PROJECT BLUE BOOK

1. DATE

PROJECT 10073 RECORD CARD

2. LOCATION

ATIC FORM 329 (REV 26 SEP 52)

ne

12. CONCLUSIONS

a ‘ ae © Was Balloon
¢ Jul 62 Dayton, Onio O Probably Balloon
O Pessibly Balloon
3. DATE-TIME GROUP 4. TYPE OF OBSERVATION
‘ €} Wes Aircraft
Local = Ground Vi sual 0 Ground-Redar O Probebly Aircrafts
GMT. 08 JO4e5 0 Air Vi aual © Air-Intercept Roeder D Possibly Aircraft
5. PHOTOS « SOUR 0 Was Astronomico!
O Yes 0 Probobly Astronomical
‘1D Ne Civilian ©O Possibly Astronomicel
7. LENGTH OF OBSERVATION 8. NUMBER OF OBJECTS | 9. COURSE O Other
0 insufficient Dete for Evaluction
: 0 Unknown
10, BRIEF SUMMARY OF SIGHTING (> jt about as bright as [VW COMMENTSToqu sion of standing stil}
Tas so SOund Bc 2ompanied flight. Observed roated when a/c turns toward or a
Vong to & and tren stand Ld Tor. 10-15 Tm observer while at greet distance
, aN > Ya ade a turn \o a : ip Ive NS ind general descrirtion of
7 y é. ed 2G @)> es i es -c oat tian no A 09n = . L —— . a
| 7 i" . J i ~ " - - , . “ sap - -
" .. . + ee
qi. ; ‘a r

-—— eo

; . PROJECT 10073 RECORD CARD

1. DATE 2. LOCATION 12. CONCLUSIONS
© Wes Balicon
10 Jul 62 Dayton, Ohio D Probably Balloon
3. DATE-TIME GROUP 4. TYPE OF OBSERVATION Tae °8) wae
200 ? Was Aircraft
Local? a XEKGround- Vi sual © Ground-Reder S Prcbalie tevaeke
omt.__-0/0700Z 07902 aa 0 Air Visual O Air-intereept Rader | 7 Possibly Aircraft
. 5. PHOTOS JUR O Was Astronomical
O Yes 0 Probably Astronomical
XE) Ne Civilian 0 Possibly Astronomical |
7. LENGTH OF OBSERVATION 8. NUMBER OF OBJECTS | 9. COURSE eee
0 Insufficient Deta for Evaluation
: O Unknown
i W& EF |
10. BRIEF SUMMARY OF SIGHTING Co4t looked like 11. COMMENTS Probabiy a/c sighting. Nothing
itellite or light plane. Color red, no conflicting with this analysis.
"ound. Brighter tnan stars. Moved Ww, made
ED ciycular turn to E. Disapreared over
Ov izon. bre2iezns excert war |
ath. : n tant with » Fa :
whe
}
ATIC FORM 329 (REV 26 SEP 52)
!
er

“ a - EN Se Te
‘ara —= 1 errr eS ee eee —

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.

re ar oe aoe

1. When did you see the object? 2, Time of day:
a Te a a "se (Circle One):
3. Time Zone: _
ee (Circie One)/a, Eastern (Circle One): a. Daylight Saving

b. Central b.. Standard
c. Mountain z:
d. Pacific
e. Other

_ = ae — - — — a ee ee

4. Where were you when you saw the object?

~~

——— —

Nearest Posial Address City or Town State or Country

Additiona! remarks: ee ee

--—_—_— -—— — = — ——- —_—__--_ ----— _--—_ or — —_—

5. How long was object in sight? <span sceeictmnlnicaileer”

Hours Minutes Seconds

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
e. Bright

b. Cloudy
7. IF you saw the obiect during DAYLIGHT, where was the SUN located as you looked at tf 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 le obsolete.

Pege 2

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

a. None a. Bright moonlight
b. A few «  b. Dull moonlight
C ¢. Many ¢. No moonlight — pitch dork

d. Don't remember d. Don't remember

9. The object. appeared:

<<

(Circle One): {| a. he a light / b. Shiny c. Dark d. Don't remember

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

it moved behind:

—EE —E — —- —- —
———————_—— .

_ —_— ——— — ——— — — —— —_— —— ~ - +

Jf
11. Did the object: (Circle One for each question)

a. Appear to stand still at any time? Yes \_No | Don’t Know |

b. Suddeniy speed up ond rush away at any time? Yes - Ne Don’t Know

‘ ¢. Break up into parts or explode? Yes (No Don’? Know
d. Give off smoke? Yes 4 No - Don’t Know
e, Change brightness? Yes _No_ Don’t Know
f. Change shape? Yes No Don’t Know
g. Flash or flicker? Yes . No Don’t Know :
h. Disappear.and recppear ? Yes - No Don’t Know
| 12. Did the object move behind something at any time, particularly a cloud?
=
(Circle One): Yes No. Don’t Know. iF you answered YES, then teii what

13. Did the object move in front of something at any time, particularly a cloud?
| (Circle One): Yes ~ No ae ~ Don't Know. IF you answered YES, then teli what
in front of: iinet a
i
;
14, Did the object appear: (Circle One): a. Solid b. Transparent c Vapore( d. Don't Know sj
:
15. Did you observe the object through any of the following?
a. Eyeglasses Yes No. e. Binoculars Yes _Ne_ |
b. Sun glasses Yes . No f. Telescope Yes Ne.
c. Windshield Yes No g. Theodolite Yes No | ‘

d. Window glass Yes No h. Other

~

Pege 3

16. Tell in a few words the following things about the object.
a. Sound L2 Dee Pee
a

b. Color eet

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.os wings, protrusions, etc.,:and especially exhaust trails or vapor trails.
Place an. arrow beside.the drawing:to show the direction:the object: was.moving.

: 18. The edges of the object were:

i (Circle One): a. Fuzzy or blurred e. Other
b. Like.a bright star
 e. Sharply outlined
“a> 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 dir=ction. that they were traveling.

Nii we

Pege 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, o “"B’’ at the end of the path, and show any changes in direction during the course.

21. How large did: the object appear to you as compared to an object. with which you are familiar?

22. We wish to know the angular size. Hold. a match stick at arm’s length in line with a known obiect.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?

Lv |

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

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 piaced up in the sky, would give the same appearance as the object
which you saw.

iE tat Ot he on ti

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

In the business section of.o city?
a. Inside a building b. In the residential section of o city?
b. Ino car . In open countryside?

Outdoors » Near an airfield?
d. In an airplane (type) Flying over a city?

e. At sea Flying over open. country?

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

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)

‘@. North - c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
28.2 How fas: were you moving?____=>=similless per hour.

a 88 8 EM YT et Gee oe. em ee - e

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

eee ee) ee

(Circle One) Yes Ne
29. What direction were you !ooking when you first saw the object? (Circle One) "
a. North c. East 2. South h addiasies
b. Northeast d. Southeast f. Southwest __j, Overhead
30. What direction were you looking when you last saw the object? (Circle One) “
| - a. North 5. Gast e. South : . wll

| b. Northeast -d. Southeast f, Southwest i. Overhead

| 31. If you are familiar with bearing terms (angular direction), try to estimate the number of degrees the object wes
from true North (thru east) and also the number of denrces it was upward from the horizon (elevation).
31.1 When it first appeared: ee
a, From true North_____________—_degrees.
b. From horizon_____-—ss leggreess |
31.2 When it disappeared: |
3 a. From true North Ped /__ degrees. , :
b. From horizon degrees. "
'

a A 6 ee Peg me hee ee ee ee ee ee TUE aad RTF hie a a hw . - as _—

a op egg ee.

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 o "B” on the same curved line to
show how high the object was above the horizon (skyline) when you /ast saw it.

oc ce ame eee ow wee -

—— = —_— - —

~=

33. In the foliowing iarger sxerch piace an “A” cit the position the object wos when you first saw it, and a “B” at its
position when you jcs+ sa ‘+, Refer to smciler skeicn c< an example of how to complete the larger sketch.

