PROJECT BLUE BOOK

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r. CATE - TIME GROUP 2, LOCATION t
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! EOVgcs 19. CONCLUSION 7

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§. LENGTH OF OBSERVATION [1], 32/3 SUMMARY ANDO ANALYSIS

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FORM
FYTD sep $3 943 29 (TOS) Previous editions of this form may be used,

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U.S. AIR FORCE TECHNICAL INFORMATION
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This questionnaire has bean prepared so that you can give the U.S. Air Force o3 much
information es possible concerning the unidentified aerial phenomenon that you hove observed. .

Please try *o onswer as many questions as you possibly can, The information that you give will ys
be used fer research purposes, Your name will mot be used in connection with any statements,
conciusions, or publications without your parmission. We request this personal information so

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thot if it is deemed necessary, we may coniact you for further details.

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1, When did -ob tae the object? | 2. lime of a ty: nen es .
; Flour Minutes

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(Circle One): zt Ecstorn (Circle One); a, Dayl!
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¢, Wheres ware you when you saw the ob/s

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5, How long was object in sight? (Total Duration) a ry (RP ee
Hors Minuleas Seconda

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q. Cortain c. Not very sure

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5,1] How wes time in sight determined? 2 A eae

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5.2 Wes csiect in sight continuous!y? ate Esa i

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| §, What was the condition of the sky’
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Oe ti YOu saw tne yoiect at Ni 7? 4 what id YOu wice conc ming Tae oi eS ai 7 Hi
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j B.} STARS 1. 'FUre One}: 8.2 MOON (Circle Ones: ;
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, a mone G Bright moonlight
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1}, If it cppearesd as a light, was it brighter than the brightest stors? (Circie One): :
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Sc. orfignrer Cs About ine sane |
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b, W immer d, Don i <now ;
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i}.! Compare origntness to some common objec; :
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bite i 1 odes the OP} ect were:
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Circle One}: a. Furry or biurred i NO cadena altace cite a euicicttinstanadinthaneiniecieeiiie 1
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1. wid wie Ii 7 ¢. (Ci; le ) | for ecen (Ve aii nm)
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oO. ADpeoFf TO and pitis GI ny it ne? ¥ 33 No LJOr 4 :
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: b. Sud rentiy soead D> and ru sh away of ony time? ‘ es N } Jom ? KHow
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c. Oreck up > paris or exp ods? Yes Pio Don’t know
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> WING vs ntaess? Yes No if 2nOW
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) 1S. Oid the sbiect move behind something at any time, particularty a cloud?
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f iS. 72 Wish TO know fhe angular Sixe, Poid G matcn stick at arm's tengin in line with a known abiect and nots how
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' 21 = © opject 's Covered by the head of ine match. [Ff you nad pertorme: } experiment? at the time of ine
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} sail - etch ve SW mUuCcNn OF Tne ODjecr MOUs i ney oeen Coverea by ine moten head? :
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ture frat wiil snow tne snape of the opiect cr objects. Label and include in your etch any defeiis

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of Ine cbhiect rack you saw such os wings, protrusions, eic., and especially ust trails or vepeor traits.
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riace DS Seside ine crawing to show the direction the opject was moving.

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+ 20. Do you think you con estimate the speed of ihe « bject?
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(Circle One) Yes No
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; iF you answered YES, then what speed would you astimate? —
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21, Do you think vou can estimate how far away from you the object was?
| (% herd | s C “* Yes No |
IF you answered YES, then how far away would OR eS | | i ce
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1 22. Where ware you located when you sow tha object? 23. Were you (Circle One}
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{Circie One '
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a, tn the business section of a city? |
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a. Inside ¢ oui'ding b, In the residential section of a city?
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: ve 64 Ys ? eV it UN AI ALT -& OF OFS" Venicie af ine time, tnen compiele the foilowing quesiions:

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24.4 tiow fost were you moving? __.__..__§.__

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’ 64.2 Lid you Stop ar any Time while you were iooxing af ime Cojecrs
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you observe the object through ony of the following?

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1, Kyegiasses Yes No e. Binoculars Yes No

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» Sun glosses Yes NO i. Telescope Yes N

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; Je ’ dow ” Yes ya h, Or er — == - — - j

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. 26. fn order the? you con give as clear a picture cs possible o ish you saw, scribe inv #7 Words @ common
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: show how high the ebject was above |
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29, IF thera was MORE THA

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vith you at the time you saw the object? (Circle One) Yes No

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31.3 IF you caswered YES, did thay see the object too? (Circle Ona) Yes No

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2 Pigase list their pames and addresses:

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‘ATE « TIME GROUP 2, LOCATION

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10, CONCLUSION

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LL OS me meme wee mn ee | -

LL LS A OG ee OR St diel -

‘33, BRIEF SUMMARY AND ANALYSIS

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3. PHOYOS

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?. PHYSICAL ZVIDENCE

Oe ere oe Aree oe

FTD ser 63 0-329 (YD) Previous oditions of thie form may de used,

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| : | ib! wa the unidentified aerial phenomanen that you have observed.
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; Pie em try * answer as many Questions oes yeu POSS Ooty mer ig 7 ne infor tas j : :
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? ‘ions, Of sublicati ons Without your pSrmission, we recussr | |
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: ; — eo? ae ‘ 4 , sty? oa) is.
nat ¢ daemad necessary, We may conmect you ror further Gotails |
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% Wf - see the onject? 2. Time of day: |
; ' ~ - ; | is our AAs rrutes :
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Se ert te 0 re Oe tee SR et er OS Cake ie cee EE TE! OE Se eS Oe wets Hs fete Fe a =D rh. «He elere sem

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[F you saw the object at NIGHT, what did you notice concerning the STARS and MOON?

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8.1 STARS (Circle One): 8,2 MOON (Circle One):

a, None G. Bright moonlight

cb. A fy ee b. Dull moonlight
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i 3

CG. Mar, c, No meontlight — pitch dark
d, Den’! -emamber ‘d, Don't remembar

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et 8 beer. eee. Oe Oe ee

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eee ee ee wt were ee Se al

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

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CLOUDS | Circle One): WEATHER (Circle One):

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o. Clear ss a, Dry

~_*

~

—- oe as Pree

Hazy b. Fog, mist, or light rain

Scatiersd clouds ¢. Moderate or heavy rain

Thick or heavy clouds d. Snow
:

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ix

e. Don't remem

ee em em Om em ee ne Oe ome = ete em me ee me oo sce. - ~ a — eee a Oe o- ee ee eee oe = 0 gy 2 - —0 += -+0@0

10. The abject cppeared; (Circle One):

en, _

a,. Solid d, Asa light *
b, Transporent e, Don’t yemember

CS 8 RES. OO QT Oe Rat re ee ee 6 te ee ose .enees

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—_ ——— 2 me oe eet - _ —_— _—_———<-— = - eo + ee —_—— — - ed ee -.. Se ee ee eee we ee cw ee = ee oe ~e o}

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sopeared as a light, was it brighter than the brightest stors? (Circle One):

ee, oe al

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o, Brignter c. About the same
—_ *- ” :

b, Dinmer d. Don’t know ;
7

11.1 Compares brightness to some common objact:

ee a tee ene ee ee —~————— -—- — — -- me em ee me re ew re ee ee = ee ae ee wee te - 2 + rem mem ++ _

a - ———_ -_—-- so —_—-+ -- — —_—--— - - oe ee ss ss - —— ~

Gee or,

—

12, The edges of tne obiect wera:

Pe eee ee Om

. : ;, ;
(Circle One}: o, Fuzzy or blurred ee RE lee

- ; —
b, Like a bright stor | IES A A Ee ne
. ;
c. Sherply outlined OE ee ae

ai ae ee

5 OR. Pes
Jon ? remem>er J —————————— Sadicaiase nitioanise iets Wd cnderieniates ayaa tlh

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it

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—— SO rete ce —_--—-— —_— — te _— — — —_-- —_—— ee ee -—~2= —se ee 2 or of ~- Oo —ee- —_———M—6. = —— & — -2e .9 <
o -

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| 93, Did the obiecr; (Circle Qne tor eoch question) |

|

a, Appear te stond still at any time? Yes J m Don't know

) b, Suddenly speed up end rush away at any time? Yes Ho Don't know |

e. Break up into parts or oxploda? Yes No Don't know

| d. Give off smoke? Yas Wo Dorr’ t th oy }
». Change brightness? Yes 9 don't know /

f, Change shape? Yas No Don't know
Flash or flicker? iYes No Dan’ know
h, Disappear oad reappear? Yes Ns Don't know

ma aad Ss uae. @ 1.6 & >
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OR OO ON ODOR wr 10 Oe OOF 448 Cg Be Ot @ = Pe ee ¢ ae See ar SO tome Oe Ore of RO OOH © 6 OO 1s Oe Ee hee “eo DP OO 60 Ome ——~ Oe ee * . --* <'- “+ 4 6th.» t= 200 = J

2 Re We eee HE He hee er Ew Ee ® o.com: re reer Ben ee I ee Or Re BO Re ee OR 8 te ee FO 8 OS Ce OO et OR ee er Oe ees Se a on es ~ag

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U.S. AIR FORCE TECHNICAL INFORMATION

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[his questionnaire has been prepared sa that you can give the U.S. Air Force as much
4 . * : . ‘ a , ‘ ‘
nformetion as possible concerning the unidentified aerial phenomenon that you have observed.
. ’ ° ‘ - " .
ase fry to answer as many questions as you possibly can. The information that you give wil!

. ; 7 7 - ? . °
>¢ .sed for resecrch purposes, Your name will matbe used in connaction with any stetements, )
:

~~

. . 7 : . o,f? ‘ . hz =. . ° :
-cociusions, or publications without your permission. We requast this personal information so

;

it is deemed necessary, we may contact you tor further details.

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—— — — — -a= = - . ee _—— — . -_
z=. = a ee - ow ———s = ~o = = T — —— - > ~ <a ~ h.—_— —> —- =
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? 2. Time of day:

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# when cc ycu ses tne obiec

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vse (Circle One): A.M. or

-—-— ae = ee = eee

0 oy Month Y tuff

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- o-oo ~~ -— < —— a ee me 4g en es em ee we 8 a ee se + oe ee — --~—- = ee -_+——

—— = —— eo ee 6 eee ree ee ee ee

Oe = --

SER 6.8 OS bee & oe — Oe Oe Pm em ew ee
.

ome

{Circle One): a. Eastern (Circla One); a. D tylight Saving
=~ + > ‘ =

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ob. Cartel b. Standard

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el wee a eee + -—- - Oe eee —~——_ « ee - ~~}

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8 me we ee oe Orem me = e+ ——

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4, Where were you when you saw the object?

SS A FO ee ee ee Ee — ate ©
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' - — eee ee ew ere we oe em em em ee oe ~ -_--- ewe oe ee = - ~_—— - - — — _ — — ‘

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Nearest? Postel Address City of Town State of County ;

’ ;

y , = $ 4 oe | J : ‘ ’

| 5. How tong was objactin sight? (Toral Duration) siepmleceiadiebiasiiecss  icipicancinleinbisimas « ecalaeall el cmc

hours Minutes ‘ecenda |

: ~ ‘2 > . Q ;
5. Certain ce. Net very sures
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>. PFairty certain G. Just a guess
oa :

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5.1 How was time in sight determined? ne ee

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5.2 Was o3)94?7 in sight continuously: Wes Bice No

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; Maar was the condition of eh » Ss

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ty? :

oe at ar "

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Cloud: i Lioucy

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’ i, you sUw ie Oo: act curing DAYLIGH le wih Ye Was ine SUN loca aA a3 YOu looked 3? 14 obiec? ) :
;

f ‘_- Xs t. Ms _ = '
(Circle Ona): a. fa front of yvy d. fo your left
} ’ , . } 4 a. ; .
| Da, jh HDocx OF you ©, (jyyerneod
a : : . s. ,
c. [fo your right t, Don't romember
;
;
“es “ee —o OW ee err Fm ere ee ee ee o-*e-—- ee ee er -_ ow+*e -- “~~ © on o~ ————«
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in -

Page

Se ee Ew et ED 6) teeeeere, “Ree 6 oe Oo He Be ee Oe ee tm ates oe

ee ore EO

FP ee ee 8 Ree Oe Oe eee.

14, Did the abject disappecr while you were watching it? If so, how?

fi |

A ee - — ——_- —- — ee - ———— oe —+- =-. . eee —--e- — ee ~ we Ae. ee ee es = comm «oe « - ——~

sct move behind something at any time, particularly a cloud?

(Circle Ore): Yes ‘No. Don’t Know, if you answered YES: then tell what '
be . ;
EEE ea St Sa ee Sa Se Ae Wr eee ye AE ee !
;
EE a ee ee ee See are)
.
. Did the odiect move in front of something at ony time, particularly a cloud!
’
: . _ ; -_—s : ; ‘ :
(Cireie One): Yes No Don’t Know. IF you onswered YES, then tell what |
EL a ha Le a an eee by ee ee ee

17. Tell in o few words the following things about the object:

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a. 290UNS :
. SS ee — ee ——— — — . o— e a ee ——Ee
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ad
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r. { #% eo! ¢
afr ~~ * - ti a-we— - e-em + 7 oo ee ee Oo ee - ce oe - ee eee on

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i eee ee oe =. « ©

——_ TT > —— - aan ~ -_— ——.- ——— | —_ — ss - —— ©

,
1a. 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. |f you had performed inis experiment at the time of the

—

sighting, how much of the object would have been covered by the match head?

.
o—_=

ee

—e - ——_——- oo --- os --——-- oo ee - ~ 2 eee — —_ — ony ——_ _—

19. Drow a sicture that will show the shape of the object or objects. Label and include in your sketch any details
” Pp ; | y Y

of the object that you saw such as wings, protrusions, etc., end especially exheust trails or vapor trails.

Place on crrsw beside the drawirs to show the direction the object was mouing.
J

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ee ee eed ee eee ee ed dn ied oo” - —_— orm oe ee —* «+ Pe ed

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ee, ee ee ee

_— =—eRecse

-_“—~ oe ee 7. eke OE eee = 20 eee owene®

2). De you thins you cen estimate ihe sp ied

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heat

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as clear a picture as poss!

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od up in the sky,

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s you were look

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_ estimate how far away from you

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os o_o ee ore —

” Hye object?

No

- - —— +

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away would you say if was

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oe

ing ¢

the following?

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Binoculars

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cai eentnenaindaaaial

23,

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it fhe Ooject:

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ijeiescore

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ed
eadieane
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rollowing que

ee eee

—wss «©

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i a eee Med

eon —_

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OS Oe eee ce ee ee te aes

-—se

- Beoormmr

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- ue -. — —-—_ a om oe +. eee tm ~~ «« a oe —_—-* - ——. — —esur
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following sketch, imagine that you cre at Ihe point shown. |
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193 ; - | ft a5 Qoeove ine Nor Zor i; Vil } ¥iletr) vor ii sf iy
Liew 5 : . . | . : two : er '
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te lA $? ¢ ¥1t, Place @ ; ity fi comp , WhHet 1 fas
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a > ’ : vill beth is | i, wwe OviecT oi GO j = F
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- me ena OF Ne Porn, SOW Ony cnonges th cires
m “ MaoOoOk LIA fn) os ay ; ~ | ab in tin awe OD
re was MUKE HAN VINE 4“ then IOW Many wers tere:
— -* <- 7 con OI — on ‘ | | ; : ra ; «fh, - 5 be
a picture of how they were inged, Qnd put un arrow to show in
- ** wee - ~ + ©tre _ - ee ee . oor «© =e “—e te ow
ee ton i ee ee ee 6 Mae mel

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DT NN RT On RE set oe —— —

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A Bids a ee nos etenttas wiients kalas - laa : , , ;
| 3. rove you ever seen this, cr a simttar object berore. {f so give date or dates and location.
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: - _ - — —o «© — - - ~ — —-« — tone --« - sao - _—~- Om & «o< — -* --—e o-+-—e 0 — — ne = . — e :
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Sl. Was anyones 238 wilh you of the time you saw tine object? (Circle One) Yes No
' A nn x
iC on “Ae o eS Aid oa} ; ! Lian ua? af \ ' :
Stet tt vou answered YES, did th sy See the opject too? (Circle One} Yes NO :
a
; “7 ~ ~ | . : t . 7 e
Ji.2 Piease |'st their nomes and addresses:
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/ | o> “ iy . rtona, i Torr grian ae VUi yeour AE | Freie bere oF: J ar y >)» iG! eAperioné ty Wii st) ie bPLRe. & - peeriti 2nr. :
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ee ee ee ee ——- —— -—< -- —) - ——_- . -

¥
4. Date you completed this questionnaire: —
laformation which you feel pertinent and which is not adequ
questicnnaire or a narrative explanation of your sighting.

