PROJECT BLUE BOOK

PROJECT 10073 RECORD CARD
1. DATE LOCATION 12. CONCLUSIONS
0 Was Balloon 7
9 January 1963 West Carrolton, Ohio Probably Balloon
4. TYPE OF OBSERVATION 0 Possibly Balloon
3. DATE-TIME GROUP
Local XKGround-Visual Ground-Radar 0 Was Aircraft
00 Probably Aircraft
GMT. 10/0335z AirVisual Air-Intercept Radar Possibly Aircraft
5. PHOTOS 6. SOURCE 0 Was Astronomical
Ys 0 Probably Astronomical
xx No Civilian 0 Possibly Astronomical
7. LENGTH OF OBSERVATION 9. COURSE 0 Other.
xx Insufficient Data for Evaluation
D Unknown
unknown one fell to ground
10. BRIEF SUMMARY OF SIGHTING 11. COMMENTS
Yellow and white light fell to ground Yellow and white light fell to
No estimate of duration given. Nothing ground behind tower. Insufficient
in report except thit obj disappeared data for analysis.
behind a tower.
ATIC FORM 329 (REV 26 SEP 52)
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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? 2.Time of day: 22 35
Hour Minutes
9 JAN 63
Day Month Year (Circle One): A.M. or P.M.
3. Time Zone: 3. Time Zone: (Circle One): a. (Circle One): a. Eastern
(Circle One): a.Dayiight Saving
b. Central b. Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object? 4. Where were you when you saw the object?
West Canollton WEst Cannol/ton
Nearest Postal Address City or· Town State or Country State or Country
Additional remarks:- Additional remarks: -
How long was object in sight? UNK
Hours Minutes Seconds
determined?
a. Certain c. Not very sure
b. Fairly certain d. Just a guess
. What wqs the condition of the sky?
DAY UNK
NIGHT
a. Bright a.
b. Cloudy b. Cloudy
(Circle One): a. In front of you N/ 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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Page 2
8.1 STARS (Circle One): 8.2 MOON (Circle One):
:a. None aBright moonlight
b. A few UNK
b. Dull.moon!ight
.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 c. Dark d. Don't remember
UNK 1
Did the object: Did the object: (Circle One for each question)
a. Appear to stand still. at any time? Appear to stand still at any time? Yes No Don't Know
b. Suddenly speed up and rush.away at any time? Yes No No Don't Know
c. c. Break:up into parts or explode? Break:up into parts or explode? Yes No Don't Know
d. Give off smoke? Yes No Don't Know
e. Change.brightness? Change. brightness? Yes No Don't Know
f. Change shape? Yes No Don't Know
g. g. Flash or flicker? Yes No Don't Know
h. Disappear and reappear? h. Disappear and reappear? Yes . No Don't Know
Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answered YES, then tell what
it moved behind: A tAll toveR
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: __ UNK
Did the object appear: (Circle One): a. Solid b. Transparent c. Vapor d. Don't Know
following? UNK
a. Eyeglasses Yes No e. Binoculars Yes No
b. Sun glasses Yes No F. Telescope Yes No
c. Windshield Yes No g. Theodolite Yes No
d. Window glass Yes No h. Other

,
Rage 3
Telln a few words the ollowing.things.aboutthe oject.
.a. SoundUNk
t.qrnd
0
oth object that yu:saw such.as wings, protrusions, e.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: 18. The edges of the object were:
(Circle One): a. Fuzzy or.blurred . Other . Other
.b. Like.a bright star b.Like.a bright:star
c. Sharply outlined
d. Don't remember
F
19. · IF there was MORE: THAN ONE object, then how many were there?
-
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Pago 4
e beginning of
how.much of the object is covered by the head of the match.If you had performed this experiment:at the tie
of the sighting, how much of the object would have been covered by the match head? of the sighting, how mucn of the object would have been covered by the match head?
.
23. Did the object disappear while you were watching it? 23. Did the object disappear whi III hile you were watching it? If so, how? If so, how?
went lehidtower
yee
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.
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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 In the residential section of a city?
b. In.a car c. In open countryside? 2
c. Outdoors Near an airfield? UNK
d. In an airplane (type) uNK 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?
UNK
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? ircle One)
. North c. East . South g. .West
b. Northeast d. Southeast f. Southwest h. Northwest
28.2 How fast were you moving?. _miles per hour.
(Circle One) (Circle One) Yes Yes No
2.What direction were you . looking when you first saw the object? (Circla One) UNK
g. West
c. North c. East South h. Northwest
b. Northeast d. Southeast f. Southwest i. Overhead
. What direction were y king. Pouned th tonen
g. West
aNorth c. East . 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. When it first appeared:
a.From true North degrees. UNL
b. From horizon degrees.
31.2 When it disappeared:
a.From true North degrees.
b. From horizon degrees.

Page 6
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 same curved line to
show how high the object was above the horizon (skyline) when you last saw it.
In the following larger sketch place an "A" at the position the object was when you first saw it, and a "B" at its
position when you last saw it. Refer to smaller sketch as an example of how to complete the larger sketch.
2

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What were the weather conditions:at the time you saw the object?
1
CLOUDS(Circle One) ER (Circle One)
a. Clear sky a. Dry
- b. Hazy b. Fog, mist, or light.rain
c. Scattered:clouds c. Moderate or.heavy.rain
d. Thick or heavy:clouds d. Snow
e. - Don't remember
When and to whom.did you report that you had seen the object?
FTD GUARD
Day Month Yoar Duity Officen itilble
(Circle One) Yes No
UNK UNK
36.1 IF you answered YES, did they see. the object too? 3 IF you answered YES, did they see the object too?
(Circle One) Yos No
36.2 Please list their names their names and ad ddresses:
Was this the first time that you had seen an object or objects like this? Ws th  t t tat yu seen
(Circle One) Yos No UNK
37.1 IF you answered NO
.
.
urk
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Pags 8
yo hin you  ta t see tct?
(Circle One) Yes No
IF you answered S, then what speed would you estimate?
2
(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:
NAME Last Name First Name
Middlo Name
ADDRE W. Carnelto Ohio
Street Street City City Zone Zone State 701
TELEPHONE NUMBER
Age Sex_ F
Indicate any additional information about yourself, including any education, which might be pertinent. Indicate any additional information about yourself, including any education, which might:be pertinent.
42. Date you completed this questionnaire: 1
Day Month Year