——_———

i ct ce! dR

mee eemme— —  ee eee - -

i A A LE LLL LLL LL OE

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

CLOUDS (Circle One) WEATHER (Circle One)
a. Clear sky ye by

—t-Haay ~~ b. Fog, mist, or light rain

 @. Scattered clouds -¢. Moderate or heavy rain
d. Thick or ksavy clouds d. Snow

Don’t remember

35. When and to whom did you report that you:had:seen the object?

Dey Month Yeor

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

(Circle One) Yes No

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

(Circle One) Yes No

36.2 Piecse list their names and addresses:

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 circumstances did you see other ones?

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

oO mm ee

f 1 I EN ER ee eR mm — ee ge ype ant tinal °

Pege 8

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

(Circle One) Yes No

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

el

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

—_
mo

(Circle One) (Yes. No

Bm eo OM Agni SEO? -
IF you answered YES, then how far away would you say it was?

41. Please give ing information about yourself:

a — —, ia
t Nome i
oe

- = ,
“ , .
" w

City : Zone —

ADDRESS

TELEPHONE NUMBER

Age Sex

indicate any additional information about yourself, including any education, which might.be pertinent.

42. Date you. completed this questionnaire:

Dey Month Year

PROJECT 10073 RECORD CARD

1. DATE |2 LOCATION 12, CONCLUSIONS

Was Balloon
Probably Balloon
Possioly Balloon

Was Aircraft
Probably Aircraft
Possibly Aircraft

LZ) 4? Pacts ho

3. DATE-TIME GROUP 4. TYPE OF OBSERVATION

Lecol mnt * ( Ground- Vi sual O Ground-Rodar
GMT 12 /O 8

0 Air Vi sal O Air-intercept Radar

5. PHOTOS &. SOURCE *
0 Yes

O No . |
7. LENGTH OF OBSERVATION 8. NUMBER OF OBJECTS | 9. COURSE

Was Astronomical
Probably Astronomical
Possibly Astronomical

Other : i
Insufficient Data for Evaluation '
Unknown

ry : ;

10. BRIEF SUMMARY OF SIGHTING 11. COMMENTS

ee ee ee eee ee me

——=

oo0 aoo ona0 000

:

r

LLY

S8IDNNS eovdsoray
AVOe1iC]

YOROIQ sHaiyory “y
‘OL NYNALTY

ATIC FORM 329 (REV 26 SEP 52)

yre. * J _™
ns ie eo ee site See view

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.os you possibiy can. The information that yau 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?

- J ix a
Day Month
; F3 :

1 ae ae (Circie One): a. Eastern -
b. Central
¢. Mountain
d. Pacific
e. Other

’

‘2. Time of day: ji #5 - jt de

Hour Minutes

or P.M.

(Circle One): A.M.

(Circle One): a. Daylight Saving
b. Standard ~

| 4. Where were you when

i
s

ada

saw the object?
~aateiinte se

, nea  ,
Se a

Additional remorks:

City or Town State or Country

—____——_-- —

--—— tO

—_—_- + --—__-

5. How long was object in sight?

Hours

5.1 How was time in sight determined?

a. Certain
b. Fairly certain

6. What was the condition of the sky?

DAY

a. Bright
b. Cloudy

+

Minutes Seconds

c. Not very sure
d. Just a guess

(NIGHT °

a. Bright
b. Cloudy

oad

—_ —_——

———_—

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

(Circle Onek a. In front of you
b. In back of you
c. To your right

FORM

d. To your left
e. Overhead
f, Don’t remember

FTD JUL 61 164 This form supersedes ATIC 164, Feb 60, which ts obsolete.

~—

eee te el ee ee ea eee

freps hh J bef» PFD OD | 7 sy i962
item tt ne ae
Ce hs |
2 | yo |
ere Apteer, £7 44>

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 possibiy can. The information that you give will
be used for research 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 nece<sary, we may contact you for

further details.

