PROJECT 10073 RECORD CARD 2. LOCATION 12. CONCLUSION$ 0 Wos Balloon 0 Was Aircraft C .Ground Va sual 0 Ground-Radar 0 Probably Aircraft Possibly Aircraft 5. PHOTOS 1 I 6. SOURCE 0 Was Astmnomicol 0 Yes 0 Probobly Astrono"'icol .. l' ' : V; 1 ~ .:l..., 0 Possibly Astronomical 7. LENGTH OF OoSERVATION 3. HUMBER OF OSJECTS 9. COURSE 0 Other _ 0 Insufficient Data for Evaluation 11. COMMENTS GJ~ :: o:f r"'(.!.irb)rl1, C:. .. hi l.ir~vai :.ing ~.,inls would carr;; J to -:h ~ E . r,~'1~) :;c;! bo.lloons :.1rc bu.l~. oon U.S. AIR FORCE TECHNICAL .INFORMATION SHEET Thla queationnaire haa .b .. n prepared so that you con give the U.S. Air Force aa much Information . aa posalble concerning the unidentified .aerial phenomenon that you hove observed. Pleaae try to answer as many queationa.as you possibly can. The Information that you give will be uaed for purposes, .and will be regarded.as confidential iol. Your name wlllnot be useclln connection with any atatements, .conclusions, orpubllcatlons.without yoyr permission. We requeat .this personal lnfor on so that, If It Is deemed neceasory, we moycon~act you for further details. . 1. When did you" the obiect? : Hour Minute a .(C~tcle One): A.M.. or 3. Time Zone: (Circle One)t'(O Eastern b. Central c. Mountain (Circle One): a. D~yllght Saving d. Pacific 4. Where were C lty or T ow.n State or Country S. How long was obiect in sight? S. 1 How was time in s lght determined? a. C~rtain b. Fairly certain 6. What wqs the condition of the sky? <P. Bright") Seconcla 7. I'F you saw the obiect during DAYLIGHT, where was the SUN located as you looked at the obiect? .d. To your left e. Overhead (Circle One): a. In front of you b. In bock of you c. To your right f. Don't remember l~o 164 Thi form supersedes ATIC 164, 13 Oct 54 .the obiect.at NIGHT, what dlcl you notlce.concernint the STARS.ancl MOON? STARS (Circle One}: 8.2 MOON '(Circle One}: o. Bright n.oonllght pitch darlc Don. t ,...miter 9. The olalec:t. :(Circle.One}: ( a. Aa a liGht) cl. Don't ,.,.._mber aa a llght,:waa It lwlghtert~the brlghteat:atcwa? Ale> 11 . Did the oliec:t: (Cirele One few each queatlon) a. Appear.to stand still atony time? b. Suddenly speed.up and rushaway at any time? c. Brealc up into parts or explode? d. Give off senoke? Change brightness? f. Chang~ shape? ,: -Flash or fllclcer? h. Dlsoppear.and reappear? 12. Did the oblect.mw behlmf somethlng.atany time, pm-tlcularly 0 cloud? Don't Know Don't Know Don't Know .Dont Know Don't Know Don!t Know Don't Know (Circle One): YES, . then. tel I what 13. Did the obiect .move In front of ng at any time, particularly .a . cloud? l (Cir~le One}: . Y @ Don't K-. . IF you an--'; Yes, then tell what Did the oliect. appear: (Circle One): ~-~SoliD .b. Transparent :c. Vapor d. Don~t Know Old you observe the obiect through any of the following? .a . Eyeglaeses Binoculars Sun glasses f. Telescope Windshield Theoclol fte Window glass 16. Tell In a few tM followlftl thlnga alout the ollect. L. C I V~;,.rz_ I.IJw INN'7&" 17. Draw a plctwe that will show.the.shapeof.the obfect . . obiects. La~l.ancllne,ucle:ln yourslcetch.any details of the obiect:that y~.saw such as wings, protruslons,.etc.;:anclespeclally.exhouat trails or vapor traila. Place an. .beslcle.the toahow.the cllrection.the obiect: .naovlnt 18. The edges of :the obiect. were: (Circle One): a. Fuzzy or .blurred b. Like a bright star 19. IF there MORE. THAN ONE obieet, then how were there? . Draw a pictwe of how they.were arranged, .ancl put an arrow to '8how.the dlrection.that.they.were ttavellng a picture will show the motion thatthe ullect or obiec:ta.made. Place an ''A"at .the beginning of the path, :a uau at the end of the path, .oncl.ahuw.any changea.ln direction during the covrae. 21. How cflcl:the oltiect: .to. you as to an oltiect.wlth which you. Wewlah tolmow.theangular:slze. Holcl:o .atlclc~at.arm'a length ln .llne.wlth a lcftown. .how.much of.the oltlect :Ia cOYerecl by. the of.the If ~ hacl performed :thla experl of the alghtlng, .how "'uch of the obiec.t would have been covered by the .Oncl.note :at .the ti110e 23. Old the obiect .disappear :while you were watChing it? ~f so, how? Yes, . w.e~r Bnuw o8S~v~f .1/tJ~I ~#, . In ord that you can give as clecW:a picture as pOssible of. what you:saw, .descrlbe.ln your o-wn.words a common obiect or obiects which, when.placecl.up.ln the slcy, would give the same appearance.as the obfect which you saw. StMII..A/l ., b A fVM(fi.IN"- 25. Where were you (C lrcle One}: a. Inside a bullcllng b. In a car <~ OutdOai:D d. In an airplane At sea when you saw the obiect? 26. Were you (Circle One) a. In the b_uslnes . section of.a city? Ch, In the residential sectJ~-of.~ clty'D c. In open .countryside? d. Near an airfield? Flying over a city? f. Flying over open country? ~7. What were YoU dol.ng at the time ~ou IGW the obtect, .and how clld you happen. to notice It? 28. If: you were MOVING IN AN AUTOMOBILE~ other .vehicle at the time, then compl~te.the .followlni questions: What directiOn were you moving? (Cijele One) b. Northeast d. Southeast f. Southwest 28.2 How fast were you moving? miles per hour 28.3 Did you stop at any time whi.le you were looking at the obiect? ' .. (Cirele One) Yes . . No 29. What direction were you looking when you first saw the obiect? (Circle One) .g . West h. Northwest a. North c. East e. South .h. Northwest 30. What direction were you l0olclng when you .last saw 'he obiect? (Circle One) b. Northeast f. Southwest h. Northwest I. Overhead 31. If you are familiar with bearing terms (angular direction), try to estimate the number of degrees. the obtect. was from true North (thr.u .east) and also the number of .degrees it was upward from the horizon (elevation) : 31.1 When it first appeared: a. . From true North /._4 --degrees b. From horizon 4 ~ degrees. 