3. DATETIME GROUP Local ? 0;10 DST 7. LENGTH 0,. OBSERVATION PROJECT 10073 RECORD CARD 2. LOCATION Rockville, Maryland 4. TYPE OF OBSERVATION Xt!t Ground Visual. 0 Ground Radar 0 Air-Vi auol 0 Airlntrcept Radar 8. NUMBI!R 01' OBJECTS 9. COURSE CONCLUSIONS 0 Wa 1 Balloon 0 Probably Balloon 0 Po ui bl y Balloon 0 Wa1 Aircraft I? 0 Probably Aircraft Po ul bl y Aircraft 0 Wa1 Astronomical 0 P rob obi y Aatronoml cal Po ul bl y Astron'oml cal .liX Insufficient Doto for Eval11otlon 10. BAt!,. SUMMARY OF SIGHTINQ 11. COMMENTS Duration & movement not satellite. Same alt & position in a small area rules out a/c.Initia: impression was that obj was star or planet. Mars ( mag 1.4) is in approximate position; however, Half moon in twilight sky. Obj did not appear to move except that in 30 minutes it changed position in relation to the moon from 10 d g r to the right of the moon to t e n d g r to the lef t of the moon. Size about 3X Echo. Two times as bright as Arcturus. White color, No sotJnd. Witness believed object to be satellite .. -. ;_ ATIC: FORM 3:29 (REV 26 SEP S::Z) this obj usually appears to be rec Regulus (mag 1.3) is about lOdg r of elevation lower. However, the st~rs or planets will not change their r elationship to the moon by lOdgr in one hour. Possible balloc n sighting. No wind data to datermite if balloon could remain in area. U.S. AlR FORCE TECHNICAL INFORMP.TIOH This questionnaire has been prepared so that you con give the U.S. Air Force as much information as possible concerning the unidentified aerial phenomenon that you have obsrvd. Please try to answer as many questions as you pouibly con. The information thot you give' w;ll be used for research purposes. Your nome will not be used in connection with any stotemenh conclusions, or publications without your permission. We requst this personal Information so that If it is deefMCI necessary, we may contact you for further details. . 1 . When did you see the object? Time of day: Howr Minute a (Cirde One): Time Zone: (Circle One):~ Eo~t;_;; (Circle One): c. Mountain d. Pacific 4. Where were you when you IGW the obiect? Neoreat Poatel Acfclrea C l!y Of' Town Stct or Countt s. How long was object In sight? (Total Ourotton) o. c.~rtoln Not ery sure b. Fttir1y certain Cd. Just a gues!J How was time I" si~t determined? Wos object in sight continuously? Whot was the condition of the sky? . f?te1 <u r a. Bright 7. IF you saw the object during DAYLIGHT, where was the SUN locot8d a.t you lookttd at the uo;"ct? d. To your left e . Ontrheod f. lJon~t re ,...f"b-tr (Cirele One): n front of In oc ot yoo c. T 0 'fOAW ri~ FTD OCT 62 164 Thle fa.,. euperd FTD 164. J\ll 6i, whlch le obeolete 8. IF you aaw the obiect ot NIGHT, what did you notice c:oncemint the STARS artd MOON? 8.1 STARS (Circle One): 8.2 MOON (Circle One): a. Brllitt moonlight b. Dull moonlight c. Many c. No moonliFt -pitch doric d. Don't remember d. Don't remember What were the weoiher conditione at the tlf!te ytN taw the obj.ct? CLOUDS (Circle One): WEA THEA (Circle One): Clear alcy. b. Fot, 111lat, llsht roln Scattered cloud a c M ~rate 011 heavy roirt d. Thiele 011 heavy clouda d. Snow Don t remember The object _appeared: {Circle One): Q. At a II~ Tranaporent e . "ttw.. ' remem r 1l; .If It appeared 01 a light, wae It llrlghter than the brightett ttart? (Circle Onel: About. the IGIH b. Dhuruer d. Don't lcnow 11.1 Compore briJat,.et a to aOI'fte common aJect: 12. The ~gea of 1ft. obfect w: (Circle One): o)! Fyur qr blu,.d Q Lib a~lwight It-;,-) . c. -.orply outlbtecl d. Don't relfteMW 13. Dfd the ob;ect: a. Appear tG ~tond .stnl at a"'' time? h. Sudoenfy speecl up ond rush away at any time? c. Breolc up Into parta 011 explode? d. Give off smolce? e. Chan;. brightnesa? f. Chan;. shape? g. Flash ~ fliclcer? h. Di,appeor ancl reappear? (Circle On. for each queetion) oont know Don't lcnow Don't lcnow Don't know Don't know Don't know Dort't know Oen't k"ow 14. Did the object disappear while you were watching