; 19. {F there was MORE THAN ONE object, then how many were there?
Drow a picture of how they were orranged, and put an crrow to show the direction that they were traveling.

]

-_

;
a me ew 2S OS Re. eee. er a oem ft ote eee ee = | eR me re 8 a i ee ee ge ee

——~

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20. Draw a picture that will show the motion that the object or obiects 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.

_——— me

21. How large did the obiect appaar to you os compared to an object with which you are familiar?

_—_—

22, We wish to know the angular size.» Hold a match stick af crm's length in line with a known object and note
how much of the object is covered by the head of the march. if you hed performed this experiment at the times
of the sighting, how much of the object would have been covered by the match head?

*

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LRA thx Gtr ehr fro

—_

te —_ —_ —_—- - _—

23. Did the object disappear while you were watching it? {f so, how?
~~
J ’) - 2 / . fi) q , a
Je aay Ker ple SOD Ps LLC. Stay >A Otee Tre tL tp /f

/ VA

—-- -_ —

24. In order that you can give as cleor a picture as possible of what you saw, describe in your own words a

common object or objects which, when piaced up in the sky, would give the same appearance cs the object
which you sew.

, —"s
— 4, sf

; ~~ } 2 2 £ i/ry S$ ys
fe futcse Chern FEL “il Me F Pt, « Baer
|

_— ——--— —-— -

: 25. Where were you loceted when you saw the object? 25. Were you (Circle Gane}

{Circle One): i

9, In the business section of « city? ;

a. Inside c building ti b. In the residential section of a city? |

b. Ina cor c. In opan couitryside?——__. :
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(Cc. Outdoors d. Near on oirfield?
O-line cena ne
d. !n cn oirplane (type) e. Flying over o city?
e. At sea f. Flying over open country?
f, Ofher ee ee eee a gq. Other. —— SES SSS

- : -———_— — - mm ee ee

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

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—_ Pia —_—— ae Fe Le — ro ees RS u — — —— —— eeeEO———eeee —

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28. IF you were MOVING IN AN AUTOMOBILE or other vehicle ot the tims, then complete the following questions:!

28.! Whar direction were you moving? (Circle One)

a. North c. East o. South g. West
>. Northeas? d. Southeas? £. Southwest h. Northwest
28.2 How fas? were you moving? miles per hour,

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

hE A es NE Oe Rt

SE EEE ee eee 6 ee 8 Oe ee. ———— <r ge! TT ane eth OA Eee Coe ee ee ee 8 we we ee te ee

(Circle One) Yes No
’
29. What direction were you looking when you first saw the object? (Circle One) ———
| — Co West
a. North ce. East 8. South h. Northwest ;
i
b. Northeast? ¢d. Southeast f. Southwast i. Overhead :
we . ‘ :
30. What direction were you !ooking when you last saw the object? (Circle One} ——_
: : e 3. Wes? J , ,
a, North c, East e. South hr Nerthwast
b. Northeast d. Southeas? f, Southwes? i. Overheod
31, % you ore familiar with bearing terms (angular direction), try to estimate the number of degrees the object wos |
from true North (thru east) and ciso the number of dec-oes it wos upward from the horizon (elevation). :
33.3 When it first appeared:
. AAS ;
a. From true North__2 = degrees.
b, From horizon > 5 >. degrees.
31.2 When it disappeared:
a. Fromtrue North <=’ degrees.
b. From horizon _#O degrees.
ee —- ae + ho ee es ees ——~ ——— ee ie

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

CLOUDS (Circle Gne) WEATHER (Circle Gna}
a. Clear sky . a. Dry »

b. Hazy ~ BL Fog, mist, or light rain
c. Secttered clouds c. Moderates or heavy rain
d, Thick or bsovy clouds d, Snow

e, Don't remember

35. When and to whom did you seaport that you had:sesn the object? a, \ jf
7 we. > fete ee a > pfrLte ss 7 Yy (,
Bay 4 Month Yoor f
36. Was cryone e!se with es at idhiiag time you saw the object?
(Circle Gre} & Yes No
®.
36.1 IF you onswered YES, did they see the object too?
all ’ “ee
(Circle One) Yos No
Se
26.2 Pease list their nomes onc addrasses:
37. Was this the first time that you had seen an object or objects like this?
a
i> —
(Circle Ons) “Pia 3
37.1 iF you mscatennt NO, then when, wrens: and under what circumstances did you see other ones?
PROT set 4/4 Zina iA tts, ee oe ee
Z tinint Ze if Z a : —_+—-- ee
33. in your opinion what do you think the object was ond what might hove coused it?

Page 3

a - — —_——- ee Rm

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16. Tell in a few words the following things about the object. |
a. Sound - ; a ar —=—

|

b. Color \. i Pm ' 7 j

17. Drow 2 picture that will show the shape of the object or objects. Lobel.ond include in your sketch any dotails |
of the object that you saw such cs wings, protrusions, etc., and especially exhaust trails or vapor trois.
Pisce an crrow beside the drawing to show tha direction the object wos. moving.

