PROJECT BLUE BOOK

A
1. DATE 2 LOCATION 12. CONCLUSIONS
Indian K Was Bolloon
25 June 1954 Lake, hio 0 Probably Balloon
DATE-TIME GROUP 14 TYPE OF OBSERVATION 0 Possibly Bailoon
Local 1705EDST Ground-Visual 0 Was Aiscraft
Ground-Rodar 0 Probably Aircroft
25/21052 AirVisual D Possibly Aircrait
GMT Air-intercept Radar
5. PHOTOS 6. SOURCE 0 Was Astronomical
Ys 0 Probably Astronomical
BNo Civilian 0 Possibly Astronomical
7. LENGTH OF OBSERVATION NUMBER OF OBJECTS 9. COURSE Other UNIDENTIFIED
Insuificient Dota for Evaluation
3 - 5 Minutes SE Unknown
1
BRIEF SUMMARY OF SIGHTING 11. COMMENTS
Polished metal. (Very light). Suddenly Contradictions in account.
speeded up. No sound, Underside of object Visual - Ballon
appeared flat. I Inverted cone on top. Speed - Radar-Unidentifed
2000MPH. 401 in diameter.
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We request this personal information so that, if it is deemed necessary, we may contact you for
further details.
yer
1. When did you se the object? 2. Time of day: 1714 00
Hour Minutes
25 SUNE 1954
Day Month Yoar (Circle One): A.M or P.M.
3. Time zone:
(Circle One): a.(Eastarn) (Circle One): a. Daylight Saving
b. Canral b. Standard
C. Mountain
d. Pacific
M Other
Where the object?
Daylon Ohi
Nearest Postal Addrass Cigy of Town Country
Additional remarks: 6200' Lust pi Indin dole
f0 riNs Daton
5. Estimate how long you saw the obiect. _ 5. Estimate how long you saw the object. - 3-5
Hours Minutes Seconds Seconds
how certain you are of your answer to Question 5.
a. Certa in c. Not very sure
b. Fairly certain d. Just a guess
altmeten 2
sim the heze
(Circle One): a. Bright daylight d. Just a trace of daylight
b. Dull daylight e. No tace of daylight
c. Bright twilight f. Don't remember
TWILIGHT, or DAWN, where Was the SUN Ilocated as you looked at
the object?
(Circle One): : a. In front or you d. To your left
b. . In bock of you e. Overhead
C. To your right {. Don'tremember

an arrow beside the drawing to show the direction the object was moving. (3mi distanl)
Cendevids
appeoned raund Wing spenf
elge naies on starl De Koillant
fool Dve
in eited ime onthe
8The edges of the object were: (Circle One): a. Fuzzy or blurred ught Other
c.Sharply outlined c.Sharply outlined b. Like a bright star
d. Don'tremember d. Don't remember
19. IF there was MORE THAN ONE object, then how many were there? 19. IF there was MORE Draw a picture of h ONE object, then how many were there? arranged, and put an arrow to show the direction that they were travel ing. one- one
one traveled hon ertally, stepped,
then climbed steply m.Marke rays
the "Gs"

