PROJECT 10073 RECORD CARD I. LOCATION I 2. CONCLUSIONS -6o n..v4-0._1 0 Waa Balloon _. 0 Pro~a~ly Ballaon 3. DATITIMI GIOU' ._ TY'I Ofl OIIIRVATION O PoaaiWy Ballaon ~"" hu roun ., D Pro~a~l; Aircraft El Waa Aatrona tlcal Meteor D Yoe C D Pro~aWy Aatronot~dcol . Ne 0 Poaalbly AatrenoMicol 7. LIMOTH OP OIIIRYATION I. NUMIII OP OIJICTI t. COURSI 0 Other::-----::- -:--- 0 Insufficient Dote hr EvluatiM l aec ODe deaceD41JB OP . . . I' COMMENTS I I A br bluiah-sreen S].ov ~ared 1D the BE, ile deacr1pt1on the vitDeaa vhUe lt tell at an at hi&h altt+ 1a tnical ot a .teor a.Dil Wituaa stated it vas Just like a shootlDs star, but dttterent she bad seen. ObJect dis beh1Dd trees. A'I'IC POJIM JB (JI&V 2 .... 2) U. I. :AIR PO RCI TIC HHICAL I H FO RMATIOM SHEET Thl1 que1tlonnalre ha1 ken preporecl that you can give the U. S. Air Force at much Information at poaslble concernln1 the unlclentlflecl oerlol phenomenon that you have obav.cl. Please try to onawer 01 many queatlona at you poaalbly can. The lnfor that you give will be uaecl for research purpoaes, ancl will be regarclecl 01 confidential material. Your notM will not uaecl In connection with any atatetMnta, conclualona, or publication without your pmlsalon. We requeat thlt peraonol lnformoti!_n that, If It Ia dHrnecl neceatary, we may contact you for further cltolla. 1. When cllcl you aee the oblct? 2. Time of cloy: 3. Time zone: (Circle One):~ Eaatern . D. Conttal c. Mountain d. Pacific when you aaw the obiect? (Circle One): A.M. (Circle One): a. Daylight Saving ~ Standard ltr or Town Stote or CoYntty 5. Eatimote how long you saw the obiect. ~.---- 5.1 Circle one of the following to Indicate how certain you are of your anawer to Question S. a. Certain b. Fairly certain 6. What waa the conditie11 of the sky? (Circle One}: a. Bright daylight b. Dull daylight c. Bright twilight c. Not very sure d. Just a gu cl. Just a trace of day I ight @ No trace of daylight f. Don't remember 7, IF you saw the obiect during DAYLIGHT, TWILIGHT, or DAWN, where wos the SUN located as you looked at the obiec:t? (Circle One}: a. In front of you b. In back of you c. To yout right cl. To your left e. Overhead f. Don't remember 8. IF you aaw the oulec~ at NIGHT, TWILIGHT, or DAWN, what dlcl you notice concerning the STARS ancl MOON? 8.1 STARS (Circle One): 8.2 MOON (Circle One): d. Don't remember 9. Wat the obfect brighter tha.n the baclc.ouncl of the elcy? (Circle One}: @Bright moonlight b. Dull moonlight c, No moonlight pitch clorlc cl. Don't reMemMr c. Don't rememiMr 10. IF It waa BRIGHTER THAN the sky baclcgrouncl, woe the brlghtneaa ltlce that of on autontublle headlight?: (C lrcle Otte} a. A mile or more away (a cllatant car)? a,, Several bloclcs away? c. A bloclc away? d. Several yards away? 11. Dlcl the obfect: (Circle One lor eoclt question) a, Appear to stand still at any tfme? b. Suddenly speed up and rush away at any time? c. Break up into ports or explode? d. Give off smolce? e. Change brightness? f, Chonge shape? g. Flicker, throb, or pulsate? 12. Old the obiect move behind son~ethlng at anytime, particularly a cloud? No Don't Know No Don't Know No Don't Know No Don't Know No Don't Know No Don't Know , No Don't Know ( C lrcle One): No Don't Know. IF you anawerecl YES, then tell what . It moved behind: ,c?Z;;: ( . . 13. Dlcl the object move In front of something at anytime, particularly a cloud? IF you answered YES, than tell what (Circle One}: Yes (~ Don't Know. 14. Did the obiect appear: (Circle One): a. Solid? c. Don't. Know. Did you observe the obJect through any of the following? Eyeglasses Yes Binocular a b. Sun glosses f. Telescope Windshield g. Theodolite Window gl.ns ~fi~Yeu 16. Tell In few word the following thlnp '- the '-1"'' 17. picture tl.t wlil tho ahe,. ef the Hleet ~IMtl. ~-1 end lneiW. In al&otch onr cletalla ef the oltfHt thet ,_ w auch wlnfl, ,..,.,. .... ,,etc., en4 oa,..lallr ollhouat troll Wll*' troll e. Pleeo The eclgee of the ol.fect were: (Circle 011e)r Fuaar er llurred Lllce a lwlght ,.., ply out I ltte4 d. Don't rwte:V\I.er 19, Ill there MORE THAN ONE oltlect, how ...,, were there? -------------- picture of how they we,. orronged, and put en arrow te ahow the dlrectlen that ther wore trovellng, th thet the ol.lect -'ttecta Place en A et the l.tll of the path,,.,. nx chante In direction "I tho cur BLE, try t~ e 01 eatl . cllcl the. ltiect oliecta and ot atM.ut arr,e' a length? (Circl o,.