,
| NP ON Oe ee ee apt ee Oy LO le cA CL A A I FE CL A LL AO NN AE AO OE A A GN ON I CC St OT LEA OGLE LO A LE ELS NG RO TE EC Ge ee ea te

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a re ee ee en eee ee eee ee ee -— Oe ee ee ee ee ee ) Ee See we Gee. = OP. Ow SE a By a a eee WE LF en er

a eS — -

i ee 8 ee ee ee ee SS Ot + Ee Oe 2 PO nee © —_ -_ = ——- = oe «= eure
a —— OO = SOS ee. Oy OOO Oe 5 es eee wo — - fe + pee ee 2a

POs eee oy

b }e -» } aS ee Mie J : : i eTAOS
ao «(CGT you saw ihe abdiect riot, whet did you notice conc ning ine STARS sad MOON ?
ev cya Me ‘if ’ in . my ¢ tae eS ae) . :
Gol SIAM (Lircia One): 8.2 MOON (Lire lo Une)
’

a. None a. Gright moonlight .
we nN ‘23 b, Dull! moonlight

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= R ~ . | } j ;
c. Mor c,. No mosalight — pitch dark

; ~ a ~ vee | . ; ' _
d, Won't semember '¢. Don't remember *
ta SR tit at at nt ti ttt yeentighh te mn ah sepeisiedt + setuiebre-eemenestnernenpant-eee sucha settian OF << es pemaccaepeveaticstiiinjilh dllidlinpelantaiinecehbcenenia ns
: et at , . . : : = ; _ ye . "a at ™ i . }
/, What were the weather conditions of the tima you saw the object?
’

’ 7}! ~ -is, f)- he us oad SE esl + .
C t Gu tu SS UTS f, WEA 3 HER (Cc ircle er »}.
‘ — , nn .

ft, , t {
o S/o0Pr §xv ‘uu Dy Vv
7

— = :
b, Wary eee tet. ax thels
e ETM oD, Og, mist, or light rvig
Se VoQreres c.0ucs ¢. Modsratea cr he ivy ron
mia + :
d, 1 ryetc « or savy clouds d, Snow ;
,
e.: Don’t romaember :
outhet>-eammnanep SLES eS sti te Si ape thsi titan sitar neni divi nth otnitnia a awe nS — — - 2 = a

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ne a - —-+ ee — --- we ee ee ee ee ee —— — 2 — —— —— = + - --- -_ oo e-- - - -- _——— SG eee —
os — - ++ - —--
~~ —_—<— -

. , : “ay - ; ° ' " = on
i]. !f it eoppsered esa light, was it brighter then the brightest? stars? (Circle One}:
. ~ : J ; ~-. =o é ‘ ie J,

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a, ori ghter c. About the same
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aed | + ' ‘
-| Compares Srigntness to some common objact-

LOL LD OE OE OT
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ss ionaien woes ae Re OD A AE CR Se A Se Ae. —_—- ee. ee
| Nn ee -—-—— = eee. ee ee — — = — —— —— «oe — —-
Se Se er te Sie te gee eben ween ergngunsereting evetenees ue
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: 1.6 1e eeoes OF Ne OCOleCc? Were:
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= + eee = ee —— <— _.+ =. - —_—---+ —— +n se.

— wen 4 © ©

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De ange grichtness; Yes No Don't know
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Gg. Flosh or flicke Y: . Dan's |
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7 ~ e e) he oe ~— - . te een et Oe ere ee 7  —e~ ad . ie te i . -o- _ * io - ~ — : . _—~ eet - :
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eg a te ee ee eee - mye ee eed . —_ ven eae ey 1 a
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oe Oe et 8 oe Se es ONE Ore en © ee mes SS EE ee eR DR ne He oe + —_——~ ee © <= eo — ~~ or — ser eee ow -~ee © ee ee eee © ee ee i +. — =e.
Ts %:.4 a ey a | > ‘ : les | , dnktnnwe 269 2 en 1 °
i, Wig Te 2 », ee OIisudooedcr wore ys vi Wwerd War 1G ti: bb oO, now :
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| 15. Did the obiect move behind something at any time, particularly a cloud: ;
: -
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oe * \ P ; a ry '- ~ vy ’ '?

q4 Cc 4 & }* Yes e (40 Won fr ArOW, i 7 4 ; ’ a oe | iy 7 sit

7 , .

