PROJECT BLUE BOOK

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X
PROJECT 10073 RECORD CARD
1. DATE 2 LOCATION 12. CONCLUSIONS
D Was Balloon
6 Jan 64 (Near)Crossville, Tennessee 00 Probably Baloon
3. DATE-TIME GROUP 4 TYPE OF OBSERYATION Possibly Balloon
Local 1907 GroundVisuel Ground-Rader 0 Was Aireraft
07/00072 00 Probably Aircraft
CMT. AirVisua Air-intercept Radar Possibly Aireralt
5. PHOTOS SOURCE Was Astronomical Meteor
Y.. M00 Probably Astronomical
No xNo military 0 Possibly Astronomical PossiblyAstronomical
7. LENOTH OF CBSERVATION 7. LENGTH OF ERVATION 3. MUMBER OP OBJECTS 9. COURSE 3. NUMBER OP OBJECTS . COURSE Other. Other
000 Insufficient Data Insufficient Dota Fo Evaluation aluation
3 seconds one falling Uniknown Unknown
ID. BRIEF SUMMARY OF SIGHTING ID. BRIEF SUMMARY OF SIGHTING 1. COMMENTS . COMMENTS
Ball of flame breaking up or Ball of flame breaking up or exploding. Meteor obser Meteor obse
Much larger than a meteor. Seamed to be Much larger than a meteor. Sesmed to be
losing small particles until completely losing small particles until completely
extinguished.q extinguished.q
Atic 70rm 329 26 3RP 32)

tion in the order in which they occurred. Additional pages of the:same size paper may.be atrached statements, or sketches: that you.baliave are important. Try to present the details of the observa-
if they are needed.
NAME (Do Nor Write in This Space)
CObE:
SIGNATURE
1964 /
While fleging in a B52tail compa Imen
atthated ov
C tay
to b Hhaming partecles and them

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 contact you for
further details.
1. When did you see the object? 07
Minutes
6 1964
Doy Month Month Yoar Yoar (Circle One): Chtre One): A.M. or P.M.
3. Time Zone: 3. Time Zone: (Circle One): (Circle One): Eastern.
Ecstern.. (Circle One): (Circle One): a. Dayiight Daylight Saving Saving
b. Central b.Standard. b. Standard.
c. Mountain
d. d. Pacific
e. Other
4. Where were you when you saw the object? 4. Where were you when you saw the objs NEAR CRoSTuiLE,
Nearest Postal Address City or Town State or Country
Additional romarks:-
How long was object in sight?
Hours Minutes Saconds
determined?
a. Certain 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
d 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
FORM
FTD JUL 61 164 Thisform aupersedes. ATlC 154, Feb 60, which is obsolete.

Pag• 2
IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Cirele One): 8.2 MOON (Circle One):
. None Bright moonlight
b. A few b. Dull moonlight
c. Many c. No moonlight — pitch dark
d. Don't remember
DID NO
.The object appeared:
(Cirale One): a. As a light b. Shiny c. Dark d. Don't remember
10. lf it cppeared as a light, was i: brighter than the brightest stars?
11. Did the object: 11.Did the object: (Circle One for each question)
a. Appear to stand still at any time? Appear to stand still at any time? Yes Yes No Don't Know
b. Suddenly speed up and rush away at any time? Yes No Don't Know
c. c. Break up into parts or explode? Yes No Don't Know Don't Know
d. Give off smoke? Yes No No Don't Know
e. e. Change brightness? Yes Yes No Don't Know
f. f. Change shape? 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
Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes No Don't Know. iF you answered YES, then teil what
it moved behind:
1. 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 teli what
in front of:
.Did the object appear: (Circle One): a. Solid b. Transparent c. Vapor d. Don't Know
1.Did you observe the object through any of following?
a. Eyeglasses Yes No e. Binoculars Yes No
b. Sun glasses Yes No f. Telescope Yes No
c. Windshield Yes No g. Theodolits Yes No
d. Window glass Yes No h. Other

Paga. 3
16. Teil in a few words the foilowing things about.the object.
a. Sound
Dra  pictthat wilshowthshap et jecaelanincludn yo setch.any dtai
ofth object that you:sawsuch.as wings, protrusions, te. and aspecially.exhaust trails or vapor traiis.
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 OtherSALO=FLAM-
.b. Like a bright star b. Like a bright star
c. Sharply outlined
d. Don't remember
19. IF there was MORE: THAN ONE object, then how many were there?

Page 4
Draw a picture that will show the motion that the object or objects made. Place an "A the beginning of
the path, a "B" at the end of the path, and show any changes in direction during the course.
0 B
How large did the object appear to you as compared to an object with which you are familiar?
MUCHLAR ORONARY ZHOOTING STAR
homuch of tobct is covered by the head of.the match.if yu had performed this experient at th ti
of the sighting, how much of the object would have been covered by the match head?
PRORABLY lon
. Did the object disappear while you were watching it? If so, how? Did the object disappear while you were watching it? If so, how?
F+1=
which you saw.
COME

Puga 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 b. In the residential section of.a city?
b. In a car c. in open countryside?
c. Outdoors d.Near an airfield?
d. In cn airplane (type) e. Flying over a city?
e. At sea 5. Flying over open country?
. Other g. Other
Whar were you doing at the time you saw the object, and how did you happen to notice it?
GLOW MUSTHAYE WA
@ARTISULARYLOOKINO
28.1 What direction were you moving? (Circle One)
a. North East e. South g. West
. Northeast d. Southeast . Southwest h. Northwest
28.2 How
(Circle One) Yes No
g. West
o. North c. East a. South h. Northwest
b. Northeast d. Southeast f. Southwest i. Overhead
9. West
0.North c. East . South n. Northwest
. Northeast d. Southeast . Southwest i. Overhead
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.

.-
Pago 6
32. In the fallowing 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 "8" 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 placs an "A" at the position the object was when you first saw it, and a B at its
80

Paga 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
c. Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
3. Don't remember
3.When and to whom did you report that you had seen the object?
Dey Month Year
Was anyone aise with you.at the time you saw the object?
(Circle One) Yes No
36.1 IF you answered YES, did they see the object too?
(Circle One) Yes No
36.2 Please list their names and addresses:
3 Was this the first time that you had seen an object or objects like this?
(Circie One) Yos No
37.1 iF you answered NO, then when, where, and under what circumstances.did you see other ones?
38. in your opinion what do you think the object was and what might have caused it?
LARGE METORITE SAnTLITE

Page 3
39. Do you think you can estimate the speed of the object?
(Circle One) Yes No
IF you answered YES, then what speed would you estimate?
(Circle One) Yes No
IF you answered YEs, then how far sway would you say it was?.
Please give the following information about yourself:
NAME st Namo First Noms
ADDRESS WRISIT-PATTERSDN AFB. OHO
City Zone -on5 Stat
TELEPHONE NUMBER TELEPHONE NUMBER_ E 69150
A_g__33 Ago33 Sex Sex_1
indicate any additional information about yourseif, including any education, which might be pertinent. Indicate any additional information about yourseif, including any education, which might be pertinent.
.Date you compieted this questionnaire: 7 JAN 64
iDoy Month Ysar