]. When did you see the object? (2, Time of day: / “ 4?
f+ Hour Minutes
8 : 'Ak& Le
| Y [ Y /
Bay Month Year (Circle One):
Se Ti Z : ; )
me OO" (Circle One }9,7 Eastern (Circle One): a. Daylight Saving

Central b. Standard
c. Mountain
d. Pacific Saag Ga
e. Other

_— —-— - - — —

4. Where were you when you saw the object?

ecrest Poesia ress City or Town

‘ Se Re en ee a ee en

5. How long was object in sight?

5.1 How was time in sight determined?

a
a. Certain (c, Not very sure
b. Fairly certain d. Just a guess

6. What was the condition of the.sky?

a,

DAY , NIGHT” sf? a 7 7. raL 7) fp
~~ - 4. ri 3 ANS, te 7 “me
a. Bright a. Bright Kites rs
b. Cloudy b. Cloudy rw

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

c. To your right f, Don’t remember

FORM
FTD jsut 6i 164 = rhteform supersedes ATIC 164, Feb 60, which is obsolete.

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

8.1 STARS (Cirele One):

@. None
b. A few

(ee Many

d. Don't remember

9. The object appeared:

(Circle One):

a. Asa light
a Vv
Qe ® ele Atm

8.2 MOON (Circle One):

Vract:

ya hain. b dort?
C gees i. Phar

b. Shiny F

A

a, Bright moonlight
b. Dull moonlight
¢. No moonlight. pitch dark

d.. Don't rem

aneAs «\ fs

ec. Dark

wi/

a

—

10. If.it appeared asa light, was it brighter than the brightest:stars?

ll.

12.

13.

14.

15.

Did the object:

Give off smoke?
Change brightness?
Change shape?
Flash or flicker?

re mes aoge

Appear to stand stii! at any time?
Suddeniy speed up and rush away at any time?
Break up into parts or explode?

. Disappear and reappear ?

-/

ap DVigad oe

(Circle One
fs
Yes No|
Yes No |
Yes No
Yes _ No
Yes _ No
Yes , No
Yes | No»

Yes WN

Did the object move behind something at ony time, particularly a cloud?

{Circle One):
it moved behind:

Did the object move in front of something at any time, particularly a cloud?

Yes No») Don't Know.

(Circle One):
in front of:

Did the object appear:

Did you observe the object through any of the following?
fr
No
|
No |

No _

a. Eyeglasses
b. Sun glasses
c. Windshield

d. Window glass

ie

(Circle One):

Yes
Yes
Yes
Yes

Don’t Know.

Page 2

d. Don't remember

«f ‘
ee, ae Ki Se

for each question)

Don’t Know
Don’t Know

Don’t Know

Don’t Know

Don't Know
Don’t Know
Don't Know
Don't Know

iF you answered YES, then teil wher

—— —<——_—_— ——

—

IF you answered YES, then tell what

—_— — _—_--—— -_—— a ——

i

| a, Solid

>a ~ oO

b. Transparent

. Binoculars

Telescope

Theodolite

. Other

—_—_

c. Vapor™ d. Don's Know

——-

—_——

-——

a ee i

ii mae ee ES Oe eS V2

wh ES Ve ee

16. Tell in a few words the following things about the object.
| f+)

b. Color oe a eS ’ |

17, Draw a picture that will show the shape of the object.or objects. Lobel.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.

: 18 The edges of the object were:

(Circle One): o. 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? 4

Drow a picture of how they were arranged, and put an arrow to show the dir=-tion that they were traveling.

|

PP Ey ET eT a TET TTI oe ea, ey fe ee ee ee, Gere + ° poe a -~

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, o ‘‘B’’ at the end of the path, and show any changes in direction during the course.

21. How large did the object appear. to you as compared to an object with which you are familiar?

22. We wish to know the angular size. Hold a match stick at arm’s length in line with a known obiect.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 disappear while you were watching it? If so, how?

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

= ——— —- — a F
Te pre ee a ae ee me ;

Page 5
25. Where were you located when you saw the object? 26. Were you (Circle One)
(Circle One):
a. In the business section of.a city?
a. Inside a building b. In the residential section of a city?

b. Ina cor ¢. In open countryside?
¢. Outdoors d. Near an airfield?
d. In an airplane (type) e. Flying over a city?

e. At sea f. Flying over open country?
f. Other . gq: Other

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

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 c. East e. South g- West
b. Northeast d. Southeast f, Southwest h. Northwes*

28.2 How fas: were you moving?___==ESsamilles per hour.

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

: (Circle One) Yes Ne
29. What direction were you looking when you first saw the object? (Circle One) —)
ge West
a. North c. East 2. South h. Northwes?
b. Northeast d. Southeast f. Southwest i. Overhead
30. What direction were you looking when you last saw the object? (Circle One) ‘
= g- West
a. North 7 a c./East e. South h. Northwest
b. Northeast d. Southeast f. Southwest i. Overhead

31. If you are familiar with bearing terms Hanahan divwetion\, try to estimate the number of degrees the object was
from true North (thru east) and also the number of dearces it was upward from the horizon (elevation).

