PROJECT BLUE BOOK

L. DATE -TIME GROUP 2LOCATION
4450 Fraiorb, Indiaa
3. SOURCE 10. CONCLUSION P
IRORAET
4. NUMBER OF OBJECTS
Coe
5. LENGTH OF OBSERVATION LENGTH OF SERVATION 77. I1. BRIEF SUNMARY AND ANALYSIS BRIEF SUMMARY AND ANALYSIS
3-intas 3-lintas onjct(aetacuit.Cegadd onjct611 agtaa ciedlit. Ge god ldglans
6. TYPE CF OBSERVATION 6. TYPE OF OBSERVATION rda. Ojreb spiaredlo dand still as to
ro Mhe addenly opeud up ard ish mng. Ohjaos ied  as ra Mhen a ddenly apeud up ard iuah mng. Chjaes ied . thts
to'i. Whad oljot oha god cowrna ovee nednd velea adeo to'i. Whad oljset ola god courms oyee nednd veiea a.eo
7. 7. COURSE reappenred and haeded dio morth. io soual ed ierd daat had reappenred-and haeded dio north. io souad ed berd daat had
Mht Jellodrh iigt. Sgses looked-lUe e Antem MAt Jellodrh ligt, sgsed lookd ite e Iater
stspended in ble sigy matll ds drongsd onere, bhn beete sispended in ble dig putll it drengsd onood, bhn beeile
3. PHOTOS PHOTOS diimer.
O Yes
B No
9. PHYSICAL EYIDENCE
Ya
Y No
FORM
FTD SEP 63 O-329 (TD Provious odidiona of Urie Fora may bo uaod.

t
2Rug
Syglly co
U.S. AIR FORCE TECHNICAL INFORMATION
This questlonneire hos been prepared so that you can give the U.S. Air Force as much
informorion as possible concerning the unidentified aerial phenomenan that you have observed.
Plecse rry to onsy er as many questions os you possibly can. Tho informarion that you give will
be used for research pi rposes. Your nome will not bs used in connection with ony stakeaenis,
condlusions, or publications without your permission. We request this personal information so
that if is is deemed necessory, we moy contact you for further datails.
1. When did you see the object? 2.Time of day: 11 45
Hour Hour Altnuiss Mlnuiss
2s 7 (Circle One):
(Circle One): A.M. or P.M. P.M.
Day Day Month Year
3. Time Zone:
(Circle One): Eastern (Circle One): a. Daylighr Saving
b. Central b, Central 5. Standard 5. Standord
C. C. Mountain Mountain
d. Pocific
o, Other
Where_were you when you sow the object?
ppbine Tndhers
Nearesr Postal Address City or Town Stut or Counly
wm
5. How long was object in sight? (Toral Durarlon) S
Hours Mlaures Ssconds
Certain c. Not vary sure
b. Fairly certain d. Just a guass
5.1 How was time in sight determined? _
5.2 Was objeer in sight continuously? Yes No
i
6. Whar was the condition of the sky? 6. What was the condition of the sky?
DAY DAY NIGHT
a. Bright . Bright a. Bright
b. Cloudy bCloudy b.Cloudy
7. IF you sow the object during DAY LIGHT, where was the SUN located as you locked at the object? 7. IF you sow the object during DAY LIGHT, where was the SUN located as you locked at the obiect?
(Circle Onal: a. ln front of yay (Circle One): : a. ln front of you d. To your laft d. To vour lalt F
b. In bock of you e. Overhead
c. To your right f. Don't remomber
FORM
FTD OCT 62 164 Thie form auperaedea FTm 164, Jul 6t, whlch La ohsolete.

Fago 2
8. IF yeu saw the object at NlGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
$a$Nona c. Bright moonlight
b. A fow b. Dull moonlight
c. Many c. No moonlight - pitch dark
d. Don't remamber d. Don'tremamber
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Cirela Ona):
a. Clear sky a.
b. Hazy b. Fog, mist, or light rain
C. Scattered clouds c. Moderate or heavy roin
d. Thick or heavy clouds d. Snow
e. Don't remember
m
10. The object appeared: (Circle One):
a. Solid d. As a light
b. Transpcrant Dea't ramemhae
1The adges of the objoct wers:
(Circle One): a. Fuzzy or blurred . Other
b. Like a bright ster
c. Sharply outlined
d. Don't remember
13. Did the object: 13. Did the object: (Circle One for eoch question)
a, a. Appear to stand still at any time? Yes No Don't know
b. Suddenly speed up and rush away ar any time? Yes No Don't know
c. Break up into parts or explods? Yes Yes No Don'tknow Don't know
d. Give off smoke? Yes Yes No Don't know Don't know
e, Changsbrightness? Yes No Don't know
6. f. Change shape? Yas Yes No Don't know Don't know
9 Flash or flicker?F Flash or flicker?" Yes Yes No Don't know Don't know
h. Disappear and reappear? Yes No Don's know

