DECLASSIFIEDUSAF PROJECT BLUE BOOK · NARA T-1206
UNITED STATES AIR FORCE
PROJECT BLUE BOOK
UNIDENTIFIED FLYING OBJECT CASE FILES · 1947 – 1969
CASE REFERENCE9317040
DATE OF SIGHTINGApril 1963
REPORTED LOCATIONChantilly Virginia
FRAMES17
Machine transcription · mean legibility 64.3/100 ·
engines: tesseract-200dpi
Transcribed Frames
FRAME 001 / 017tesseract-200dpi
PROJECT 10073 RECORD CARD
1. OATE 2. LOCATION 12. CONCLUSIONS
: OD Wes Balloon
| 3 April 1963 Chantilly, Virginia O Probably Balloon
4 = O Possibly Bolloon
3. DATE-TIME GROUP 4. TYPE OF OBSERVATION
Lecel __ 2015 i” KHGround- Vi sual O Ground-Rodar rc Pokshly kivereli
GMT 04/0115Z 0 Air Visual 0 Air-intercept Rodar GO Possibly Aircroft
5. PHOTOS 6. SOURCE O Was Astronomical
O Yes O Probably Astronomicol
Bo Civilian 0D Possibly Astronomical
7. LENGTH OF OBSERVATION 8. NUMBER OF OBJECTS | 9. COURSE OD Other
D Insufficient Doto for Evaluation
GO Unknown
J 2 minutes oe oes!
10. BRIEF SUMMARY OF SIGHTING 111. COMMENTS
speed or altitude, No sound,
fs
' Single obj not unlike mars w/slight
reddish tinge. Also comparable to
bright star, moving in ENE direction
where it disappeared behind trees after
a 2 minute flight. No estimate on
A/C probably on flight to
Washington D,.C., Baltimore
or other large city in direc-
tion indicated (also see
case dtd i8 April )
—_—-—
ATIC FORM 329 (REV 26 SEP $2)
FRAME 002 / 017tesseract-200dpi
-_- —_-eooOo ——
PROJECT 10073 RECORD CARD
1. DATE
2. LOCATION
i 12.
CONCLUSIONS
Speed erratic.
zig-zag,
—— —
in flight to SE veering to South,
About size of Mars,
trees at about 45 dgr elevation,
Object seemed to
Disappeared behind
ATIC FORM 329 (REV 24 SEP $2)
es
Q Was Balioon
: = ; wer G Probably Balloon
_18 April 1963 Chantilly, Virginia salt) Poasthy Batters
3. DATE-TIME GROUP 4. TYPE OF OBSERVATION
ISX Was Aircraft
Lecal 2000 & Bround- Vi suai © Ground-Rador O) Probobly Aircraft }
GMT 19/01002Z 0D Air Visual Cl Air-Intercept Radar |7 Possibly Aircraft
5. PHOTOS 6. SOURCE 0 Was Astronomical
O Yes Oo Abad she Astronomical
: 0 ossi Astronomical
XIXNo Civilian
7. LENGTH OF OBSERVATION 8. NUMBER OF OBJECTS | 9. COURSE O Other
O Insufficient Dota for Evaluation
5 thi 30 SE th s O Unknown
ins secs one en
10. BRIEF SUMMARY OF SIGHTING 11. COMMENTS
Reddish object appearing as a light A/C.
FRAME 003 / 017tesseract-200dpi
Y.S. AIR FORCE TECHNICAL INFURMATION
A OO BEE
This questionnaire has been prepared so thut you can give the U.S. Air Force as much
information as possible concerning the unidentified asria! pnenomanon that you have edsarved
Please try to onswer as many questions as you possibly can. The informetion thar you give w
be used for research purposes. Your name wil! nu? 22 used in connection with any starwars
conclusions, or publications without your permission. We request this personal infarcseun se
that if it is deemed necessary, we may contact you for further details.
eee ee
SS ee =. SSS Sa aa is SS TS
+. SS SS ae a ST Se ESS _—
Time of day: a 2 & BIE 57
ue tious jaakes
hd 7 “ ” c ; en
ee ios mit / Be, { {Cirele Or 19}, A.M or a 2 ) i
Day nth Year - }
7 ae oe ee ee ee ee re!