3}.1 When it first appeared: a

a. From true North_________degrees.
b. From horizon _____-_—s degrees.

a. From true North degrees.

i
31.2 When it disappeared: :

b. From horizon ______-___—— degrees.

32. In the foliowing 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 last saw it.

thes 7
Ney 1\ iy 5)

cs tet

-_-—- — —-

; ae

7d. [tn the foliowing larger s<xetch place an “A” a: the position the object was when you firs? saw it, and a “B” at its
position when vou jes* sou tt, Refer to smciler sketch c« an exampie of how to compiete the larger sketch.

re ee Ee +

ee a ee ee ee —_—, ry T= =< —s Je "a. s a! 4 eo oe =

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

CLOUDS (Circle One) WEATHER (Circle One)

a. Clear sky [we Dry
b. Hazy b. Fog,.mist, or light. rain

Ce Scattered clouds -¢. Moderate or heavy rain

d. Thick or hravy clouds d. Snow
e. Don't remember

35. When: — to aie ante did you Ez, that you. vate Ly temas Les

36. Was anyone else with you.at the time you saw the object?
(Circle One) “a Yes "No

8,
‘36.1 IF you answered YES, did they see the object too?
( Circle One} Yes No

36.2 Piease list their names and addresses:

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

(Circie One) Yes No «|

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

~ —P_ - =

“:
a . ; ”- “-*
Ponsa 4 ( dtc ee Oe OF PP ae ha ff ts

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

Ow en «ee om

a ee ee ee ee ee

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

(Circle One) Yes No

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 No

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

41. Please give the following information about yourself:
| rst Name "Middle Neme
: or 4 me A r
ee AD -_—  . g am cited
| | DRESS Zone State ,
TELEPHONE ue J

. . .
d FLA
~

Age a4 Sex cA

indicate ony additional information about yourself, including any education, which might be pertinent.

| 42. Date you completed this questionnaire:

Day Month ‘Year

- ge ey OE A I ty 6 Re ee i ne r St O tee | 8

Page 2

| 8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?
| 7 8.1 STARS (Circle One): 8.2 MOON (Circle One):

a. None a. Bright moonlight
b Afew sok pHa b. Dull moonlight

Many ¢. No moonlight — pitch dark
Don't remember d. Don't remember

The object appecred:

oe SSE. «...
we

(Circle One): a. Asa light b. Shiny c. Dark d. Don’t remember

—_
————

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

2 y/
- . .“"
, s

~

11. Did the object: (Circle One for each question) ,
a. Appear to stand stiil at any time? Yes No Don’t Know
| b. Suddenly speed up and rush away at any time? Yes No Don't Know
ee c. Break up into perts or explode? Yes No Don't Know
d. Give off smoke? Yes No Don't Know 7
e. Change brightness? Yes No Don't Know |
f. Change shape? Yes No Don’? Know |
| g- Flash or fiicker? Yes No Don't Know :
& ; h. Disappear and reappear ? Yes - No Don’t Know

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

{Circle One): Yes No Don’t Know. iF you answered YES, then teil whet !
it moved behind:

—_—_—_-- -— —

— —— —-- a = es

—— ——— —— — J

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

‘Base. 204 S Ch es.

