PROJECT BLUE BOOK

DATE - TIME GROUP LOCATION
July 0555Z Haslaton, Idaho
3. SOURCE 10. CONCLUSION
OAALN Mearf (RVUD OC)
4. NUMBER OF OBJECTS
Lultrlo
LENGTH OF OBSERYATION 11. BRIEF SUMMARY AND ANALYSIS
Hou Roforted Ligit 2-5 liues brl giter than sters dbeerved on turee
TYPE OF OBSERVATION succeeding nihts heading Morth in oig zes mamner. iO dog
6. olevalion.
Goun 5:
7. COURSE Aerlal rofhaling in irue on ell thrre ni its. Heyort
Tade to IB tF Gomrand Fost." Data subdtied to FTD D 6y Orrieer 19s 30 951 0o2d :os6.
Forth sig-tag Horth ei Indioatod Blat Chte vas Lhe likoly cange of tho dghtingo. Indioatod Mat thte was Lhe likely cenge of tho slghtigo.
. PHOTOS 8. PHOTOS
Yos Yos
T No No
. PHYSICAL EVIDENCE 9. PHYSICAL EVIDENCE
Ya Yos
CX No
FORM
FTD SEP 63 0-329 (TDE) Previoua vditiona of this form mmy be used.
1

information as possible concerning the unidentified derial phanomnanon thar you have observed.
Please try to answer many questions as you possibly can. The information thot you giva will
be used for research ,Your name will nor be usod in connection with ony stotements.
concluslons, or publications without your permission. We request this personal infermation so
that if it is deemed necessary, we may contact you for further details.
1. When did you sea the object? 2.
Hour Minuias
JULy 6
J4L 1964 (Cirele One): (A.M) or P.M.
Day Month Yeer
3. Time Zone:
(Circle One): a. Eastern (Circle One): Daylight Saving
b, Contral 50 Stondord
c. Mountain
d, B u/4 Gmt) Pacific
e Other
4. Where were you when you saw the oojecr?
Nearesi Postal Address Neares Postal Address City or Town Steto or County Stete or Counly
5. How long was object in 5.How long was object otal Duration) otal Duration)
Hours Minures Seconds
a. Certain a. Certain c. Not vary sur c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determined? 5.1 How was time in sight determined?
5.2 Was abject in sight continuously? Yes No.
6What was the condition of the sky?
DAY NIGHT
a. Bright
b. Cloudy
7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the obisct?
(Circle One): a. in front of you d.To your left
b. in back of you e. Overhaed
c. To your right i. Don't remember
FTD FORM
OCT 62 164 Thls form superaedes v TD 164, Jui 61, which ia obxolete.

10. Tha object appeared: (Circle One):
a.Solid (a As a light
b. Transparent e. Den't romember
c. Vapor
If 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 Compars brightness to some common object:
tbout 2t
12. The edges of the object were: 1.The adges of the object were:
(Circle One): a. Fuzzy or blurred . Other Other
. Like a bright stor b. Like a bright star
c. Sharply outlined
d. Don't ramember
.Did the object: (Circle One for ooch 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 Don't know
c. Break up into parts or explode? Yes No Don't know
d. Give off smoks? Yes No Don'tknow C705N
0. Change brightness? Yes No Don't know
f. Change shape? Yes No Don't know
g. Flash or flicker? Yes No Don't know
h. Disappear and reappear? Yas No Don't know

show how high the object wos above the horizon (skylina) when you last saw it: Place an'" on ihe compass
when you first saw it. Place a "B" on the compass where you last sow the objact.
9O 75*
FA
43° NW
150
28. Draw a pleture that will show the motion that the abject or objects made. Place an "A" at the baginaing of the 28. ,Draw a pieture that will show the motion that the ooject or objects mdde. Place an "A" dr the beginaing or
path, a "s" ot the end of the path, and show any changes in direction during tho course. path, a "s" or the end of the path, and show any changes in direction during the course.
2. IF thers was MORE THAN ONE object, then how many wers thers? _ 29. IF thers was MORE THAN ONE object, then how many wers thers?
Draw a picture of how they were arranged, and put an arrow to show the directian that they were traveling.

0su 6
30. Hove you ever seen this, or a similar abject before. If so give dote or dates and location.
S dme tocalian M ci 3 du le
31. Was anyone else with you at the time you saw tha object? (Circle Ons) Yes No
31.1 IF you answered YES, did thay sen the object too? (Cirele Ona) Yes No
31.2 Pleuse list their names and addresses:
32. Pleuse give the following information about yourself:
NAME
Last Name Firxi Name Middla Nome
ADDRESS Nazleton Idaho
Strast City City Zono Stu Sto
TELEPHONE NUMBER TELEPHONE NUMBER AGE SEX
Indicats any additional information about yourself, including any special experience, which might b parinent. Indicats any additional information about yourself, including any special experience, which might ba parrinent.
33. When and to whom did you report that you had seen the object?
7 J4L: 190
Day MauslaHie Cmd rt
Morth Yoar
wtaithids4
4

Fage 7
34. Date you comp d this quastionnaire: 7
Day Month Yaor
Information which you fesl partinent and which is not adequataly coverad in the specific points of tha
quastionnairs or a narrativs explanation of your sighting.
- ighlad at Apo, 7 daho
It was traveling Noth iv EIG-2n6
COUSE
nititude 20 d bu the hort2m.
-his wesidge wds recerued fcm the Usn
Coanandad iosf 1d) Hark a) an diaty. 21
wids :el agnd 1o H 231 16:1 bg
tiocnntain fome ComoA f1 wh
receired the info:mtcon
Boulin.
in added mate, passed an biy Har keas
LS that depia/ refuelin Leins
D

Pog" B
j &orkdns g Cnd ist callad
0910552 do .nf Alot
Agdin 2+- dusing a 1 he
there ivds re faeling
nights of the
U3 Ne
HNLH
1