PROJECT BLUE BOOK

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PROJECT 10073 RECORD CARD

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1. OATES 2. LOCATION 12. CONCLUSIONS
r Seer - ~ ahs : O Was Balloon
pe ee 5 Aue TOU y by Ltt: O Probably Balloon
3. DATE-TIME G20UP 4. TYPE OF OBSERVATION DB Passibly Balloon
O230 "Wr ms - O Was Aircraft
Local i ee ca i Ground- Vi sual O Ground-Radar Le. Probably Atverntt
OMT 19 og Ie adel: 0 Air Visual OD Air-!ntercept Radar hi Possibly Aircraft
5. PHOTOS 0. SOURCE KC Wey vastronomical Yo") ie
Q Yes Probably Astronomical
Peat re QO Possibly Astronomical
= Ehret Ads = : hile t Lan =n
7. LENGTH OF SSSERVATIOCN _& NUMBER OF OBJECTS | 9 COURSE O Orhaer._ at
1 Insufficient Data for Evaluation
1 a } O Unknown
yo BOUIN S 9 AT BS Pa | Mrratie |. Fae
1G, BRIEF SUMme2?¥ OF SIGHTING 1], COMMENTS
Vitaot elisihsd 30 degrees Ble % on i Venus 4% 5h rs 2% 5h. 26,12 0

ATIC FORM 329 (REV 26 SEP $2)

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U.S. AIR FORCE TECHNICAL INFORMATICN

This questionnaire has bean orapared so that you can give the U.S. Air Force as much
informetion as possible concerning the unidentified cerial phenomenon that you have obsarved,
Plwase try (9 GnSwer as many guestions as you possibly can. The information thet you giva wil!
be used for research ourposes, Your name will no? be used in connaction with any statements,
conclusions, or publications without your permission. We request this personal information se
that if + is deamed necessary, wa may contact you for further details.

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1. When did you see the object? 2 Vimeor apr ee |
Hawr Minvisa |
i ’ \ | ’ } { — ;
a Al te = a (Cirela Ona) “A-Me} oF P.M.
Day cMonth, > Yeor oat
3, Time Lone: a rt aaa eaear eee
(Circle One):a, Easterns (Circle Ons): € 2 col light Saving 5 j
b, Canrrai Standard
c. hiountain
d. Pacifis
a. Orher i
— - a — oe 2 1 Car ceew -eeseee ——— — "t
4, Vibers wers you when you saw the ob!scr? ,
fy of :
ae f hwy /\
ed Wald ral We |
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Nearest Postal Addrasa “City of Town Stata or County :
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5. How long was objact in sight? (Tore! Duration) g bi 2 :
Hours Minutes Seconds }
‘
a. Seto c. Not very sure ;
| Sorin :
tb. Fairly cartain > _ od, Justo guess, / ;
be - — oo , }
5.1 How wos time in sight determined? Arty SS ERA IS om May :
5,2 Was obieet in sight continuously? Yes (| Nor. ’
6. Whot was the concition of tha sky?
DAY NICHT
o. Erignt Ke a, Br right 2
b. Cloudy b, Cloudy. ;
7. IF you sow the object during DAYLIGHT, where was the SUN loccted os you looked ct tha object?
(Circle One): «, In front of you d, Toyour lef?
4 b. In beek of you e. Overhe
i ¢. To your rignt f, Don’t rorember
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14, Did the object disappece while you were wetching it? {PF so, how? lay OS Vt vk

15. Did the object move behind soinething at any time, particularly a cloud?

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(Circle Ore): (Cte “Yas » | No Don't Know, IF you answared YES, then tell what
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16, Did the obieet move in front of something at any time, particularly a cloud?

