PROJECT BLUE BOOK

(oO ERR nee ry er = Se eer scene eee ey i ee re .

-

(Circle One):

inside a building

_Inc car)

Qutdsors>
ln an Girplane (type)
At seo

fF. Other

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ie iia) ee a ute wy

Where were you focated when you saw the object?

26. Were you (Circle One)

‘in the business section of.a city?

ln the residential section of a city?

In open countryside?

Near on airfield?
Flying over a city?
Flying over open country?

Other

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itt. darlin niestititly aha thaw sok |
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activins 2 Bieta! te ot _ oe -—- : cence
23. IF you were MOVING IN AN AUTOMOBILE or other vehicle.ot the time, then complete the following questions:
28.1 What direction were you moving? (Circle One)
a. North c, East e. South /q. West
o>. Northeast cd. Southeast f. Southwest h. Northwest

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we

23.2 Sow fosr were you moving? ER, miles per hour.

28.3 Did you stop at any time while you were looking at the object?

(Circle One) Ne

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Fn OR ST ee ee ee ee ee Ot Sri oe CD) at ee, we 1 gE 6 pe ee eee he ees ee
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Yes,
——5

_—_—_-_-OoOC— —_———Y~Yeor >

—— einen

29. What direction were you looking when you first saw the object? (Circle One)

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3).1 When it first appeared:

,

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’

A

g. Wes?

: a. North c. East. Ce. South ) h. Northwest ;
| b. Northeast ¢d. Southeas? fF. Southwest i, Overhead |
30, What direction were you looking when you last saw the object? (Circle One) |
g. West
a. North s. East> e. South h. Northwest
‘ b, Northecst cd. Southeast f, Southwest i. Overhead
' 31. Wf you are familiar with bearing terms (angular direction), try to estimate the number of degrees the object wes |
9 | ' . * ; . .

from true North (thru east) and also the number of decrees it was upward from the horizon (sie
i

|

:

2 ts BT. Os ere

a. From true North (degrees.

b, From horizon __ degrees.
3
31.2 When it disappeared: ;

4

: A a j
a. From true North degrees.
' | ee a FR
j b. From horizon _ ‘ degrees. '
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Ve ita) ome re aie —— —

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| 2, tn the following sketch, imagine that you are a? the point shown. Place on “A” on the curved line to show how
| high the cbject was above the horizon cakyline} when you first sow, it. Place a “8” on the same curved line to
show how high the object was above the horizon (skyline) when you Jas? saw it.
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Fine |
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bee i a

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a “4 . “+ ‘ *. .
oJ. in the folilswing larger sketch picce an “A” at the position the object wos when you firs? saw it, and a “B” at its
“- {

er sketch os on exemple of how to complete the larger sketch.

Dosition when you ies* saw ff,

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Page 7

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34, What were the weather conditions.at the time you saw the object?

' CLOUDS (Cirele One) WEATHER (Circla One)
Dy)

b, Hazy b. Fog,.mist, or light.rain
ec. Scattered clouds -¢. Moderate or.heavy.rain
d, Thick or bravy clouds d. Snow

a. Clear sky > a,

a. Don't remember

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35. When ond to whom did you report that you hodiseen the object? i me MN a 6

7

- = _ _ — —_—--= -

Jey Month Yoor

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——— _- ——. -——_ == ——ee - ——_— 2

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36, Was onyone else with you.at the time you saw the object?

‘Circle One) Yes > No

t.

346.) iF you answersd YES, did they see.the object too?
{Circle One) Yes No

36.2 Piecse tist their nomes end oddrasses: ( * 4

37. Was.this the first time that you had seen. an object or objects like this?
(Circle One) Yes / No

37.1 1F you answered NO, then when, where, and under what circumstances did you see other ones?

— _ —_——_—— men a ——$———— —_—__ ~~ ___ —————— a -__—— — —_—S —— oer +--+ -'-—|"———

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ll gl il ll in Nl — i Ree ee eo Oe eee ee .

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—_—-— —_— —_— —_— ~ —_—- -~

38. In your opinion what do you think the object wes and what might. hove coused it?

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HEADQUARTERPS
UNITED STATES AIR FORCE SECURITY SERVICE
SAN ANTONIO, TEXAS

AEPLY TO

atrtunor GOT 28 Aug

gL .

suosecr, UO Report |

ror Hq USAF (SAFOT)

1, In accordance with paragraphs 64 and lle of AMR 200~2 the attached |
report of a UFO sighting is forwarded for your action, !

2. Although the report has been reviewed by the Director of intelligence |

in this headquarters, no report is being made to Arse (FTD) because of the :
meager technical data provided,

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=

UFC

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$9 autached is a ccnpy of the USAPSS reply to the orix

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DOr.

POR THES COM ANDER

PT ee he Oe

WK, Nite

/ JOHN H. OLIPHINT 2 Atchs
Major, USAF 1. UFO Report
Command Information Officer 2. Ltr to Mr qi

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Porctonn, O2F- [ibe LS Aw DyPLea. tein
U.S. AIR FORCE TECHNICAL INFORMATION SHBET

This questionnaire has ‘been prepared so that you can give the U.S, Air Force as much
information as possible concerning the unidentified .aerial phenomenon that you have observed.
Piease 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-no?
be used in connection with any statements, conclusions, or publications without your permission.

We request this personal information :so that, if.it 1s deemed nacessary, we may contact you for
further details.

ay Soe ee ee 8 Se

1. When did you see the object?

Hour Minutes

—

- ‘

{ GO. ta "y ' :

A} Mr Z ay £2 ay ’ ; A { fh 20 B j aoe N ; aos
the les dni (Circle One): A.M. or (P.M

3. Time Zone; —
(Circie One): 9. Eestern) (Circle One): (a, Daylig ht Saving
b. Central b. Siandard

—_—— —=__ > --.-
.

