302530237.pdf

PROJECT 10073 RECORD CARD

|  1. DATE | Early, September, 1963 | 2. LOCATION | Tenafly, New Jersey | 12. CONCLUSIONS | ☐ Was Balloon ☐ Probably Balloon ☐ Possibly Balloon  |
| --- | --- | --- | --- | --- | --- |
|  3. DATE-TIME GROUP | Local GMT (2) | 4. TYPE OF OBSERVATION | ☑ Ground-Visual ☐ Air-Visual ☐ Ground-Reder ☐ Air-Intercept Reder | ☐ Was Aircraft ☐ Probably Aircraft ☐ Possibly Aircraft | ☐ Was Astronomical ☐ Probably Astronomical ☐ Possibly Astronomical  |
|  5. PHOTOS | ☐ Yes ☑ No | 6. SOURCE | civilian | ☐ Was Astronomical ☐ Probably Astronomical ☐ Possibly Astronomical | ☐ Other …

1895
3 JOny, 688

FORM 01324
HARNISCHFEGER CORPORATION

FROM
TO Project Bluebook
SUBJECT Life report forms

DATE Sept 13

Dear Sirs: Would you please send to the accompanied address 3 UFO report forms? We have some information you may be interested in.

Sincerely Yours,

Denafly, New Jersey
27670

BEST COPY

PROJECT BLUEBOOK
Wright Patterson Airfield
Dayton, Ohio

U.S. AIR FORCE TECHNICAL INFORMATION

This questionnaire has been prepared so that you can give the U.S. Air Force 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 be used for research purposes. Your name will not be used in connection with any statements, conclusions, or publications without your permission. We request this personal information so that if it is deemed necessary, we may contact you for further details.

|  1. When did you see the o…

Page 2

8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?

8.1 STARS (Circle One):
a. None
b. A few
c. Many
d. Don't remember

8.2 MOON (Circle One):
a. Bright moonlight
b. Dull moonlight
c. No moonlight – pitch dark
d. Don't remember

9. What were the weather conditions at the time you saw the object?

CLOUDS (Circle One):
a. Clear sky
b. Hazy
c. Scattered clouds
d. Thick or heavy clouds

WEATHER (Circle One):
a. Dry
b. Fog, mist, or light rain
c. Moderate or heavy rain
d. Snow
e. Don't remember

10. The object appeared: (Circle One):
a. Solid
b. Transparen…

Page 3

14. Did the object disappear while you were watching it? If so, how? NO

15. Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes ☐ No ☑ Don't Know. IF you answered YES, then tell what it moved behind: _______________

16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes ☑ No ☐ Don't Know. IF you answered YES, then tell what in front of: Cloud and a wind

17. Tell in a few words the following things about the object:
a. Sound none
b. Color bright silver with a common stripe

18. We wish to know the angul…

Page 4

20. Do you think you can estimate the speed of the object?
(Circle One) ☑ Yes ☐ No
IF you answered YES, then what speed would you estimate? about 20.5 MPH

21. Do you think you can estimate how far away from you the object was?
(Circle One) ☑ Yes ☐ No
IF you answered YES, then how far away would you say it was? about 6000 miles

22. Where were you located when you saw the object? (Circle One):
a. Inside a building
b. In a car
c. Outdoors
d. In an airplane (type)
e. At sea
f. Other _______________

23. Were you (Circle One)
a. In the business section of a city?
b. In the residential sec…

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27. In the following sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how high the object was above the horizon (skyline) when you first saw it. Place a "B" on the same curved line to show how high the object was above the horizon (skyline) when you last saw it. Place an "A" on the compass when you first saw it. Place a "B" on the compass where you last saw the object.

![img-1.jpeg](img-1.jpeg)

![img-2.jpeg](img-2.jpeg)

28. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the path, a "B…

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30. Have you ever seen this, or a similar object before. If so give date or dates and location.
No sure. Lutheran Church Insuffy. Yes

31. Was anyone else with you at the time you saw the object? (Circle One) ☑ Yes ☐ No
31.1 IF you answered YES, did they see the object too? (Circle One) ☑ Yes ☐ No
31.2 Please list their names and address
Capt. W. D. O'Neill

32. Please give the following information about yourself:
|  Name | Last Name | First Name | Middle Name  |
| --- | --- | --- | --- |
|  ADDRESS | Street | City | Zone  |
|   |  |  | New Jersey State  |

TELEPHONE NUMBER AGE 12 SEX…