PROJECT BLUE BOOK

Ot > —— + Pom .

PROJECT 10073 RECORD CARD

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1. DATE 2. LOCATION | 12. CONCLUSIONS

fy Men 7 gsen® ~e, * 4 < 2 Ps o~ | 7 | ret K vit blon ara Was Bolloon
ee Vs Bene et ; _ ‘ Oe Oh we bot Ol Me : tau WS VA + wy

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O Probohly Bolloon
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3. DATE-TIME GROUP 4. TYPE OF OBSERVATION

Possibly Balloon

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Ai enew , , Was Ai it
Lacal — ————— — & Ground: Vi suol BD Grovund-Redaor Moke ng
POE thi G

GMT <a  e 2 Aix Visual © Air-Intarcep? Rador 0 Possibly Aircroft .
| 5 PHOTOS SOURCE 4

O Yes
No Civilain 0
7. LENGTH OF OBSERVATION ~—~—S*| 3. NUMBER OF OBJECTS | 9. COURSE O Other

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Was Astronomicol
Probably Astronomical
Possibly Astronomicol

L wre b i. 7 . r
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10, BRIEF SUMMARY OF SIGHTING h
Dark colored sphere with ray like ring in flignh

_ Toy ~— rs hy he y 4 ef, } ‘yr
2 eS : lim IFO S55 LOL€ Las i a ;

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’ “as faint , Tie a 7+ lees ; > > o- } } = sat + ere . -
xe fain Train, uLke ere or oval. schedule not avai!
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1. COMMENTS

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f der DOME et atomspneriec condL

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ATIC FORM 329 (REV 265 SFP $2)

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Toree Technical Information tom ssn s~'*s ff you
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Colonel, UoAF

Deouby Chiler

Public Information Division
oPfice or Information
1 Attachment

259m 154 with envelope

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This questionnaire hos been prepared so that you can give the U.S. Air Foree os much

information as possible concerning the unidentified aerial phenomenon that you have observa:

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Pieese try to answer a3 many questions as you possibly con. Tire information th

be used for research purposes. Your nome will vo? ba used in connection with any sratemen
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conciusions, or publications without your permission, We request this parsonal infernation

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that jf it is deemad necessary, wa may contact you for further detcils.

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}. When did you see the obiect? } £. ttine of ce snatat anil i
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<a Nh Sel JINOAL ff AP. (Sires Oued, 1 A.M, Dt A, :
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3, time Lone ’
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(Circle One): @.. Egsta= (Circle One): fr Day lion Saying |
b, Centre! Ch. Stendard > )
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d. Pacific ,
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4, Where were you when you saw the object?
gone, ° f , | :
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_ een eee eS OE SO a ’ > Aw. oe ae -_—-——_ - - ae ee a —_ = -—-=- - >=. — SF rd _ — =
Neorest Postal Address City er Town ’ p County
—_— <2 -_—— > tied iis" x) Seach Kista cael aceite ———s Om me wwe
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5. How long was object in sight? (Torei Duration) eS SS: a
hours Minvios veconda

co. Certain c. No? very sura
~b, Fairly certain} d. Just a guess

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5.1 How was time in sight determined? _ ss Ce =e

5.2 Was ob

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ect in sight continuously? na No VY

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6&. What was the condition of the sky?
DAY NIGHT

a. <righD 1, Bright

b, Cloudy b, Cloudy
7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked ut tha obicct’

(Circle One): c. In front of you Jd. To your isht
b. In back of you e. Overhead
(c. To your righ? f, Don’t remember
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CT 62 14 - his form sugerasdea | ’ 4. Trust 41

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4, Did the object disapp 2CF Wile you were watching :3 3. $0o, NOW: ;
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eT (6, A EE ne IN wa OA Lr IO a ne Sn SO eee ne ie eee A a SES SOL See —
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15, Did the object move behind something of aay time, perticuarty « cioud? :
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(Circle WPS Yes ey Don’! hin. i CN WweTed | “betes wtat ;
i? moved sehind —=_ “ a. . 1 ; .
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16. Did the object move in front of something af ony time, particulariy a cloud?
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(Circle Coe): ‘es No) Gort Know. IF you a Sy th ait w
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17, Teil in a few words rhe following things about the object:
x; : — | Yj ‘ if fi fa i
E / he 4 ty P “ a i = he oe ;
a. Sound PF an ee ee AEF Ag re ew th os Oe a ghd. 4. CL he . cepa oe oe
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D, Color | a” A OOo Le 7. ae et ——— —- encegmoampesescanebqetts ee Gobueaninisin " n —_—
—ecteeennienem . uenreeneeseesen Se — — - — = eer ne—e ——
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i3. We wish to know the angular size, Hold a match stick at arm's length in line with @ kaowe act ard me: yt
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much: of the opiect is covered by the head of the match, ff you had performed this experi a ; five |
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signting, how much of the object would have been covered by the match hecd? i
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19. Draw @ picture ‘hat will show the shape of the object or objects. Label ond incluce im your skerch pails |
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of the object that you sow-such as wings, protrusions, ate., and especicily exhausi trails or vapor trai!
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Place an arrow beside the drawing to show the direction the oblec? wos moving,
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Poa MAAS he u ? , . Ws Meet
a ee. ee ee 2 ee EET SO OE ee Pe ee ee el ee ee ee ee ee ee sor oles tO —

el el dia. der hn het ee “

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ee eke Cerne oe Ff _*- won — —_s em ao -

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IF you answered YES, then whet speed would you esthnoie
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21. Do you frink y Ov ean estimate ho Ww far away vom you "10 CG *} ae Ys *

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24, IF you were MOVING IN AN AUTOMOBILE or other venicie of tne th ‘hen comp slowing questi:

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24,1 What direction were you moving? (Circie One)

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b, Northeast d, Southeas QOUTH wa EY

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24.2 How fast were you moving? .......__-____-_-__miles per nour.

24.3 Did you stop at any time while you ware looking at the object?
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(Circle One) Yes No

25. Did you observe the object through any of the following? |
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a. Eyegiassast@ix~u Yes No e, Binoculars Ye Mo

ee type! Fs Ae

6. Sun sicsses Yes ‘No f. Telescope Yes te

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£. Wineshisia Yes (No q. Thaodolits i>? hie

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d, ‘Yindow glass Yes ‘No h. Other — i oe
2E | 35 le } picture as possible ye what you saw, des , ;y orn .
ZO. tit order tha? y 7.) can Give es € sor a picy ore >: os Pessts <2 Wi 7 ) . oy) . ° .
/ ' bis ae | ' *~ PS j un in the eae would ive AS s srime SSFAaNck aS bk ‘ ne
obiec? or objects which, when placed up in the Suy, Would give ie : |
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ot. —— eae wd — oe ere —o- el . oe “eee om ee . —

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27, In the following sketcn, imagina Tat you are at fae poll saown. 5¢

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‘oy ‘ . 7 . 7° 7 ‘ : is '
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high the object was above the horizon (skyline) yen yo aT SE .
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* + t - a i 3% a | 4 " wT) a iF > - 3s ¢ “4 . ' % : 3 ia?) ; >
show how high the obiact was above the horizon (skyline; whom you fo:

; fey ot +} anane wheres vow fast sow tha odlect. |
wren you firs? sow iv. Piace 0 i, on rine compa oO wer : y i a 3 V¥ ; . :
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| 98. Drow co picture that will show the mor'on that ins sbiect or coject
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h te? ot ti : the pc? ad show ony chenges in direction curity ! .
; pat ‘y a oi ne oi ° ;He pc Ny ait 2iVr ay - imei ; :
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29, \£ thers was MORE THAN ONE object, then how many were thers? ——.—- oe Lt vated

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' . ~ ~~ © a's ‘ dir ren "§ PHOoYvY Were WAayertiive
Draw a pictura of how they were arranged, and put an arrow fo shaw the civactio . :

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2 ee ner BEL ABLE OE LLL LLL GO OG

pee Wh ee AG am il > —

LL LO I el A te ee le LS i I A AE ON A lt et NO ea a

24t er a ae ee - o- ee ee

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this, or a similor object before. |§ so give date or Cates aud location.

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|, Was anyone e!se with you at the time you saw the objeci? (Circle One) eYas i

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31.1 IF you answered YES, did they see the object toe? (Cireia One; (Yas ey

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31.2 Please list their names ond addresses:

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Pa) and to whom lid you repor! that you had seen the object? mS f bra

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34, Date-you completed this questionnaire: pital lntakinaen. * LOM aaaces  snnifectalannitaan :
Coy Moa Yeor

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35. Information which you feel pertinent and which is not adequately covered in the specific points of the

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questionnaire or o narrative explanation of your sighting.

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