PIWJECT 1G0/3 m:co~o C rm ... 11. LC':;\IIOllt 112. CONCI.'J~:ON) nblt ~ doon \ "s A"r~rc.lr rJ PoJ.J.o!>ly ,\..,crai IJ. OR'E:F St!'-'"""" Or :>:CH rtNu COMMENT :r ,., I 0 Probably /, slt?r'"'i col D Posi!>ly l,,,~n.,rnrc:ol Ev-;J:7r:on I IF'Ku!ttt;t n t O c r l fror U.S. AIR FO~CE TECtiN1CAL INFORMATION SI-IEE'f (SU.'A~Y.ARY DA'T A) In order that your information may be fil~d ond coderl o5 accurot~ly as possibltt, pleale use the fof!owing space to write out o .~hort description of the ev~nt that you ob:acrved. Yov may r~ peat information that you have already given in the questionnair.,, and add any furth'!'tr comments, stat.,rnn~s, or sketches that you believe ore important. Try to present the details of th!:t obs~rvo- tion 1n rhe order in which they occurred. Additional pages of the soma size paper may b" attached if they ora needed. (Do Not Writ(! in This Spoc~) AERO~PACE -~F.CHNIC.\l iNT[l.l ! . 'C': C t, port U'N) ,;tl, u'J local l'~o:Ju..1c.tt, tr. 'ncd, tt o lh\d nskl.:d t' to 1 rt Aerial ioo'< .lt Lt. .::tutct! Llwt. he t .ou .... ~t no u th [ n_t 1 li: t cess try. i. en tlr. civcu ~:c d. :1i.lnt to t' O"' i'c,,o ~t: Lt; I 1yton .,~ d PROJECT 10073 RECORD CARD I. OATE 2. LOCATION 12. CONCLUSION$ 0 Was Balloon 0 Probably Balloon Po ssi bl )' Bull oon Wo'S Aircrnh 0 Gro~nd-Rodar 0 .0 Ground Vi :lual GMT ~ /"' ~"'11) I C Atro Visual 0 Air-Intercept Radar P rob obi y Aircraft Po s sl bl y AI rcroft 7. LEI'IC'f'H OF :l~S:RVATION 10. 8R1EC: SUMMAq'l' OF SIGHTING 00J t Was AstronomicatJu '~ fCK Probably Aatronomicot Pos!li b)y Astront>mlc:al ! 8. NUM9EP. o;: OBJECTS 0 lnsuffic:i ent Data for Evolvotion 0 U"lcnown U.S. AIR FORCE TECHNICAL .INFORMATION ~.HEET This questionnoiro has been prepared :;o that y~Ju can giv~ 'he U.S. Aii t.:orce a s much informati,:>n as possible concerning the unidentifie d aerial ph~nomenon that you hove obssrved. Pl'!:ass try to answer as many questions as you possibly ccm. The inforrna t ion I hat. yo u give wi II be \JS.f!d fo r research purposes, and will bo r~garded os confidentia l material. Your narn~ willnot be used in connection with any statements, condusions, or publication~ without your perm;ssion We reque s t this personal information so that, if it ts daemed necessary; we may contact you for furtL,er details. 1. When did you ~ee the object? ,.- 3. Time Zone: 4. Where we!'"e (Circle One): a. Eost~rn b. Central c. Mountain d. Pociric u when u ... u sow the object? 2. Timeofday: (Circle One): (Circle One}: o, Daylight Saving b. Standard Sta t e or Country S. How long was object in sight? 5.1 How was time in sight determined? 0. c~rtain b . r-:irly certain 6. What wcs h~ c cndition of the sky? c. Not very sure d. Just o guess 7. I F you saw the object during DAYLIGHT, where was the SUN loc ated as you looked at the o bj3ct? (Circle One): o. In front of you b. In back of you d. To your left. . e. Overhead c. To your right f. Don't re membar T t C F n r ii\ ll': t1 a. IF you sow the objc ct.'1t NIGHT, what did you notice C OflCIJrnino Jrle STAf~S 0.1.~ MOOt~? 8.1 STARS (Circle One): 8.2 MOON ((ire/a One ): Bdr!ht 111oon I ignt Du If .moon I ioht No moonlight-pitch .:1ark Don't remember Don' t remembat 9. Th~ obj~ct opp9ared: ( Circle One}: ~1. a light If it ~ppeared as a ligbt, was it bright" than the. brightest stci'l? d. Don't ram~mber 11. Did' the ob;ect: (Circle One for each que3tion) App~ar to stand sti II ot ony time? Suddenly speed up and r'Jsn.owoy at any tim('t? up into parts or ~.xplode? Give off smok~? Change brightness? Chonge shape? Flash or flicker? Disoppear.and r3oppeor? Don't Know Don't Know Don't ~<now Don't l<now Don't Know Don't K:1ow Don't Know Don't K now Did the obiect.move behind something at any time, particularly a cloud? (Circle One): Yes I No _.JJ Don't Know. IF you onswer~ YES, .then teli whot Did the o b ject.move in front of som hi,,'lg at any time, porticulcrly.a .cloud? . (Crde One}: Yes & Don't l(now. IF you onsw,rod YES, tbn tell what in r.