_—_—— —_——- eee ee we

18. The edges of the object were:

(Circle One): a, Fuzzy or blurred 2, Other __ ae =
b. Like o bright star — ees
c. Shorply outlined Y.2 Oa aihdiedl Zz

d. Don't remember

MH 8 af FY

—

—

19. IF there wos MORE THAN ONE object, then how many were thers? CAS
Draw 2 picture of how they were crranged, and put on arrow to show the direction that they were traveling.

Pega 4

ae ee ee —

20. Draw a picture that will show the motion that the objact or objects mode. Place an *‘A’’ at the beginning of

the path, a “‘B"’ of the end of the path, and show any changes in direction during the course

21. How large did the object appecr to you as compared to an object with which you are familiar?
£ Air? G = fj , 7 3 et 3 > JF 7 ~ 4 |

eatin

22. We wish to know the engulor size. Hold a match stick at arm's length in line with o known object.ond note
how much of the object is covered by the head of the match. If you hod porformed this oxperiment ct the time

*

of the sighting, how much of the object would have been covered by the match head?

——_—_ —— —

—— oe — =

23. Did the object disappear while you were watching it? If so, how?

ee ie a go seas Sa
yyie. Se al 2 Saati tee

—-—- +o -

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 some appearance as the object
which you saw.

oO oe em we eee em ee et

ee ee ee ee er ee ee eee

Pege §
25. Where were you located when you saw the object? 25. Were you (Circle One) |
(Ciecle One): as.
fa.'In the business section of a city?
a. Inside o building F a { b, In the residential section of a city?
b. Ina cer CS + “e. In open countryside? |
c. Outdoors Le ha d. Near on cirfield?
d. In on cirplone (type) ¥ e. Flying over a city?
e. At sea fans = inp f. Flying over open country?
f. Other ee. 2h he g. Other tt

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

, : ie: A a j
Li vrlawvrer « 4 oT £¢ Cf 2 €

f e : ~ = wd at 4 *
+ Lecce ve CF Aes eA ed a

————— — ~ _

_——

23. |F you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:

23.1 What direction were you moving? (Circle One)

a. North c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwast
23.2 How fast were you moving? miles per hour.

26.3 Did you stop at cny 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)
sm g. West
( of North c. East e. South h. Northwest
b. Northeast d. Southeast f. Southwest i. Overhead
30. Whot direction were you looking when you last saw the object? (Circle One)
g West
e. Nerth c. East e. South (hh Northwest
b, Northeast Ca Sovtieast” f, Southwest i. Overhead ¥

ey nr rr ee owe ee ae

——

/

31. If you cre familiar with bearing terms (angular direction), try to estimate the number of degrees the object was
from true North (theu east) and also the number of degrees it was upward from the horizon (sleveation).

31.1 When it first appeared:

a. From true North____.____- degrees.

b. From horizon __._ ss hegre.
31.2 When it disappeared:

a. From true North — degrees.

b. From horizon____ degrees.

— = ——-—- _— — —- —_

Paoe 4

o _ i _ : Se ee. —--—
= - -- —, = 1

32. In the following sketch, imagine that you are at the point shown. Place an “A” an the curved line to show how |
high the object was above the horizon (skyline) when you first saw it. Places a “B’ on tho come curwed fine to
show how high the object was above the horizon (skyline) when you last sow it.

— a
33, In the following larger sketc> > coe an “A” at the position the object was when you first sow it, and a “B” at its
position when you last saw it, Refer to smaller sketch as on exomple of how to complete the larger sketch.

Puss 7

- — — - —_— wo me ce —

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 i ~b. Fog, mist, or light rain
c. Scottered clouds c. Moverate or heavy rain
d, Thick or heavy clouds d. Snow

©. Don't romember

—_——_ eo

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

Day Month Year

—_—-

eel

35. Was onyone else with you at the time you saw the object?

— sa

{Circle One) Yes No Enavid (- &

» a

"36.1 1F you answered YES, did they see the object too?

» %

(Cirele One) { Yes No

a

36.2 Please list their nomes cad eddresses:

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

(Circle One) f Yes No

_"

37.1 IF you answered NO, then when, where, and under what circumstances did you s#s other ones?

——

—_-

-- —_— —_ _ —-_

— —_— —- _—

—_———

— “ <= re eee nee eet cena ee | > a eee op ee. s-———~

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

(Circle One) f Yes No

IF you answered YES, then what speed would you estimate? yy 4

= ee WO eee oe ee +=

Do you think you can estimate how far away from you the object was?

(Cirele One) Yos No

iF you answered YES, then how far cway would you say it wos?

on —s _——_— _— ---=- on ee —_

Pieese give the following information cbout yourself: .
., ee.
iMAa —— = whee

— — — ee ee

First Name “Middle Nome

— ae f

: ° —— ———— 1 x
ofreet City Lone 2'she

| ost Name

TELEPHONE NUMBE
Ase Sex

Indicate any additional! informction chout yourself, including cny education, which might:be partinean?.

i
ee ee

ee ee

Re

eted this questionnaire:

Day Month Yeor

—_— - ———— —_ ee mee Oe ee © oe rn eee er eo e--- «-

ee eee Re + ow ee ome Cae ae eese

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