PROJECT BLUE BOOK

1. DATE - THME GROUP 2. LOCATION
17 Junuary 65 17/17464 Dorest, Epnce west Iudies
3. SOURCE 10. CONCLUSION
Civllm SATELLITE
4. NUMBER O* OBJECTS
Gre
5a LENOTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
1 Ninute 20 Seconis Onjast like a star. Observed directly ovorhead in fligho to
5. TYPE.OF CBSERVATION SZ. Disappearance blocked fron viow by bnildings. Light
metal, elrcular. I Estivated at 37' cireunference. Jlue and
Ground-'isval red color.
7. COURSE
CE3ITS: Desoription of object and fligt ara consistant with ooject Digt are consistant with
reported Satellite observations. reported Satallite observatlons. Eaio II was over the Pouthern Edio II was over the Pouthern
B. PHOTOS Hetisphere. Hatisphere. ECHo I was at 45 deg North, 90 deg West at the ECHo I was at 45 deg North, 90 deg liest at the
raported tine of the observition anlwould not be visible bo an raported time of the observition anlwould not be visible bo an
Ys Yas observation of one of the odner Satellites visible to the naked observation of one of the obner Satellites visible to the naked
XOCNo eye.
2. PHTSICAL EVIDENCE
Ys Yes
No
FORH FORH
FTD SHP 63 D-329 (TDE) FTO SHP63 0 0-329 (TDE) Peevious oditlona of ihin form tay b uand. Previoua oditiona of ihis form may ba uand.

8. IF yeu saw the object as NiGHT, YWiLIGHT, or DAWN, whIt did you hotice
cancerning the STARS and MOON?
B.I STARS (Cindle One): 8.2 MOON (Cirle One):
a. Nona .Bright moonlight
DATew b. Duli moonlight
c. Many c. No moonlight-pitch dark
d. Don's romember d. Don'tamember
9. Wis the obisct brighter chan the background of the sky?
(Sircle One): Y b.No c. Dan't remenber
10. IF is was BRiGHTER THAN the sky krackground, was che britheness like that ofan
ausblehaiithe?:
(Circls Oned: a A mnlle or more away (a distxut car))
h. Several blocks sway?
c. A block away?
d. Sovaral yards away?
. Other
H. Did the object: (Cuicle Ore (r eoch queation)
2. Aes to stand sull at any time! Yes No Dlon'sknow
b. Sddeniy speed up and ruash away at any sime? t-o Dan't konow
c. osk up into parts or explode! Yes No Don't know
d Gie off amaket Ye4 No Doa'sknow
e.Caarge brighnenst Yns 1o Don'sknow
Coangeshpet Yez tio Don'eknow
2. Aicker shrob, or pulsate? Aicker shrob, or pulaste? Ye Yea No No Don'tknow Don'sknow
12 Did the ohect mone bahlod sonecbting it any time, partieularly a cloud? 12 Did the obect mone bahlod comechting it any time, partieularly a cloud!
(CCV (CCO Yos 1=1 Con'tkndw Con"sknaw. F you an-wrud YE, thaw tel 1F you an-erud YEs, thaw tel
what I moved beblnd: what It moved beblnd:
13. dld the object mave In front of somneching at sny time, particularly a cloud? 13. dld the object move In front of somneching at sny time, particularly a cloud?
(Clecle Ooej: Yes (No (Clecle Cuej: Yes (No Don'tknow. IF you answered YES, chen tall
what tmorod la irant of: what is mosed in frant of:
14. Did the object appear: (Cirde One): )Salid! b. Transparent? c Don't know 14. Did the object appear: (Cirde One); Solidt b. Transparent? c Don't know
I5. Did you abserve the object chraugh any of che fallowing?
A. Fregicsses A. Eregicsses Yes No i. Binoculars Binoculary Ye Yu No
5. 2n glanses 5. 2un glanses Yes No: No: f. Talescoge Talescoge Na
t. Windshieid Yos No - :4 Theodolite Y No
d. Window glas Yos Yes No Other

