28949313.pdf

\ . 1a ee ae ee Se ee ee “_-_-+ + | PROJECT 15073 RECORD CARD ~ = rien © ve -etee tote oe werees! pee = a eee es. —e eee Oe 8 ee ee Soe = a » 4 i ‘ ( nagey | 2. CONCLUSIONS | sve ea FLOR \ Was elioon ee ‘lk. Prabebiy is'icon se «&@eOeiiieemes + « ———— a? oe ge ee ae Oe 6 ee a oo EE ——— ip _—S eee? alo ro: ar" aeciiGon GeTINE CROUP ' TYPE OF ‘ObS SERVATION. ” = y : “-° ' 4" A c 4 - wo Pi ge ‘ . . : ‘ie us r i oy EE tihnes-séiesite } tennessee «6 F*ground-Visue: G Ground-Reoder ‘> & 6 nyt : O! ) .t2 Probanly Airerutt ae, sib! 9 a Be SE MDD. halt tie ) Aire Visual © Airintercept Radar Possibly Ai…

TENTATIVE fe Fo SECTION A 1. When did you see the object: ( 1.1 Dates ~ 4 Ae mn oof 47 N 4 ear 1.2 Time of Day: —2— SZ (he My or P.M. (Circle One) a “lirse 1.3 Time Zone: (Circle One): Be ~ /Bastern > Gd. Pacific De Central e. Other ce Mountain (Circle One): a. Daylight Saving > ‘ 1.4 Circle one of the following to indicate how certain you are of your answer to the above question 1.23 a. Certain "i ce Not very sure b. De f Fairly certain ee Go __ Just | a guess sn i, a © bees Prin ~~ + 2e Where were you when you s saw the “object — Temper Mii? Met Pe, Reem 3S rt ¢ J) Wn rv np ie # ! Postal Add…

he 5. Page 2 How oe tee happen to ot 4 — object? Oke - me gets. grt: onl. A OF. bp CV Leet half a4 eae TKN ofr ON Z | ey) PT“ met ~~ , ry, 29+ en a ne Ay: 2 me he "> . ne 4 heuss v —% - 7 a9 rc reer When did you report to some official that you had seen the. object? Pot he LEN Coe pave od ee A he Biona te” ae re ee we. 1& fe, 74 6. 8, Cr" UKE ee = - t- SECTION B What were you doing at the time you saw the object? of- (2024 no .* : 2 ZZ . f “>A29 ia ae 5 eo, Ain oT Atyn CM _—~ 6.1 What had you been doing for the 30 minutes before you saw the object? Try to list the activity or activities and th…

Page 3 6.1 What direction were you looking when the object disappeared? (Circle One): a. North e+ South 4 — be Northeast f. ( Southwe an >t, . i om al ) c. East ge Wes oe el — ad. Southeast h. Northwest 6.2 Circle one of the following to indicate how certain you are of r to the above question and preceding question (8 and ol). Be qertain_____. c. Wot very sure ~—a-—-—-———.__be /Fairly certain *. —~d,—Just po : ’ de ~—a a — APA, 3 Lo tee : 4 e Were you weari @ss%6 When you saw the objec Yes or / ‘ 10. How was the object seen? ? (Circle One): 9 (Circle One): a. Through window glass e. Through th…

136 15. 17. 18, Page 12.1 Circle one of the following to indicate how certain you are of your answer to Question 12: etal Fairly aire . Not very sure ey /, rena dust a guess Jeon ae ~ sob pid é the ys “looks (x rele ~“Pransparent a ae Wedee 49 NMOL Ng EF __- ae ae te Cab OPP ON AA “ae — at any ‘ona (Circle One for ea SP Seeetien) 2 gree stright ox“ ee ee ee Le no 14.1 Change direction? ( Nos Don't know 14.2 Change speed? Tos Don't know 14.3 Change size? CTO, Don't know 1.4 Change color? (No, Don't know 1ke5 Break up into parts or CMS Don't know explode? pe 14.6 Give off smoke? {No} Don't know …

Page 5 18.2 Move in front of something? (Circle One) Yes No Don't Imow IF you answered YES, then tell what it moved in front of. 18.3 Blend with the background? (Circle One) Yes ( No} Don't know 19. Which of the following objects is about the same actual size as the object you saw? (Circle One): ae Pea f. Automobile be Baseball g. Small airplane c. Basketball he Large att ‘Lane ad. Bicycle wheel i. CDiri fut ora a Anew Zor } e. Office desk 4 other ew 19.1 Circle one of the following to indicate how certain you are of your answer Question 19. a. Certain ce Notwvery sure b. Fairly certain de < U…

" ( 5 | 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 2. Draw a picture that will show the motion that the object made. Place an "A" at the beginning of its path and a "B" at the end of its path. C<eeee, — 4 [ Satis try “a wot ef [ A A Vein tlds 252 Draw a 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 direction the object was moving. +f

Page 7 SECTION © Was this the first tine that you have seen an object like this? (Circle One): (Yes) or No 26.1 IF you answered NO, then when, where, and under what conditions did you see other ones? In your opinion what do you think the object B ys and what might have caused it? Yc. sve oeAjtm 14. aPmypor s J IoC. A-F behead fry — frre te —e eee ye Py o- g a = VN mn alg Give the following information about yourself: i 8 rst Name ~~ Middle Name ADDRESS ( = (73> ie A a ne ee wo ~ aa TELEPHONE NUMBER What is your present job? haw Age ‘/ ¢ Sex /V A} ) eo Was anyone else with you at the time you s…