DECLASSIFIEDUSAF PROJECT BLUE BOOK · NARA T-1206
UNITED STATES AIR FORCE

PROJECT BLUE BOOK

UNIDENTIFIED FLYING OBJECT CASE FILES · 1947 – 1969
CASE REFERENCE9735197
DATE OF SIGHTINGOctober 1963
REPORTED LOCATIONDayton Ohio
FRAMES24

Machine transcription · mean legibility 57.3/100 · engines: tesseract-200dpi

Transcribed Frames

FRAME 001 / 024tesseract-200dpi
PROJECT 10073 RECORD CARD

¥. DATE 2. LOCATION 12. CONCLUSIONS
3 Oct 6 Dayton, Ohio 0D Wos Bolloon
d 3 af 0 Probably Bolloon
3. DATE-TIME GROUP i. TYPE OF OBSERVATION 7 Sean Saree
Locol 1919 cGreund- Vi sual D Ground-Redor @ Was Aircraft
Ol. 00) OZ O Probably Aircraft
GMT {COL O Air Yi sol 0 Alr-Intercept Rader 0 Possibly Aircraft
5. PHOTOS 5. SOURCE 0 Wes Astronomical
O Yes 0 Probably Astronomicol
Ne Civilian D Possibly Astronomicoi
‘7. LENGTH OF OBSERVATION | 3, NUMBER OF OBJECTS | 9. COURSE 0 Other —
0 Insufficient Data ter Evaluation
a GO Unknown
1 Seconds Plus One ‘ Manuevered _ i
10. SRIEF SUMMARY OF SIGHTING Tl. COMMENTS

1. Object described as twisted flame about A/C towing electrical banner w/ sign
size of A/C. Yellow. Moved to West and turned | "Gem City"

North. Speed of Jet A/C. Altitude same as A/C | Tri Pacer #61X.

“bserved later.

2, red & Green lights.

3. Multiple reports.

ATIC PORM 329 (REV 26 SPP 52)
FRAME 002 / 024POOR LEGIBILITY — PENDING RE-EXAMINATION
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Ol a Ae et te te i AO LE EL EG A LEA EN Ge LN EE OE A ey A OR

Se SO ee TE pee 8 EO Ae ee Cee ke +

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*—_ae~*

U.S. AIK FORCE TECHNICAL INFORMA TOe

j
This questionnaire has been prepared so that you can give ths Uj.5. Air Force as much
information as oossible concarning the unidentified asrial phenameron that you have onsen se. :
Please try to onswar as many questions as you possibly can. The inferaation isut ou give will :
- . H . : ‘ 5
be used for research purooses. Your nome will not be used ia connection with any atavacaants,
. 7 . . - ‘ ™ ‘
conciusions, or publications without your permission, We request this personal information so
that if (t's deemed necessary, we mey contact you fcr fuciner darails,
ne ee ee wed
‘ rae ' me \ " y J
|} 4, When did you see the object” » Tie or dags ee hee
' Paw ines
= ~~ : rr? ~ ' : Pe : ‘ " _ 4 , }
Oo ey aig 2 ene ,
“s 3 are a eR Se ee ee ee TOT ee } Tircie One}: ps) obec cor P, . ‘, '
Day Month fear | ‘
L sccreecinbcaiemranesisssaaig nisin —_— Sanicncicieissisnneiabiiabsbicictdi amine _ aba iisin saan ichisemiaasaediias say
; : 5
3. Time Zone: ao
(Circle One): e, Eastern (Circie One}: a. Daylight Saving
“6. Central fb.) Standard ;
c. Mountain — :
| d. Pacific ;
e,. Otner =
f —-— a ——_- — —— — ee ee ~——— —— ee mee ee ee we
| 4, Where were you when you saw the object?
| — = — ~- ”_— ~—e oF ay? Qe oe Se “= =." +— —
Neorest Postal Address City of Town Siete or County
$
a _— © wee eee eee nee —,.,

