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X-FILE No. C015
SAMPLE BLANK UFO REPORT FORM (PG 3)
DATE: WEDNESDAY FEBRUARY 18, 1953
REF: Reel T-3291 Record Group 24 Vol 17984 HQC-940-105 Part 1
A sample of a blank Unidentified Flying Object Report (FLYOBRPT) form designed by the Theta-12 group of Project Second Storey. (Page three of five).


                            - 3 -


18.  On the following Sketch B,

     please draw a map showing

     the movement of the object,

     marking your position with

     an "X", indicating compass

     directions, using arrows to

     show direction of movement,

     and labelling 1, 2,   3, etc,

     along the traced path to show

     the successive positions of the

     object after equal intervals
                                               SKETCH "B"
     of time during the sighting

19.  In Sketch C please show the

     observed featuresof the object

     such as;

     A.  Apparent shape, (were edges

         pointed or rounded),

     B.  Apparent direction of motion

         (show by arrow), and

     C.  Other deatails, exhaust, trails,

         tails, surfaces, etc.                  SKETCH "C"

20.  The sun and the moon are shown below as they appear in their

     correct relative size.  In this sketch D, show the apparent size

     of what you saw.

        SUN              OBJECT                      MOON
        ---              ------                      ----

        ( )                                          ( )

                        SKETCH"D"

Copyright 1997 Joseph Daniels, All Rights Reserved