:7 ._ =" behind: - ‘ eTown ee = oe i — a 4
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; iG. Did the odlect move in tront of something ot any time, purticulariy a cioud
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: al io ~ } ss ‘Ying ry ~  P i* , = ; ‘'
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. ** we te et - ~ - —<—_—— = = -—— ——— - eo -- —— - 7 -- - --<-- —- _-—-=- — - - -_ —
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e| oy x - | —————— oo dc-c= ee _ ~_ ~~ -2- ~e ee — _ - —_— - = — - -
— ee ee —— - - eee Seve? oy wEeuse é
eo
iP: 2) 113 t. | 1ow the < su! sive Hold nates stic} at arm’s | my +} i line 4 , 3 >’ ’ siect and pr no’
Dd» ye i Di} > <mo i2 GAgU orf 5i1z2¢, T7019 G Maren Brick GT arm s eAgM in i viii SF Asiow ‘ jec) Ma 9A Ow

_ ° . ; a ’ P “y . — . = - . at —
much of she object is covered by the head of the match, |f you had performed this experiment at tne time of the

; ’ ’

2.2 ' ' ‘ aot
‘ow much of the abject would have been covered by the match head?

Pe et ewe meme UE

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7

oe ee ee Ew et ee

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| 19. Draw a picture thor will show the shape of ine object of objects. | soe! and nclude in your skereh any derails
; : ; : = ' : '
of ihe cbret? inc? you sow such Gs wings, protrusions, erc., cond especialy exhaust trai!s or vapor trails.
— 7 . ; ’ ] , 4 Ye ft . ; - =
Ploce on sorrow ceside the drawing ta show the direction the objec? was moving.
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= _—<— ee ~~ ee eee
7
Dans 4
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r ee ee ee | Be’ He FORe Se 8 ee We 6 SED OE ER Oe te oe BOD eee 1 re eee Bs eee wee <2 we om ee Uh i I Wee! Ore Ue ee Oe gg PO em em oe * a
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" “y\ ie as at. $ , wre — ~ chirped sl " , al a. ¢ +,
aw? i y A min ‘ i tiv Se t} oS Piwe 4 4) e , II oT | \- ww ei mu :
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cntwered ¥ =S Then ite for Aww wo! ld ‘ en se ;
‘ye : = She fl bawdy fF ’ craw if us’ +) we WJ 7 OU stay $j; Vas We! ew eee! Ae ak ae ee A F.
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-_- - _ * oo em ee ee te re _—— ~S ee te e << ee see se << ge ee — —.— — w-— ot ete a oe _—_— os - — e = =
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: " 4 m '. . ; ‘ roa 2 e¢ % ; ] id ape J .
I L.* reners wer. J located wnen you sGaow ma oO jecr: 23. ere Yu / Wiceti me e)
: ;
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J { . ae *i 2 J “e .

| : ; ase “oe ¢ mei vray £ ‘

' QO, im TA OUSINBSsA Secon ora cify! '
.- | *~. : - 1 j . _ 7
; imsice ’ Maing ir} ii? ‘Si lential SecTION OF CO Clty:

’ ' 4 7 .

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widhaniigyiipngeidiep enc mmmnliipaipemnainemnnenntiniinpmenqrempeansgineneemeineneieeniaig nan A np_reneqNNcEg-waeurame-eserne SRN SS ae ee eee —= _
; ~~ =
; , - possi Tk A \ Air : “0 aa et ma" ;: om —_ —_ " aT - ; -
? Zihs b ' wares . tts ot AN AU TVUMUD Le Sor ormer Venticie arms Tima, rien cs ne ,ar= 44 followin 7 Gues?icn.,:
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3° 2cTiION were you mov 2 cia Ure;
,
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3. Norm c. Esst 2. South a, Weal

wae eM - He Os

>. Norttsast d, Southeast ft, Southwest h. Northwest

” 4 .
+2 biow fas? were you moving? 4. mi

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: us 7 s\ . 1 «? ' 7 ' : ,
24.3 Did you stop ct any time while you were looking at the object?