5. How long was object in sight? (Total Duration)

Hovrs Minutes Secends ‘

‘

a, Certain c. Not very sure ;
b. Fairly certain d. Justa guess

5.1 How was time in sight determined? . :

5.2 Was obdject in sight continuously? Yes _. - No —__

6. What was the condition of the sky?
DAY NIGHT
a. Bright a, Bright
. Cloudy b, Cloudy
= = = ae — a 2 OS RE. eee ee
j
7. \F you saw the object during DAY LIGHT, where was the SUN ‘ceatec as you fooeea at the on
(Circle Onej: a. jn front of you d. To your lef
b. In back of you e. Uverneac
ce. To your right t, Don't camember

———— i al

ee e+ re tae om ~~ eee & Fo eee ee : ~~ «

PiD acT 42 164 Thies form supersedes F TD 1

i164, Jui 61, which le obaciete.

eee -
FRAME 003 / 024tesseract-200dpi
rags 2

Lal

; —_— aos eae ee
: 5
: 8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?
8.) STARS (Circle One): 8.2 MOON (Circle One);
i
a, None ce. Bright moontight

b. A few b. Dull! moonlignt

Ce Many

c, No moonlight ~ pitch dork

d. Don't remember d. Don’t remember

Soeneetinciiiatieattialiainemenetindtiimetttinementneeetan deine

—

’

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

pec eee occnn ee Oe SEER, AE SSNS OE

|
CLOUDS (<irclea One}: WEATHER (Circle One):

a, Clear sxy a, Dry
b. Hazy b, Foq, mist, or tight rain

c. Scattered clouds c. Moderate or heavy rain
d. Thick of seavy clouds d. Snow :
e. Don't remember |
—_—— ———__—__——_ ee _--—-— -_—— ee
10. the object sopeored: (Circle One):
( a. )Selid d, Asa light :
“S. Tronspcrent ©. Don’t remember
c. Vapor
7
1}. {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: ;
"i siissdesieeasaligiiacttitciaasita tt ecticitlebuaeamamtescineni
12. The edges of the object were;
(Circle One): a. Fuzzy or blurred Say See ae a ns
b. Like a bright star mF Sb ele eT
c. Sharply outlined
jp —___"_ nn Don’t remember ee — |

13. Did the eto eg

(Circle One for each question)

a. Appear to stand still at any time? Yes No Don't know
h, Suddenly speed up and rush away a? any time? Yes No Don’t know
c, Break up into parts or explode? Yes Noa Don’? know
d. Give off smoke? Yes No Don't bnow
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

| 4 Den’ f know

DO Ee OE OR ee
FRAME 004 / 024tesseract-200dpi
so” ‘ :
7; he wa

EL EE TE Se eT A SS a S| he a SR en A ye LO ee 8 ee BLS 6 ey Pee om eee ee ee ee me ee eee ee Y

14, Did the object disappeur while you were warching it? {f 50, how?

|
:
|
4

| | |
a _ —— slttenntaanen _— — ~<a ait a
| 15, Did the object move behind something at any time, particularly a cloud?
g y p y |
| (Circle One); Yes No Don’t Know. IF you answered YES, then fall what |
it moved behind: = a ak ac = ee :

}

;
seecouertenne ai the a aN em ane oor oS ine aS eit |
‘

;

| 16. Did the obieet move in front of something at any time, particularly a cloud?
! y y ;
| (Circle Gre): Yes No Don’t Know. IF you answered YESS, then teil what

|

——-—— —-

17. . Tall in a teow words the following things about the object:
i /* SS Ti} Aj r}
a, Sound ae ees

sue et

5
| in front of: . a eee |

= = a
one
. y . , , ‘
- . r “-
-_
~

— - A sade | ee
Parry Lox) koh '-
b, Cole kD F C&een oh

I A NS A A ee a

:
:

13. Ys wish to know the angular size, Hoid a match stick at orm’s lengih 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 ar ina time oF the
sighting, how much of the opject would have been covered by the match head?

ee ed ae ee ee ee Garratt

ee Fae UTE: eee

19, Draw a picture that will show the shape of the object or objects. Label and include in your sketch any Je si!s
of the object thot vou saw such as wings, protrusions, etc., and especially axhaust traiis or yanor traits.

