PROJECT 10073 RECORD CARD 2. LOCATION 12. CONCLUSIONS Was Balloon Probably Balloon Passi bly Balloon 3. OATETIME CROL:P. .C. TYPE OF OBSERVATION D.:Ground-Visual s. PHOTOS - . 6. ~OURCE 0 Grounci-Rodar 0 Air-l,hucept Radar 0 Was Aircraft 0 Probably Aircraft t:J Po ssi bl y Al rerah t hoq r 30 c1i u period 10. BRI::F SUMM4RY OF SIGHTING !u l. t ipl<-) r.-)pO.l ts from , J e .l~ ~ G y 0 f 0 b j G C t S With ar.d movement. Nnrthet'n New v2.ri.:._1d colors 11. COMMENTS Strong th~rf1~1 invursi.on in ar.)a B.t 5000-~H"'if)O f,).)t levo] .. Various sj~dered as the cause o f thos~ 39. Do you thinlc you can estimate the speed of the obiect? (Circle One) IF you ana YES, then what apeed would you eathliate? _ 40. Do you thlftlc l'"' c eati how far away fr Olft you the ob iect. was? (Circle.One) IF you answered YES, then how far away would you aay It waa? . -------- 41. Please gi~ the followi infowmatlon.about youtMif: . JliCifll. N~..;. TELEPHONE NUMBE Indicate any.additional. information:about. yourself, inelucfing any .education, .which:might:be peutinent. 42. Date you.c:oenpleted this questiOIMCiire: U.S. AIR FORCE TECHNICAL INFORMATION (SUMMARY DATA) In order that your information may be file d and code d o s ac~uro;~ly as pu.s :o ibl., pl .,ose us e the btlowing space to write out a .short description of t he evttnt t hat yo u o bsc:rv'ed. You may r~ peot inf~rmation that you have already given in the questionnair~, a nd odd a ny furth!'tr commenh, stahments, or sketches thot you bel i~ve oret important. Try to present the d~tails of thet ob$erva- ti~n in the order in which the y occurred. Additional pag~s of the S'lme si~6 paper rr.oy be ottochttd If t,_,ey are needed. . (Do Not Write in This Space) $\JtlJECf : H~;\OQUAf.tiEHS FC) Rf::IG N TECHNOLOGY DIV!SlO~ UNIT. rJ lJ":"ATr::s AI~ r-r>HCE "E'ri en.d ) :ra. f:t.!tep:o.l'l i i.ll u d o l' ': r e~Kl r t i 'lg n u.n2 .rt.'l.l s t e l ecor 1t h.:r> t i..r e . Pcl33c d hour s , Lt 3cD~l~), p0l i c e depart.!CtltJ. na.rl.i~L c.'ll.L eC:.. t;~s n o actio:1. . 1.10 aircra f t o~ i ccl:s into ~Ot' rc1n..~ ct. m~r:~eJ b v , rl I;' neT U.S. AIR FORCE TECHNICAL .INFOa:-,\A T ION SU~:::ET This ques~ionnair~ hus baen preparl."'d s o thoJ yov 1."':\.ln give th;: U .S . Air For-:~ o s rnuch information as possible c oncerning the unide .1t ifie d o~-:riol phfJnome non that you h ove :Jb(j~rv JJ. Please try to answer os many questions os you possibly cdn. The informati o n that. yo u give will b" uaod for '"search purpo..'i~s, ond will b~ re~ardad u.:i c onfidential rnrJteriol. Your nome will not be used in connection with any sto ments, concfusions, or p ubl ications without y o ur p ~rmb<~i'>n . We request t~is personal information so ~hot, if it 1s d39med n.c:~cessrny: we may c ontr.tct you for further details. 1. When did you ~ee the object? (Circle One): b. C e ntral c . v..,vntoin d. ?ocific (Circl~ One): o. Doylig ht - oving b. Standard 4. Where were you when you s :Jv.; th e object? Stat\! o r C u untry . - N eorl!tst 'Postal Address J City o r Town Additional remarks: - >;.:.J-;:.-f/ ./ Hours Minut'3:s S. How long wos object in sight? 5.1 How was time in sight determined? a. Certain c. Not very sure 6. Wha t ""'C"S the c ondition of the sky? a. Brig h t 7. IF you saw the object during DAYLIGHT, where was the SUN located a s you loo'<ed at the ob1~ ~ (Circle On~): o. In front of yo u b. 1n bock of y ou d. To your lef~ e . Overh e od c. To y our ri gh; f. Don't rc:nembe r n v 'J. Titi s iotrn ::upr"r<>tt:lcs All C 1()1 . 13 Oct '5 a. IF you SOW the object or NiGHT, whtlt dir1 '(..>U notice CCJncorn!n~ trw STA s .::d MOON? 8.1 STARS ((ircle One}: 8. 2 MOON ( C ire/!! One): Bright r:~oonl ighf' D; II moon I i']ht No moon! ight --pitch dark Don't remember Don't rernember 9. The object appeared: (Circle One): a. As o light, / b. Shiny 10. If it :ppeored as a light, was i t brighter than the brighteststars? d. Don't rem~moer 11. Did t', e object: (Cirde One for oac:h question) Appear to stand s till atony tim~? Don't Know Sudd~nly speed up a~d rush away at ony time? Don't Know Break up into parts or exulode? Don't Know Give off smok~? Don't Know Change-brightness? Don't Know f. ChtJnge shape? Don't Know Plash or flicker? Don't Know Di soppear .and reappear ? Don't Know 12. Did the object move behind something at a ny time, particularly o cloud? (Circle One): Don't Know. IF you on3wered YES, th~n t~ll what 13. Did the object. move in front of something at any time, porticu1orly .a cloud? (Circi~ One): Don't Know. IF you answered YES, then teiJ what in f; ::>rt of: 14. Did the object opp~or: (C irc:l e One): a. Sol :d b. T ranspar!>nt c . Vapor d. Don't Know 15. Did you observe the object through any of the following? o. E y cglos::;es Binoculorl Sun ~ sses f. Telescope Wind.;hield Theodo! ite Window gfcss 16. Tell in a few words th~ following things about th~.> object. Dr!l~ a pict e that will show th~ shape of the objoct or objlllch. Lob~l.and inciiJd~ in your .;ketc:h any d..,tails of the obj~ct that you saw luch l1S wings, protrusions, etc., ond osp~ciolly oxhous t trail.; o r vapcr troib, Ploc:" on arrow beside the dro"Ying to show th" direction the ohiect was.moving. l a. The edges of the object were: ( C ire: le Ona): a. Fuzzy or blurred b. like a bright star c. Sharply outlined d. Don't remember 19. lr there was MORE THAN ONE object, then how many ware there? ,-------------- Dr~Jw a picture of how they were arranged, ond put on orrow to 'Show the direction that they. wer~ trovl!tl in g 20. Draw a picture thflt will show the motion that -thf' object or ob!tJC}~ mod~. Ploc~ on "A" at.thu begi: tha path, a "B., at the end of the pllth, -Jnd :;how any chongHs in di:-t~clion dJrin!J th~ cour...:::