(Circle One): Yes No Don’t Know. IF you answered YES, then teli what
in front of: ice a ¥ : oe, a
14. Did the object appear; (Circle One): a. Solid b. Transparent c. Vapor d. Don't Know = j

15. Did you observe the object through any of the following?

a. Eyeglasses Yes No e. Binoculars Yes No
j b. Sun glasses Yes No. f. Telescope Yes No
4 c. Windshield Yes No g. Theodolite Yes No
j d. Window glass Yes No h. Other Z

ee ST es ee =

Page 3

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

b. Color

17. Draw a picture thet will :show the ishape of ‘the object.or objects. Label.and include in your sketch any details

of. the object:that you:sawsuch.as wings, protrusions, ietc.,and especially exhaust trails or vapor trails.
Place on. arrow 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
( b. -Like.a bright ‘stor
c. Sharply outlined
d. Don't remember

oe ww eee

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 dir=-tion 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.

~ ‘ =

21. How large did the object :appear.to you as compared to an object.with which you are familiar?

/. ¥ .
LL? ; a ee | \. ee em Pe

22. We wish to know the angular size. Hold a match stick at arm's length in line with a known obiect 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?

we ee ee ee Ce

Did the object disappear while you were watching it? if so, how?

3

t
te

oa ae

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 piaced up in the sky, would give the same appearance as the object
which you saw.

eal

Page 5

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

a. Inside a building

26. Were you (Circle One)

a. In the business section of.a city?
(b. In the residential section of a city?

b. Ina car c. In open countryside?

c. Outdoors. d. Neor an airfield? -- })..4.6 Wty
d. In an airplane (type) e. Flying over a city?

e. At sea. 5 f. Flying over open.country?

f. Other “ac sue rch -2 atch g- Other

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

ee ; Lh dm , ee A oe) ; Ae.

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 c. East e. South g- West
b. Northeas? d. Southeast f. Southwest h. Northwes*

28.2 How fas: were you moving?__ smiles per hour.

De ee aT Re oe oe 2 eee ee

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

: : 8 soe 2 2 ee 2s 1 SO

(Circle One) Yes Ne
| 29. What direction were you looking when you first saw the object? (Circle One)
Py g. West
a. North (c.) East @. 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)
g- West
| a, North (€.) East e. South h. Northwest

| b. Northeast a. Southeast f, Southwest i. Overhead :

i 31. if you are familiar with bearing terms (angular direction), try to estimate the number of degrees the object wes
| from true North (thru east) and also the number of dearces it was upward from the horizon (elevation).
j 31.1 When it first appeared: -
a. From true North__________degrees. | ze Ee
| b. From horizon ___ ss leggreeess. {
31.2 When it disappeared:
| a. From true North 1 degrees. |
| b. From horizon ___ “degrees.

OO (ae ee ee - - rrp

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 Jast saw it.

os ————_— —- —~+——- —--

33. in the foliowing larger sketch place an “A” at the position the object was when you firs? saw it, and a “B” at its
position when you ics? sow it, Refer to smaller sketch o< an example of how to complete the larger sketch,

-

i

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

CLOUDS (Circle One) WEATHER (Circle One)

‘a, Clear sky ‘a. Dry
b. Hazy b. Fog, .mist, or light rain
@. Scattered:clouds -¢. Moderate or:heavy rain
d. Thick or bsavy clouds Snow

Don't remember

35. When and-to whom did you report that you had seen the object?
“F

: OL +
Dey Mon Year

36. Was anyone else with you.at the time you saw the object?
(Circle One) Yes No

8, ‘
‘36.1 IF you answered YES, did they see the object too?

(Circle One) Yes No

36.2 Piease jist their ee addresses:
{ ; , G &

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 circumstances did you see other ones?

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

Oe Ee eee Oe

Page 8

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

(Circle One) Yes No

i

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 No

IF you answered YES, then how far away would you soy it wos? rh

41. Please give
NAM

rs? Name "Middle Neme ~~
ADDRESS < Ls 2 ee
C ity: Zone 5 fate i

TELEPHONE NUM

Age Sex

Indicate ony additional information about yourseif, including any education, which might.be pertinent.

— p an

42. Date you completed this questionnaire:

Day Month Year
i i r tf - ; Cc sg aA im sad
I -
ay , “
s r ‘ ' ;
—_ : : ‘ ‘ _ = « € J a
L¢- r . <

: “. ; vt ‘ e
i - aa > PP ee | e- & 6 7 ™ . ’ . » fe 4h ‘ s d woe’ 4