Place on crrow beside the drawing to show the direction the object was moving.

ee Owen

. ew «eee SO™~
FRAME 005 / 024tesseract-200dpi
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~~

20. Do you think you can estimate tie speed of the object? {

_”

ed

{Circle One) { Yes. No “*

\

\ /
\F you answered YES, then whatSpeed would you estimate?

—_ —- ae ee er —- oe —-——

—_— --_---o —

21. Do you think you can estimate how far away from you the object was?
(Cirel= One) Yes No

'F you answered YES, then how for away would you say it was?

_—

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a EO wRee eer aw eee

ms ewe _——

_ —- -_—-

oa —- —

-_ — —— re ee tee ee

22. Where were vou located when you saw the object? 23. Were you (Circle One)

(Circle One):

a. in the business section of a cir?

tere ee 4m Oetee

a, Inside a duilding >», In the residential section of a city?
h, ino car c. In open countryside?

c. Outdoors d. Near an airfield?

d. in an airpiane (type) e. Flying over a city?

a, A? sea f, Flying over open country?

al —Eee—————EEE— ~ + ae cabiinneeamnaicmees

—- _—— —

24. iF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:

24.1 What direction ware you moving? (Circle One)

a. North c. East e, South g. West

b. Northeast d, Southeast f. Southwest h, Northwest

——_

1A” eee kee Serres © aa. ose ere OE ees

24.2 How fast were you moving? __._- Emilio per hour.

24,3 Did you stop at cny time while you were looking at ihe object?

| (Circle One) Yos No

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

—— re tee

—— eer eer mee eS

a eo _—oeo—

a. Eyeglasses Yes No e. Binoculars (Yes) No
i

b. Sun glesses Yes No —  -f, Telescope No ;
c. Windsnie:d Yes No g. Theodolite Yes No i
d, Window ciass Yes No h, Other = ecaweciiaia : Sees

25. in order that you can give as clear a picture as possibile of what you saw, describe in your own words a common

abject or objects which, when placed up in the sky, would give the same appearances a8 ihe coset pics

:
|
:
:

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Pe + a emer oO
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ee ee ee ee ee eee a a te oe ~}
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27. In the following sketch, imagine that you ars at the point shown, Plocea ms A ithe curve. line to show how t |
high the object was above the horizon (skyline) when you first saw it, Ylea e 3* on the sume curved line ro
show how high the object was above the horizon (skyline) when you Jasi sow i), Place an’) eo) tha compass i |

° ‘ divas L, 7 =: cee ae 7 ‘ ; }
when you first saw it. Ploce a ““B”’ on the compass where you fast saw the object .
£ )
“0 75" Pot
Bey >
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43? ;
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$0” ;
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4 \ |
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Li feet 5 gt Sots
wen N hee __— Em fh te eS o* ;
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a —— etherinenneatinuinadinimmancuhinataimentedon ——
28. Drawa pistes that will show the motion that the objec? or objects made. Pisce an A"

at the beqinaing of the
path, a ''B’’ at the end of the path, and show any changes in direction during the course.

a Ae = are we arte.

ae “lee.

; pee hg zi

IF there was MORE THAN ONE object, then how many were there? =

” ‘Brae a picture of how they were arranged, and put an orrow to show the direction thar they were traveiing.

on ok ae oe ee ee

—— a eee —

~ Lea «et oe & 6 Beet

——— ee ee

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~ @ fe

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FRAME 007 / 024tesseract-200dpi
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30. Have you ever seen this, or a similar object before. {f so give cate or dates and location.

Raae~ Se er ee

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ssceil iene — — CO a ee ee ee a
;
31, Was anyone eise with you at the time you saw the object? (Circle One) Yas No i
}
31.1 IF you answered YES, did they see the object too? ‘Circle One) Yes No
;
31.2 Please list their names and addresses:
| i
| | |
| |
: |
SE wee ders : eiinnsti ena?
| ’
| 32. Please give the following information cboyt yourself;
:
NAME — _ - 208 . — com . f
Last Name Firs? Narie Middle Name
| |
ADDRESS —— os a ae = “ane = i
Street City Lone State 4
TELEPHONE NUMBER ___ AGE - } =
'
| indicate any additional information about yourself, including any special exoerience, which might be pertinent.
| :
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' 4

“wee

_——-_ — —

33, When and te whom did you report that you had seen the object?

- —_~

A OSD SE

Day Month Yeor
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FRAME 009 / 024tesseract-200dpi
34. Date you completed this questionnaire:

- -

Day Month Yeor

———_—— =~. + - er  ---' Oro Oe

—_—_-

35. Information which you feel pertinent and which is not odequately covered in the specific points of the
questionnaire of a narrative explanation of your sighting.
FRAME 010 / 024POOR LEGIBILITY — PENDING RE-EXAMINATION
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U.S. AIR FORCE TECHNICAL INFORMATION :

This questionnaire has been prepared sa thar you can give ihe U.S. Ale Force as much
information as possible concerning the unidentified ceria! phenomanon that you hevs observed, :
Piease try to unswer as many questions as you possibly can, Tie information thar vou give wil!
be used for research purposes. Your naine wil! no? be used in connection with any srataments,
conclusions, or publications without your permission, We reauest this sarsonal information so }
‘ . ‘ nd ‘ ° ;
that if it is deemed necessary, we rnay contact you for further details,
4
ne = ee So RS SS SS Se ee eee —_ = S-+ ee ~—= = ~ — - —> ee = _ Sse — oso as 2a. |
ben? /} fi .
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1, When did you see the object? f° ¥ bee OT OOP: ay Bhs: abe '
| Mmour Mi Aviles
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fr /> +f ae ! ;
ve / = Pe a ee ee m4 (Cirslea Ones}; OM. ry Pola :
Day Month Yoar | ’
= — wh - — - ~ ee ~_———— ee |
ax Time Zone: i)
(Circle One]: of Eastern (Circle One): a. Vaytight Seving '
b, Centra , {by Standard !
A ad ;
c. Mountain F
d. Pacifie
eo Uiner —.... - -_ :
|
4, Where were you when you saw the object? .
i 7
,

—————

ee em err mee me ee ~~ oe — cee ne ce

Nearest Postal Address City or Town State of Counry

ee ee eee = — ——-

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5. How long wos object in sight? (Tetol Duration) lead
Hours Minutes Seconds

a. Cartain cp, Not very sure
Fe ; $ ; i
b. Fairly certain (yy Just o guess j
5.1 How was time in sight determined?

Yes Vv

a << ) —,

5.2 Was object in sight continuously?

—_—-_ --- —— _:- i eeeeeetintneieet —— ~ ~—-<— ~~ ~ — 2 = of eer eee « ~ +

What was the condition of the sky?

a, Bright a. Bright
b, Cloudy b, Cloudy

_—_ -_ - —_ a -— ee 8 eee

“J

. IF you saw the object during DAYLIGHT, where was the SUN located as you looked ub the ovias!?

“se “TOL NIGHT
|

(Circle One): a. in front of you d. To your !aft
b, In back of you e. Overhead
c. To your right f, Don't remember

Be FO?2M
|- ri OCT $2 i64 Phis form supersedes F TD 1593, Jub 53, whitch is aotete.