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| (Circ!» One) (ss No |
ee SO OR EEE SO 6 ee ae OE — 2-2. — ———K—-- = oe oe _—- —— o-_ - a ee ee ——_ — oe - --<- - + =e +o ————— —_—— or - ee «tee o —--—— «+ ae >|
:
| 95 Pid: a) | h* +h Le os S thee Snllawtn a?
ut @ ‘= 3 you 2oserve re oojecr ? rougn my or reek] 73 Owing: i
: - ‘ —_ | | r
: . = : : ° ’ , ’
ao, Cysqidsses Yes lo e. Linoculars _ Yes No ;
’ : :
; : San ele Voc . . Te!laeean Y oe ' :
b, Sun glesses Yes lo f. Telescope Yaw > | ie
. . bn ' : ilo Tt Smit» Vane . |
¢. Windsrieic Yes No g. theodolite {es No
’ . ’ ‘ ' 2
Gl» "iNnGgow cs 2s%3 Yes aks, hy, Of © gh FSS = > . Lat
. /
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3. Jn order thot you can give as clear a picture a3 possiale of what you saw, Cescrice in 4 rown $3 comma
:
. = . oy ee _ > ’ . -| . ?. a ; ‘ t : ; : . af ie ; ‘ ;
Ooject or objects which, when pieced up in ine sky, Would giv’ ine same Sppecrance Us Ine Goject venicn you sa“
-
La
Pi ‘
ce »
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| ;
a a en i a a es DED PL ODE ED OE LE SL GEE Ny ee se Cm ot Cnet - moe ee eh OF eo orrner ge te ee ee -_— aoe SP OO] ee ee ee ee et ee Oe ae —-— oe a al ;

ppceiameiiblle Mime. ems Cpe ee - «

Page
- ——=—7e ono = > eh a Ee A ee ee 8 eG ee eee Cite + e-em Pe ew POE FD OOS GEE OP ee en wee +. ea © Ore wees S Sete eRe OO Oe Ome Oe me ee ~ — es oes
: ;
|
~~" '. " ‘ . . ; ; om? P
; fy. Inthe following Kk etch, mmagene Mar you ure a; the f> hep by 5h) own. PFiace an \ ’ > Curved it Oo Stow ’
lL. gf t. a a i ' oe / 1: - , Fa ‘ : , . :
hy ite 819 © ecr WAS gVoVve tr 2 I, 2TT or (skyline) ywnoen yuu fi s? SUWw ti 7 1aK & q : . ; 4 / Brie irved ; i
; ’ ! . ; ; " ; ; ; . ’ ! ’ : . ’ ; yy .
} show how high the object was above the horizon (skyline) when you Jas? saw it. Place an '‘A”’ on the compass
See . f ff ad : ? ; - f : ™.
when you first saw it. Place a '8'’ on the compass where you last saw the object.
; —
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4 is* |
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} ty —_ ccglnes Ie PEN 6 , se ‘oi
, 7 ae ae ras pr |) , 2. i Ao
; / ee aennneniilee ~~ — 7 ». + Fete EE ee Mu
{ ‘/ I ni
' _ =) — - —-=— od - - - ~ -- -_- - - ———_—_ —— — —_————s ~- - _—_<- - -- “os Oe + oe aw -— - -—-- ~—- -_— --* j
; ’
_ : ’ -? ' i = | aa - a. 2 a wes? on 7 ; : . se . me
—; 25. Uraw 3p cture thet wiil show the weotlon that the COjecr OF ODdjecrs mode, Piace ‘A Gi Re Beginning or the
’ - = ttn? » al ¢ «I 7", = i= ' a i: .* ’ ; ; vy
: 2 & GF tre eng of the porn SNOW ony Changes in Girecrion Curing tire irse
i ;
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9 Pah. ee UWORS THAN ONE o!} isaae es '
29. IF there was MORE THAN ONE object, then how many were thera? onlin alae
;
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; Uraw @ picture of now they were crranged, and put an arrow to show the direction that they wers traveling.
J
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.

