PROJECT BLUE BOOK

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1, DATE - T/ME GROUP

hy SOURCE

) Civilian

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lg. NUMBER OF OBJECTS

——

is. LENGTH OF OBSERVATION
60 seconds

6. TYPE OF OBSERVATION

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Ground-Visual

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23 April 49 05/0100

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7. COURSE

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9, PHYSICAL EVIDENCE

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PROJECT 10073 RECORD

CATION

———

Sarasota, Florida

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Observer sighted a frosty white light in the sky whic
vanished after a few seconds,

ETA «¢5 473 90-379 { TDE) Previous editions of thie (orm may be used,

10. CONCLUSION
INSUFFICIENT DATA FOF
11, ARIEF SUMMARY AND ANALYSIS

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29, Was anyone else with you at the time you saw the object?
(Circle One): Yes or No
29,1 IF you answered YES, did they see the object too!
(Cirele One): Yes or No

29.2 Please list their names and addresses:

30, Please add hers any further comments which you believe are important,
Isa additional sheets of the same size paper if necessary,

LS EEE CER LE 8A

SECTION A

1. When did you see the object:

1.1 Dates: a

Day Month Year
1.2 Time of day: | A. A.M, or P.M. (Circle One)

1.3 Time Zone: (Circle One):

a, Fastern d. Pacific
b, Central e. Other /-
co, ftiountain

f

(Cirele One): a, Daylight Savin,
b, Standard

1.4 Cirele ong of the following to indicate how certain you are
of your answer to the above question 1.2:

a, Certain c. Not very sure
b. fairly certain d, Just a guess

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2, Where did you ae@ the object?

Postal Address City or Town State Country

on

i, Where were you located when you saw the object:

(Circle One): a, Inside a building a, In an airplane

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co, ina car e, At sea
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c,. Outdcers ff. Other
27 W sas a
, were you:
i. *)
one - i 1@ oUSimess Section of a Rey #
y) T ; : re 7 2 2 ¢ ~~ 8)
0. in the residential section or a city
. In opan countryside’?
flwing near an airfield
>. Fiyineg over a city?
1 ra + ° 2 hid Wo . “oM aay Pee 9
: - * <4 f ALA > | y *
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Page 2

4. How did you happen to notice the object?

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5. When did you report to some official that you had seen the object?

Day Month Year

6, what were you dotng at the time you saw the object? —__

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Eee ee 0 re eomee renee eres Crean gre eet ee 6 Ee Hee eee

6,1 What had you bean doing for the 30 minutes before you saw the
object? ry to list the activity or activities, and the
approxijate amount of time spent on each,

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7, Were you moving at any time while you saw the object? (Circle One):

Yes } Nae,
=) or O»
(——

. .

If you anawered TES, then complete the folloing questions,
7,1 What direetion were you moving?

(Circle One): a, North a, South

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b. Northeast , wouthwest
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2 j r, —bele) POUL moving , ~ .
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Page 3

&, What direction were you facing when you first saw the object?

(Circle One): a, North 6, South
b, Northeast f. Southwest
c, East g. West
ad, Southeast h, Northwest

8.1 What direction were you facing when the object disappeared?

(Circle One): a. North a, South
b. Northeast fi. Southwest
c, Hast g, West
ad. Southeast h. Northwast
3,2 Girele one of the following to indicate hew certain you are of
your answer to the abova two questions 8 and 8.1).
a, Certain c. Not very sure
bh, Fairly certain ad. Just a guess

9, Were you veorlng aye glasses when you saw the object? (Circle One):

Yes or in

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10, How was the ‘sat seen?

{Circle One): a, Through window glass 6, Through thecdolit
bh, Through windshield f, Through sun glasses
s, Through binoculars g. Through open space
i, Through telescope Si |

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il, What do you rememder about the weather conditions at the time you saw
the object?