-_ ——-.--—

e+ —
FRAME 013 / 024tesseract-200dpi
PROJECT 10073 RECORD CARD

———=

i. DATE |2. LOCATION 12. CONCLUSIONS
0 Was Balloon
5 Oct 42 Naren Mn+ - Q Prabobly Boatloon
- ao -_ AS Steak she PER Robs .—_ - . ao :
3. DATE-TIME GROUP 4. TYPE OF OBSERVATION Q Possibly Balloon
| 2025 ve : O Was Aircrofr
Local ro Hg — 42) Ground: Visual O Ground-R odor C) Probably Aireroft
= GMT. bed Lhe asaya: a. O Air Visuol 0 Air-Intercap)? Rodar O Possibly Aircroft
5. PHOTOS 6. SOURCE tt) Was Asxtronomicol Meteor
O Yes () Probobly Astronomical
“i ‘in | Military D Possibly Astronomicol
7. LENGTH CE OS3S82R2VATION 3. NUMBER OF OSJECTS 9. COURSE 0D Other a
O Insuflicient Dote for Evaluation
Brief | One Not Reported O Unknown
10. BRIEF SUMMA2Y OF SIGHTING 11, COMMENTS
rlasnh of lisnt moving through sky believed to Astro(Meteor), since witness beleived

ha mea : er a 5 ° aver “ $ H
be meteor ty witness. Reported over phone to object to be meteor.
project office, Desired to know if anyone elses

= “ — oS “* ‘4 - fms
ad obsérved object. (No Case CnfFPile)

—-—---+--

ATIC FORM 329 (REV 26 SEP 52)
FRAME 014 / 024tesseract-200dpi
, 1. DATE

PROJECT 10073 RECORD CARD

12. CONCLUSIONS

AW10 Oct 63

2. LOCATION

Dayton, Chio

© Was Belloon
0 Probably Balloon

3. DATE-TIME GROUP

| 4. TYPE OF OBSERVATION
D Ground-Vi sual

D Ground-Rodar

O Possibly Balloon

O Was Aicroft
Cl Probably Airerci?
D0 Possibly Aircroft

GMT cenemnaiee 4 O Air Vi suol 0 Air-Intercep! Radar
5. PHOTOS 5. sOURCE ‘
O Yes
__ No C ivilian
J. LENGTH OF C3322VATION 5. NUMBER OF OBJECTS | 9. COURSE
Over 1 hr | One | B to SE

— i ew

 6UWes Astronomical IuNLbter

ft Probably Astronomical
O Possibly Astronomical

O Other :

0 Insufficient Dota for Evaluation

10. GRIEF SUMMARY OF SIGHTING

ATIC FORM 329 (REV 25 S5#P 52)

= Y “-: i 4 tT ° %
observed in East climbir

_ on

z steadily to |

11. COMMENTS
FRAME 015 / 024POOR LEGIBILITY — PENDING RE-EXAMINATION
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ATIC PORM 329 (REV 725 SEP 52)

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:
PROJECT 10073 RECORD CARD
14, DATE 2. LOCATION 12. CONCLUSIONS
» saz i GO Wos Balloon
| LO Oct 1953 Dayton, Onis QO Probably Balloon
3. DATE-TIME GROUP 4. TYPE OF OBSERVATION a aaeeer Seen
1997 > a 0 Was Aiicroft
Local Toc —— =<3 Ground- Vi sual D Ground-Rodor 1 Probably Aireroft
a pated Re - as C Air Vi svol © Air-Intercopt Rador | 7 Possibly Aircraft
5. PHOTOS 5. SOURCE O Was Astronomical
0 Yos D Probably Astronomical
__BNe | Civilian | 0 Possibly Astronomicol
7. we LENGTH OF OSS5=RVATION 8. NUMBER OF OBJECTS | 9. COURSE CX Orher 22 |
O Insufficient Dota for Evaluation
19, BRIEF SUMMARY OF SIGHTING 11. COMMENTS ; :
on niect reported movigg through sky. Believed | Object conforas with ECHO I passage,
to be satellite. Requested identification.
FRAME 017 / 024POOR LEGIBILITY — PENDING RE-EXAMINATION
1.3) PR Bep 9, North of Cit , 3 lege aye * 402 soving 98

2,58 «E JE0 GD, Morta of City, °9 degrees above >oriuen cosy 3g 8

1. ad Sep 19, Touth of City, / CeRTses Glove iorizen sovise 12

- Vi aut YS VON 2), South of City, i} degrees 4. 2ev9 boerizen coving

, “9.28 PM Sean 19. Morta of ©: J, 99 (vet coove Sortrean sav? uz 3

- oboe VS 2H Jap 10, Horta of City 1 Jegesen 62099 oor isen ~xar¢i “iz 6
1.O4 54 Sep 11, South of City, 19 SPIE LOIS OOF LAM uving 62

1¢ \3,28 PM Sap 31, North of Gity, 77 deereess above toriz “vise 73
7.2 Si ep 11, Moreh of Gity, 53 deexees \2ay4 (9Fi4om oevisg 1%

1: OF 23 SM dep 12, Senth of £2: ‘7. 3 jerees 4h0948 jor isoe meving i
; 09,59 PM Gan 13, Morth of Ci ty, 3. degrees .bove -o9isseen av ine 2.

. 12,32 PM Sev 12, Morta of SiSy, 33 degrees oSoyve Lorisen =o Lag 43
a3 73,24 24 San 13, Norts oF AS7, J Jeerees \bove Lorizea MIVisw lik
> AU,23 PM S99 13, North ov cA oy » 3} (egree4 joore! lor iwen >av4 ng 32

> VT.23 PM Sao it, Yoxrth of Aty, “3 ceerress aoove borigan sowin 2
1c O9.23 2B Sap i hs, (Orta of City, 3 C@erees coove oor Laer Lov mag 3
> -eouw PM San 14, Mor*z’ of “Lty, $ CeNrse 4oeve boriven sow: mg JB

: 1,49 “4 Jep i5, NMorsh of Cit », oS Ox>res 904% »loxvizon “ey inwe JA
> «2.23 9M See 15, Worsh of 01 Fy 3 Gees sbeve corizen ~ering oO
FRAME 018 / 024tesseract-200dpi
8.1 STARS (Circle One): 8.2 MOON (Circle One):

| 8. IF you saw the object at NIGHT, whot did you notice concerning the STARS and MOON? :

a. None Qa. Bright moonlight
b. A fow b. Dull moonlight

c. Many c¢. No moonlight — pitch dark
d. Don't remember d. Don’t remember

——- ee

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9. What were the weather conditions at the time you saw the object?

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CLOUDS (Circle One): WEATHER (Circle One):
rn
/ a,/Clear sky a. Dry
. 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
10. The object appeared: (Circle One); |
}
a, Solid d. Asa light
b, Transporent e. Don't remember } | . ;
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Cc. Vapor (ts UA \ oJ > 1 1 vee di AH tf C | pd i
:
1}. Jf it appeared as a light, was it brighter than the brightest stars? (Circle One): , &3 P baie j
a, Brighter . c. About the same
en
b. Dimmer “dD Don't know

11.1 Compare brightness to some common object:

———-- —— —

|
|
|

12, The edges of the object were:

(Circle One): a. Fuzzy or blurred e. Other
b. Like a bright stor | a = eS
c. Sharply outlined . ay ee
d. Don’t remember

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13. Did the object:

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(Circle One tor each auestion)

;
a, Appear to stand still at any time? Yes 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 _Nay Don’t know
d. Give otf smoke? Yes Ne Don’? “now
e, Change brightness? Yas No Don’? know
f. Change snape? Yos No Don’? “now
g. Flash of flicker? Yes No Den’: know
h. Disapoear cond reappear? Yes No Don't know

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FRAME 019 / 024tesseract-200dpi
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| 4, Did the object disappecr while you were watching it? [i so, how?
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a | 15. Did the object move behind something at any time, particularly a cloud?
j os 5
| (Circle One); Yes No / Don’t Know. IF you answered YES, then tei! what
it moved behind; is oa _ - ‘ ie a ee
18. Did the objeet move in front of something at any time, particularly a cloud? 1
(Circle One); Yes i No, Don't Know, IF you answered YES, than tel! wrar |
ee wilh esenane anal aainaieenieaiaill

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18. Ws wish to know the angular size. Hold a match stick at arm's length in line with a known object and acia how

much of the object is covered by the head of the mach. |f you had performed this experiment at tha tims of rhe
sighting, how much of the object would have been covered by the match had?

Jones

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|

19. Draw a picture that will show the shape of the object or objects. Label and include in your sketch ary datotis
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.

—~ «8 «a. eawrewussrs

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FRAME 020 / 024tesseract-200dpi
ie
20. Do you think you can estimote ing speed of the object? / ;
(Circle One} ‘d Yes No 2 ; : : | 4 4 |
( 3

IF you answered YES, then-what speed would you estimate? sites “
— — = pad tanteihncnasnentinends silat ve
:
21. Do you think you can estimate how far away-irom you the object was? |
ae i | 1}
(Circie One) Yes f No/ o\ + 4 oy i
, Seale . \ j- pate iF. if
IF you answered YES, then how far away would you say it was? ~~ ae s, thy “4 {
paceman _— - cninsnctaecerrnmaNeatartatinraneinncete iananiomnamedtiond

22. Where were you located when you saw the object? | 23. Were you (Circle One)

(Circle One):

a—In the business section of a city?

|

a, Inside a building (om the residential section of o city? ;

AS ;

b.. In a car ¢. In open countryside?
fa Outdoors d. Neor an airfield?
s In on airplane (type) e. Flying over a city?
e. At sea i

f, Flying over open country?

A — g. Other

————— eee —_ + - = —

i

24, |F you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complate the following quastions:
| j
24.1 What direction were you moving? (Circle One)

a. North c. East @. Sovth g. West
b. Northeast d. Southeast #. Southwest h. Northwest }
?
24.2 How fast were you moving? __.__ miles per hour,
7
24,3 Did you stop at any time while you were looking at the object? ,
(Circle One) Yes No |
25. Did you observe the object through any_of the following? / |
ao. Eyeglasses Yes '/No \ e. Binoculars ey, No AS 3 dae v |
b. Sun glasses Yes No | ° — &£. Telescope “You _No* de bias -“
c. Windshield Yes | No / g. Theodolite Yes No /
d. Window giass Yes ‘ No / h. Other — es a ;

— --__——

=

—_—— — — —<—— —

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26. in order that you can give as clear a picture as possible of what you saw, describe in your own words @ commun

object or objects which, when placed up in the sky, would give the same appearance as the object which you sow

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FRAME 021 / 024tesseract-200dpi
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27, ‘mn the following sketch, imagine that you ara at the point shown, Place me O\"

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on Nie cueves iine fo show now

;
high the object was obove the horizon (skyline) when yo. sivstsow it. Place a 0" on the sine curved Nine to -
show how high the object was above the horizon (skyline) wnen you Jas? saw it) Slece on 0) on ine compass |
when you firs? saw it, Place a ‘’3"’ on the compass where you Jas? saw the oljvct,
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23. Draw a picture that will show the motion that the object or objects made. Place an “‘A"’ at the beginaitg of the
oeth, a ''3"" of the end of PR, on show ony changes in direction during the course.
ip \PN |
Py | '

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a, :
wits Spialaseniaillantenimasta —-
29, IF there was MORE THAN ONE object, then how many were there? _ i.
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling.
‘

LLL LLL OT ELL

ae
FRAME 022 / 024tesseract-200dpi
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30. Have you ever seen this, or a similar obiect before. |f so give date or dates cnd location.

=
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\ 2
’
~~ —™ -

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+e

———

————  ——te) —e eee ae Se ce - _—

3), Was anyone else with you at the time you saw the object? (Circle 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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.
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-

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Pivase give the foliowing information about yourself;

NAME apis.

mr me ee me a

Middla Nome

Last Name

ADDRES

Street

LA it '
TELEPHONE NUMB AGE SEX [AM

indicate any additional information about yourself, including any special experience, which might be pertinent,

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[_—_ or

—- —-—— —_

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33, When and to whom did you report that you had seen the object?
FRAME 023 / 024tesseract-200dpi
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44, Date you completed this questionnaire: a ate

Day Month Yoor

———_——— -

— —_

35. Information which you feel pertinent and which is not adequotely covered in the specific points of the
questionnaire or a narrative explanation of your sighting.
FRAME 024 / 024POOR LEGIBILITY — PENDING RE-EXAMINATION
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