PROJECT 10073 RECORD CARD 2. LOCATION 12. CONCLUSIONS 0 Wo s Ba lloon Oi1.l ') 0 Probab l y Balloon 3. OATETIME GROUP loc~ -! 2 ~ 1 5 !: SJ.' : Q Ground Visual 0 Ground-Radar 0 Proba bly Aircroh .5. P HOTOS 6. SOURCE 0 Was Astrol'lornlcol a v.. a Proba~y AstronoMi col ~ l 0 Possi bl y Astroono,.lcel 7. LEI'IIOTH 01' OISUVATION I S. NUMi!eR 01' OBJECTS 9. COUlUI! 0 Otl-lor:---~-~--""""""-- 10. Ul!,. SUIIWAAY 0' SIGHTINO ub,j e~ ts apiJc:u: o A'rlC ro._w 329 (R&Y ll SU 31) ll. COMM2NTS i-0: lr1 auffi c i ent Ocrto for Evaluation 0 U r1\cnown ccn.flicti!~ t; ~n:.t~.nsnt~, pla~t.:C.: ~n i.suff~ci~nL dat catlncrv. N:::V-:..R USE. t"O:f Ai' ROYALS. DIS.IPt' tWALS. C'J\C!...R.Iti.:...,C::.S. OR S/\1/U.'! ACfl~fiS CtP'"U!.AT CCO~DtiiATlOI'I lrtTOR~ATIOI'I liECCS'.IARY SIC'IAT!oll& U.S. AIR ~ORCf TfCHHIC..\L I~FORM~TIOH SHEET !hi~ qu . H ionnoir hoJ been pr..,porad so thot you con give t h e U. S. Air f arc$ a s much infcrrrc~ion a s pouible concerning th unidentified a erial phenomenon that you have o burv,d. P hau try t o onaw$r a s many quutions a you possibly can. The information that you give will ll ul~d for '"uarch purposes, and will be regarded os confidential material. Your natM Hill not b~t H~d In connection with any statemenl s , conclusions, Of publications without your pet'misslon. W11 roqvest this p.rsonol information so that, If It I t deemed necessary, we may contact you for funh~r d otoils. " r-~:..--- 1. When d id you see the object? 3. T ime zone: (Cirele One):@ Eaatern b. Cantral c:. Moun to in d. Pacific (Circle One): A.M. (Cirde One).~ Daylight Saving b. Standard 4. Where w re you when you sow the object? i'horett Poatol Acldteu City or Town S rote or Co"ntry Additional "marlts: !), E H i mate how long you saw the object. 5.1 Circie/ne of the following to indicate how certgln you are of your answerq o Queation 5. o. Certain c. Not very sure b. Fairly certain d. Juat a guess .), What was th e condi ti a1 of the sky? ( C ircle Onej: a, Bright daylight b. Dull daylight c. ' Bright tw il i g h t Just a trace of daylight G No h'oce of daylight e/9 V-t{ f. Don't remember 7. IF you saw the object during DAYLIGHT, TWILIGHT, or DAWN, where was tho SUN located a s you looked at he ob1ec r? (Ci:cl~ One): a . In front of you b. In bock of you c . To your right d. To your left d. Overhead f. Don't re me mber IF you saw the ou je c t, o t NIGHT, TWILIGHT, or DAWN, what did you notice concer ning th e STARS and MOON? STARS (Circle One): MOON (Circlet On~): o. Bri ght moonlight Dull moonlight e . No moonlight -p itch dark d. Don't 79rr.ombor (d: Don't rem~mbttr 9. Wc3 the object br ighter rhon the background of t he s ky1 (Cirdt~ On~): b. No c. Don't remember IF It was BRIGHTER THAN the .s~y bocl<ground, was the brightness like that of on automobile headlight?: ( C ircle One} A mile or mote away (a distant cor)? b. Severa I blocks away? c. A block away? d. Severo I yards away? D id lhe object: (Cirele One for eodt qiJfJstion) Appear to stand still at any time? Yes Don't Know Suddenly speed up and rush away at any time? Yes Don't Know Break up into ports or explode? Don't Know Give off smoke? Don't Know Change brightnen? Don't Know Change shape? Don't Know Flicker, throb, or pulsate? No ..._Don' t Know) D id the ~bject move behind something at anytime, particularly a c loud? ( C ircle One): Don't Know. IF you answered YES, then tell what j t mo..,ed behind: Did the object move in front of something at anytime, particularly a cloud? ( C ircle One): Yes Don't Knnw. IF you answered YES, than tell otthat it moved in front of: lj, Did the object appear: ( C ircle One): Solid? b. T ransporent? Did you observe the object through ony of the following? Eyeglasses Binoculars Yes Sun glosses f Telescope Winds hi e ld Ytts No T heodolite Yes d. W Indo"' gloss 17, Orow o:~ p lc t..,...-. ?hot will ilhow th ahop of ~. objct or objects. Lob.l and lnelud In your ttch any dtolls .or ~;,. ohJ't thot you so~ !Such os wings, protrutlont, te., ond p.clolly e)Chouat tr.JIIa or vapor troll,. Plac on ::mow ~ ld th drawing t o tnow th. direction the obj-tet woa moving, 1 8. 7~ edges of the object were: (CI~I One): o. Fuuy bluffM !@ Lllce o br ight star c. Shorply outlined d. Don't re~MmDer lF ?here wen MORe THAN ONE object, then how many were thre? _ _.::::~------------ Draw o ~Jict\lfe ol how they wre cw~n~d, and put on arrow to show the direction thot they were traveling, 2(). Ora.., o p lc h.u thnt wl ll s ho w the motion thot the objec' or o\,jech mode. P!oe on A.' a t the b.glnnlf"CJ of 1he path, o e ot t h e end of the path, and ~how anY, changu In d ircilo n diXIng the coUtse. I 21. IF POSSIBLE, try to gueu rx utlmate what the reol s ize ofihe object was in Ita longest d imension. 22 How Jorge did the object t:X objects opp.ar at compared w ith cne of the following objects be/c/ '" the non</ ( Cirde One): a. Head of a pin e . g. Sliver dollar T ...,.. -C: ~ b. Pea -// h. Baaeboll c. D ime ~ I. Grapefruit d. Niclcet j . Baslcetbolf 1// e. Qvarter 4 lr Other /~ A.-:: ' ~ f. 'Half dollar f/A, /y, {-~-J k'v~ i(.'*-~ 22.1 ( Circ:le One of the fo llowing to indicat e how certain yau are of yat~ onlw.r to d;,stlon 22. / ~.f - a, Certain b. Fairly certain In.,.;., thot you c., g ive clear o plct"" poullllo of what yow aow, we wo11lcl l llle fet ,-.u to llftetlne thot yO\I coulcl conatf11c t tho ollict that you aow, Of what typo lftot.,.lol wo11lcl you lftollo It? How 1..,. woultl It w, NI whot ahapo '.lfoulcl It hoo? DeectiM In your own wcwda ~a.-n ol.loct or oi.Joch which who" plocM v,. In th. alcy woulfll give th~ :aolfto oppocwonce tho o~Joct which you aow, 25~ Where we re you located when you sow the obje c t ? (Circle One ): a . ln slde o b u ilding b. In o co r & Outdoors d . In on a irplane e . At s e a 26. Were you (Circle One ) a . In t he bus iness section o f a c ity? ~ LnJ he re s idential s~ction o f a city? c. ln ope n c o untryside ? o .. d . Flying near on a irfield? e. Flying over a city? ng ov'ilr open country? What were y ou do ing o t the time you saw t he object, and how d id you happen to notice it? IF you we<o MOVING IN AN AUTOMOBILE o< otho< vohiclo o: ; vploto tho following quo~?"" 28. 1 What direction were you moving? (Circle One) / V rr . \ o. North c:. East o.. uth-g. West b. Northeast d. Southeast (. Southwest h. Northwest 28.2 How fast were you moving? -~ miles per hour. Did you srop at . Time while you were looking at the objec t ? C m:le One) Yes No 29. What d irection were you looking when you first saw t he obje ct? ( Circle One) o . North e. South g. West b. Northeast f. Southwest h. Northwest 30. What d irection were you looking when you last saw the o b ject? (Circle One) .. a. North c. East e. South b . Northeast d. Southeo s t f. Southwest 31. If you ore fa miliar with bearing terms (angular direction), try to estimate the number of degrees the object was from true North and also t he number of degrees it was upward from the horizon (elevation). 31.1 When i t first appeared: ~ "{/(,A/ ~1/(J M/,4}/ t J 7f a . Fro m true North de grees. l l_,c:v-...J . b . F rom hor izon----------d e grees. ~ l/ ~}l.r-04Vr v 3 1.2 When it d isappeored : a . From t r ue Nor th--------degre es. b. From hor i zan degrees. 34. What were the weather condit ions at the time you sow t h e object? 34.1 CLOUDS (Circle One) ( o ..,Cieor sky c . Scattered clouds d. Thick or heavy clouds e . Don't remember 34.3 WEATHER ( C irc:le One) \..?. Fog, mist, or lig ht rain c. Moderate or heavy fa in e. Don't remember 34.2 WIND (Circle One) b. Slight breue c. Strong w ind d. Don't remember 34.4 TEMPERATURE (Circ:le One) e. Don't remember 35. When did you report to some_official that you hod seen the object? Day Month Year 36. Was anyone else with you at the time you sow the object? ( C ircle One) No 36. l IF you answered YES, did they see the object too? (Circle One} <:{;2) No 36.2 Please list their names and addresses: .,&& r GJ-;?.leAJ 37. Was this the first time that you hod seen on object or objects like this? In yolK opinion what do you think the object was and what might hove caused it? 39. Do you think you can est imot" the speed of the o b je c t ? (Circle Ont~t) IF you a nswered YES, t he n what speed would you e s timate? 40. Do you th ink yo u con estima te how for a way from you the object was? ( Circle One) IF you answere d YES, the n how for away wo uld you soy it was? 41. Please yourself: Pleas, indicate a ny s pecial educational train ing that you have hod. o . Grode school b. High school c . College d . Post graduate 42. Dote yo u comple te d th is questionnaire: T echn icol s choo l Other s pecia l traini ng M i ddle Nome