‘
Time Zones: 5 Fea ee :
(Circle One}: 3. Eastern (Cweiea One); a, Dsvligh? >
b, Conival b.¢ Srondard ;
c. Mountain Se
ad, Pacific i
e. Other dee {
eae atelier sespsssne sami caplpcss aad vdaip ache lecacedcbadehobsfibio smitten ibis i
; i
{. *here were you when you sow the object?
Z ff
n 3 a j anne a Bare) { re f th
Nearest Postal Addrsss City or Town Sistas vs
f _ am ~ Se ee ee ——— ~
5 He
5. How long was object in sight? (Total Duration) = ae
Hours Minuias Seconds
|
a. Certain c, Not very sure
b.¢ Feirly. certain’ J d. Justo guess ,
oo a Say ‘ Y 65 “A me tA A = iy .. 4 =
5.1 How was time in sight determined? wah bo ci aN, oh enue NAMM AS MOE
‘ ? J
5.2 Was object in sight continuously? Yes em No ____
—- — _—- -———
6. Whot was the condition of the sky?
DAY CNiGHT
a. Bright a. ‘Bright’
b. Cloudy b, Cloudy
- — —— —_——_—__— ee we ee eee
7. IF you saw the object during DAYLIGHT, where was the SUN ‘ocated as you louxed st the oo sure
(Circle One); a. In front of you d. To your let?
b. In back of you @. ivarhead
¢. To your right §. Don’t remembei
Sem me me ee ae mee em
FORM
FTD oct 62 164 This form supereedes FTD 164, jul 61, which fs chavle!.
FRAME 004 / 017tesseract-200dpi
8. IF you saw the object at NIGHT, what did you notice conceming the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
cb. A few b. Dull moonlight
c. Many c. No moonlight — pitch dark
d. Don't remember dc Don’t remember >
——- —_ SU EEEEEEEEEEEEUEEEEEEEEEEEEEEEEEEEEEEEEEREEEEE —_ +--+ —
9. What were the weather conditions at the time you saw the object?
a. Clear sky Key,
8 Ciery, (Vers slightly 5 b. Fog, mist, or light rain
| c. Scattered clouds ¢. Moderate or heavy rain
d. Thick of heavy clouds d. Snow
e. Don’t remember
—-——_— — —
(10. The object appeared: (Circle One):
a. Solid d. Asa light
b. Transparent e. Don't remember
c. Vapor
—
1}. If it appeared as a light, was it brighter than the brightest stors? (Circle One):
a. Brighter c, About the same °
ee, —
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
f > . ; /] Z
l Adal she. f ty
f Pin Seme S$; Ze fs OS aS > a el si ilar” Bicaiae tag ena Sao
’ .
CLOUDS (Circle One): WEATHER (Circle One):
|
i
- —_—- _— — — —_—-— ——
12, The edges of the object were: |
(Circle One): o- Fuzzy or blurred e. Other
Like a bright ‘star>
sharply outlined
d, Don’t remember
= salie. a _ 38. — = —— seks -
13. Did the object: (Circle One for each question)
a. Appear to stand still at any time? (Yes Alme® No Don’? 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 é
f, Change shape? Yes CNo Don’? know
g- Flash or flicker? (Yes No Don't know
h. Disappear and reappear? Yes No» Den’t know
Ce! TT eS ie
FRAME 005 / 017tesseract-200dpi
rage 3
ET ee Te ee RR Oe Ee Ra el ie i oe
14. Did the object disappear while you were wetching iy? i) so, how?
:
i
AU Vw .¢
15, Did the object move behind something at any time, particularily a cloud?
(Circle One): ( Yes. No Don’t Know. iF you answered YES, then fet] what
it moved behind: trace brancha (mn 4 Secon or +
true. ( frantir sV£e2E bare )
-
)