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APPENDIX III e
Farm A
U.S. AIR FORCE TSCHNICAL INPORMATION SHEET
This questlonntire hat been prepared so that you can glve the U.S. Air
Foree s muen information s passiole concerning the unidentited sertal
phnnomenon that you have observed. Plaase try to snswer a many questions
as you possibly cau. The information that you give wil be used for research
Putrpcses, and will De regandet as condidencial rnaserial. Your name will not
b Ered in ponnectlon wirh any scacements, conclusions, or publications
without your perm ssion. Wa request chis pertonal inlormacion so that, if it
la deared necasary, we may concact you for forther details.
I. Waan did you te the objece? 2.Tie of day:
12 Hour Minutes
Day Mant9 Year (Cirdl+ Ome): A.M. or P.M.
3. Timecone:
(Cirele One): Exstero (Cirele Ore):%. Daylighe Savins
Central E. Sendard
e. Pountain
4 Pocific
Other
4. Whera were you hen you saw the object?
Nasrese Potia
Addicionad remares
5. Estlmate how lang rou saw the object. 5. Estlinate how lang rou saw the object.
Hours Minutes Seconds
5.1 Cirele one oi the foilawing to indicace how certain you are of your answer to 5.1 Circle ore oi the foilawing to indicace how cortain you are of your answur to
Quession 5
3. .. Cermin Cermain c. Not very sure Not very sura
Fdirly certaln 5 Fairly carealn d. Just a guess d. Just a guess
6. What was the condition of the sky?
(Circle One): w. Bright daylight a. Brighe daylight d. Iuse a trnee of daylight Iuse a trnce of daylight
5. Dull dayllghe S. Dull daylighe ci No trsce of daylight No trace of daylight
C. Brighe twikighe C. Bright twikighe f. Don'tremember
7. IF you sSW the ohet Jurlng DAYLIGHT, TWILIGhT, or DAWN, where was the IF you sSW the Dheet JurIng DAYLIGHT, TWILIGhT, or DAWN, where was the
SUN fnented is you loaked it the chject? SUN inerted is yrou loaked it the chject?
(CircleOne): (Circle One): 1. In front of you . In front of you d. To your left d. . To your left
b. in back of you b. in back of you 10. Overhead a 3
To your right . To your right t. Don't remember

Aibr
with sg stitimt lolsin, ito. with dog stitimst, loutlsions t
Pelome geme Pleae geme the wit the witery si, bnt I an wthy bnt I an wrthig The ialer t iaredea
De
F techialshect
=

27
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I
1
1
a

a
39. Do you thin'k you can astimace the speed of the object?
(Circle One) Yos No
IF you snawared YE5, chen what speed wuid ou estimate? -- m.p..
40. Da you shink you can aclimate how far sway rom you the woject was!
(Circle One) (Yes No
IF you answarad YEs, then how far away -ould you sy it was? fare.
41. Please gire the faltowing infarmation abrut yourself:
NAME
Pidele Nama
ADDRESS
TELEPHO NE NUMHER
What is your aresent jolt
Aze Sx
Please indiace any apecial oducatiomal trsining that you have had.
.Grane s20
5. Hign school (Tym) (Ty)m)
c. Collezs 1. Other speclial (rsising m 1. Other speclal (rsising --
9 d. Post rraduate d. Post readuate
4Date you complieted this quietlonaire: 4Date you completed this quetlonnaire:
Day Monch Manch Your Year

34. Whst were the weather conditions at the time you saw the objact!
34.1 CLOUDS (Cirtle One) 34.2 WIND (Cirele One)
3. Cloar sky No wind
5. Haty Slight lreeze
c. Scattered clouds c. Serong wind
d. Thick or hetry clouds d. Don't remember
o. Don's remember
34.3 WEATHER (CInie Ore) 34.4 TEMPERATURE (CIrce One)
2. Dry B Cold
b. Feg. ralst, or light rain C. Cool
d.5now. Moderite or heavy rain Warm
. Don't remember d. Hoe
. Don's romember
33. When did you report to some oificlak shat you had sean the ubject?
Dhy Monch
Year
36, Was anyome risr with you it the cime you saw the object?
(Ckrete One) Yes No
35.1 F you anawered YeS, did chey see the abjnct too
(Circl+ One) Yes No
36.2 Pense liat zhuir cames and addresses:
37. Was he he Trat time that you had send an object or objeats like this? Wis e the frat time that you had seed an object or objeats like this?
(ircle One) (Ctrcle One) Yes (N
37.1 F ou answered NO, then when, where, and under what cireumcaaces did 37.1 F ou answered NO, then when, where, and under what cireumtcaaces did you iieg other onesl you iee other ones!
+-
In your opinion what do you think the objeet was and what might have caused it? In your opinion what do you think the objnet was and what might have caused it?
T1 - T
ap hegtu
.

32. In he lollowing sketch, fmagine that you are at the poine shown, Pace an "A" on sha curved
inatosaw how high cheolject ws above the horizon (okylina) wlen yoy Eirstsawit, Plaze
'g on the wame surved line io show how high the ubject was above the horiton (aky-
tina) when you last saw ic.
3 I the followingaerketch place n"At the aulition chie ohjoctwwlyou firat
it, ard a "g" s s csion when you lost sawit. Roler cosmailer sketch as an sxkmale of
how to campiete . arger rketch. how to campiete o arger sketch.
3
8
.

