PROJECT BLUE BOOK

1. DATE + TIME GROUP

31 Jon 53 3 /0).302

3. SOURCE

Clive

4. NUMBER OF OBJECTS

One
. LENGTH OF OBSERVATION

LO Sec
TYPE OF OBSERVATION

uround~-Visual.
COURSE

PHYSICAL EVIDENCE

0 Yes
[% Ne
FORM

2. LOCATION

10. CONCLUSION

. : si?
i653 4IV ( sal By

ap > ee | es ‘
Foss’ -* gat gewe Qh — ee

11. BRIEF SUMMARY AND ANALYSIS

FTD sep 63 0-329 (TDE) previous editions of this form mey be used,

Form G

tO increase
It then wmoved Slowly across the sky
(keeping at the some distance {rom the

U. S. AIR FORCE TECHNICAL INFORMATION SHEET

(SUMMARY DATA)

In order that your information may be filed and coded as accurately as possible, please use
the following space to write out a short description of the event that you observed. You may re-
peat information that you have already given in the questionnaire, and add any further comments,
statements, or sketches that you believe are important. Try to present the details of the observa-
tion in the order in which they occurred. Additional pages of the same size paper may be attached
if they are needed.

—_—— —--—. . 1 ——

(Do Not Write in This Space)
CODE:

SIGNATUR Zn satinsasininnsiiiiioam

DATE February Agel 73 +... See

When 1 first observed the oval-shaped |
object, if seemed small and vague defined.
In between 54/0 seconds, it qu larger,
AS though < nls lh and became sharp
and clear in shape and color

The light from the ob yect Was Steady.
No wobbling motion was apparent.
At firs iF was in’ the N.E.
After setrning bo apptoach, iT ceased
in brilliance and size.

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horiaon ) to the 3.E.

= lace

Ps

USAF TIS . | Page 2

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This movement took about 30 seconds.

Tt stopped in the 9F., slowly qr cw
smaller, as if ie away; became very
vague in shape 3 then f&ded out com>
riedely This ras out process Took
between S and IO seconds,

fete before and sometime after

saw the moon,

observing he Ole ject ‘
Ihe moon was not in the same direction

as the object, was hot ay the same
height akbove the horizon,and did vot

Ihave the same Shape or color.

The direction of the movement of
the olojecf was almost the opposite of

ithe Wind direction at that time.

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Misava AB, Jepan Ground
Riohmond, Virginia Civilian Clards
Laurel, Montana Astro (Ens)
Olaan, New Yors Insufficient Data
.. Eammtonville, No Lina Insufricient Bata
Tunis, Libye Military Air Astro (VENs)
Fatrick AFB, Alorida Military Insurtioient Eata
Great Falls A/?, Montana Aireraft
mi Aisnwe AB, Jaoan Military lstro (VENUS)
7 Lake Charles, Louiaiane 01 2s Air Visunl Matro (METEOR)
Vicby, Missouri Military Air Astro (TENUS)
1 Carrvell Ar3, Iecas Os Visual - Rurh Arerar:
ratarsulrs, Vin 13tr3 17707
Nultipla 0212

Titis questionnaire has been prepared so that you can give the U. S. Air Force as much
information as possible concerning the unidentified derial phenomenon that you have observed.
Please try to answer as many questions as you possibly can. The information that you give will
be used for research purposes, and will be regarded as confidential material. Your name will not
be used in connection with any statements, conclusions, or publications without your permission.
We request this personal information so that, if it is deemed necessary, we may contact you for
further details.
1. Whan did you see the object? 2. Time of day:. 10 30
Hour Minutes
31 January 1953
Doy Month Year (Circle One): A.M. or CP.M.
3. Time zone:
(Circle One): a. Eastern a. Daylight Saving
b. CentroD b. Standard
c. Mounta in
d. Pacific
e. Other
.Where were you when you saw the object?
hexinaton Lexington Kentucky
Nearest Pstal Address Nearest Postal Address - City Town Cityr Town
Additional remarks:
Estimate how long you saw the object. 40
Hours Minutes Seconds
5.1 Circle one of the following to indicate how certain you are of your answer to Question 5.
C. Certa in c.Not very sure
b. Fairly certain d. Just a guess
6. What was the condition of the sky?
(Circle One): a. Bright daylight d. Just a trace of daylight
b. Dull daylight e.No trace of daylight
c. Bright twilight f. Don't remember
7. IF you sow the object d during DA ILIGHT, or DAwN, where was the SUN located as you looked at
the object?
(Circle One): a.I In front of you d. To your left
b. In back of you e. Overhead
c. To your right f. Don't remember
√

