PROJECT BLUE BOOK

PROJECT 10073 RECORD CARD
I. DATE I. DATE 2. LOCATION LOCATION 12. 12. CONCLUSIONS
0 o Was Balloon
Jul Juls i. i Thorne,Ohio borne..Ohio 00 o Probably Probably Balloon Balloon
TYPE OF OBSERVATION TYPE OF OBSERVATION Possibly Balloon
3. DATE-TIME GROUP 4.
Local_ Local _ 2170 Ground-Visual Ground-Visual Ground-Radar Was Aircraft Was Aireraft
Q Probably Aireraft Probably Aircraft
GMT. GMT_ 77 '7 7 ') 107 AinVisual AirVisual Air-Intercept Radar D Passibly Aircraft Possibly Aircraft
5. PHOTOS 6. SOURCE O. Was Astronomical Yenus enus
Yes Ys 00 0 Probably Astranomical
No Ciritis Llian Possibly Astronomical
7. LENGTH OF OBSERVATION 8. NUMBER OF OBJECTS 9. COURSE 0 Other.
00 Insufficient Data far Evaluation
Unknown
setti
10. BRIEF SUMMARY OF SIGHTING 11. COMMENTS
7 ohearved tt Pisd Analyst visltei witiess o and
mu t 5 setting it g45d Ichecked directions. O'd riowed
7L1 thry BX add dppaered at nuch lower olt t 2g0 dyr
ti. Disappeurod helon uzltr. Eltaoss veritt slght-
ZOU. ing on suzceeling night.
Ie FoRa Sas (k2v 20 u2 Ja)
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I 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? When did you see the object? 2. Time of day: 2/10 2. Timie of day: 2110
Hour Hour Minutes
$266 26 Juy Jucy 62
Month Year (Circle One): (Circle One): A.M. A.M. or P.M. P.M.
3. Time Zone: 3. Time Zone: (Circie Onelza. Eastern (Circle One): a. Daviiabt Savina
(Circle One): a. Daylight Saving
D. Central b. Standard
c. Mountain
d. Pacific
e. Other
Where were you when you saw the object?
DeIve FAIRBORN OHt10
Nearest Postal Address City or Town State or Country
Additional remarks:
How long was object in sight? 25
Hours Minutes Seconds
5.1 How was time in sight determined?
a. Certain c. Not very sure
Lb. Fairly certain Lb. Eairly certain. d.Just a guess d. Just a guess
6. What wgs the condition of the sky? 6. What wgs the condition of the sky?
DAY DAY NIGHT NIGHT
a. Bright a. Bright *
b. Cloudy b. Cloudy
IF you saw the obiect during DAYLIGHT, where was the SUN located as you looked at the object? GHT, 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 This form supersedes. ATIC 164, Feb 60, which is obeolete.

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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):
.None a. Bright moonlight
b. A fow b. Dull moonlight
1C. Many c. No moonlight - pitch dark
d. Don't remember :d. Don't remember_
The object. appeared:
LIKE A STAR LIKE STAR
(Circle.One): (Circle.One): a. As a light a.As a light b. Shiny b. Shiny c. Dark c. Dark d.Don't remember d. Don't remember
If.it appeared as a light, was it brighter than the brightest:stars? If.it appeared as a light, was it brighter than the brightest stars?
. Did the object: (Circle One for each question)
Appear to stand still at any time? Yes Don't Know
b. Suddeniy speed up and rush away at any time? Yes LNo Don't Know
c. Break up into parts or explode? Yes LNo Don't Know
d. Give off smoke? Yes INe Don't Know
. Change brightness? LYes No Don't Know
f. Change shape? Yes LNo Don't Know
g.F Flash or flicker? Yes No Don't Know
h. Disappear.and reappear? Yes INo Don't Know
Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes LNo Don't Know. IF you answered YES, then teil what
it moved behind:
Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes 1No Don't Know. Don't Know. IF you answered YES, then tell what
in front of:
a. Solid b. Transporen BA.- Vapor b. Transparet BA.Lapor EOLF. OLF d. Don't Know
.Did the object appear: 14. Did the object appear: (Circle One): (Circle One):
15. Did you observe the object through any of the following? 15
a. Eyeglasses Yes No e. Binoculars LYes No
Sun glasses Yes No f. Telescope Yes No
c. Windshield Yes No g. Theodolite Yes No
d. Window glass Yes No h. Other