—— = _ —— j
16. Did the object move in front of something at any time, particularly « cloud?
* 2,
(Circle One): Yes No Ss Hue iF you answared YES, hen tall whan
in front of: |
— “++ - aoe Se ee ee eee eee
ee ee ee wee
a oases acoder rere ane secs sp ea actin fannie 4
17. Teil in a few words the following things about the object: :
: hi y
a, Sound me = . SRR cael a sade ei ko vckks ns RS icine Uo acne -—{
- ‘ , — /
‘ a A Agel A ; = xs F oe 5
>, Color ae SSG earths ee A A Fee ener eee eas ae rapters 9 RE ea ira, SaR Pp gelbas stone aptamer
. P e ; . 4 }
1G. 42 wish to know the angulu: size. Hold a match stick at arm’s length in Vine with a Gown obiact ced sore how
' . - ; p 4 , ‘ ts . ; =
i much of the object is covered by the head of the mutch. {f you had performed this eanerimeni ae to ome of the |
sighting, how much of the object would have been covered by the mneten head? ;
a - ‘
i ie f 4 5 39
ed 7 6 pte tel pehing Gat eas, ; ; ,
4 : > ae fo oe ho ; J - A a if, :
atinrt Crp ake, Crrrel, f rhwuhk
/
/ q
19, Drow a picture that will show the shape of the object or objects. Labe! ond include in your skeret any cetci’s
of the object that you saw such os wings, protrusions, etc., and especialiy exhaust tra'ls or vapor trails.
Place an arrow beside the drawing to show the direction the object was moving.
ee ee oe
\
eandlo
o
¢
UW
J
Cc)
ct
;
~ LL LALA A OO hw 7 1 te
FRAME 006 / 017tesseract-200dpi
20. Do you think you can estimate the speed of the objec*?
_~
*
(Circle One) wes |. <<
}
IF you answered YES, then what speed wouid you estimuts?
-—.
-_ —
21. Do you think you can estimate how far away from you the cbject was?
(Circle One) Yes (Ne)
IF you answered YES, then how far away would you say it was?
— —
22. Where were you located when you saw the objecr? 23. Ware you (Circle One}
— ee of
(Circle One):
a. In the business section of o sity? |
a. Inside a building b, in the residential section of < city?
b. Ino car c. In open country sids?
ca Outdoors» 4d. Near an airfield? ~
d. In an airplane (type) e. Flying over a city?
e. At sec f, Flying over open country?
i, Other he ire | g. Other 2
eae : sae es :
24. 1F you were MOVING IN AN AUTOMOBILE or other vehicte at the time. then complete the following questions: |
24.1 What direction wers you moving? (Circle One)
a. North c. East e. South g. Wess
b. Northeast d. Southeas? f, Southwest a. Morthwest
24.2 How fast wers you moving? smiles per hour.
24.3 Did you stop at any time while you were locking at the object?
(Circie One) Yes No ;
el . Pw, i
25. Did you observe the object through any of the following? Py ae ut~
he? arameery *
a, Eyeglasses (Yes. No e. Binoculars Yes No \’ * J 7 od 4
b, Sun glasses Yes No f. Telescope Yes Alo pA |
c. Windshield Yes No g. Theodolite Yes No i
d. Window glass Yes No h. Other Uh ;
.
—_ = - —
— ——
26. In order that you can give as cleor a picture as possible of what you saw, describe in your own wores 9 cammon
object or objects which, when placed up in the sky, would give the same oppesrance as the atjsct “iin you ors
fa Ps
j
i
-
i .
Whe. :
- .
A .
¢ ;
;
— -~ -- om ee ee —————— ee
FRAME 007 / 017tesseract-200dpi
Poege 3
EF en Oe Oe ee ee Re lt eet
27. In the following sketch, imagine that you are at the point shown. Place on ““”’' on the curve! sine to show how
high the object was above the horizon (skyline) when you first saw it. Places a ““B”’ on the same curved line to
show how high the object was above the horizon (skyling) when you last saw iv. Place an *’A’ on the compass
when you first saw it. Place a ‘‘B’’ on the compass where you Jas? saw the object.
+d
90 75°
60°
y 13°
Ze AT eet aoe o°
28. Draw a picture that will show the motion that the object or cojects mode. Place en ‘A’’ at the beciening af the
path, a *'B’’ ot the end of the path, and show any changes in direction during the course.
oe er ae eee ae 6 ee de re oe a ee i eee & OEY eet a ee a ae ret Re ee
~~ es: fia 4 es
Sian > 7 deff ete ea - fan tt ;
2 Se Seema hifi, Rey Cre Tle
2 A RO 8 Sa =< $ pg
b. / 24M > - tn z
— 22y at x d
\ _» -
RE * 7
\ es ae Od i A LA
ee ee ee at AY,
re 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 direction thai they were traveling. ale
ee
y
-
FRAME 008 / 017POOR LEGIBILITY — PENDING RE-EXAMINATION
— +--+ ~ _— A eo —- oe ete me oe a, ll, ea te ee
30. Have you ever seen this, or a similar ubjuct before. ff co give date or dutes cow Jacation
F | ‘
, S-*~ /+ | Ei <_ 4 pee = a Cy c < fr i...