--:r.t of: (Circle One): 15. Did you observe th~ obiect through any of th~ fof lowing? o. Eyeg1 asses Sun glosses c. Windshield Window glass b. T ransporent Bino c ular:t T c lescop., Tl-v>odol it~ d. Don't Kno,v 16. Toll in o few words th~ fotlowing things about th3 obiect. Draw o picture that will show the shape of the object or objects . Lobel ond include in your sketch ony d":oils of the obiec:t that you sow such as wings, protrusions, etc:., and ospeciatly oxhaust traill or vapor trails. Place an arrow beside.the drawing to show the direc:tion.tha ng . 18. r;.,, edges of the obj~ct w~r~: (Circle One): o. Fuzzy or b1urred b. like a bright star e. Shorp1y outlined d. Don't remember \ 19. IF there was MORE THAN ONE object, then how many were there? _ Dtow o picture of how they were arranged, and put an arrow. to -show the direction that th~y wera trov~ling. Whore were you located when you saw the object? (C irele One): a. lnsid~ a building b. In o car C: Outdoors d. In an airplane (type) 26. Were you (C ire:/" One) ct. In ~he busines~ s :ction d a city? / ~. In tho re:sicL.ntial sc,t.:ticn cf u dty? c. In open country:Jide? d. Near on airfield? e. Flying over a city? f. Flying over op!!tn country? 27. Whet were you doing at the time you saw the obi~ct, and how did you happen to notice it? 28. J~ you were MOVING IN AN AUTOMOBILE or other vehicle at the time, th~n complete.the following que:stions: What direction were ycu moving? (Citcle One) a. North c. East b. Northeast d. Southeast f. Southwsst h. Nor~hw~st 28.2 How fast were you lT'oving? miles per hour 28.3 Did you stop at any time while you were looking at the obj9c:t? (Circle One) Yes No . 29. What direction were you looking when .YOU first saw the obiect? (Circle One) h. Northwest b. Northeast d. Southeast f. Southwest i. Overhead 30. What d irection were you looking when you lost saw the obiect? (Circle One) h. Northwest . . . -~ ~ d. Southeast f. Southwe3t i. Overh~od 31. If you ore familiar with bearing terms (angular direction), try to estimate the number of degrees the objact was from true North (thru east) and also the number of degrees it was upward from the hori~on. (elevation). 31.1 When it first appeared: a. From true North degrees. b. From horizon _ dcgree3. 31.2 When it disappeared: o. From true North . degree5. b. From horizon dagrees. 34. What were the weather conditions at the time you sow the object? CLOUDS (Circle One) WEATHER ( C irc/t) One) a. Clear sky (_j.J Scattered clouds .... b. Fog, mist, or light rain Moderate or heavy rain d. Thick or heavy clouds Don't remember 35. When and to _whom did you report th'at. yc.u had seen the obiect? Day Month Year 36. Was anyone else with you at the time you saw the object? ( Circle One) 36.1 IF you answered YES, d id they see the obi~ct too? ( C ircle One) 36.2 P lease list their names ond addresses: 37. Was this the first time that you had seen an objact or obiects like this? ( Circ:le One) 37.1 IF you answered NO, then when, where, ond under what circumstances did you :see other ones? 3 3. In your opinion what do you think the object was and what might have caused it? 39. Do you think you can estimate the speed of the obiact? (Circle One) IF you answeretd YES, then what s p t!ed would you ~stimo ? 40. Do you think you can estimate how far away from you the obiect waJ? (Circle One) Yos No IF you answered YES, then how far away would you say it was? _ 41. Pl~c1 give the follow 'nformation.about yourself: TEL c PHONE NUMBE lndicc any additional information about yourse lf, including any education, which.might:be ~rtinen,. 42. Dote you completed this questionnaire: