PROJECT 10073 RECORD CARD 2. LOCATION 12. CONCLUSIONS 0 Was Bolloon 28 Sep 59 ~de3t Scrrolton . Ohio o Probably Balloon Local ------------O:GrouncJ. Vi aual 0 Ground Radar 0 Probably Aircraft D At .. Vi auol D Alrlntercept Radar PosaiWy Airetaft .Q.:.:: Waa Astronomical l-ie.:.. eor 0 Yoa 0 Probably Aatronomlco1 O:tfo Civilian 0 Possibly Astronomical 7. LENGTH OP OISI!RYATfON I. NUMBER OP OIJI!CTS 9. COURSE 0 Othor---~---~-- 0 lna11fficiont Data for Evaluation 0 Unlcnown 10. BAIEP SUMMARY OP SIGHTING 11. COMMENTS ~/hite b rilliant ob,j moving in o. ::.~r~ight 1 : n e .t.:ppa.r cntly o. meteor at extr eme u}.t . to the llorth. ITo t:J.il. Lib:-a. s t :l:c ')n_;y v ery brilli a nt . U. S. A I R F 0 R C E T E C H HI CAL I H F 0 R MAT I 0 H S H E E T Thla que1tionnolre hat been prepared to that you con give the U. S. Air Force 01 much Information at pouible concerning the unidentified aerial phenomenon that you have obatrv.d. Plea a try to answer a1 many quettlona at you posalbly con. The Information thot you give wJII be uted fot reaeorch purposet, and will be reoorded at confidential material., Your nome will not be uttd In connection with any statement, conclusions, or publications without your petmlttlon. We reque1t thla personal Information ao that, if It It deemed neceuary, we may contact you for further detoila. Time of day: When did you Itt the object? 2. (Circle One): 3. Time zone: (Circle On): b. Central c. Mountain d. Paci fie 4. Whett were you when you aow th object? (Circle One): a. Daylight Saving .C! S'!f'dord Near Poatol Addr Cit~ or Town State or Country Adclltianol rema~kt: 5. Estimate how long you saw th object. 5.1 Circle one of the following to indicate how certain you are of yout anawer to Question 5. a. Certain ~airly certain 6. What was the conditicn of the "yt (Circle One): a. Bright daylight b. Dull daylight c. Brighttwllight c. Not very sure d. Juat a gueu d. Just a trace of day I ight _,_._.. o trace of daylight Don't remember 7. IF you saw the obiect during DAYLIGHT, TWILIGHT, or DAWN, where was the SUN located as you looked at the obiect? (Circle One): a. In front of you In bock of you c. To your right A TIC F O R M N O. 16 ( JJ OCT H I d. To your left tt. Overhead f. Don't remember 8. IF you aaw the oufect at NIGHT, TWILIGHT, or DAWN, what did you notice concerning the STARS and MOON? 8.1 STARS (C lrcle One): d. Don't remomber 9. Was the obfect brighter tha.n the background of the sky? (Cirde One): 8.2 MOON (Circle One): o. Bright moonlight b. Dull moonlight ~ No moonlight -pitch doric cl. Don't rememb.r c. Don't remember it was BRIGHTER THAN the slcy background, was the brightness like that of an automobile headlight?: (Circle One) a. A mile or more away (a distant car)? Several blocka away? c. A block away? d. Several yards away? 11. Old the object: a. Appear to atancf still at any time? b. Suddenly speed up and rush away at any time? c. Break up Into parts or explode? d. Give off smoke? e. Change brightness? 1: Change shape? g. Flicker, throb, or pulsate? (Cirele One lor each question) Don't Know Don't Know No Don't Know Don't Know No Don't Know Don't Know No Don't Know 12. Old the object move behind something at anytime, particularly o cloud? (Circle One): Yes No Don't Know. IF you anawerecl YES, then tell what 13. Did the object move fn front of something at anytime, particularly o cloud? (Circle One): Yes No Don't Knnw. IF you answered YES, than tell what Did the object appear: (Circf, One}: Transparent? c. Don't Know. Did you observe the obfect through any of the following? Eyeglasses Binoculars Yes No b. Sun glosses Telescope Yes No Windshield Yes No Theodolite Yes No d. Window gloss Yes No 16. Tell In a few words the following things about the obiect. b. Color. l{o Jf\.~ 17. Draw a picture that will show the shape of the obfect or obfec:tt. label ancl.tnclucle In your sltetch any cletalla of the obfect that you aaw such as wings, protruslont, etc., and especially exhauat trails or vapor trallt. Place an arrow be1lde the drawing to ahow the direction the oblect wa moving. 18. The edge of the obiect were: (Circ:le One): uzzy or blurred a bright star ~.~Sharply outlined d. Don't retnember 19. IF there was MORE THAN ONE objttct, then how many were there? Draw a p lcture of how they were arranged, and put an arrow to show the direction that they were traveling. 20. Draw a picture that wLII show ~he motion thot the obfec~ or obiecfl mode. Place on A ot the beginning of the path, a a at the end of the path, and ahow anY. changes In direction dwlng the course. 21. IF POSSIBLE, try to guess 01 estimate .whot the real alze of the obfect waa In Its longest dime.nal 22. .How large did the. obiect 9' obfecta appear as compared with one of the follow lng obfectt. be lei In the ha~J ancl ot about arm' length? (Circle One}: Head of a pin g. Sll ver dollar I. Grapefruit Basketball f. Half doiiM 22.1 (Circle One of ~he following to Indicate how certoln you are of yolK answer ta Question 22. a, Certain c. Not very sure b. Fairly certain d. Uncertain 23. How did the obJect or objects disappear from viw? In ordet thot ~ou COft glvo oa cleat o picture oa poultlo of what you sow, we would lllce fat you to Imagine thctt ~au could conatruct the oltject thot you sow. Of whot type motorial would you malco tt? How Iorge woulcl It lte, and .wh.ot ahope would ft hav? Oeacrlho In yout own watd o !ammo" object or oltfocta wh lch when placed up In tho a ley would olve tho appearance aa tho obJect which you aow. 25. Where were you lucated when you saw the object? (Circle One': a. Inside a building b. In a car (Co) Outdoors ~ In an airplane 26. Were you (Circle One) r a. In the business section of a city? _@In the residential section of a city? c. In open countryside? d. Flying near an airfield? e. Flying over a city? f. Flying over open country? e. Atsea Q f. Other l.R. 'dl ' 27. What were you doing at the ti,me you saw the object, and how did you happen to notice it? 28. IF you were MOVING 'IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 28.1 What direction were you moving? (Circle One) c. East e. b. Northeast d. Southeast f. How last were you ruovlng? miles per hour. 28.3 Did you stop at any time while you were looking at the object? (Circle One) Yes No 29. What direction were you looking when you first sow the object? (Circle One) ra:-J North ~Northeast d. Southeast f. Southwest 30. What direction were you looking when you last saw the object? (Circle One) b. Northeast f. Southwest d. Southeast h. Northwest h. Northwest h. Northwest 31. If you are fomi!iar with bearing terms (angular direction), try to estimate the number of degrees the object was from true North and also the number of degrees it was upward from the horizon (elevation). 3 1.1 When i t first appeared : a. From true North -------degrees. b. From horizon degrees. 31.2 When it d isappeared: a. From true North ------d egrees. b. Fro m ho riton _ degrees. 32. In the following sketch, imagine that you are at the point shown. Place an A" on the curved I ine to show how high the object was above the horizon (skyline) when you litst saw it. Place o "B on the .same curved line to show how high the object was above the horizon (skyline) when you last saw it. 33. In the following larger sketch place an A" at the position the object was when you first saw it, and a .. 8" at its position when you last sow it. Refer to smaller sketch as an example of how to complete the larger sketch. 34. What were the weather conditions ot the time you sow the obiect? 34.1 CLOUDS (Circle One) raJC lear slcy c. Scattered clouds d. Thiele or heavy clouds e. Don't remember 34.2 WIND (Circle One) ~Slight breeze c. Strong wind d. Don't remember 34.3 WEATHER (Circle One) 34.4 TEMPERATURE (Cirde One) -I(' fog# mist, or light rain Moderate or heavy rain Don't remember e. Don't remember 35. When did you report to some official that you hod seen the object? 36. Was anyone else with you ot the time you saw the ob;ect? (Circle One) Yes 36.1 IF you answered YES# did they see the object too? (Circle One) Yes No 36.2 Please I ist their nomes and addresses: 37. Was this the first time that you had seen an object or obiecta lilce this? (C lrcle One' Y .. No . 37.1 IF you answered NO, then when, where, and under what circumstances did you'" other ones? 38. In your opinion what do you thinlc the obiect was and what might hove caused it? 39. Do you thinlc you can estimate the speed of the obiect? (Circle One) Yes IF you answered YES, then what speed would you estimate? 40. Do you think you can estimate how far away from you the obfect was? (Circle One} IF you answered YES, then how far away would yov say it was? 41. Please giYe the following information about yourself: Middle Nome TELEPHONE NUMBER _-..~M~"""'"h. ooc::::::--- Zone State Please indicate any special educational training that you have had. a. Grade school e. T echnlcal school b. High school c. College Other special training d. Post graduate 42. Dote you completed this questionnaire: