PROJECT 10073 RECORD CARD I 1. OATt 2. LOCATION 11. CONCLUSIONS 3. DATe-TIME C~OU, 5. PHO res 0 Wo:~ Balloon Prohublt Oolloon 4. TYPE OF OBSERVATIO~----------I Poni :.,iy Balloon }:0 Ground- Vi 3uol 0 Air-Vi suol 0 Gtound-Rador 0 Air-lnt~rc:ept Radar Wo:t. Ai rc t'lft Probobly Aircraft Poa:~ibly Aircroft :::No Ci Yi l iX-1 Wo3 A~tronornicol Probably A~lronoHicol Po'\1ibly A:stronomlcol 7. L ENC r H .:.~:: uo5eRVATION 9. ~WMBER OF OBJeCT $ 9. COURSE o In :w ffi ci ent Dat a fo r Evoluoti o n "( Obj a_ope:srL1~ 1.s . lg."lt 10. BRIEi= Sl.J."'"'"RY OF SIGHTING 11. COMMENTS U.neJ.iable r.~port receiving c~tll. t0 .Jc u )-cJU" v.) CL.t.,r) T h i : qJer::-ior.naiie has ~en pr~j.:lOrc:d ':iO ;h.;t ,'!..)U ~.~on oive thrJ d . S . .:'.if F o rC<l o; mu..:;l in formut'on flS po !uible r.orc orninoJ tha unidentified <t-"do l p:.~no:n~P"!1 ih.:::r y, u 'F::v,;s th.; ... ,r'h"~ Pl~us., ry ~ .:r.!>~er as many qut1Si'ion~ c.1s you po s:.ibly :\Ill. Ti,~ !a ;I'J:mc! '<:>'l :he; ym1 Jl!.J -.o~.Jl C :OiiCI:JS'Or1S ) f rv ICCt t on.; Wi t OUt y viJ( p ermt:..St011, 1'1:& reglJ)..,~ t 1:; t:~ls .. mo 1'1i0fiTtOtiC n ;~ 7hot it : s dz~rned r.ecH'>cry, WD may contact you f er fsr1her d?roi 1~. (Circlo Or:e): T im'!t Z o"le: {Circle One): 4. W':-. ~ r~ wh~n you went vov b . Can rr-::1 c. Movn :. n o. Dc~:!isrH b. S?r.'"!dord How !eng wos obj"ct In sight? (To t a l Dur o tlor,) a. C e rtain , . c . No t Vrif"/ ~ur~t b . F~irly certain d. Just a gu~u Wac; obi ;~ ;;'':ih~ cont inuously? c . S r i Jh t b. c l..:>tJd y (Circi.) On.,j: a . In front of you b. In bt;ck of y ou c . Toyourrigh~ f. Don' r~m""mbrt 8 . IF you saw the obj"ct Jt NIGHT, whut did you nolic.a r.:onr.~rning tt,-, ST1~R und ,\AOOi\t? 8. l STARS (C ire/~ One): B.2 MOOt-.1 (Cird~ Onv): a . None o . Br ishY moon I ight b. A f-:w b. DlJII moon!ight c . Nl) mo on I igh~ -p i'tch d:n!< d. Don' r~rnem~r d . D on ,t rttm~mb.-,r 9 . What wer9 i';,-t weoth-:tt condition~ .:~t thoe time y ou saw ~h~ object'? CLOUDS ;"::;-:Je One): .:, Sc<Jthr~ -::iouds d. Thick or ;, aavy doud s WEATHER (Cirr:le On~): b. ~Fog, m i s t, :lr light rain c. Modora te or he avy roin a . D<.m' t r t mber 10. "fht! oSj.,ct c~peoretd: (Circl~ Olltt): t rcm!'IYibf!tr 11. If i t cppeursd as a light, was i t brighh, ~han th~ bright~'it ::;-tar:s? (CJrclft On~): a. 3ridh tsr c. About th<a sam, b. D imm..r d. Dont kni)W 11. 1 Compars brigh t ness to aom~t common ob j-,ct: (Circle One ): a . Fuuy or blurr~d b. Like a hr iyht star ~. Shorp ly ou til n~td ::. D;,n't r~m.o;mb.,r 13. Did th~ object; a. App.,ar lo s t and still a r ony time ? b. Suddt')n ly sp d up ond rush away a t any tim~? 1( up into par t.s or oxp lode? d. Giv" off smoke? ..::. Chanse br i ~ tnl!t:ss? f. Chonst:t shape? g . Flo!:h o r flicker? h . Di::;cppeor and reapp"or? (Cird~ OtJe ior e~h qt::!.>tion) on r . , ow (Circle : ne ): on t ,,JIOW. it moJ.