Page 2
8IF you saw the object at NiGHT, TWILIGHT, or DAWN, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
b. A few b. Duil moonlight
c. Many c. No moonlight - pitch dark
d. Don't remember d. Don't remember
.Was the object brighter than the background of the sky?
(Circle One): a.(Yos) b. No c. Don't remember
IF it was BRiGHTER THAN the sky background, was the brightness like that of an automobile headlight?:
(Circle One) a. A mile or more away (a distant car)?
b. Several blocks away?
c. A block away?
d. Several yards away?
e. Other
11. Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes No Don't Know
b. Suddenly speed up and rush away at any time? Yes No No Don't Know Don't Know
c. Break up into parts or explode? Break up into parts or explode? es NO Don't Know
d. Give off smoke? Yes Yes R Don't Know Don't Know
e, Change brightness? Yes Yes Don't Know
f. F. Change shape? Change shape? Yes 22 Don't Know
g. g. Flicker, throb, or pulsats? Flicker, throb, or pulsate? Yes Don't Know
Did the object move behind something at anytime, particularly a cloud?
( Circle One): (Circle One): Yes) Yes) No Don't Know. iF you answered YES, then tell what
it moved behind: 32
Did the object move in front of something at anytime, particularly a cloud?
(Circle One): Yes No Don't Know.
it moved in front of:
on
Did the object appear: (Circle One): a.Solid? b. Transparent? c. Don't Know.
.Did you observe the object through any af the foilowing?
a. Eyegiasses Yes No e. Binoculars Yos
b.Sun glasses Yes) No f. Telescope Yes 999
c. Windshield Yes No g. Theodolits Yos
d. Window glass Y=3) No h. Other
TMN

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a. North c. East e. South g. West
Northeast d. Southeast f. Southwest h. Northwest
(Circle One) Yes No
object? (Circle One) 180°
a. North a. North c. East c. East e. South g. g. West West
b. Northeast d. Southeast f. Southwest h. Northwest
What direction were you obiect? (Circle One)
a. North c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
31.1 When it first appeared:
a. From true North degrees.
b. From horizon _ degrees,
31.2 When it disappeared: 180
d. From true North degrees.
b. From horizon degrees.

of the path, a "B' at the end of the path, and show any changes in direction during the course.
2oc0 gh
A 2000 mph B
hrieed
2. IF POssiBLE, try to guess or estimats what the real size of the object was in its longest dimension.
22. How large did the object or objects appear as compared with one of the following objects heid in the hand
and at about arm's length?
(Circle One): a. Haad of a pin g. Silver doilar
b. Ped h. Baseball
c. Dine C1TTO i. Grapefruit
d. Nickal i. Basketball
e. Quarter k. Other Other
f. Half dollar
a. Cartain c.(Not very surn c.Not very sun
b. Fuirly certain b. Fuirly cartain d. Uncertain
23. How did the object or objects disappear irom view? rts .82
24. In order that you can give as clear a picture as possible of what you saw, we would like for you to imagine that you could
construct the object that you saw. Of what type material would you make it? How large would it be, and what shape
would it have? Describe in your own words a common object or objects which when placed up in the sky would give the
same appearance as the object which you saw,
metal It ar libe

(Circle Ona) Yes No
IF you answered YES, , then what speed would you estimate? 2000 m.h.
40.
(Circle One) Yes No 12,000
3 ni oo.35,00
NAME Last Nama Middl Name
Vayto 2
ADDRESS Straet fity Zone Srate
TELEPHONE NUMBER
le Mas ouf Coit
What is your present . I
Ago 41 Ces Looik Degmers
Sex
Please indicate any special "ducational training that you have had.
a. Grade school_ e. e. Technical school
b.High school _ (Typo)_ rine
c. College c. College - f.Other special training f. Other special training
d. Post graduate 40s 5000 -600c he
curercial - sirgle-mueli
42. Date you completed - nis questionnaire: 25 Jun 1954
Day Month Yoor

34.3 WEATHER (Circle One) 34.4 TEMPERATURE (Circle One)
a.Dry a. Cold
b. Feg, mist, or light rain Cool so
c. Moderate orheavy rain Warm
d. Snow Hot
e. Don't remember e. Don't remember
35. When did you report to some afficial that you had seen the object?
15 C 54
Day Month Yoa
36. Was anyone else with you at the time you saw the object?
(Circle One) Yes Ho
36.1 IF you answered YES, did they see the object too?
(Circle One) Yes No
36.2
Was this the first time that you had seen an object or objects like this? ULSALiO?
(Circle One) Yes No
what circumstances did you see other ones?
in plerss -
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reflectuon
3In you apinion what do you think the object was and what might have caused it?
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