—_—*—<—<

-_—
i i ee ee ee ee ee

——

—e oem

——

- ‘_« - _—_— [8 ee 9 ey RO = eer er ee eg cee. ° eg tae a ; or tree + we .*< BD DO OVO 8 DO 2 eae * ° * al —* ot —_— = -— © *
— . i ed

eS ee a ee er & Oe ee NEE eth + a. sete oF em samme © ~ EO OO ee ee ee OE 8 6 + ew ete ee Bee Ore sem - eee Ow EE OE ww BB Oe Cw ee He oe ee mm -~ - _ es

AM 44 ee ae ee 1. a ae tg a ll } |} *
SJ. PFIGve you ever seen mi or a similar object before. if SO give Gate or actes ang location,

eee Cua oe ee -*«

— ae eee 6%

a —— —— ee = =. ee -—e- —- - ~ —- Sones +e ee ecm —-- et oe: —-— — ee ——_—-* — OT Fe ee ee ee — —
~ ~ -- — — -_——_ =

~ <e ~e

at : ‘ :
3i, Was anyone eis4 with you at the time you saw the object? (Circle One) Yes No

——

31.1 iF you ens~ered YES, did they see the objact toa? (Circle One) »Yes

lgcse ist their names and a

—— = ee me) ee Ee ere rere ee er ee ee ee
— |
~

~~ s — ee ee eee wee «oe + ee

1 ' ‘ . oe ,
32 #238 give t>e following information cbhout yourself;

nes

ee ee lll
:
~- ~

— os —> -— - - - -- —<- _——— o—— —_ << i ee

~—— =< «ene
ee

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1 : micn migqna? be perfinen?.
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J. nen ond fo waom did you report tna? you Aad 50an ine Od)ecr:

————_——— -— —-

OO EO eS me Oger een ee eee ee ihe Gt ET em eh RR Gen et et ee ae ee = ee RE Re PE © oe wee 88 rer 6 6 ee FF Oe a Fe Oe teeta _—— Le ee Ge er © fee etre

e CAG TT Ag AO eR ee geen ts FY, a ee aT a — ~

Dae ee Ot 6 ee ewe Se pO RRs Om OP ~ 6 Ee ee ee ee ee ee ee C8 ee ee ee ee ee ee Oe Hee Oe Oe tO He «6 et Oe RE Oe ee Se eee Om Oe Se 6 tems oven

2

: t i: : :
td, Date you compieted fais Guestionnatire:

. BS os on ‘ Semises , eo ;

-

——— © — —_— <a “== — ee ee —<- a | — - — : _— © ~~ * « —_ - ee a a = © oe eras oo ° ae oo —— —

‘4 ‘ : : ; . 4} —— ee ee nih » 4
which you feal pertinent and which is not adequately covered in the specific points of the

[ntormation .

Le
7
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t

Guestionnaire or 9 narrative explanation of yaur sighting.

eae 4. b+ 4s oe. ©@

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OMB ES EOD Re ee me me me ee ee ee eee *
—_——_

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A A A A i a i i K€

Ce ee ee

7

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MO PB EAE ODO OOS BOE SE OO i ee ee ee —-- —s eer eeee ee ee wre OF le OR ee Fee ee Ser reels of ee ,

ee '

OO eR Fe Se Eh me Rea RS 06 Ray Be OF GF ge Seay IN Min EE NE Rg OR APE 6 at Ey AAR gee ORY I A LEE 6 A PE a RN eR etre GT Se I UR OT OR PC Reg ee me hee re A eee ley

1 DAT# - TIME GROUP 2. LOCATION

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. _ ee 7

13. SOURCE 10, CONCLUSION
: ’
14, NUMBER OF OBJECTS
: :
: .
i. — ee ee eee eee ——_.- ——_ — - SD te EEE St CO Dee ——--o = _ = ~ + a er |

* | . L : > : : , : 7 - >

5. LENGTH OF OBSERVATION |11. SAIS SUMMARY AND ANALYSIS
;

= iil mee? Ca ri dame. » il

s, TYPE OF OBSERVATION ae AW !

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> - . . “7 , ; ° , - 4
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‘i PHYSICAL EVIDENCES
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Ce ee aT i

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A ee Ree SE Et OE rr ET Re ee ED ieee OF a eet

7 ry oa? 4

FTD sep 463 0-329 (THs) Previous editions of this forn may be used,

on
etree senile «1 ott 2