~d b~h ind: (Cirde l).1a,l; Do n Y Kne-w. 17 . T .,ll in c r-,v.~ WOI'th t h e following thi(l;s about 1h~ obja :t: .e ,~lsn o i<now ne angu or s1ze. u a mate s tac.< at arms er. g tn ,,., '""' W!f a l<ii~JWil cp~r.~ !ft'l l'IC>o'a r.:lw much of the object is cover~d by 1n~ head of thd n,otch. If you hod perrorm~d vhi:; 5-'?"":in,c-n~ , . ~ th .. t ir.:-" :>(.th-::- sighting, how much of tht:t o,bject 't101.d d hove baen -:ovo&red by th"3 match hc.wd'! 19. Draw a pic:~ur.!'t ~not will show the sh'Jp" of th~ object or objl!cts. Lab~l ond includ, in ycur ~l.:.J~c:h My .~ tod: of ?h~ objc:t-:r rhct you .sa~;- such .:~swings, p rot.-usion s , etc., a nd e:>p":tcia lly <:J;<~aJSt t roilos or Vt'~'J1" i:'nib . Ploca o n on-c....., besidr! the d,aw i ng to show th~ direction tna obj :let wo~ moving. 7.0. Do you thio~k y ou c(m ~stimot:l th~ spe':'d of th :: e:hject? 21. Do y()u think '/OU cun estimm~ how f:Jt CIWc1y from you lho o Sjad VIas'? IF you ~n-s,..,~r'!d YES, thun how for owoy would you 'Jc.y i~ W:1~? ------. - ------ 22 . \'!h er~ w~r~ iOtJ lcccr~r:l wheo y ou sow thd c>bj.::d? ).,. \ (C ire/~ On~!: Ins ide o ::,J i !ding b. In a C :l' In o n cirvion'!t (typ~) 24.1 Whcr :i~rection w~r'f!l y ou f':"oYln:;? (Circl~ One) o. Nor:-h c . b. Northeo5t d. South<!Olt 24.2 How r~st 'Nar" yo; ).'IJCl!y. In open cot .oye;i;J~.:~'' N!:a...-on ttirFia ld? F lt:ns over u cHy? F l'/ :ng ov~r opan .:cuntry ? South~,oWe5t p.:r hour. l 24.3 D id you stop at any tim" whil~ you wera luoklng at thi! objact? (C ird<! on~) No D id you ob.urv$ the obj!!tet through 'Jny of th~ following? Eyeglasses Binoculor5 Sun s lasJeS Yes No T~!lescope Th.,odol i te tno sn r~l In order that ycu can give o s clea r a pic t ure as pos.iibl..:t of what you s Jw, de crh;: i,, ;r)uf ,., r l l urh rt: ,.... wh"!n you first s o w it. Pia.:" 0 "B)' on 1~ compa<;:; w!I .-H-:t v.ll.l irJ.if ;;c.. ,It th r);~; ~:~?. 2?. IF there was MORE THAN ONE o bj..,ct, th~n how mony wer-, thttr~? '2~-::._::::::--.- ------- Draw <1 !Jictur., of how they w&r~ orrong~d, and put an arr ow ?o s hon the -:lif~cti<m tr.at d . .:}' w~r" ~.r.v.,::n~. eve y ou c:ver seen thl ~, or a Sim i or o j ec.:t ucrorc:t. :: f]l\'1! o te Qr vt:~e!; Cll-:4 lo<:Jttcn. l 3 1. Was anyone e i >o .vi th you at the t i m you saw the abj ec'? ( Ci rei~ One) Ya ' ~b ~ } 3 1.1 IF 1 ?u :;ns~v~r~d YES, did th:::y sea the object ~o.;,? (Circle One ) Yl)s 31.1 ?bo.se i;s, th.,ir nomos onJ ad.:lresses: 3.2. Pi.H,;s~ giv~ 1rHt follo w ing informotion ~bvut yourself: : TELEPHONE NUMBER fir~? Namo Wh.,n and to '>'~hom did you repor t i'hu~ you hod saen th-.!1 objocr? 34. Oat" you compl~t"d this qu,.stionnaira: 35. Information which yoo bel p~rtinent and which is not adequately covered in th& sp-:;c ific poinh of t h" quttJtionno ire 0' a norrotlvw explanation o f your :.ighting.