, — / . /
i
ee ————— anes Ea beentes < = —— a — a |
31. Was anyone else with you at the time you saw the objecr? (Circle One} \ Yes No :
O_o, ‘
31.1 IF you answered YES, did they see the object too? (Circle Ore Ces, No
31.2 Please list their names and addresses:
'
a J
(nan til g ) Ve ,
‘
32. Please give the following information about yourself; .
; Last Nome Firs? Nore Miidie Nome ;
Fs R AA . yf ) if ;
ADDRESS ae is i hh OG NS Se oe a
Street City Zune S$) ate
( 7 < 7 '
TELEPHONE no, ar AGE toes SEX oh... |
indicate any additional information about yourself, including any specia! experience, which might be pesiaen)
Lé a ; V4-2 feo2-ter f
o A —“— - - ¢
“a ys , f oat : . Ce71-7'4 ad “4 / cc IF F ee °
,.
7
) . /
' j rth, f- & >
‘ . ’ freA Ma (A 4a
s& Sy tL Lee A? ew og .
TZ ~ a ,
Ai toyorer, ;
i Ut Ct! i220 ism —“ >
;
.
- ante
33, When and to whom did you report that you had seen the object?
/ f Vid ee ra &é 5
Day Month Year
ewe -
FRAME 009 / 017POOR LEGIBILITY — PENDING RE-EXAMINATION
34. Date you completed this questionnaire: 2 3 ie i be a
onth
————
35. Information which you feel i
pertinent and which is not adequatel ifi ;
ae Nes Lied eka ci-yow <ibhinw quately covered in the specific points of the
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Thoms
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= MALS ~~ J ‘ y v\ av >
xe COS" ail
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f j
ig & ene: ~ \ . =, 4 ae ! UAE t- ILIA f te
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; 2 / ’ f sf :
EI - - 7 , L é = S L.<€ L FMS « £ 2 i ee f 4b - / agi
* - . ” 7 Z —) ar i — |
- py TAA ovr —' af a ¥ 7) Ne ;
- > / be - = *
pie a wee ete in fot it 3 lrg tts i ol [a ntat/ of ~
; : ; ,
P ‘ A av Ze ( Certrel MAA et eee or Loe ( = WL -
+? Mey 2” IAF ATI & “ Atnte ‘she
Lf 2 «AtRS > >) ere sh 7 - ;
- ” j 2 / / : pe = < Rah.
‘SS 1<ce"" Ztandt LGN EN CK inn 3 Li
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pei f AK. Prue wear i-t\ Cr44 t~ 2
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< frii4 Atal hie Der LL eé Ste ’ " ~9
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Ay gtr yey A Kerr ang rf #*% f c &
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be ~~ i, } peared in (14s fan Ss ky Bol
FRAME 010 / 017tesseract-200dpi
The Montreal Star
MONTREAL CANADA
WASHINGTON BUREAU Apr. 23, 63.
as. acemeenenel
Public ormation Division,
Office of Information,
Dapartment of the Air Force,
Office of the Secretary,
The Pentagon.
Dear See
Enclosed are the completed forms we spoks of on
the telephone April 19.
I would like to do a story on Project Blue Book
in general, pegging it, if possible, to an evaluation of the two
sightings made by me and my wife. This would add some personal color
- to the thing and perhaps make it mors interesting to my readers.
Thanks very much for your help. I'11 look forward
to hearing from you when you have some information on the enclosad.
Yours truly,
‘ La | AA ar
Peter Trueman.
Washington Correspondent,
1096
Suiremgocce NaTIONAL PRESS BLOG., WASHINGTON 4,D.C.
FRAME 011 / 017tesseract-200dpi
ee Oe 8 eer ee tee ee ee ee.
U.S. AIR FORCE TECHHICAL INFORMATION
This questionnaire has been prepared so tha: you con give ‘ho U.S. Ait Force as much
information as possible concerning the unidentified aerial phenomenon that you have observes
Please try to answer as many questions as you possibiy can, The information thar you give wilt
be used for research purposes. Your name will vot be usad in consectioa with ony sieterant.
conclusions, or publications without your permission. We request this parsana! cformecss to
that if it is deemed necessary, we may contact you for further deiails.
Oe De en ee Ses Kt Sn PRL EES Sctete sexes
,- 7
1. When did you see the object? 2. Vimeo of day; 2.0. ete Schemas
our pAl reo
Doy Month Yeoor
RS. ee ee = Ap»t [te 3 | (Circle (ine): A.M. o S&S
J
‘
‘
Rs a a Se ae ne ee ee
Time Zone:
(Circle One): oa, (Eastern - (Circle Gnei: a, Usylight Seeing
b. Central 3. ( otonaarch
¢. Mountain —
d. Pacific
2. Other a
t—- — a SR Ura SREY Re vs OD DR ON es aN ag
“Sere were you when you saw the object?
el / o , f
f ee / \/
Teens { \ ow" ’ a | AL
oe - . ~-
<9 oe oe
Nearest Postal Address City of Town .
5. How long was object in sight? (Totol Duration) a,
Hours Ainutes tecsnds
oe. Certain cx Not vary sure
b, Fairly certain d. Just co guess
. 7 vA ti” ; . / 4 - as < (. fs
5.1 How was time in sight determined? ©" * =“ <°\ TER De | ee EN $
5.2 Was object in sight continuously? Yes i, Corer
= — —--
6. What wes the condition of the sky?
- ese ——-
DAY NIGHT
a. Bright a. Bright >
b. Cloudy b, Cloudy
7. IF you saw the object during DAYLIGHT, where wos the SUN located 98 you ‘core of
(Circle One): a. In front of you d. To your left
b, In back of you e. Overheod
¢. To your right f. Don’? rememba:
FORM
FTD OCT 462 164 This form supersedes F TD 164, jul 61, which fe obente«te
- ee
——_— ee ere errr eee a
“
‘
t
8
ne
eS Orr ee Seen ae
FRAME 012 / 017tesseract-200dpi
8.
IF you saw the object at NIGHT, what did you notice concerning the STARS «end MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
b. A few b. Dull moonlight
Many” ° No moonlight — pitch dark
d. Don't remember d. Gen't t remember”
— —_ ——
Poge 2
——-
What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky eC Des.
b. Hazy b. Fog, mist, or light rain
Cc. (Scattered claude if f think ) c. Moderate or heavy rain
d. Thick-or heavy clouds d. Snow
e. Don’t remember
— ~ — ——
10.
1.
The object appeored: (Circle One):
a. Solid d. Ase light
b. Transparent e. Don't remember
c. Vapor
— ——- —_——— a
————
}f it appeared as a light, was it brighter than the brightest stars? (Circie One):
a. Brighter c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
a = on ’ - dnl
hist wen Kou a an Ser tN Eel TT rhea Ut = -*S oe Pee ie a,
id itelididead e. “ SST OTF
ee ee ee a ka) ee at en a Re Wee ar
ts 9 A 7 ing
12. 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
13. Did the object: (Circle One for each question)
a. Appear to stond still at ony 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 __Ne Don’t know
g- Flash or flicker? Yes No Don't know
h. Disappear and reappear? Yes No Don’t know
—— = «
ee ee
FRAME 013 / 017POOR LEGIBILITY — PENDING RE-EXAMINATION
Fage 2
— EE OE OES RE OE Hee Co LO A RE ee Ly TT oT
14, Did the object disappear while you were satching it? |f so, how? Cfo , De hinn Trtes
, wou aS foe ° 7 a 7 ’
ima An £- NE fltnce. han A + ng Cian it Le Sat Fs Us -
15. Did the object move behind something at any time, particularly a clous?
ao
(Circle One): Yes ( No > Don’t Know, IF you cnswered YES, then tell what
it moved behind: si
— a
te me =
'
'
pou Sie a ee Ae oe Oe
ok es
_—- ee ee cme
}
eet 5
16. Did the object move in front of something a: any time, particularly a cloud? i
nome ;
(Circle One): Yes No CBan't Know.) iF you answered VES, then teil whct :
} in front of: SRA Aor aero = So ee
en ee ee ee eee
—— ee ee ER ee Re ee ee ee - — “-
or a
|
t
'
we bowels mee
=
Tall in a few words the following things about the obje-?:
ee 3
a. Sound Me oe he oe EE eee. | ie
See aed Fe 1
> Lette “lin Lisk w1¢ <
ob. Color _ cee Bae srieratibe EES eS! (EE eee NE he
>, We wish to know the anguiar sizes, Hold a morch stick at arm's jengih in line with 2 iriown ob:act and acta how |
£
| nuch of the object is covered iy the head of tha match. | you had parfocmed this exps. iment at ite time ch toe ft
sighting, how much ct the sosect would have been covered by the match head?
