PROJECT BLUE BOOK

| <11. DATE - TIME GROUP
| |23 July 63 24/02302
3. SOURCE

Civilian
4. NUMBER OF OBJECTS
One

.
| ‘
|

5. LENGTH OF OBSERVATION
6. TYPE OF OBSERVATION
7. COURSE

8. PHOTOS

.
7
‘

7)

O Yes

XiiiNe
9. PHYSICAL EVIDENCE

O Yes

ikNe

FORM

2. LOCATION
Stoneham, Massachusetts ,
10, CONCLUSION

SATELLITE

Report received in 1965. Sighting has all characteristics of a].
Satellite observation. ECHO schedules not retained over one year. |

11. BRIEF SUMMARY AND ANALYSIS
Bright star moving from the NE to S4, Appeared as light o

Very high in sky. No sound. Disappeared over the horizon.
Gave appearance of stopping and going, stopping and going.

FTD sep 63 0-329 (TDE) previous editions of this form moy be weed.

U.5. AIR FORCE TECHNICAL INFORMATION ‘

This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possible concerning the unidentified oerial phenoinenon that you have observed.
Please try to answer as mony questions os you possibly can. The information that you give will
be usad for research purposes. Your nome will not be used in connection with ony statemenis,
conclusions, or publications without your permission. We request this personal information sc ~
that if it is deemed necessary, we may contact you for further details.

1. When did you see the object? = OTe 6h Baye ede oe te
Hour Minvies
15 ale Lets 197@3 {Cirele One): A.M. or PLM,
Day Mont Yeor )

3. Time Zone:
(Circle One): Ga, Eastern) (Circle One); @ Day light Saving)

antral b. Standar

e; Mountain
d. Pacific
e. Other

— —$—— ne — omre —_—~- A

4, Where were you when you saw the object?

‘ ;
AAS
i

Stonefawr ZC iA
Neorest Postal Address City or a State ov Crone,
5. How long was object in sight? (Total Ouratice) Lip (a)-15) is a ee
Hours Minutes Seconds
a, Certain c. Not very sure
b. Feirly certain d. Just a guess ;
5.1 How wos time in sight determined? LR Ke 7. AI Guldda$ J a rrTheadeg |
5.2 Was object in sight continuously? Yes 1 No |
4. What wan the condition of the sky?
DAY _NIGHT t
a, Brigh? a, Bright, :
b. Cloudy . Cloudy
— _ - -— a ee |
7. IF you sow the object during DAYLIGHT, where was the SUN located as you locked at the object?
| (Circle Ona); a. In front of you d. To your left :
. b&b. In back of you ®,. Overhacd ;
@ Te your right f, Don’t ramember i
jewad
FORM

FTD ocT 42 164 This form supersedes FTD 164, Jul 61, which le obsolete.

~_- —--—_—_——_-— ~—- -

Page 2

8. IF you saw the object at NIGHT, what did you notice conceming the STARS and MOON?

8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
b, A few <b. Dull moonlight

Many . — pitch dork
» Don't remember -d. Don’t remember

What were the weather conditions at the time you saw the object?

CLOUDS (Circle One): . WEATHER (Circle One):

a. Clear sky ) (a. Dry) |
b. Hozy “Br-F 6g, mist, or light roin
c. Scattered clouds ¢. Moderate or heavy rain
d. Thick or heavy clouds d. Snow

e@. Don’t remember

The object appeared; (Circle One):

a. Solid Cd. Asa light
b. Transparent 2, Don’t remember

Ce Vapor

1}. Jf it appeared as a light, was it brighter than the brightest stars? (Circle One):

a. Brighter | c. About the same >
b. Dimmer d. Don’t know

11.1 Compere brightness to some common object:

C2 ioe Pt P + Oth
Y

12. The edges of the object were:

{Circle One}: a, Fuzzy or blurred
Cb. Like a bright star
¢. Sharply outlin
d. Don’t remember =

13. Did the object: (Circle One for each question)
a. Appear to stand still at ony time? (Yes) No Don’t know ;
b, Suddenly speed up and rush owey at any time? Yes No Don't know ¢
c. Breck up into parts or explode? Yes CNo Don't know i
d. Give off smoke? Yos No? Don’t know j
e. Change brightness? Yes) No Don’t know
f, Change shope? Yas <No Don’t know
g. Flash or flicker? Yos (No Don’t know
h, Dissppear and reappear? Yos We, Den’? know

os ene ee

; 14,

15.

16.

17...

18.

19.

Page 3

Did the object disappear while you were «atching it? If so, how?

» 7

. ‘
- ‘ 1 2 4 ‘7 ) (i =
(44.4 “eet FILO Le ri fF r es (13257 2. 44 rpn TIE LLE LECT? .

/ /
— —_ — te 2 ee

—_—

Did the object move behind something at any time, particularly a cloud?

(Circle One); Yes (Nd) Don’t Know. IF you answered YES, then tell what
it moved behind: _.__ : cS.

.
—. —_- —__ - ~~ oh —_— me

Did the objeet move in front of samething at ony time, particularly a cloud?

(Circle One): Yes (Ne ) Don’t Know. | IF you answered YES, thes te!! wisat

in front of: ees : ae aL ee eS

_——_—= ee eee ee ee

Tell in a few words the following things about the object:
@. Sound _7/, Yom. 2 LP 00 (AIAG VO BOC? Tos vrre oe
va :

A. MEDS Apa 2 Aa .
b. Color 2 STA 42 ttre £42 o Ll 70 Fant Ces Seed 2

i ai

—————- + —— =

We wish to know the angular size, Hold a maten stick at arm’s length in line with a known object end note how
much of the object is covered by the head of the match. If you had performed this experiment at the tims of the
sighting, how much of the object would have been covered by the match head? (7.22 CAL :

—_—_— ~ —— —

—_—- —_—_———

Draw a picture that will show the shape of the object or objects. Label and include in your sketch ony detoils

of the object that you saw such as wings, protrusions, etc., and especially exhaust trails or vopor trails.
/

Place on arrow beside the drawing to show the direction the object was moving.

es

eS eee

20. Do you think you can estimate the speed of the object? .
(Circle One) Yes CNo)

IF you answered YES, then what speed would you estimote?/ Se

owe —— a

—- a

21. Do you think you can estimate how far away from you the object was?

(Circle One) One) OY 7O4- 7 oot ae ef
APHEX :

IF you answered YES, then how for away would you say it was? 6, U7 422 1 Boeken AANIRAG-

ee

!

22. Where were you locoted when you saw the object? 23. Were you (Circle One) |

| (Circle One): |

o. in the business section of a city?

a. Inside a building (+. In the residential suction of ae |

7 b. Ina car c. In open countryside? iz; |

Gees d. Neor an oirfield? |

| d. In an airplane (type) e. Flying over a city? |
e. At sea | f, Flying over open country?

f. Other g- Other

24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions;

} 24.1 What direction were you moving? (Circle One)

a. North c. East e. South y- West |
. b. Northeast d, Southeast f. Southwest h. Northwest i |
24.2 How fast were you moving? miles per hour. |

24.3 Did you stop at ony time while you were looking at the odject?
(Circle One) Yos No

—— ae ee + eee - +

25. Did you observe the object ia ia ns of the following?

a, Eyeglasses sd {Kh ihe e. Binoculars Yes No

b. Sun glasses Yes f. Telescope Yes No :

c. Windshield Yes . g. Theodolite Yes No

d. Window glass Yes No h. Other . ee =

——<—— — eee eer eer

—_—-——_—

26. In order thet you can give as clecr a picture as possible of what you saw, describe in your own words o common

object or objects which, when placed up in the sky, would give the same appearance as the object which you sow

6 Asatte yin Sts , 2areee a. AOALLT AS AA,

” ¢ U
“oe 3" f(s SLOH pyaee e he 1) S26 0d Nee
. C/

A
{2A - af cs Pe) ¢ .-
fs = aw sa "Ld ie oO ad a “9 f wo

u

Pageyv

high the object was above the horizon (skyline) when yuu first sow it. Plocs o ‘8’ on the same curved line tc
show how high the object wos above the horizon (skyline) when you last suw it, Place an ‘'A’’ on the compass
when you firs? saw it. Plece a ‘'B’’ on the compass where you /ast saw the object,

90°

75°

28. .Draw a picture thot will show the motion that the object or objects made. Place an ‘‘A*' at the beginning of the

8 path, a ''B"’ at the end of the path, and show any changes in direction during the course.
S x ~s NOAKe b

= =, f ) 4° ,

a x —_— “~*~ ™ Ye x <— hiy kal

29, IF there was MORE THAN ONE object, then how mony were there?
Drow o picture of how they were orronged, end put on orrow to show the direction thot they were traveling.

27. In the following sketch, Imegine that you ore at the point shown. Pisce an ‘A’ on the curves line te show how |

30. Have you ever seen this, or a similar object before. if s0 give date or dates and location,

Ve.

31.2 Please list their names and oddresses:

32. Please give the following information about yourself;

a _ ~~. ae

Middle Neme -

ZO . Mass:
$1 ate

Lost Name

ADDRESS Osama “wane
St¥eet
TELEPHONE NUMBER MIE ace > gery

indicate any additional information about yourself, including ony special experience, which might be pertineny.

f _~
CHIGC —1t 277!

fis : J
‘TAG a)

33. When and to whom did you report that you hed seen the object?
OH

io
1 FH Cg F

Month

31. Was anyone else with you at the time you saw the object? (Circle One)

31.1 IF you answered YES, did they see the object too? (Circle One)

Jage 6

Ges)

First Nome

Son eam

City

4

Zone

Miale

ee

3 pacle )

(4 8; ieee

’ pO. BOX1
MELROSE 76, MAS&

34, Dete you completed this questionnaire:

35, Information which you feel pertinent and which is not odequately covered in the specific points of the
questionnaire or a nerrative explanation of your sighting, Nor 2

~