PROJECT BLUE BOOK

1. DAZE - TIME GROUP

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2 February 65

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3. SOURCE

Civilian

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4. NUMBER OF OBJECTS

5. LENGTH OF OBSERVATION

2 idnutes

6. TYPE OF OBSERVATION

syroum=—Visua
7. COURSE

9. PHYSICAL EVIDENCE

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FORM

2. LOCATION

10, CONCLUSION
Satellite (SCHO I)

Tl. BRIEF SUMMARY AND ANALYSIS
light dimmer then brichtest
No sound thite color. Flisht
Cassicpis. Disapneared near

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

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isappeared instantly.

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14, Did the object disappear while you were \vatching it? If so, how?

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15. Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes (N9 Don’t Know. IF you answered YES, then tell what
it moved behind: rip

16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes (No) Don't Know. | IF you answered YES, then te!! wiat
in front of: a: escees octets ek Sicaes ccc aiplcnu

17. . Tell in a few words the following things about the object:
a, Sound Vir- Lemar I lite
b. Color A $262 Lae fe Cv te D cabenwten aecaakens eas

18. We wish to know the angulor size. Hold a match stick ot arm's length in line with a known object and nom ow
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?

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19. Draw a picture that will show the shape of the object or objects. Label and include in your sketch ony details
of the object that you sow such as wings, protrusions, etc., and especially exhoust trails or vopor trails.

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

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20. Do you think you can estimate the speed of the object?

(Circle One) | Yes. fio)

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

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

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(Circle One) (Yes) No
IF you answered YES, then how far away would you say it was? S50 ste AZ fi] TK A ee
22. Where were you located when you saw the object? 23. Were you (Circle One)
(Circle One):
a. in the business section of a city?

a, Inside a building C} In the residential section of a city?

b. Ina car c. In open countryside?

GC Outdoors d. Near an airfield?

d. In an airplane (type) e. Flying over a city?

e. At sea f. Flying over open country?
+, (Oniet waa S a. ‘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 Gite)
| 6. North c. East e. South , y. West
| b. Northeast? d. Southeast f, Southwest h. Northwest
24.2 How fast were you moving? at niles per hour. |
24.3 Did you stop at any time while you were looking at the object?
| (Circle One) Yes No
25. Did you observe the object through any of the following?
o. Eyeglasses Yes ig e. Binoculars Yes Ko?
b. Sun glasses Yes No f. Telescope Yes No
| c. Windshield Yes No g- Thecdolite Yes No)
d. Window glass Yes No h. Other a] aud, Tats im a

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26. In order that you can give as clear 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 appeorance as the object which you sow

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27, In the following sketch, imagine that you ore at the point shown. Place on "'A'” on the curver! line to show how
high the object wos above the horizon (skyline) when you firs? sow It, Place 9 ‘'B’” on the same curved line io |

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

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

29. IF there was MORE THAN ONE object, then how mony were there?
Draw a picture of how they were orronged, and put on orrow to show the dirsction that they were traveling.

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30. Have you ever seen this, or a similar object before. “ 30 gies date or dotes ond location.

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31. Was anyone else with you at the time you saw the object? (Circle One) Yos (Ny)
31.1 IF you onswered YES, did they see the object too? (Circle One) Yes No

31.2 Please list their names and addresses:

| 32. Please give the following Information about yoursalf;

| NAME — ABeneres,

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Last Nome First Name
ADDRESS | — {#2 eid Pe Yueh crn re |
Street ot City State” :

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TELEPHONE NUMBER 32-7 7°22 AGE ra 7 SEX f/x

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Indicate any additional information about yourself, including any special experience, which might be pertinenr.

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33. When and to whom did you report that you hed seen the object? Lorre hte SPO Le bots et a, =
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USAEL is & =

16 Pebruary 1965

Dear Mr. Sa

This is in reply to your letter of February 2

in which you reported observing an object which you
could not identify.

In order for the Air Force to analyze your
report, the attached PTD Porm 164 should be completed
as fully as possible and returned to this office.

You will be advised of the findings of the Air Force.

Sincerely,

MASTON M. JACKS

Major, USAP

Public Information Division
Office of Information

1 Atch
FTD Form 164
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ee REESE a TTI Le

Dear Mr. (is

Project Blue Book, the Air Force project on
unidentified flying objects, is not classified.
Attached is the current report on Blue Book which
will answer the questions posed in your letter.

There are no photographs of unidentified
flying objects. The photographs that have been
submitted were determined to be a misinterpretation
of natural or conventional objects.

Sincerely,

MASTON M, JACKS

Major, USAF

Chief, Pictorial Branch
Public Information Division
Orfice of Information

1 Atch
Report

A Michigan

OY Re eh FT PEE

U.S. AIR FORCE TECHNICAL INFORMATION

This questionnaire has been prepared 30 that you can give the U.S. Air Force as much
information as possible concerning the unidentified aerial phenomenon thet you have observed.
Please try to onswer as many questions as you possibly can. The information that ycu give will
be used for research purposes. Your name will not be used in connection with any statenienis,
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.

1. When did you see the object? 2. Time of day: ae. = 30
j tiovr Minutea
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pA OS Z4 ; z 4 ~ 2 {Circle One): A.M. or (PW
Day Month Yoor ;

3. Time Zone:
(Circle One): fad Eastern (Circle One): a, Daylight Saving
=. Central b, Standard

c. Mountain
d. Pacific
| e. Other

4, Where were you when you saw the object?

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Neores? Postal Address . City or Town Stat» or County

ie. = How long was object in sight? (Tote! Duration) Sn ae
Hours Minutes Seconds
(a) Certain c. Not very sure

b. Fairly certain d. Just a guess

5.1 How was time in signt determined? = ON uae ”
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5.2 Wos object in sight continuously? “ Yes _} Ne
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( i; 6. What was me condition of the sky?
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ff DAY NIGHT
| a, Bright (a) Bright

b. Cloudy b. Cloudy

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7. \F you sow the object during DAYLIGHT, where was the SUN located as you locked a! the object?

(Circls One): a. th front of you 1 Ta vour ler
bh, |n back of you >, Overhecd ;
c. To your rignt f. Don’t remember ‘
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| FORM

FTD OCT462 164 = Thie form supersedes ¥ TD 164, jul 61, which le obsolete.

Page 2

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

8.1 STARS (Circle One): 8.2 MOON (Circle One):
\. a. None a, Bright moonlight
b, A few b. Dull moonlight
(Cy Many (€) No moonlight — pitch dork
d. Don't remember q, Don’t remember

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

CLOUDS (Circle One): _ WEATHER (Circle One):
Clear sky 6) Dry
Sb. Hazy b. Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
d. Thick of heavy clouds d. Snow

2, Don’t remember

10. The object apseored: (Circle One):

0. Solid (4) Aza light 7

b, Transparent 2. Don’t remember :
c. Vapor
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1}. If it appeared as a light, was it brighter than the brightest stars? (Circle One):

a, Brighter c. About the same
(,) Dimmer d, Don't know

11.1 Compare brightness to some common object:

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12. The edges of the object were:
(Circle One): a, Fuzzy of blurred e. Other
(BD Like a bright stor |
c. Sharply outlined ;
d. Don't remember
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13. Did the oniect: (Circle One tor gach question)
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a, Appeor to stand still of any time? Yes No) Don’t know :
b, Suddenly speed up and rush away at ony time? Yes No) Don’? know $
c. Break up into parts cr explode? Yes Ne Don’? know i
d. Give off smoke? Yes (No Don’t know :
e. Change brightness? Yas Slo} Don’? know D
f, Chenqe shape? You (Sos Dna’? “now

5s. Ficsn or flicker? os 9 Jon’? ‘mow
4, Disenoeer and reappear? fos i9 Don’? know

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