Pp . , , . .
y . \ / hay / AX , 2 a >
! f ~s see 4 i - d “ine 1 figs‘ frA4-2. POPS, foe &
- 6, “{ WV & -
< ;
'
i
19. Draw a picture that will show the shape of the object or objects. Labe! ond inciude in your sketch any detci:s
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.
ee ee ee
4 /
=
—_— — 7 7, 7
Af) / Me :
A : .
J. *o of
7 Stef WwW
TS 3
~~ =e eee “se oe ve
FRAME 014 / 017tesseract-200dpi
(Circle One}
Yes ( No
IF you answered YES, then what speed would you estimate?
21.
-_
Do you think you can estimate how far away from you the object was?
noms
(Circle One)
{ No D
Yes < Ne
IF you answered YES, then how far away would you say it was?
-
22.
Where were you located when you saw the object?
(Circle One):
a. Inside a building b,
b. Ina car Se
c. “Outdoors”
“Outdoors
d. In an airplane (type)
——_—=— i
23. Were you (Circle One}
in over countryside?
d.. Near an airfield?
o. Flying over o city?
a. in the business section of a city?
In the residential section of u city?
RS | —_——
26.
-— _
In order that you can give as clear a picture as possible of what you saw, describe in your own words a comm:
object or objects which, when placed up in the sky, would give the same appearance as *h= obiect ehich wou so
/)
{ ee Ya +
A mmm te a
ee ee
-—e-
7 & aw oes
eee ee ee errr
2. At sec §, Flying over open country?
f, Other ae g. Omer iad L~ a. Fe
aeaeel eee ane +
'
24, IF you were MOVING !IN AN AUTOMOBILE or other vehic!s at the time, then comp!+ie the following quesiiuns: |
24.1 Whar direction were you moving? (Circle One)
eo. North c, East a. South gq. Wast
| b. Northeast d. Southeast f, Southwest h. Nerihwes*
24.2 How fast were you moving? miles per hour.
24.3 Did you stop at any time while you were looking ct the object? ;
(Circle One) Yes No }
25. Did you observe the object through any of the following? fo tutte et sy F
Ear 1 21 ee f af 7 « fr " ft
a. ‘Eyeglasses © Yes No e. Binoculars Yes No! foe eye
b. Sun glasses Yes No . Telescope Yes No Aan f,
c. Windshield Yes No g. Theodolite Yes No ;
d. Window glass Yes No h. Other ;
FRAME 015 / 017tesseract-200dpi
Page 3
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27. In the following sketch, imagine that you are at the pcint shown. Place an “A'’ on the curved line to show how
high the object was above the horizon (skyline) when you first saw it. Placa a “B"’ on the same curved line to
show how high the object was above the horizon (skyline) when you las? saw it. Place an “*A™* on the compass
when you first saw it. Ploce a ‘*B’’ on the compass where you /ast saw the object.
90°
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28. Draw a picture that wil! show the motion that the object or objects made. Place an ‘A*’ at rhe beginning of the
path, a ''B’’ at the end of the path, and show any changes in direction during the course.
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29, IF there was MORE THAN ONE object, then how mcny were there?
Draw a picture of how they were arranged, and put an crrow to show the direction thot they wers traveling.
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FRAME 016 / 017POOR LEGIBILITY — PENDING RE-EXAMINATION
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30. Have you ever seen this, or a similar object before. if so give dute or dates cc Socarion.
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31. Was anyone else with you at the time you saw the object? (Circie One) Yes No
31.1 IF you answered YES, did they see the object too? (Circle One) (Yes > No
31.2 Please list their names and addresses:
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32. Please give the following informotion cbhout yourself;
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i Lest Nome First Nome ‘aiddla Names .
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City Zane Site '
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TELEPHONE NUMBER le. . teesetent. SEM seatconcis :
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indicate any additional information about yourself, Including any spacial experience, which might be gertinwnt,
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33. When and to whom did you report thot you had seen the object?
FRAME 017 / 017POOR LEGIBILITY — PENDING RE-EXAMINATION
Page 7
34. Date you completed this questionnaire: a 5 [ip wu f & 3
Day Month Yeor
35. Information which you feel pertinent and which is not adequately covered in the specific points of the
questionnaire or a narrative explanation of your sighting.
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