11.1 GLOUDS (Circle One) 11,3 WEATHER (Circle One)
ae Clear sky a, Dry
b, Hazy b, Fog, Mist, or light rain
ce. Scattered clouds c, Moderate or heavy rain
a, Thick or heavy clouds d. Snow
9. Don't remember e,. Don't remember
2 TD irele One . MPFRATIRE (Cirele One
aS pind a. la
icht breeze 0 sood

se, Strong wind s, Warm

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SECTION C
12, Estimate how long you saw the object?
Hours Minutes Seconds

12,1 CGirels one of the following to indicate how certain you are of
your answer to Question 12:

a. Certain co, Not very sure
b, Fairly sure d, Just a guess
13, Did the object look: (Cirele One) Solid oor Transparent?

li, Did the object at any time:

(Circle One for each question)

d4,L Changs diraction? Yea No Don't know
4,2 Changa speed? Yes iio Don't know
14.3 Changa size? Yes No Don't know
14.4 Change color? Yes Vo Don't know
14.5 Break up into parts or

oxpleda’ Yes lig Don't know
14.0 Give off amoke? Yos No Don't know
\4.7 Change brightness? Yes No Don't know
14.58 Flicker, throb, or

piisate? Yes No Don't know
14.9 Remain motionless? Yes No Don't know

15. Did the object give off a light? (Circle One): Yes No Don't know

15,1 If you answered YES, what was the color of the light?

16, Tell in a few words the following things about the object?

15,1 Sound

- P y - ”
t _ 2 C 5 OF

vee - -_- ms —_—- ~~ ee ee ee
y - Lis Sr, THAN ONE ohiact rhan hav many tjare there?
4 ners Was 4 Bre For 4ALirihy tte ood O00.) 3t) “» cnen -4 ya many ima 4S WICL we ate
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~* - A~A7- “A Pee . cyt . , - * and r ¥ - | > ke —_—
iJ i2 Joie ly WJ 21 PA LL iww ' ney jere 3% L VEG. ! —- uy 4 bp >

>: 4. ° — ~~ * — " 1a
show the direction they vere traveling,

"

~ ACSIFIED
UNCLASSIFIE
Page 5
18. Did the object at any time:
18,1 Move behind semething? (Cirele One) Yes No Don't know

if you answered YES, then tell what it moved behind.

18.2 Move in front of something? (Circle One) Yes Ne Don't meow
If you answered YES, then tell what it moved in front of,
13,3 Blend with the background? (Circle One) Yes No Don't know

@ as the

NW

19, Which of the following objects is about the same actual si
object you saw? (Cirele One):

A, Tra f, Automobile

bo Haseball g, Omall airplane
G, Basketball h, Large airplane
d, Hicyels wheel i, Dirigible

6, Office deak Jj. Other — .

of your answer to Question 19,

a. ULoertain 6c, Not very sure
b, Yairiy certain d. Uncertain

20, Try to teli the following things about the object:

20,1 How high above the earth was it? Poet,
20.2 How far was it from you? feet or niles
20.3 How fast was it going? __ miles per how’,

20.4 Circle one of the following to indicate how certain you are
of your answer to the above questions:

H+,
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a. i ” «
a. Certain ¢. Not very sure
1. . ' . " -
ob. Fairly certain dad. Just a guess
W Aid the oDb'ect disappear rrom view?
j = ~ “" -_ eo FF
(Circle ej: a, wuddenly G. Other _
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— > wa tee LAC Ww. -d j + 6 oe 4 . — et ee ee

UNCLASSIFIED
Page 6
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SECTION D

22. In the following sketch, imagine your eye at the point shown, Place an
"At on the curved line to show how high the object was above the horizon
when you first saw it, Place a "B" to show where it was when when you

last saw it,
@verhead

Horizon

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23, In the following sketch place an "A" at the position the object was
when you first sav it, and a "B" at its position whan you last saw it,

Horizon See eee, \ Horizon

24. Draw a picture that will show the motion that the object made. Place

on

an "A" at the beginning of its path and a "B" at the end of its pata.