28948994.pdf

PROJECT 10973 RECORD CARD - —.-= . a eg ee ee ‘Sa eo ee ee eee —————= ee eg ee ———EEi + - — ' my, oy oe * a " | tet! ( LOCATION ( 12. CONCLUSIONS ° . « ri ” 4 ~A ee v © Lm e2 oo MF 5* & . - — - . gee Va Cutoan:, brawls! ietmadwe iQ es Bellioon Coe er Din Se econ eliaegites '2 Perabscbiy Salloon “io —— Se at danelon ts staan oa Tk a aan ae = at dh one a ae ee ree ee Possiuly Uciloon 3. DATETIME GROUP 4 TYPE OF OBSERVATION r | i an i Ta : ~e W : - =¢ | rari ; : ; ’ "wos Aircroet? ; EEE Te Desc sf. SRM Ne OE C& Ground- Visual! QO Ground-Redar e ” ity Ree Pa P re | r roocoly eairecratt : ! ; _ - e…

le Be TENTATIVE OBSERVERS QUESTIONNATRE a ee 6 ee ee ee ee re ee =—— « = SECTION A When did you see the objects: 1.1 Date: ac Dearest S9'S., pa hignth Year 1.2 Time of Day: {2 32 A.M. of P.M? (Circle One) Hrs. Nine | 1.3 Time Zone: (Circle One): ae Eastern de Pacific be Central e. Other llountain (Circle One): a. Daylight Saving obvandard 1.4: Circle one of the following to indicate how certain you are of your answer to the above question 1.2: @- Certain Ce Not very sure 9 Fairly certain a. Just a guess Where were youswnen you) sawuzthe object: ES SI op sae J ) ox i / fp . Postal Address 1ty o…

Page 2 li. How did you happen to notice the object? Yi? A. f phar tt Vert oe vow Phi Le thous 110 A i): ff ar 5. When did you report to some official that you had seen the sbseat? a Day Month Year SECTION B 6. What were you doing at the time you saw the object? : {7 e” ' ” ; = tA _- ro ail 6.1 What had you been doing for the 30 minutes before you saw the object? Try to list the activity or activities and the approximate amount of time spent on each. FOOy vs a s 7 J f/ , eee : i) - — 7. Were you moving at any time while you saw the object? (Circle One): Yes or No If you answered YES, then compl…

Page 3 8.1 What direction were you looking when the object disappeared? (Circle One): ae North €é. South ms ~<a f. Southwest Ce. S Soutiionet he Northwest 8.2 Circle one of the following to indicate how certain you are of your answer to the above question and preceding question (8 and 8.1). fas Certain c. Wot very sure b. Fairly certain ad. dust a guess 9. Were you wearing eye glasses when you saw the object? (Circle One): aan, oxes ) or Ho a a 10. How was the object seen? (Circle One): a. Through window glass ee. Through theodolite b. Through windshield f. Through sunglasses _¢s. Through bino…

Page h 12.1 Circle one of the following to indicate how certain you are of your answer to Question 1?: Certain ce. Not very sure » Fairly sure d. Just a guess s, 13. Did the object look: (Circle One) Solid oor Transparent - (4e“%+ee—~ lk. Did the object at any times: (Circle One for each question) 1.1 Change direction? Yes No Don't know 1.2 Change speed? Yes No Won't Kaa 1:}.3 Change size? Yes No Don't know) 1. Change color? Yes (ilo> Dontt know 14.5 Break up into parts or Yes Cio) Don't know explode? Bie a 1);.6 Give off smoke? Yes No (Don't know 11:.7 Change brightness? Yes Gioy “Don't know …

Page 5 a a, 18.2 Move in front of something? (Circle One) ' (Yes 7 No Don't know IF you say YES, then tell what it moved in front of. ks ee 18.3 Blend with the background? (Circle One) Yes ‘-—te Don't know 19. Which of the following objects is about the same actual size as the object you saw? (Circle One): a Pea f. Automobile (7b. Baseball ¢. Small airplane ~@.e Basketball he Large airplane a. Bicycle wheel is Dirigible e. Office desk je Other 19.1 Circle one of the following to indicate how certain you are of your answer to Question 19, (As? Certain c. Not very sure Fairly certain d. Uncertai…

Page 6 23. In the following sketch place an "A" at the position the object was when you first saw it, and a "BY" at its position when you last saw it. Overhead f} A A A Ke Horizon A Horizon You 2h. Draw a picture that will show the motion that the object made. Place an NA" at the beginning of its path and a "5" Py the gh hee oe “ fy ceul (Prna- tbl Obes Leon A pes Ob Ore Ht Lf chuck Fb LtAed © eaari t oH Lad cpasncbe 25> Drawa picture that will show the shape of the object. Label and include in your sketch any details of the object that you saw and place an arrow beside the drawing to show the…

—— el a ee eee ee ee ee a eee ll Sl Ee el ee SECTION & oe ee eee 26. Was this the first tine that you have seen an object like this? ircle One): Ye rfN ) (Circle One): Yes # No 26.1 IF you answered NO, then when, where, and under what conditions did you see other ones? (’/. . + {e-; * 45 ‘ a fjo- | at f > de “3 oe >= ir j - ' } f : Say Vip»? pol etscshd tu less than one 9. 27. %In your opinion what do you think the object was and what might have caused At? f donT (Snow 25. Give the following information about yourself: NAME - a ast Name rst Name af © Name ADDRESS re... ed. (eae ted t City Zone…