25. Where wers you located when you 26. Ware you (Circle One)
ax che ubject? (Cirtle One):
a. In the business section of a rity?
s. frside a building b. in the residential section ofa city?
b. to a car In upen countryside!
6. Qutdoors d. Flying near an sirfieid?
d. Io aa sirpiane #. Tlying over a city?
.At10 1. Flying over apen country?.
1. Other . 8. Other
27. What were you doing at the cime you saw the objeet, and how did you hapoen to
nosice et
28. If you -er MOVING IN AN AUTOMOBILE or other vehIdle at the time, then
combiete thn folowing sutiona:
2.1 Wat diretion were you maving?(Circle One)
Nargh C. Enst o. South i. West
. Northest d. Southenst 1. Southwet I. Northwes:
23.2 now fast were you mowlng? miler per hour
28.3 Did you stop at amy cime while you ware looking at the objece?
(Circle One) You No
29. What dirretion ware you looking when you first sew the object? (Cirele One)
North Exst . Souch 2. West
. Noartheut Nxorthet U. Coutheast . Southeast f. Southwest h. Northwest
30. What direrclon were you lenking when you lat saw the oliy sct (Circle (One) 30. What dirercion ware you fenking when you fut saw the olisct! (Cicle (One)
aNorch a.Norh C. Rat C. Rut e. Douan . Wast
b. Nerchease b. Nerahease d. Southease i. Southwese h. Northwest
31. If you are familiar with besring cerms (angular dirnction), ty to estimate the If you are familiar with besring cerms (angular dienction), ty to estimate the
nuber of segrees the object wu from true North and siso the number of degrees
it was gwird from she horizon (nlevation).
31.i When it lirst appeared:
. From trus North dogrnes degrnes
b. From horison degrees
31.2 W-en it disappeared:
1. From true North 3. From true Narth dgre -degrens
. From horizon . From horizon .degrees degrees
,

15. Tell in a few words the foliowing things sbout the abject.
a.Sound
b. Color
t7. Draw a picture that will show the shape af the object ur abjects. Labed and includa
in your skatch sny detais at che object that you an such as wings, brocrusions.
ete.. snd especlaly ehaust smils or vapour trais. Place an srrow beside she
draving to show the direction the abiece was maving.
27
ESE
15. The sdges of the object ware:
(Circte Onejta. Fuzmy orNiuered (Circte Orejta. Fuzmy orNiuered 6 Other a Othar
b. Like a brighe ssar
c. Sharply oulined C. Sharply oylined
d. Don's remamber d. Don't remamber
1. IF thers was MORE THAN ONE aaject, then how many were thare? 19 IF there was MORE THAN ONE soject, then how many were thare?
Draw s picture of how thay were arranged, and put an arrow to show the directlon Draw 3 picture of how thay were arranged, and put an arrow to show the directlon
that they ware traveiing. that they ware traveling.
.

20. Driw a picture that will shiow the motion thac the objuct or objeets made, Place
an " at che begianing of the path, x'"at the end of the path, ind show any
changas ia direction during tha course.
21. iF Possi3li. try to guess or estimaes what the real size of the objact wa in its
longss dimension. leet
2 hlow sarre did the object ar abjects appear is compared with ane of the follawing
ajeces reid in che hand and it sbout srm's laagth?
(Cirale One)e S. Hesd of a pln E. Silver dollar
b. Pea h. Dasebail
c. Dima I. Grapefruit
d. Mickal 1. Duketball
e. Ousrter k Ocher
. Hsif-dollar
22 Crsd- Ore af the following to ladieace how cartsin you are of your amswnr to 22 ICrsd Ore af the following to ladieace how cartsin you are of your arswnr to
Euestion 22. Euestion 22.
a. Cortain a. Cortala e. Not vary sure c. Not very sure
b. fairly certaia b. Faiciy certaia d. Uncartain
33. How did tne obsect or objects disapsear Irem view! 73. How did toe obiect or objects dlsapsesr irom view!
24. Is arder that you can give as clear a plcture as nossible of what you saw, we would Is arder that you can give as ciear a plcture as nossible of what you saw, ee would
lis for you o magine shat you could conscruct the object shat you saw: Ofwhat lika for you o magine chat you could canscruce the object that you saw:Oiwhat
Cyp acerid wouid you mike it? How farge would it be, and wnat sthape woold it Sypw "acerid wouid you mae it? How large would it be, and what shape woold it
hava!  ecroe in your own words s common obinct or abjects which when plsced hava! Searton in your own words  common obinct or abjects which when plsced
up a cne sky wouid give the same apperance as the abject which you saw. up a e sky wouid give the same appearance is the abject which you saw.
1
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