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Page 2
IF you saw he object a NIGHT, TWILIGHT,  DAWN, what d you notce concernig h STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a.Bright moonlight
b. A few) b. Dull moonlight) (from behind clousds)
c. Many c. No moonlight - pitch dark
d. Don't remember
.Was the object brighter than the background of the sky?
(Circle One): C. Yes b. No c. Don't remember
-
(Circle One) a. A mile or more away (a distant car)?
b. Several blocks away?
c. A block away?
d. Several yards away? d. Several yards away?
e. Other e. Other
Did the object: (Circle One for each question)
a. Appear to stand still at any time? Appear to stand still at any time? Yes No Don't Know
b. Suddenly speed up and rush away at any time? Yes (No Don't Know
c. Break up into parts or explode? Yes Don't Know
d. Give off smoke? Yes Don't Know
e. Change brightness? Yes 399299 99299 Don't Know
f. Change shape? Yes Don't Know
g. Flicker, throb, or pulsate? Yes Don't Know
Did the object move behind something at anytime, particularly a cloud?
(Circle One): Yes) No Don't Know. IF you an YES, then tell what
general
Did the object move in front of something at anytime, particularly a cloud?
(Circle One): Yes N Don't Know. IF you answered YES, than tell what
it moved in front of:
Did the object appear: (Circle One): C. Solid? b. Transparent? c. Don't Know.
1.Did you observe the object through any of the following?
a. Eyeglasses Yes e. Binoculars Yes
b. Sun glasses @E99 f. Telescope Yes 8
c. Windshield Yes g. Theodolite
d. Window glass Yes h. Other
→

The edges of the object were: 18. The edges of the object were:
(Circle One): a. Fuzzy or blurred (Circle One): a. Fuzzy or blurred e. Other e. Other
b. Like a bright star
c. Sharply outlined Sharply outlined
d. Don't remember
19. IF there was MORE THAN ONE object, then how many were there?
Draw a picture of how they ware arranged, and put an arrow to show the direction that they were travel ing.
. .

feet.
22. How large did the object or objects appear as compared with one of the following objects held in the hand
and at about arm's length?
(Circle One): a. Head of a pin 9. Silver dollar
b. Pea h. Baseball
c. Dime i. Grapefruit
d. Nickel i. Basketball
e. Quarter k. Other
f. Half dollar
22.1 (Circle One following to indicate how certain you are of your answer to Question 22.
a. Certain c.Not very sure
b. Fairly certain d. Uncertain
23.
became then appeared
could
have no the construction of
ning
anything similar to it.
esembled an covered with
egg
paint.

Was leaving dancing
up into 3ky.
following questions:
a. North c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
28.2 How fast were you moving? 28.2 How fast were you moving? miles per hour.
(Circle One) Yes No
What direction were you What direction were oking when you first saw object? (Circle One) object? (Circle One)
a. North c. East e. South South West W
.Northeast d. Southeast f. Southwest Northwest
What direction were you object? (Circle One)
a. North c. East e. South g. West
b. Northwast d. Southeast f. Southwest h. Northwest
If you are familiar with bearing terms (angular direction), try to estimate the number of degrees the object was
from true North and also the number of degrees it was upward from the horizon (elevation).
31.1 When it first appeared:
.From true North degrees.
. From horizon degrees.
31.2 When it disappeared:
a.From trus North degrees.
b. From horizon .. degrees.

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Page 6
32. In the following sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how
high the object was above the horizon (skyline) when you first saw it. Place a "B" on the same curved line to
show how high the object was above the horizon (skyline) when you last saw it.
AB(<ome)
position when you last saw it. Refer to smaller sketch as an example of how to complete the larger sketch.
B
AO RO

Poge 7
34What were the weather conditions at the time you saw the object?
34.1 CLOUDS (Circle One) 34.2 WIND (Circle One)
a. Clear sky a. No wind
Hazy b.
c. Scattered clouds c. Strong wind
d. Thick or heavy clouds Don't remember
e. Don't remember
34.3 V WEATHER (Circle One) 34.4 TEMPERATURE (Circle One)
a. Dry a. Cold
b. Fog, mist, or light rain 6. Cool $(45°)
c. Moderate or heavy rain Warm
Snow d. Hot
e. Don't remember
When did you report to some official that you had seen the cbject?
9 February 1953
Day Day Month Month Year
Was anyone else with you at the time you saw the object? .Was anyone else with you at the time you saw the object?
(Circle One) (Circle One) Yes Yes N
36.1 IF you answered YES, did they see the object too?
(Circle One) Yes Yes No
36.2 Please list their names and addresses:
Was this the first time that you had seen an object or objects like this?
(Circle One) Yes) No
then when, where, and under t circumstances did you see other ones?
In your opinion what do you think the object was and what might have caused it?
I believe the object was some sort of an
airborne machine.

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Page 8
3.Do you think you can estimate the speed of the object?
(Circle One) Yes No
IF you answered YES, then what speed would you estimate? m.p.h.
(Circle One) Yos No
IF you answered YE about 2500 fooltiude)
information about yourself:
NAME st Name First Name Middle Name
ADDRESS Lexington Ky
city Zone
NUMBER
What is your present job? None.
Ago Ago 13 Sex Sex_ Male
ational training that you have had. t you have had.
a.Grade school a. Grade school e. e. Technical school e.e. Technical school
b. High school (Type)
c. College f. Other special training
d. Post graduate
.Date you completed this questionnaire: bo March 1953
Month Year