“ £ Whare were you when you: saw the object?

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i ‘ ’ F ‘ r
‘9 ye ell s aA i ‘ _ P pal St) Aart J (
, i aa ~ ” : 4 ry
—————
;

Nearest Posial Address 7 City or Town | ~ State or Country

a,

Additional remarks: - . “ae =

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-- ——— ——

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— —EE —-— _—_—e—_—-- ore es eoOvwmOoroeor" —_—_—_—_——

5. How long wes object in sight? 1. ;
Hours Minutes Saconds

——— i eel

5.1 How was time in sight determined?

c. Certain c. Not very sure

4, Fairly certain~ d. Just a guess

—_— ee ————

6. What wos *he condition of the sky?

DAY NIGHT)

a. Bright Ca, Brig ht
| b. Cloudy _b. Cloudy im
i 7. IF you saw the ‘object during DAYLIGHT, ‘where was be the SUN. located as you fosked at the object?

(Circle One): a. in front of you d. To your left
| b. In back of you ‘ e. Overhead
| c. To your right f. Don’t remember
FORM

fF TD JUL 63 164 Thisform supersedes ATIC 164, Feb 69, which la obsolete.

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Page?
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q 8. IF you saw the object.at NIGHT, what did you notice concerning the STARS and MOON?
2 8.1 STARS (Circle One): 8.2 MOON (Circle One):
i —
: c. None a. Bright moonlight
. b, A fow b. Dull moonlight
| f+ Many> c. No moonlight — pitch dark |
NH cd. Don't remember ‘d. Don't remember
2 _ iia saaic iaepitepiemmepesiaspitinnnedatihaniiaean yee
. 9. The object appeared:
(Circle Ons): <a._As a light ) b. Shiny ec. Dark d. Don’t somember :
ea 1 ene ot ee ae ee -|
10. If it cppeared es a light, ‘was it brighter than the brightest: stars? |
'
34. Did the object: (Circle One for eos mention) {
c. Azpear to stand still at any time? Yes No pea't Know |
d. Suddenly speed. up ond rush oway at any time? Yes No Shen? K row | 4
¢. Sreak up into parts or exslode? Yes So eat Know | i.
d. Give off smoke? Yes Me at Snow |
e. Change brightness? Yes oor “—— t Cneow
f, Change shape? Yes Jvo mane TK Row
g. Flash or flicker? Yes No rae ere
h, Discppear.and reappear 7 CYes> Ne we? Bow : |
° a‘ ood + ,
12, Did the object move behind something.at any time, particulariy a cloud? |
| Sa é
(Circle One): Yes ( No) Don’t Know. IF you oreweree TS. 0m teil whos |
it moved behind: _ —— be —e |
* ba or TRAE ee

—--—— —_—_~eo-oOo-o---- a eee ee asses + _— ---—_ —

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13, Did the object move in front of something at any time, particularly.a clow!'

(Circie Gna): Yes No’ Don't Know. iF ya aneeered This. Nee tell whey
in frent of: i

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“ “tower:

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| 14. Did the object appear; (Circle One): fa. Solidd b. Tromspore ‘at ahaa am os ¥
, iis ae + a
13. Did you observe the object through any of the following? , :
a. Eyeglasses Yes No e. Binoculars aie i
: b. Sun glasses Yes No - f. Telescope a)
ec. Windshield Yes No g. Theodolite “n :
d. Window glass Yes No. h. Other sdeneibeiatiiaiihie ad
7 ;

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|

.

16, Tellin a few words the following things about .the object.

a. Sound RENEE a a EE Te re ee ee —

i « f
r -

~

b. Color

—-

17, Drew o picture that will:show the:shape of the object or objects. Lebel.and includa in your sketch any details
of the oslect.that you: sow 'such.as wings, protrusions, etc.,:and especially exhaust trails or vapor traila,

Place on crrow baside.the drawing ito show the direction:the object was. moving.
|

18 The edoes of the object. were:

(Circle One): a, Fuzzy or blurred e. Other
b. -Like.a bright star er LE a BF Oe 3 ih
c. Sharply outlined page. ST Se ae ee ae

d. Don’t remember

-_—— - —_——- —— --—--—_—_ -+-----_ + or - r e -C( CrOr''--  O- —— ——- —— ~_-oo--

-_ ——_ _ -_— a eae ee TT

19. |F there was MORE'THAN ONE object, then how many were there? 4

Draw a picture of how they were crranged, and put an arrow to show the direction that they were iraveling.

Page 4

20, Draw a picture that will show the motion that the object or objects made. Ploce on ''A’’ at the beginning of
the path, a “"B?’ at the end of the oath, and show any changes in direction during the course.

& co >

_—

21. How large did the obiect-appear.to you as compared to an object. with which you ore familiar?

Md ’ - 5 ; . fae . | " : - :
oh / > a a SI Ma > ft. A fo . ; 7 AuA oA Pe i. Py ft “ 7 Si 5 08
a ——

22, We wish to know the:angular size. Hold. a match stick at erm's length in line with a known obiect and note
how. much of the object-is covered by the head of the match, ‘if you had performed this oxperiment.at the time
of the sighting, how much of the object would have been covered by the match head?

23. Did the object disappear

while you were watching it? If so, how? 3 ; |
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7 { . x,’ ‘ T he o A P| ef A. ea? ie A Js ay & JAA ~ if f ; 5s ne : nT a

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al

~~ ~ —— —-- +--+ —< —_—_—

24. ‘in order that you can give as clear a picture as possible of whot you:saw, describe in your own words a

common object or objects which, when placed.up in the sky, would give the some appearance as the object
which you saw.

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