Poge 3
14. Did the object disapperr while you were watching it? If so, how?
tod hath
15. Did the object move behind something of ony time, porticularly a cloud?
(Circle Onek Yes No Don't Know. IF you onswered YeS, then tell what
in moyed behind; _
1.
16. Did the abjeer move in front of something af ony tima, portlcularly a cloud? 16. Did the abjeer move in front of something af ony time, portlcularly a cloud?
(Cirele One) (Cirele One): Yes No Don't Know, iF you answared YES, than thli whet iF you answored YES, than tali whet
In front of .
17.  Tell in a faw words the following things about the abjeer: 17. . Tell in a faw words the following things about the abjeer:
0. Sound . Sound 7072
b. Color_ m
18. Wa wish to know the angular size. Hold a match stick or arm's length in line with a known object and rote how
much of the abject is covered by the head of the match. if you had performed this experlment or the tine of the
sighting, how much of the object would have been covared by the match head?
lmt a tourth( (Lelephone Kial)
19. Drow a plerure that will show the shape of the object or objects. Label ond include in your sketch any details
of the object that you saw such as wings, protruslons, ete., and especially exhaust trails or vapcr trails.
Place an arrow beside the drawing to show the direction the object was moving.
11
al

20. Do you think you can astimate the speud of the object?
(Circle One) Yes No
IF you dnswered YES, then what speed would you estinate? —.
42-8249
21. Do you think you sor estimote how far away from you the object was?
(Circle One) Yes No
IF you answered YE5, then how for away would you soy it was?
22. Where were you located whan you sow the object? 23. Wave you (Circle One)
(Circle Onek
a. in the business secticn of o city?
o. Inside a building T tn the residential section of a city?
b. in d car c. in opan couniryside?
C. Outdoors d. Neor an dirfield?
d. In an oirplone (type) Flying over a clty?
e. Al 500 6. Flylng ovar open country?
f. Other_ 9. Other
24. IF you were MOViNG iN AN AUTOMCBILE or other vehtele of the time, then complate the following questlons:
24.1 Whar directlon were you moving? (Cirele Ona)
a. Norm $c $Eaat e South 9- Was'
b. Northeast d. Southeast 4. Southwest h. Nerthwest
24.2 How fast were you moying? . _milas per hour,
24.3 Did you stop at any time while you were looking at the object?
(Cirale One) Yes No
25. Did you observe the object through any of the following? 7e
Eyeglasses Yes No e. Bincculars Yes No
b. Sun glasses Yes No 6. Telescope Yes No
C, C. Windshield Windshield Yes Yes No No g. g. Theodolite Theodolite Yes No
d. Window glass d. Window glass Yes No No h. Other_ h. Other
26. In crder that you can give as clear a picture as possible of what you saw, describe in your own words a cameen 26. In crder that you can give as clear a picture as possible of what you saw, describe in your owe words a comnten
object or objects which, when placed up in the sky, would give the some appaaronce ds the objest which you saw. object or objects which, when placed up in the sky, would give the some appearonce ds the obiect which you saw.
Cohed Cohed lihe a lantern lihe a lanten cufiged cuhiged shay 7
dnT
+

P4g5
27. In the following skelch, imogine that you are ot the point shown. Place on "A" on the curved tine to ahow how
high the objeet was above tha horizon (skyline) when you first saw it. Pioee a "g" on the sone curved line to
show how high the object wos above the horlzon (skyline) whan you last smy i. Fluce an "g" on the corpea.
when you first aaw it. Ploce a "B" on the compass whore you last saw tha cbjeet,
75
45° NW
A
T
28. . Orow a pieture that will show the motion that the object or objects made. Plade an "A" ot the begining of the
path, a "g" at the end of the path, and show ony changes in direction during the course.
N
↑
W 8 -A8
S
22. IF there was MORE TH HAN ONE object, then how many were thers? -
Draw a picture of how they ware arranged, and put an orrow to show the direction that thay were travaling.
)

30. Hove you ever seen this, or a similar objeat before. If so give date or dates und location.
31. Was anyone alse with you at the time you saw the object? (Circle One) Yos No
31.1 IF you answered YES, did thay see the object roo? (Circle One) Yas No
31.2 Please list their names and oddresses:
2
32. Please give 32. Please give Following information about yourself: following information about yourself:
NAME
First Name Wiidla Name
ADDRESS
City Z0n0 State
TELEPHONE NUMBE MACE SEX
Indicats any additional information about yoursalf, including any special experience, which might be pertinanr.
33. When and to whom did you report that you had seen the objeat? 33. When and to whom did you report that you had seen the object?
Dey Mouth Yoar

Paga 7
34. Date you completed this questionnaire: - 194
Day Month Yeor
35. information which you feel pertinent and which is not adoquately covered in the spacific points of the
quastionnairs or a nerrative explanation of your sighting.
il