31.2 When it disappeared: a. From true North b. From horizon I d 0 degrees. _...,. egrees. 32. In the following slcetch, Imagine that you are at the point shown. Place an A on the curveclllne to 1how t,., high the obiect was above the horizon (slcyllne) when you first sow it. Place a a on the some curwcl line to show how high the obiect was above the horizon (slcyline) when you lost saw it. . 33. In the following larger sketch place an A" at the position the obiect was when you first saw it, ancl cr e at its' position when you lost saw it. Refer to smaller sketch as an example of how t~ complete the larger sketch. 34i What were the conditions at the time you aaw the oblect? CLOUDS (C lrcle. One) ((. Clear alcr ) cl. Thiele or heavycloucls WEATHER (Circle One) b. Fog, mist, or llght.raln c. Moderate or . heavy rain e. Don~t remember 35. When anclto whosn did you report th'at. you haclaeen the obiect? Day Month Year 36. Was anyone else with you at the time you saw the obiect? (Circle One) IF you answered YES, did they '" the ~lect too? (Circle One) 36.2 Please list their names 37. Was this the first time that you had seen on obiect or obiects like this? (Circle One) answered NO, then w" where, and under what circumstances did s" other ones? 38. In you; opinion what do you think the object was and what might have caused it? 39. Do you thin you YES, then what speed would you estimate? 3 s-"" .;.._, 40. Do you thin you can eatl how far away you the oltiect. was? (Circle o,.) Y IF you ana YES, then how far away would you say It was?--------- 41. Plea give the fol .about .yourHif: Indicate any.aclditlonal.lnformation:about youraelf, including any.eclucatlan,.whlch.might:be 42. Date you completed this queationnalre: U.S. AIR FORCE TECHNICAL .INFORMATION SH EET This quettionnaire has been pre pared so that yov can give the U.S. Air Foret, as much information as possible concerning the unidentified aerial phenomenon that you have observed Please try to answer as many questions as you possibly can. The information that. you give will blt used for research purposes, and will be regarded as confidential material. Your n arne wiflnof be used in connection with any statements, conclusions, or publications.without yo~r permi3slon. We request this personal information so that, if it ts deemed necessary, we may contact you for further detoi Is. 1. When d id you ~ee the object? 3. Time Zone: ,-.. (Circle One}~: c. Mountain d. Poe j fie 4. Where w~re you when you saw the object? 2. Time of day: (Circle One): (Circle One): o, Daylight Saving ct;' Standard ity or own S t"a t8 or Country S. How long wos objectin sight? 5.1 How wos time in sight d~termined? o. Certain .. ; Fatrly certain 6. What was rh e condition of the sky? (~> Cl.oudy c. Not very sure d. Just a guess ]. IF you saw the object during DAYLIGHT where was the SUN located os you looked at tha object? (Circle o,e ): o. In front of you b. In back of you c. To y our right d. Toyourle ft e~ Overhead f. Don't remember AT I C /r? 164 'Ihi s f or m s upersedes AT I C lGti, 1 ~ Oct 'H. U.S. AIR FORCE TECHNICAL INFORMATION SHEET (SUMMARY DATA) In order that your Information may be flied and coded as accurately as poaalhle, please use the following apace to write out a .short description of the event that you observed. You nMJy ,.. peat Information that you have already given In the questionnaire, and add any further comtnnta, atotementi, or alcetches that you believe are Important. Try to present the details of the observa tlon In the order In which they occurred. Additional pages of the same size paper may be attached If they. ore needed. (Do Not Write In This Space) U.S. AIR FORCE TECHNICAL .INFORMATION SHEET Thla queatlonnalre haa .been prepared :ao that you can give the U.S. Air Force as much Information .aa possible concerning the unidentified .aerial phenomenon that you have observed Please try to answer as many questions .as you possibly .celn. The Information that you glvewlll be used for research purposes, and will be regarded.aa confidential material. Your name wlllnoi be useclin connection wlth.any atatements,.concluslona, or publlcatlons.wlthout yoyr perm.taslon. We request .thla peraonal lnforneation so that, If It 1s necessary, we ueaycon~ct you f~ further details. . 1. When did youaee the obiect? T hne. of :day: 4. Where were you when you saw the obiect? .(Circle One): (Circle One): a. Daylight Saving b. Standard .-City or Town ~tote or Country S. How long was obiectin sight? 5.1 How waa time In sight determined? c. Not very sure Just a guess 6. What wqs the condition of the =sky? a. Bright a. Bri h.t b. Clpudy b. oudy 7. IF you saw the obiect during DAYLIGHT, where was the