}: a. Head of a pin d. Nlclcet f. 'Half doll the rl alae of the Mfect at tiiNftalon. .,, with.,, of the followlftl oltleeta belli lit tit. I Sliver dollar h. BaaeiMall (9 Grapefruit I Boalcetball lc. Other------- 22.1 (Cirei!J One of the following to Indicate how certain you are of yow answer to Queat.lon 22. a. Certain c. Not very awe b. Fairly cert9ln d. Uncertolft 2~. In or4or thet rou cloor picture pelltlo of wh.t r" aow, '"woul4 like fer ru tel ne thot r" clll conatfuct tho oltlect th reu ..... Of whet trpo Moterlol woulll ru It? How lereo ._.oulll It lte, onll whet hpo woul4 It hoo? Doacrllto In rour own wr4 olonMRoft eltloct or oltlct which whoft plocoll up Itt tho kr woulll tlo tho aOtH .,,.oronco oa tho oltloct which )'OU HWe 25. Where were you lucated when you saw the obiect? (~ircle One): (!"',)Inside a building b. In a car c. Outdoors d. In an airplane .. At sea 26. Were you (Circle One) a. In the business section of a city? @.Jn the residential section of a city? c. In open countryside? d. Flying near an airfield? Flying over a city? f. Flying ovr open country? What w you doing at the tinse you saw the obiect, 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: What direction were you moving? (Circle One) a. North c. East b. Northeast d. Southeast f. Southwest 28.2 How fast were you moving? ---------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 saw the obiect? (Circle One) l._!?l. Northeast d. Southeast f. Southwest 30. What direction were you looking when you last saw the obiect? (Circle One) QJ. Northeast d. Southea t f. Southwest h. Northwest h. Northwest h. North)vest 31. If you are familiar with bearing terms (angular direction), try to estimate the number of degrees the object was from true North ond also the number of degrees it was upward from the horizon (elevation). 31.1 When it first appeared: a. From true North _....r. _ ;;_ degrees. b. From horizon :/d degrees. 31.2 When it disappeared: \1. From true North 7-' degrees. ia. From horizon 6 ~ " v ii~ ~ "'-d egre"s. 34. What were the weather conditions at the thhl you sow the object? 34.1 CLOUDS (Circle One) (f!)_ Clear slcy c. Scattered cloud a d. Thiele or heavy clouds e. .Don't remember 34.3 WEATHER (Circle One) ' Fog, mist, M light rain c. Moderate or heavy raIn Don't remember 34.2 WIND (Circle One) a. No wlncl ~ Slight lneae c. Strona wlncl cl. Don't re 34.4 TEMPERATURE (Circle One) When did you report to s~me official that you had sHn the oblect? Day Month Year 36. Was anyone else with you at the time you saw the obiect? (Circle One) Yes 6} 36.1 IF you answered YES, did they see the obiect too? . (Cirele One) Yes { ~ 36.2 Please list their natiS and addresses: Was this the first time that you hod a .. n an object obiects like this? . (Circle One) c No 37.1 IF you answered NO, then when, where, and under what circumstances cUcl you ... other ones? 3 8. In your opinion what do you think the ooiect was and what might have caused it? 39. Do you thlnlc you can estimate the speed of the obiect? (Cirele One) Ye IF you answered YES, then what speed would you estimate? 40. Po you thinlc you can estimate how far away from you the obiect waa? (Cirele One) Yes IF you answered YES, then how far away would you say It waa? 41. Please give the following Information al.out yourself: Mlctctle Name TELEPHONE NUMB Please indicate any special educational training that you have had. Grade school e. e. Technical school _ b. High school Post graduate 42. Date you completed this questionnaire: 1. Other special training----------- U. S. A I R F 0 R C E TECH MICA L I M F 0 R MAT I 0 M S H II T (SUMMARY DATA) In order that your Information IIMIY be filed and coded as accurately as possible, please use the following apace to write out a short description of the event that you observed. You moy r .. Information that you have already ilven In the questionnaire, and aclcl any further commanta, statements, or sketches that you .,_lleve are Important. Try to present the details of the oJ,serva In the orcler In which they occwrec:l. Additional pages of the same alze paper naay .,_ attached If they are n .. ded. (Pieo Print) (Do Not Write Itt Tltls Spoce)