it? If so, how? \,J il ( L C 15 . Did the obiect move behind something at any time, particularly a cloud? (Circle One): Yes . E) Don't Know. IF you lnswered 'r'cS, thet~ tll what i 16 . Did th ob;eet mOYe in front of f91Mthing. at any time, particularly a clOYd? IF)' answered YES, th'en tell ~h;::t 17 . Tell in a few wordt the following things about the ob'j.ect: 18. We wish to know the angular size. Hold a motch stick at arm's le~gth in l ine with a known ob;ect ~nd ~ota how f much of the object is covered by the head of the ""atch. If you had performed this e)(perimnt ct the 11me of the sighting, how much of the object would have been covered by the match head? . 19. Draw o picture that wilt show the shape of the object or obiects. Label and include in your sketch any detoils of the object that you saw -such as wings, protrusions, etc., ond especially exho.ust trails or vapor trails. Place an arrow beside the drawing to show the direction the obiect was moving 20. Do you think you con estimate the speed of the object? (Circ /e One) IF you answered YES, then what speed W()Uid you estimate?-'-------- 21. Do you think you can estimate how far away from you the object was? (Circle One) ~ou answered YES, then how far away would you say it was?--------- 22. Where were you located when you saw the object? (Circle One): 23. Were you (Circle One) Inside a building b. I, the residential ~ection of a city? b. In a car c:. Outdoo d. Near on airfield? on airplane (type) Flying over a city? f. Flying over open cocintry? 24. IF )fOU were MOVING IN AN AUTOMOBILE or other vehicle ot the time, then complete the following questions: 24.1 What direction were you moving? (Circle One) a. Norlh c. East b. Northeast d. Southeast f. Southwest h. Northwest 24.2 How fast were you moving? miles per hour. 24.3 O ld you stop ot any time while you were looking at the object? (Circle o,.) Old you observe the ohiect through any of the following? a. Eyeglassea e. Binoculars b. Sun glosses Yes No f. Telescope Yes No Windshield g. Theodolite Yes No d. Window glass ' In C}tder rhot y<Ju c:2n give os cle.ar o pict\Jre os possible of what you sc~, d,scribe in yovr ow" w.,.-d s ll c~mm011 ' obje-ct or objects which, when placed up i11 the sky, would give the same app.tarance as the object which \"Otl :111~ ~ 27. In the following slcetch, imagine that you are at the point shown. Place on "A" an the C\ifYt'"-~ lin to show how high the obiect wos a~Mwe the horizon (skyline) when you first sow it. Place a .. 6" on th~ 'ame curved Une to ahow how high the obiect WCIS al,ove the horizon (slcylln) when you lost saw lt. Pl!!c:e OR " A" on me compass when you llrst saw it, Place a .,B., on the compass where you last sow the e;blect. 28 . Draw o picture that will show the motion that the. oblect or objects made. P.lace an ' A., at the beginning of th. path, o ,.S., at the encl of the path, and ahow any changes in direction during the courae. 29. IF there woa MORE THAN ONE object, then how many were there?_...::::::.~------- 1 Draw a picture ot how they were arrongec:l, oncl put on arrow to show the direction that they were traveling. 30. Have you ever seen this, cw a similar object before. If so give data or date:~ and location. 31. Was anyone else with you at the time you saw the object? (Circle One) 31.1 IF you answered YES, dido they see the objec:t too? (Circle On a) 31.2 Please list their names and addresses: 32. Please give the following information about yourself: LoatNG e Firat No,... Strt City Zone TELEPHONE NUMBER -------SEX Indicate any additionol lnfort'IKltio" about yourself, lncludlnt any special experience, which might be pertinent When and to whom did you report that you had seen the object? 34. ~te yov completed this questionnaire: Mottth Yaw 35. Information which yau 1 .. 1 prtinent and which is not adequately covered in the specific points of tfM queationnoire ct a narrative explanation of your sighting. . , f-ffo\lta.rf r 1'3 cF p v 'rt r.f