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16. Tell in a few words the following things about.the object.
.a. Sound No
b. Color Yr=LLoW - ORANCE-
Draw a picture that wil:show the shape of the object or.objocts. Label 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.
LIKE A LIKE A COLF BALL COLF BALL
THRO TH+R GT BINOC
18The edges of the object were:
(Circle One): a. Fuzzy or blurred Other
(b. Like.a bright star GyE
c. Sharply outlined ins
d. Don't remember
19. IF there was MORE THAN ONE object, then how many were there? ONE
Dran ronhat ty .
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the path, a "B" at the end of the path, and show any changes in direction during the course.
Feam 5W TOWARD WNW
How large did the object.appear. to you as compared to an object. with which you are familiar?
EYE LIKE
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? of the sighting, how much of the object would have been covered by the match head?
Obster LARCER
23. Did the object disappear while you were watching it? If so, how?
OveR Ho21zo~
In ordr that you can give as clear a picture as possible of what you saw, describe in your own words a
which you saw.
Gore Bree GoLk Bree
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11

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Where were you located when you saw the object? 2. Were you (Circle One)
(Circle One):
a. In the business section of.a city?
aInside a building b. In the residential section of a city?_
b.In.a car In open countryside?
c. Outdoors d.Near an airfield?
d. In an airplane (type) e. Flying over a city?
. 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?
TENTUN TO TO
OBJECT.
IF you were MOViNGN AN AUTOMOBILE or other vehicle.at the tim, then complete the following questins: 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) 28.! What direction were you moving? (Circle One)
a. North c. East South g. West
b. Northeast d. Southeast . Southwest Northwes:
28.2 How fos: were you moving? miles per hour.
28.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No
29. What direction were you
g. West
a. North c. East a. South h. Northwest
. 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 a North c. East East South South h. Northwest h. Northwest
b. Northeast d. Southeast d. Southeast f. Southwest i. Overhead i. Overhead
y miar w bearig tr ngu ctintatnbdre ws
from true North (thru east) and also the number of degrces it was upward from the horizom(elevation). from true North (thru east) and also the number of degrces it was upward from the horizom(elevation).
31.1 When it first appeared:
a. From true North345 _degrees. degrees.
b. From horizon b. From horizon_ $50}$ 508 degrees.
31.2 When it disappeared:
a. From true North 3 degrees.
b. From horizon__degrees.

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. 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 last saw it.
13 B
. in the foliowing larger sketch place an "A" at the position the object was when you first saw it, and a "B" at its
B
' - -
A ,u!
- -
SOUR
E1l

Pago 7
34. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One) WEATHER (Circle One)
La. Clear sky a. Dry
b. Hazy b. Fog, mist, or light.rain
c. Scattered clouds c. Moderate or.heavy rain
d. Thick or bravy clouds d. .Snow
•. Don't remember .
35. When and to whom did you report that you had seen the object? .When and to whom did you report that you had:seen the object?
2 27 Juez Juez 62
Day Day Month Year
.
Was anyne else with you at the time you saw the object? Was anyone else with you at the time you saw the object?
(Circle One) CY_os CY_o No
36.1 IF you answered YES, did they see the object too? .36.1 IF you answered YES, did they see the object too?
(Circle One) Yos No
36.2 Please iist their names and addresses:
MRS
(HUSSANO)
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?
Same OnstCr oN 25 JueY 62
38. in your opinion what do you think the object was and what might.have caused it? 8in your opinion what do you think the object was and what might have caused it?
1

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39.  Do you think you can estimate the speed of the object?
(Circle One) Yes No
IF you answered YI
(Circle One) Yes INo
IF you answered YES, then how far away would you say it was?
4Please give the following information.about yourself:
NAME. NAME Name First Namo Namo Name
ADDRE FAIRGOEN FAIRBOEN OA1O
Street City City Zone State
TELEPHONE NUMBER TELEPHONE NUMBER
Age Sex
indicate any additionai information about yourseif, including any education, which might be pertinent.
42. Date you completed this questionnaire: 270 Jocy 62
Month Y.ear 1.007
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B