APPENDIX J

EARLY WARNING REPORT FORM

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Date  
Time  
Zone  
Place  
Classification  
Duration  
Direction disappeared  
# Visual observers  
Radar?  
# Objects  
Size  
Shape  
Color  
Distance  
Motion  
Other features  
Weather  
Known traffic  

Observer--
Name  
Age  
Address  
Phone  
Occupation  

Reporter--
Name  
Age  
Address  
Phone  
Occupation  

Receiver--

  
Date  
Time  

Please fill in all possible blanks with relevant information. Use the back of this sheet for a running description of the event.

DRS -- 6/6/67 (Rev)

[[1335]]

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