PROJECT 10073 RECORD CARD 1. DATE 2. LOCATION 3. DATETIME CROUP 4 . T Y P E OF oaSERVATION 0 GroundVhuol 0 Ground-Radar 5 . PHOTOS I 6. SOURCE 7. LENCTH OF 03SERVATION 10. BRIEF SUMM.t~.AY OF SICHTIHG 8. NUMBEP. OF OBJECTS 9. COURSE 11. COMMENTS CONCLUSIONS Was Bollc.on Probably Golloon Po :s si bl y Balloon \Yo:s Aircro h Proba bly Aircr aft Po ssi bl y Ai rcroft Was Astronomi col Probably Astronomical Possibly Astronomical lnsuHi c:i ent Oa t a for E vnluot i on FORCr5 T ~CHNICAL INFORMATION 'Thl:) quus, i;)nnoire h~ , bun proparod s o that you con give thll U. S. Air Force as much infor~..atlon os po~.siblo concerning tfu unidentified corial phenomenon that you have oburv8d. ' Pl~ou Jry to answer as many quo~tiona os you possi bly con. Th~ informotion that you give will u:;.,d fo: 7es-'Orch pvrposos, and will be ra gardad oa confid~ntiol material. Your na111e will not h'.t U3ad !n connection with any stotem"Jnis, condu$lons, or publications without your pbrmlulon. Wu r~:jvcur th is por:sonal lnformotion so that, If it It deemed n.,c:euary, we may c:ontoet you fo r h:rtnor dotal!:. 1~ When did you so~ the objoct? 3. Tlm<J lcm~: (Circio One): :o. Eest~rn b. Central c. Mountoin d. Pacific: (Circ/10 On~): a. Ooyl ight Savino . b, "' Standard Noar.ut Poat~l Addreu Ad.ditlo""'nal '"marks: S. E! t!mot~ h~w long yo'J sow th~ objoct. Cl ty or Town Stat or Country Minute a Second a .3.1 Circle on~ of tho following to indicate how certain you are of your answer to Question 5. o. Certain c. Not very s urllt b. Fairly c~rtain ( <j_, Just o guess (Circl~ On , ): o. Bright d~ylight b. Dull daylight c. Bright twilight d. Just a t rac" of day I ight e.-No troco of daylight f. Don't remember 7. IF you sow. th;, objec:' during DAYLIGHT, TWILIGHT, or DAWN, where was the SUN located as you looked at ~ho obj..,ct? (Circle One}: a. In f1ont of you d. To your left b. In l:x1ck of you tt . o ... erheod To your ri gh~ Don' f re mern ber ATIC FliR\1 NC'>. It> I ( t i "lc.;-r 'i'l) 8. IF you Set\~t th() oojo<:t, ot NIGHT, TWILIGHT, o r DA.W~I, what did you not ico concerning the STARS and MOON? STARS (C irdo One): Don't remember ( C lrd.tJ One): 8 .. 2 MOON (C ircln One): o, Brlgh~ moonlight b. Dull moonlight ,,_c . No moonlight -pitch dark d. Don't remomb~r L. No c. Don'i rt')m&rnbar 10. IF it wcs BRIGHTER THAN the ~ky bac!<ground W03 th" brightness like that of an automobil e headlight?: (Circ/0 One) a, A milo!) or more oway (a distant cor)? b. Saveral blor.ks away? c , A block oway? cL &tvera l yanh away? 11. Old \h~ obje-:t: ( Circle One lor each qmutian) a , Appear to stand s t ill a t ony time? Yes Don't Know h . Sudd.,l}ly spead up a nd r uc;h away ot ony tim~? Yet No Don't Know c . Brc up into ports or I!X;>I-:>d"? Don' t Know d. Give off smoke? YtJs No Don't Know o. Change brightness? Don'~ Know f. Change shape? Don' t Know g. Flicker, t hrob, or pulsatC!t? Ye s Don' t Know Old ~he object mvve behind something a_t anytlm~, particubrly a c:loud? ( C /rde One): Yes .No Don't Know. IF you an!!>Wered YES, then to ll what it mova:l behind: - _ 13. Oicl th9 obiect move in front of som~thlng a t anytlmct P<Jrticularly a cloud? (Cirde One ): Yes No Don't Know. IF y ou an~wer~d YES, than t\JII what 14. Did the object cp:J~aor: (Circle On.cJ): b. T ransp~ront? c. Don't Know. Did you obs~rvo the object through any of rhe following? Eyoglossos Yos e. Binocul ar~ S un glcsses Yos Tulescop~ Yes No Wind:ahiold Yes No g. Theodolit.., Window gloss YcH No h. Oth~r 16. T ~u In C!l fa w words thet following things about the cbiect 17. Or:~w c pie tvr~ thdt will :show tl11 aJ,ap' of th~ obf<tct or ohjact,, Lcbtl ond lncludt In your a!tatch ony d0talls ~1 ~h~ ohf~c1 thot you aaw .such oo wing~, protrutlona, o~c., ond ocap.chllly e:chouat tr~ll or vapor tiallt. Plac t1t1 ~rf'!'w bw:) I de the drawing t.