PROJECT BLUE BOOK

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1. DATE - TIME GROUP 2. LOCATION

mts 6). Q8/09207

SOURCE 10.

Civilia
NUMBER OF OBJECTS

Two
LENGTH OF OBSERVATION

45 riinut es
TYPE OF OBSERVATION

Ground-Visual

PHOTOS

0 Yes
7 Ne
PHYSICAL EVIDENCE

O Yes
gq Ne

FORM

CONCLUSION

Astronomical (VENUS)

BRIEP SUMMARY AND ANALYSIS

Object appearing like a flood light with erratic motion
observed in the East at about 25 deg elevation for over 45
minutes. Color white with changes to red occasionally.
Small, Estimated to be 2 miles away. Observed from car
noving 30 miles per hour. Object separated and smaller
object appeared over the main object also observed Wy about
17 other witnesses.

FTD sep 63 0-329 (TDE) Previous cditens of this form may be used,

U.S. 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 aerial phenomenon that you have observed.
Please try to answer as many questions as you possibly can. The information that you give will
be used for research purposes. Your name will mot be used in connection with any statements,
conclusions, or publications without your permission. We request this personal information so

that if it is deemed necessary, we may contact you for further details.

3. Time of dey: 2S RA

—_— ——____

Hour Minutes

(Circle One): or P.M.

3. Time Zone:

(Circle One Eastern (Circle One); a. Daylight Saving
— Central (by) Standard
c. Mountain
d. Pacific

e. Other

Oe OM

4. Where were you when you sgw the object?
aa i MbomEnce Lte

Nearest Postal Address City or Town State or County
5. How long was object in sight? (Total Duration) mieten, 2 eet a onan
Hours Minutes Seconds

Cocorain c. Not very sure
b. Fairly certain d. Just a guess

5.1 How was time in sight determined?
5.2 Was object in sight continuously? Yes L— No

6. What was the condition of the sky?

DAY NIGHT
a. Bright Bright
b. Cloudy » Cloudy

eee —— +--+ ——__-__-——_—

—. ——--—_—_-- or + ----—-

7. \F you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?

(Circle Ore): a. in front of you d, To your jai
b. In beck of you e. Overhead
c. To your right f, Don't remember

FORM
FTD OCT 62 164 This form supersedes FTD 164, Jul 61, which is obsolete.

re 2 m' | ’ —

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

CLOUDS (Circle One):

c. Scattered clouds
d. Thick or heavy clouds

The object appeared; (Circle One):

a. Solid
b. Transparent
c. Vapor

If it appeared as a light, wus it brighter than the brightest stors? (Circle One):
c. About the same

d. Don't know

11.1 Compare

The edges of the object were:

(Circle One): a. Fuzzy or blurred
b. Like a bright stor
arply outlined
- Don’t remember

Did the object:

a,
b,

Cc.

8.2 MOON (Circle One):

a. Bright moonlight
b. Dull moonlight
No moonlight — pitch dark

d. Don't remember . Don’t remember

WEATHER (Circle One):
CoA
>> Fog, mist, or light rain

Moderate or heavy rain

Snow

Don’t remember

As a light

e. Don’t remember

Brighter
b. Dimmer

object:

piv to some ne wT

. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One);

Appear to stand still at any time?

Suddenly speed up and rush away at any time?
Break up into parts or explode?

. Give off smoke?

Change brightness?

Change shape?

Flash or flicker?

. Disapoear and reappear?

(Circle One for each question)

Don't know
Don't know
Don’t know
Don’t know
Don’t know
Don’t know
Don't know
Don't know

Page 2

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Page 3

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

/V O

15.

SO AO mm

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

(Circle One): Yes Don't Knew. ses hand Yak, tok wl hee
it moved behind: ' salaloisaesilicaes ?

———— fe

-—. . od

(Circle One): | J IF you answered YES, then tell what

in front of: — ss — ———

V7...

Tell in a few words the following things about the object:
a. Sound ‘a 0 a a Se ee eee

= fy ats ‘

b. Color | i= Delo “ly : |
eS a

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

19.

aay. os

Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details
of the object thet you saw such as wings, protrusions, etc., and especially exhaust trails or yapor trails,

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

. i

<-()->

en ae Fe ee ER

Page 4

20. Do you think you can estimate the speed of the object?
(Circle One) Yes No

IF you answered YES, then what speed would you estimate?

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

(Circle One) ae, No

IF you answered YES, then how far away would you say it was? _A Ar

23. Were you (Circle One)

22. Where were you located when you saw the object?
(Circle One):

a, In the business section of a city?
b. In the residential section of a city?

Gr open country side?
. Near an airfield?

a, Inside a building

Cb In a car

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

a ee ae

—-

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 Co, East e. South g- West
b. Northeast d. Southeast f. Southwest h. Northwest

24.2 How fast were you moving? miles per hour.

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

(Circle One) < Yas No

25. Did you observe the object through any of the following?

a. Eyeglasses at No e. Binoculars . Yes De ,
es

b. Sun glasses No f. Telescope Yes No
c. Windshield Yes g- Theodolite Yes No
d, Window gloss Yes Yo h. Other = :

—-— —_—

—_-__—<-— —_—-— ——

—— a i ere

‘26. \n order that you can give as clear a picture as possible of what you saw, 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

Beek BA. K wpprry 0220 by 4ybr

AA Gay Vere . GQ ALinnw a AltA.

hit an. pawrd re a

oe ee eo —— =

Page 5

27. In the following sketch, imagine that you are at the point shown. Place an ‘’A”’ on the curved line to show how
high the object was above the horizon (skyline) when you first saw it. Place a ‘‘B’’ on the same curved line to

show how high the object was above the horizon (skyline) when you /ast saw it. Place an ‘‘A’’ on the compass
when you first saw it. Place a ''B’’ on the compass where you /ast saw the object.

90°

TS"

~~

28. Draw a picture that will show the motion that the object or objects made. Place an ‘‘A’’ at the beginning of the | ts
path, a ‘'B’’ at the end of the path, and show any changes in direction during the course, |

os

|
29. IF there was MORE THAN ONE object, then how many were there? —_ ZZ. vetetidipen |
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling.

/

Page 6

30. Have you ever seen this, or a similar object before. |f so give date or dates and location.
J >
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) No

31.2 Please list their names and addresses:

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32. Please give the following information about yourself:

Last Neme First Name Middle Neme
i — Pines EL.
Street City Zone St ote

A
TELEPHONE NUMBER ace 2 Soggy TOO

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

33. When and | and to whom did you report thet bie had a the o + aa

34. Date you completed this questionnaire: a. Oa Lael MS
Day Mowth Year

35. Information which you feel pertinent and which is not adequately covered in the specific points of the
questionnaire or a norrative explanation of your sighting. |

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