PROJECT BLUE BOOK

“ PROJECT 10073 RECORD CARD

1. DATE 2. LOCATION “ 12. CONCLUSIONS |
0 Wes Bellesk
29 November 1962 West Union, Ohio Q Probably flee
3. DATE-TIME GROUP 4. TYPE OF OBSERVATION QO Possibly Balloon -
| Lecel 3cGround- Vi sual O Ground-Rodor ‘le Ploketly Alrevett
GMT 30/0300Z EXir Vi suol D Air-Intercept Radar 0 Possibly Aircroft
5. PHOTOS - SOURCE 0 Was Astronomicol
O Yes 0 Probably Astronomical
3KNe Civilia O Possibly Astronomical
7. LENGTH OF OBSERVATION 8. NUMBER OF OBJECTS | 9. COURSE O Other
GX Insufficient Dote ter Evaluation
30 i t O Unknown
a, minutes not rptd |
 |10, BRIEF SUMMARY OF SIGHTING 11. COMMENTS
Green & red glowing obj. Green & red glowing obj in

| Sight for 30 mins rptd to
staff duty officer. No other
information indicated on

rpt. Insufficient data for
evaluation,

-__~_oooo- —_---—-

ATIC FORM 329 (REV 26 SEP 52)

Page 9

U.S. AIR FORCE TECHNICAL INFORMATION SHEET
(SUMMARY DATA)

In order that your information may 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 re-
peat information :that you :have already given‘in the questionnaire, :and add any further comments,
statements, ‘or sketches:that you:believe are important. Try to present the details of the observa-

tiontin the order in.which they occurred. Additional pages of the:same size paper maybe attached
if:they.are needed,

mi Lia

| ” (Please Print)

7"
SIGNATURE _ _@ lad (———
DATE _ Fe ek eo nn

FPTFDAAgD Now bo pa

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re —_ (Do Not Write:in This Space)
CODE:

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.cs you possibly.can. The information that you give will

be used for research purposes, and will be regarded.as confidential moterial.

‘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 necessory, we may contact you for

further details.

1. When did you see the object?

OF Vo Av

Day Month

[76 —

Year

(Circle One):

i2. Time of day: 2300 far 30 WA

Hour Minutes

A.M. or P.M,

. Time Zone:
Saye (Circle One Ka, Eastern >
. b. Centra

| c. Mountain
d. Pacific
e. Other :

(Circle One): a. Daylight Saving

b. Standard

-_——

4. Where were ™ when yOussarw the object?

Ly o

Neures? Postal Address

td < tha

City or Town

State or ecis fowl

A >) Aesis

Additionai remarks: — .

QO
2

Lie

-
s~>

4)
ye ay fe en

are Shtf Dez

5. How long was object in sight?

5.1 How was time in sight determined?

ce. Certain
b. Fairly certain

2a

Minutes

c. Not very sure
d. Just a guess

rc

Seconds

6. What was the condition of the sky?

DAY

a. Bright
b. Cloudy

NIGHT

.a. Bright
b. Cloudy

(Circle One): a. In front of you
b. In back of you
¢- To your right

FORM

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

d. To your left

e. Overhead

fF. Don't ramembder

FTD JUL 61 164 Thisform supersedes ATIC 164, Feb 60, which Is obsolete,

8.

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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):
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

9.

The object.appeared:

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

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

11. Did the object: (Circle One for each question)
a. Appear to stand stil! at any time? Yes No Don't Know
b. Suddenly speed. up and rush.away at any time? Yes No Don’t Know
c. Break:up into parts or explode? © Yes No 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- Flash or flicker? Yes No Don't Know
h. Disappear and reappear ? Yes * No Don’t Know

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

(Circle One): Yes No Don't Know. IF you answered YES, then tell what
it moved behind:

-——

13.

/

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 what
in front of:

14,

Did the object appear: (Circle One): a. ‘Solid b. Transparent c. Vapor dd. Don't Know

15.

Did you observe the object through any of the following?

a. Eyeglasses Yes No e. Binoculors Yes No
b. Sun glasses ~~ tex No f. Telescope Yes No
c. Windshield Yes No g- Theodoiite Yes No
d. Window glass Yes No h. Other

UE aE 8

Page 3

16. Tellin a few words the following things.about the object.

a. Sound —

b. Color _ G LEEW apd hat Ghee)

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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.as wings, protrusions, ‘etc.,:and especially.exhoust trails or vapor trails.
Place an:orrow beside. the: ‘drawing ito ‘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. Shorply outlined
d. Don’t remember

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19. IF there wos MORE THAN ONE object, then how many were there?
Drow a picture of how they were orranged, and put on orrow to show. the direction. that. hey; were traveling.

a ee ee eee

Poge 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?

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 thet 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 same appearance as the object
which you saw.

ee

25.

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

o. In the business section of a city?
a. Inside.a building b. In.the residential section of.a city?
b. In.a car c. In open countryside?
c. Outdoors d. Near.an airfield?
d. In an airplane (type) I 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?

28.

IF you were MOYING 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. Northwest
28.2 How fast 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 locking when you first saw the object? (Circle One)
g- West
ac. North c. East 2, South ch. Northwest
5. Northeast d. Southeast f. Southwest i. Overhead
30. Whot direction were you looking when you last saw the object? (Circle One)
-Qe/ West
a. North c. East e. South h. Northwest
b, Northeast d. Southeost — f, Southwest i. Overhead
31. |f you are familiar with bearing terms (inouler direction), try to astimate the number of degrees the object was}
from true 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 North degrees.
b. From horizon degrees.

Re

a. From true North degrees.
| b. From horizon degrees. :

31.2 When it disappeared:

|

Page 6

- E
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 Jost saw it.

33. In the following larger sketch place an “A” at the position the object was when you first saw it, anda “B” at its
position when you last saw it. Refer to smaller sketch o« an example of how to complete the larger sketch.

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Page 7

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

CLOUDS (Circle One) WEATHER (Circle One)
a. Clear sky a. Dry o
b. Hazy b. Fog,.mist, or light:rain
¢. Scattered:clouds -¢. Moderate or heavy rain
d. Thick or hsavy:clouds d. Snow
e. Don't remember

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

Day Month Year

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

(Circle One} Yes No

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

36.2 Please list their names.and addresses:

— -

37. Was this the first time that you had seen an object or objects like this?
(Circle 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.ond what might.have caused it?

Poge 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?

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 the followi information about yougself:
_ —iastE

| Cast Name First Nome Middle Nome
hos t Veioas O46
ADDRESS : Street : City Zone State

TELEPHONE NUMBER

Age Sex

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

Reo por bf pbs read Meare al ot inbw Cu tsAG

In WPRER $4atl ei DIL) cov a

42. Date you compieted this questionnaire:

Day Month Yeor