This memorandum summarizes a Central Intelligence Agency (CIA) debriefing of a group of four individuals who reported observing a “flying saucer” or “un…
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Approved for Release 2026
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1 NOV 1955
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SIGNATURE RECORD AND COVER SHEET ,,. \t,\.
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DOCUMENT DESCRIPTION REGISTRyt '-~j
SOURCE
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CIA CONTROL NO.
/ / .s-YrrS' ~-i
DOC. NO.
ooc. DATE
DATE DOCUMENT RECEIVED
JISS!'.
No R/l
COPY NO. ~ ( # / ~ LOGGED BY
NUMBER OF PiCGES 2
NUMBER OF ATTACHMENTS
7~
ATTENTION: This form will be placed on top of and attached to each Top Secret document received by the Central Intel•
ligence Agency or classified Top Secret within the CIA and will remain attached to the document until ShCh time as j t
is downgraded, destroyed, or transmitted outside of CIA. Access to Top Secret matter is limited to Top Secret Control,
personnel and those individuals whose official duties relate to the matter. Top Secret Control Officers who receive
and/or release the attached Top Secret material will sign this form and indicate period of custody in the 1eft•hand
columns provided. Each individual who sees the Top Secret document will sign and indicate the, date of handling in the
right•hand columns.
REFERRED TO RECEIVED RELEASED SEEN BY
OFFICE SIGNATURE DA TE TIME DATE TIME SIGNATURE AND OFFICE DA TE
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NOTICE OF DETACHMENT: ll'hen this form is detached from Top Secret material it shall be completed in the appropriet•
spaces below and transmitted to Central Top Secret Control for record. • •
DOWNGRADED DESTROYED DISPATCHED (OUTSIDE CIA)
TO BY (Signature) TO
BY ( Signature) WITNESSED BY (Signature) BY ( Signature)
DATE DATE OFFICE DATE
FORM NO.
I APR 55
26 USE PREVIOUS EDITIONS, TOP SECRET (40)
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OSI:HScoville:ga (31 October 19")
Distribution
Orig & l - fwd
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l • OCI
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l • car/SI
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