PROJECT 10073 RECORD CARD 112. CONCLU~IONS 2. LOCATION 0 Wos Balloon TYPE Of OBSERVATION 0 Pro6ably Balloon n Pn!Habty Bolloot1 3. OATE:TIME CR0 a Ground v, su11l 0 GroundRodor 0 AI~ Vi suol 0 AirlntNcept Rodor CJ Wa'S Ai rc:raft U Probo':Jiy Aircroh a Po S!.i bl y Ai rcroh 0 WotJ Astronomical n y $ 0 Probobly A~ttonomicol {j N~ Civlli.tt.:l 0 Pouibly Astronomjeal 8. NUM3ER OF OBJECTS 9. COURSE 0 Other _ 7. LENCT,.. O F C3jc?.VATION 0 ln:suifi ci ~nt Data for Evaluation JC. cH~IEF SUMM 'I' OF SICHTING'Jri~:'\t, .1:.~\Y \. '!:~tc ob-11. COUM~NTSP:rt~ j."!tj ~J-T,iCV..:':r- it ho.d no ~;i:lG.i :<l.ight \o/~.J 32 . tn h~ following sketch, iloogine that yo u ora at th" point shown. Ploca on .A,. on th~ curved Hn~ '~show how ~-.igh th~t object was abov:e the horizon (~!<ylin~) whan you first saw it. Ploc' o .. S . o n 1h~ !;Omo~t curved line to show how h igh tha object w~n t~bov~ th., horiznn (skyline) wh!tn you lust sow i~. 33. in the followin9 larger ,Jcetch ploc' o n A" ot the position,;., obJec wos when you first su~ ll, end o a at Its ;>"sition "'nen yo" last sow lt. Refer t~ smallet ak~tch as on "xompte of how t'> co"'P' t~ Joro., s\cetc),. 34. What wer~ th.l! weather conditiOF!S at the 'ime you saw the object? CLOUDS (Circle One) WEATHER (Circle One) a. C!e<~r sky ra_::-.Qri! Fog, mist, or light rain c. Scattered clouds c. Moderate or heavy rain :.~. (flls~. o[ Sit Y.. s.fiu~j Don't remember .. ;v~ Wh e n and to whom did you report th'at,you had:ae9n th~ object? 36. '.'lea anyone els with you at the time you SO'H the obiact? ( C irC:e One) 36.1 IF you answerd YES, did t hey see the obiect too? (C'rde One) 35.2 P leosa fist their nomft, and addrssses: 37. Wcs this tn e first time that you hod seen on object or objects like this? (Circle One) 37.1 IF you answered NO, then when, where, and under what clrc:umstonc:s did you see oth ones? b your opinion what do you think the object was and what might have cause d It? 39. Do you think you con estimate the sp~ad of th, objact? (Circle On~) Yes 'No IF you an3'w",&d YES, then wt,at speed would you estimota? ..,...... _ 40. Do you !hin < you con estimate how for away from you the obj~ct was? (Circle One) IF yllu ens .... ered YES, then how for away would you say it was? .., _ 4 L Pl~os~ g ive the fol1owing information about yourself: TcLEPHC = NUMBER lnd;ca., ony cdditional information :boot yourself, including ony t>ducotion, which miGht b'.t pertin-.nr. 42. Dote you c~:-:!'l~,d this questionnoi,.e: U.S. AIR FORCe TECHNICAL INFORMATIOM (SUMMARY DATA) In ordttr that your information may be fil~d end coded as accurately as possib1'1!t, please use the following spaca to write out a short d~scription of the even~ that you ooserved. Y~u may re p'at infOf'mation that you have already given in the questionnaire, and odd any furthe r comments, statements, or sketeh&s that you believe are important. Try to present the details of the observo tion in the order in which they occurred. Additional pages of the Sllme size pap~r may be oHcch~d if they ere needed. (Plea Print) (Do No' Write in T/,;s S,occe) 'ollt.HI3: Yc.1r :e+.t~r object contained re~o-~in~ ~!1~ ai,1~ti~ .Jf J 1 tnit~'1tlfted flyi:.1~ in3uff!ci~nt tnf~tastion fa: 3 veli.d conclu31on. Inclo 'i is on Air ;;-orce nt s:Oi.J:i~a.:.r ... ~ w~ic~ .:! o s k jOU ~o c:0"'1.)1~te in o'J much detail os no';"Jibl~ a,..,l f or-1 1:-ri. ; c o-n')leted do c unent t o t i~er~i ce T~cltnical I:1c~lll;~nc~ C ~n r, Wri~ht- Pa ~t;!rilon Air Fo~ce B;.lJe Ohio, A'ttantion: AiCI.~T -4'Z2x fo" tn-eir a :-:.a lys io a nd/ 'Jr en~ lua ti an. L~. C?l~,el, USA- P'Jb l.!..c In?or:net to~ !) i. v1.3ion U.S. ,\IR t=ORCi: "fECHNICAL INFORMATJON SHEET T h is quastionnoire has bt!.en prepared so that you C011 yive the U.S. Air Force as much infcrmoticn a s poss ible conc~rning the unidentified a~riol phanornenon that you hov~ observ~d. Pf~ase try t" onsw~r as many que3tion:; a s you po.isibly can. The informotion that you give will b~ 1..sed for rosaorch purposes, and will be regardc!d os confidential mot~rial. Y:>or nam8 will nof b~ used in connection with any !'>tat<'ments, conclusions, or publica ti ons without your permission We rq~est this per:;onal information so that, if it 1s deemc!d necassary, we moy c ontact y ou for furth&r detai Is. 1. When d id you see th~ object? (Circle One): ra. _Eos~;.!P 4. wr:~re we!'~ you when you s ow t~e ob;ect? N, orut Postal Addreu 2. Time of day: (Circle One): (Circle One): a. Dayli ght Saving ~b~ Si,Ji1o~ C1ty o r Town StohJ or Covnt ry HoVf l:w~g \vas obj-Kt in sight? 5.1 How wos t im& in sight dt9t ermined? ':l c~rtain c. Not ver"t sur~ 5. Whnt Yro_.. t'-:~ ~ ;ndition of th~ sky? 7. IF y\lu ;o w t 1o object duri ny DAYLIGHT, wher" wos t h'' SUN loc o red as y o u lookad ~t t :l d object? (Circle One): a. In front of yotJ b. In bat::k of you c. To yo ur ri~ht f. Don't r~memb~r 8. L..: you saw the obj~ct ot NIGHT, wh..:~t did you notice concerning th., ST/\HS and MOON? 8.1 STARS (Circl~ One): 8.2 MOON (Circle One): c. Uright moonlight Dull moonlight No moonlight-pitch datk Don't remem t