PROJECT BLUE BOOK

PROJECT 10073 RECORD CARD

1. DATE 2, LOCATION 12. CONCLUSIONS
0 Was Balloon
14 ; : 0 Probably Balloon
3. DATE-TIME GROUP i TYPE OF ObetRVATION O Possibly Balloon
Lecal 2100 X@ Ground- Vi sual O Ground-Radar Q Probably Alreraft
GMT 15/02002Z 0 Air Visual D Air-Intercept Radar O Possibly Aircraft
5. PHOTOS 6. SOURCE GO Was Astronomical
O Yes O Probably Astronomical
XOX No Civilian O Possibly Astronomical
7. LENGTH OF OBSERVATION 8. NUMBER OF OBJECTS | 9. COURSE &X other CHO I
O Insufficient Dato for Evaluation |
— j Q Unknown
3-93 minutes one SE
10. BRIEF SUMMARY OF SIGHTING 11. COMMENTS

- Object appearing as an extremely
bright star observed in NW on flight

In sight for 3-5 minutes,

to SE.

Satellite ECHO I over Dayton
at 2048 (12 minutes prior to
rptd sighting). South of city
at 68 dgr elevation moving SE,
Time discrepancy within the
normal possibility associated
with reports of this nature,
Case evaluated as ECHO I,

|

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ATIC FORM 329 (REV 26 SEP $2)

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 is deemed necessary, we may contact you for
further details.

| - -
| 1. When did yousee the object? ‘2. Time of day: RICO
. Sf . ata Hour Minutes
j tA Lipa V3 Uf A) | _
Day Month Vix (Circle One): A.M.. orf P.M,
3. Ti Zz : _—
is (Circle One}: a. Eastern (Circle One): a. Daylight Saving
b. Central b. Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
; {/ one
Neorest Postal Address = City or Town State or Country

Additional remarks:

5. How long was object in sight?

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 NIGHT
a, Bright (a. ) Bright
b. Cloudy ~b. Cloudy

——_——
— =

7. IF you saw the object 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

ATI C Fee 60 164 This form supersedes ATIC 164, 13 Oct 54.

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

a. None
b. A few
( ¢ Many

Bright moonlight

Dull! moonlight
No moonlight — pitch dark

et RS

d. Don't remember Don’t remember

—

. The object appeared:

(Circle One): (2 ‘As a light b. Shiny c. Dark d. Don't remember
Ce ea <7 st bey bak Ye MA +
ar

_

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

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

a. Appear to stand still 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 ports 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, particularly a cloud?

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

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: ee

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

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

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

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

a. Sound __ ™

—r ————

b. Color

—_— — — —_—

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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 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): a, Fuzzy or blurred e. Other
b. Like.a bright star at. a
c. Sharply outlined
d. Don't remember

— — ——— —— — —— — — -—

19. IF there was MORE THAN ONE object, then how many were there? il
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling.

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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?
Bye ame a Chix ‘i Ce iA A

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

a

{ (: A= . ‘ ‘ FZ)

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24. In order thot you con 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.

r

“ 7 rf phi OTF
. J— 4G x -~ } Cm aa - 2th ~< — , e tah ’ 7 {>
— ; ‘ ?-
SE siete ci LA LAKH

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

a. In the business section of a city?
a. Inside a building “ b. In the residential section of a city?
b. Ina car c. In open countryside?
((e. / Outdoors d. Near on airfield?
d. In an airplane (type) e. Flying over a city?
e. At sea f. Flying over open country?
f. Other ’ = g. Other

— __

_ aa —

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

Aithint plud § QHalO wan thi Zbocrel |
P/ : i/

/ /

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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. 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 looking when you first saw the object? (Circle One)
gq. West
so. North c. East e. South { h, Northwest
b. Northeast — d. Southeast f. Southwest “j. Overhead
30. What direction were you looking when you last saw the object? (Circle One)
g. West
a. North c. East e. South h. Northwest
b. Northeast (a. Southeast f. Southwest i. Overhead pits

31. If you ore familiar with bearing terms (angular direction), try to estimate the number of degrees the object wos
from true North (thru east) and also the number of degrees it was upward from the horizon (elevation),

31.1 When it first appeared:

a. From true North degrees.

b. From horizon degrees.
‘31.2 When it disappeared:

a. From true North degrees.

b. From horizon degrees.

Poge 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
'b. Hazy b. Fog, mist, or light rain
¢. Scattered clouds ¢. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don't remember

— — -———- —— — —- -——_ —_———_————_— — ~

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

—

Day Month Year

— — — —_——_—— — —

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

a,
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?

—- —_

— —EE — ———
= — __ —— -—_

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

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

os
(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 Siti ee ee
NA ame First Name a) Middle Name

ADDRESS

Street ~ City Zone State
TELEPHONE NUMBER A.
Age___ / Sex / Wile =

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

—_—_—___ — —

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42. Date you completed this questionnaire:

“Dey Month Yeor