-, ohow ths dfr<tctlon iht cbj!Xt wo rnovlng lS, The edG'ft oi the oblect wore: (Circl-. On~): o. Fuz:y or blurred b. Like a brlgJ,t star c:. Sharply outlined ~:_Don't r~mambe, IF ,,,,~ waJ MORE THAN ONE object, thwn hew mony wtre thero? Draw o plctwe of how they w~r orrong-td, and put on arrtfW to ahow th direction that th(fy w.lr~ tra'l811ng plc:tur Jf1nt wlll !how th motion that tha abl:.ct or o\,Jac:h mod t. Ploeo on "A at the beglnnl"9 of ~t;.t po9h o '"B" o~ t h" ~nd of the po~h, ond show any chon" In dirt~Jction dl.:.YI"1J the coutne. !F POSSlSLE, try to guess Ql ~stlmo what the rcJal she of the objfJct wa:t in lh lonaetst dlm.n:slon. 22. How Iorge did the obiect or objeeh <Jppaar as comporad with OM of the following objacttJ hai;J in the hond and ot about arry~'s length? (Circh One}: Htlad of a pi"' Silver dol lor h. Baseball Grapefruit d. Nic:ket Basketball f. "Half dollar 2'.?.1 (C lrcle One of the following to lnd ic:ct-e how c~rtofn you or-.. of your answer to Queat.lon 22. ( ?: Cert-:JIO"l c. Not v~ry sur b. Fairly c~rtt;~ln d. Une,;rtal" :23. How did the oblect or objects d isoppeor from vl~w? 24. In ordr thot yov can glv ga clear o pl-:tur oa poulbl of what you sow, w would Ilk for you to lmogln that you could cont,ruct the ob!act tnot yo11 s ow. Of what typt rnat.-rlol would you mot.~ It? How lorg would It b, ond w),ot ahop ~auld It ho"? Duerlb In your own w1:1rcla Cl ~ommon object or obfch w),fch whn ploead up In the alcy would gv th om oppe,cnc os tne obf$ct whlcn you aow. 25. Wh~re were you lucated when you sow the object? (C)1dc: One): In s ide a building b. In a co~ Outdoors c. rn an a irpl vne 26. Were you (Circle One ) In the business section of a city? In the resid~ntial section of a city? In open countryside? Flying near an airfield? Flying over a city? Flying ov~r open country? 27. Who t wurc you doi n g at the time you saw the object, and how did you happen to notice it? 28. IF you war.a MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 28.1 What direction were you moving? (Circle One) o. North c. East e. South g. West b. Northeast d. Southeast f. Southwest h. Northwest 28.2 How fas t ware you moving? --------------miles per hour. 28.3 Did y o u stop at any time while you were looking at the object? (Circle One ) Yes No 29. What direction were you looking when you first saw the object? (Circle One) c. East e . South g. West b. Northeast d. Southeast f. Southwest r.._1..~ Northwest 30. What direcfio;-, were you looking when you lost sow the object? (Circle One) b. N:;~th ~ost d. Southeast ' f ..... Southwes t h . Northwest 31. If you are fo!Tl! tac r with bearing terms {angular direction), try t o estimate the number of degrees the object was from true N o rrh a!"ld also the n umber of degrees it was upward from the h orizon (elevation). 31.1 When ir first appeared: a. Fr'.>m true North ._--'-degrees. b. From h orizon ' degrees. 31.2 When it di:;appeared: a . From t rue North degrees. b. From hor il: o n _ _ d egrees. 3~. What wo;.;, the weoth_,r conditions at the time yoiJ s ow the o bjsct? 2 .t.1 CLOUDS rc irc/e One) "l. Clear :;ky c . Scuttert:d clouds d . Thick or heavy c louds e. Don't remember 34.3 WEATHER (Circle One) b. Fog, mis t, or l ight rain c . Moderate o r heavy rain c . Oon'tremcmber (Circle Om!) o. No w ind Sf ight braeztt Strong wind d. Don't rem.,mber 34.4 TEMPERATURE (Circfu Ona) e . Don't re member 35. Whan d id you report to some officio I t hat you had see n the object? Day Month Year 36. Was anyone else with you at tho t ime you saw the object? (C i:cle One) Yes 36. l IF you answerad YES, d id thsy s e e the object too? ( C i.-::fe One) Yes No 36.2 Plec~e list their name s and addresses: 37, Was this the f irst time that you ho d seen an object or objects lik.e this? (C lrc:le One) (f J No IF you answere d NO, then whsn, where, and under what circumstances d id you see othe r one s ? 3 8 . In your opinion what d o you t h ink tho object was and what might have caus-!)d it ? 39. Do y o u think you can estima te tha spee d of th " obj~ct? - (C ire/~ One ) Ye s No IF you onswored YES, then what speed would you e s timate'? 40. Do yo u th in!< you con estimate how for a way fro m you t he obj ect was? (Circl~ One ) IF you ar-~'.vered YES, the n h-:>w fa r ow~1'1 wo u ld you say it was ? 4 1. Pl~asf' giv" the following i nformation about yourse lf : CI'St N oma Z ono S~ote Please Indicate any sp~!cial oducat:onal training that you havo had Grode school b. Hig h .school Polt g ra duate 42. Date you comp lete d this questionr.aire: Technical school Other sp~cial training