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X-FILE No. C016
SAMPLE BLANK UFO REPORT FORM (PG 4)
DATE: WEDNESDAY FEBRUARY 19, 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 four of five).


                            - 4 -


     21.  In your own words please describe the sighting you observed.

          Use sketches if desired.  All observations from the time of

          first sighting to the time of disappearance  are important.

          Include a desription of the weather, wind, and cloud con-

          ditions at the time of this sighting.


































Copyright 1997 Joseph Daniels, All Rights Reserved