PROJECT 10073 RECORD CA~D ' . 2. LOCATION 3. OATETIMc GROUP 4. TYPE OF OBSERVATION 12. CONCLUSIONS Wo!. Bolloon P rohcbly Sol loon Po ssi ol y Balloon 0 Was Ai rcrof t -<. 0 P robab~y Aircraft 0 Ground-Radar 0 Ground Vi s u ol GMT _ 0 Ai;_Visu a l 0 A ir-Intercept Rodor 0 Possibly Air croh 0. Was Astronomical :q ' ! ?"..'~ c.: F OBSERVATION , 3. l'WM8E~ OF OaJEC7S 10. SRIEF S!..~MARY OF SIGHTING 11. COMM EHTS ~'lr-flj: 0 Probohl1 A5fronomi col D Po~sibly A s trono m i col 0 ln.suffic;ent Doto for E,oluation Wh u"' ~er .. , you !ocut.! d wht:l'l ytJu :;ow the obj~ct? -:; , ... (Citclo One): a. Inside a b4Jilding In a c:or_... a. ' In th:! bu:;\n.,~s section of.o city? b. In t ho resid'!ntial .s ection o f a ci~y'i' ' .... _l11 open countrysid.,? d. Noo r on airfieiJ? e. f'ying ovor a city? f. Flying e ver open country? 27. Wh "J~ ... ~ra you doi ~"9 at the t i me you sow th., object, .and how did y~u h appen to no~ice it? l 28 .. If yo~.; .,.,ere MOVING lN AN AUTOMOBILE or other vahide.a' the 1ime, th6n -=omple~e the followin g qu~stions;' '"'!lot di:-ection wer~ y ou ~oving? (Circle One) fJ. Nort~eas~ d. South&ost f. Sout hw.,s t mil"3.s p e r hoJr 28.3 Did y ou stop at any irre while you w~r~ ~oo~<ing a~ ~he obiect? (Circle One) Yes ) 29. What d irection were you loo~i.ng when you first sow the object? (Circ/a One) a. Nort:., b. Northc:to.s; d. Southeos~ t e. ~outn) f. South~!lt1 30. What d.r i,:,r w~re you loo'<ins when rou last saw th~ obi~ct? (Circle One) h. NcrthHes~ h. Nor~hw~st ! . Overhead a,. t4cr:-: c. Ea.:;t > e. South h. Northw:ts~ . { b. Not'--: -;s ~ ci. South~a3t f. Sou:hw~st i. Ovcrl,':'od ; j 31. H you are :-nilior with bearing terms (cngufor direction), try to estimate th3 n Vmtnr or d~, s :n~ oo:'Jc: wc s ~ ' from t rue No:lh (thru east) and a l ;o th" numbar of de<;"tts it wos up.yard lram t h"' ~oli ~on ( '; ~va r ion). I 31.1 Vrhen it first o ppeomd: a. from rrue Ncr1'h ,_'-..:;..-- -egrees. b. From horizon_ de:tg fees. 31.2 Wh e n ir c! i soppeored: ~ ~t o . F.~m t rue Nortr d.,gr~es. ~- I b. Fr-:>m horizon dagr~lj$. ; ),, tne following skeh:h, ilr.ogh1d that you or~ o? ~,"'! !JOint :;howr.. Place a n /\" iJ1 tn~ o ject was tJoove tr ,,-,r,zon )'lll wn0o }'Oll r1r.:if sow ' oc1 a on th~ r:urvud J iJ,, to .show how '8" o n soma ..:rv~d line to li1ow hJw h igh the obj(Jct Wl1~ abov J th~ hori7t~n (:;kyline) whAn you lost ~a ... ., H :::, n t:.~ fc::j""iing !ors~r s:<ekh p:cc.: 01. "A'' a~ 'i'n~ pc::;H;or. t~e objed wos when yov lirst !AOW po3!?i":'l:-: v m :;ou ic~"' ~O''-'t. ;~ .. fer ~o smd!c:i' .:;i<c~cn vc: o n excm;:>il3 o~ how ~o complet~ t:1e H, and~ "8t o~ its lan;~r ~k~tch. 3 t, Who~ w~r~.:t lh' w~ath~r conditions .~t thtt time you !l~W tha obj :~ct? . ClOUDS (Citd.) One) WEATHER (Circlu On~) t"'. ct~or .d~y', F><Jrmist, or lioht .rain c . Scct~r.,d clouds Modttrot.-, or Jutavy .rain Th>:~ or ~ ":'lVY c !ouds Don~t r.:member 35. Wh-:tn ~nd to whom did you r~tpor' t~iat. you had j ~ut~l} th19 obiect? 36. W"s ~ny-::-n" o~s,., with yoiJ.ot ,~., ~im~ y~u. sow th~ obj~ct? ~Circ:le On~) 36.2 P ; ::)C3! lis' their ncmes c nc cddr s~s: ~ 37. Was.this the first time that you had seen an object or obiects lik~. 'his? (Circle One) 37.1 If yov onswered NO, then wh1tt1, wnttre, ond undet what cireumstonce.,.di~ you .s" olher one:s? 38-ln your opinion what do you thin!< tha ohi~ct we' ond whet might.hova cou~taJ ir? 39. I Do yo.1 thin!< you ctm .;ts~imot~ th sp ed of the obj.>c~? (Circb One) 10. Do you tnin < you can estimcte how for owoy from youth~ obj~Jct was? IF ~;-;> j -=~lwered Y_ES, thctn how for owoy ~ou!d you soy H wcs ? _ ~! 1. Pleas :; ive the foHowing in~ormation about yourseH: TEL E :;:11JNE NUMBE indiccr!!l' any addHionoi.informo~ion aSout your3eff, induding ::ny education, which rnighr be pt!f'~in~n:. ~ 4'2. Dote you ~-of'!" pi ~ted this questionnoir3: (SlJM\4ARY DATA) !n or.!~r t!lat y.:ur informotion.may bJJ tiled and cod~d.os accurat3'Y o.l possi~le, pleos~.lJ5t: bl! wii1g space .to w:ite out a short description of the\.won' th<H you obs rJ~c.L You may r"' J: ... :~r~otion .,hot y:lu .hove alr.,mly given in the qu'l ionn\Jirtt '<md ,dd any fur~her comment~, stot.., nt1, .or sk~tches ~hat you.beJi"v, oreimportant. Try ~o prusent tha clo!oib of tha ob3,rvc- tion i~ th.! order in whir:h t-hey occurred. Additional pt)gei of ,;,sorn" size ~Joper may b~ attach.!d } SJGNATUR (P.Iadn P.rln~} (lJtJ N'Jt Wd:3 in TIJis Spoc~) tfl: ~AI_. A_AP1.JJ ~;t H F.AOOUARTI.::FS t .S{'J'l:n STA'l"l ...... \fH Ff>I:Cl .,r:~._THI'l t ~ :HViCl~ r~l:Jo-:-t o.:: ~ UFO si~'-!tin~ i:.:. roruard~d for :lo'lr n.(:~-1 o:\. 2. Al :.~o'-.:~1-J. the r~port has b e.J .. 1 rt3vie!7c::l by the :Jir ::c L.J.L"' o C I!ltelli(.)er~c a