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(Circle One}: Yes {No | ) Dion’? Know. 1 you onswarad YES, thes tell what
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17. Tell in a few words tha following thinss sbour the object;
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b. Color be 12.0 Oa: “Lf 1 AA tex Ce CP JK A Nera 4 ee

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18, We wish to know the anguler size, old a match stick at orm’s length in line with a known object and nets ha:

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much of the coject is coverad by the seed of the match, [If you had performed this experiment at the tiew oF vb:
sighting, how much a the object would have been covered by the: ater pig

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19. Drow a picture mat will show the shape of the object of objects. Label and include in your sketch any details
| of the object thet vou saw-such cs wings, protrusions, atc., and aspecially oxhaust trails or vapor lle

Place an sorrow >eside ihe drawing toa show the direction the ae was moving:

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®, Do you think you can estimote the speed of the object?
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(Circle One) Yos (Ney ab} ee ‘ <7} > A ‘ “~~ } m™ . ’ y i
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\F you answered YES, then what speed would you estimare? es eae.
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21. Do you think you can estimate how far away from you the object was? .
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(Circle One) Yes (No) At UX ak Ag J

iF’ you answered YES, then how far away would you say it was?

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22. Where were you locared when you sow the object? 23. Were you (Circle One}

(Circle Cre}:
. a. in the business section of o city?
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—@, Inside a suilding »» In the resicential section of a city?
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b. Ina cor Cé._ In open countryside?!
<. Outdoors d, Near an airfield?
d, {nan airplane (type) e. Flying over oa city?
e. At sea f, Fly'ng over open csuntry?
c. -Cier ee, rae sinesicinissobieees o,. Oirey 22- Se x
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24, 1F you wers MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the followis.g questions:

24.1 Whar direction ware you moving? (Circle One)

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a. North ce, East e. South gy. Woes
b, Northeast  d, Southeast: f, Southwest h. Northwast
24.2 How fasr were you moving? —_ niles per hour.

24.3 Did you stop at any time while you were looking at the object?

(Cirele Ore) Yes No

-~ _ — ——

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

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o, Eyeglasses Yos o) 2, Binoculars CYes }) * No
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b, Sun glasses Yes C No } f, Telescope Cfes No
c, Windshield Yes (No) g. Theodolits Yes (Noy
d, Window sicss Yes { No) ‘h. Other tel EP Tal IE Sie ei Ei tea
Pay ———-- . to een sem ee ee i --- -- - smectite aio tees teen
.
25, In order that you can give as clear g pictura a3 possible of what you saw, describe in your own wards a common |
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object or objects which, when pliaeed up in the sky, would give the same appecranca as the object which you saw.
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} 27. In tha following sketch, imagine thot you ave at the point shown, Place an “A” on the curved jine to anew how ,

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high the object was oboye ths horizon (skylina) whan you firs? saw tt, Ploce a ''B’’ on the came curved Ipeto |

show how high the object wos obove the horizon (skyline) when you foes? saw it, Place on ‘A’ on the comecsa
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when you first saw it. Place a '""B’’ on the compass whara you fast saw the object.
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wo picture thet will show the motion thet tha object or objects made, Pises on “'A*' at the beginning of the

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Re 2 ‘'3"’ of the end of the patn, ara show any si sbeda in diraction during the course,

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' 99, IF there was MORE THAN ONE object, then how many wers thers? - aa. a “ g

Draw a picture of how they were arranged, and put on arrow to show tha direction thar thay wera trayeiina.

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30. Hove you ever seen this, or a similar object beforo. If se give dete or dates and locarion, |
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| 31}, Was anyone else with you at the time you saw the abject? (Circle Qae) 4 Yes \ No ;
31.1 IF you onswaerad YES, did they see the abject too? (Circle One) CY¥ss No ;
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| 3}.2 Please list their names and addresses: DA a AOR AY yy~4 AA eth Oe CS :
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32. Please give the following informetion about yourself; :
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NAME — _—- ss _ = ~ o ae
Loat Mame Firat Name Middle Name ‘
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Ness tT I LN YDS Sd ls ;
Al hd ReSs .... si eae vi fk Ce cat fe Pina stee ee ORL OR WY cS
Street City oD Zore Si are j
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TELE PRONE NUMBER E ‘AGE ae A. SEX _TDAke ;
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indicate any additional information about yourself, including any special experience, which might by periinenr. 3
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When and to whom did you report thar you had seen the object? oe to i ale ‘.

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34. Date you completed this quastionnairas: ne Ee £ TA’
Day / dManth “A Yeoor |

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35. Information which you feel pertinent and which is not adequately covered in the specific points of the
quasticangirs ce o narrative explanation of your sighting.

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