PROJECT BLUE BOOK

1. DATE - TIME GROUP
arch 65 27/07002Z

NUMBER OF OBJECTS

me
LENGTH OF OBSERVATION

5 - 10 i:inutes
TYPE OF OBSERVATION

round=/isnal

PHOTOS

FORM
FTD sep 63 0-329 (TDE) Previous editions of this form may be used.

2. LOCATION

10. CONCLUSION

ATROC?PAYT
Wservali Ore

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flisht in accord wit

11. BRIEF SUMMARY AND ANALYSIS

Sright moon, cle:
oval fuzzy cdges,
Qhiceect elr
No sound,

No! fen |:

nclud ed

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U.S. AIR FORCE TECHNICAL IS SORMATION

This questionnaire has been prepared so thet you 2an give the 1.5. Ai Force as much
\ information as possible concerning the unidentified aerial phenomenon thal you have observed.
Please try to answer as many questions as you possibiy can, The information thot vou give w'il
be used for research purposes. Your name will mot be used in connection with any statomants,
conclusions, or publications without your permission. We request this personal information se
that if it is deemed necessary, we may contact you for further details.

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1. When did you see the object? 2. Time of day: RSs bain
Hour Minwtas
°» i {Mj iS te ‘ J i, ; |
Siti | ee des 1766 {Circla One): 7 P.M.
Day Month Y ear ,
'
'

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-

1 a i
3, Time Zone: >
(Circle Ore): a. Eastern (Circle One}: a, Oaylight Saving
b. Central -» Stendard !
c. Mountain a ; |
d. Pacific a3
3. Other cmmms :
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4, Where were you when you saw the cbject? 3
'
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Neorest Postal Address City of Town State or County
| 5. How long was object in sight? (Teta! Duration) eeertannneneEENN ai ho 6S eee eeeEE :
: Hous Minutes Secdnds ;
-— ‘
3, Certain c. Not very sure
b. Fairly certain d. Justa guess a i
5.1 How was time in sight determined? _~ oi? 4 0 a :
P ’ 7
5.2 Was object in sight continuously? Yes _¢ No i

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6. What was the condition of the sky?

DAY “NIGHT
a. Bright ‘ae Bright
b. Cloudy ‘b. Cloudy

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7. IF you saw the object during DAYLIGHT, where was the SUi located os you looked a? the object? = \

(Circle One): a. In front of you d. Ts your ieft
b. In back of you @. Overheod
¢c. To your right §. Dan’t remember

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FORM
FTD OCT 62 164 This form superaed-s © TD 154, Jui 61, waich 1» obeolere.

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Page 2

8. IF you saw the object at NIGHT, what did you notice concerning the STARS ond MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):

a. None a. Bright moonlight

b. A few b. Dull moonlight
"és Many c. No moonlight ~ pitch dark
~d. Don't remember d. Don’t remember

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

CLOUDS (Circle One): WEATHER (Circle One):
.» y

a. Clear sky (a. Dry

‘b. Hazy Bb. Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow

e. Don't remember

10. The object appeared: (Circie One):

a. Solid —d, Asa light
b. Transparent “e. Don't remember
c. Vapor

11. If it appeared as a light, was it brighter than the brightest stars? (Circie One):

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

er

11.1 Compare brightness to some common object:

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12, The edges of the object were:

(Circle One): ia, Fuzzy or blurred SLL ee an
b. Like a bright stor | Se ene

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Ce Sharply outlined ee
d. Don’t remember

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13. Did the object: (Circle One for each 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 smoke? Yes. No Don’t know

e. Change brightness? ( Yes No Don’t know ‘

f. Change shape? Yes _No.* Don’t know ;

g. Flash or flicker? Yes Ne Don’t know ,

h, Disappear and reappear? Yes . Neo Don’? know

kee du a oe el 4 Oaths J -

14,

1S.

16.

7.

13.

19.

on} — mi, ly ’
Did the object disappecr while you were watching it? !f so, how? t 4 faeassect VMeErAwmd

4 " r ae | .
' 7. P ' es . : ; 2 « Ss 4 ef ,
Whe bar lhe, lee met Or Sikes Sym Ue edo. |

Did the object move behind something ot any time, particuiarly a cloud?
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(Circle One): "4 Yes No | Don’t Know. IF you answered YES, then teii what
it moved behind: pik At ti iS

Did the objeet move in front of something at any time, particularly a cloud?

(Circle One): Yes No Don’t Know. IF you answered YES, then teli what 5

in front of: aeration ces lial _ caitlin llaimpedlao -~|

Tell in a few words the foliowing things about the objec?:
a. Sound ae a, 1m, Bidet ie) sf , CROs SOR OP, ee ee =

ied P | j > ae ix Si -
b. Color NEE RAE Oe es Ht an ar er ae bey 2 EEE my
PD | i ,

————~----—5

;

Wa wish to know the angular size. Hold a match stick ct arm's length in line with a known object te¢ sote hu.

much of the object is covered by the head of the match, if you had performed this sxperimen? at the sims af she

‘

sighting, how much of the object would have been covered by the match head?

Oo
' . -
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_ , 0

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—_—_

Draw a picture that will show the shape of the object or objects. Label and include in your skeich any de:ails
of the object that you saw ‘such as wings, protrusions, etc., and especiolly exhaust trai!s or vaper traits.

Place an 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 oi the object?
(Circle One) Yes ¥ No n |
be ‘ o% ' ‘ a!
IF you answered YES, then what speed would you estimate? wl wae bk “oo Gas (Raila | °
21. Do you think you can estimate how far away from you the obisct was? :
(Circle One) Yes (Ne | .
IF you answered YES, then how far away would S| ns
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22. Where were you loccred when you saw the object? | 23. Were you (Circle One) °
(Circle One):
F | a. In the business section of a city?
,a Inside a building b. In the residential section of a city?
‘&% Ina car | (‘s. In open countryside?
¢. Outdoors d. Near an airfield?
d. In an airplane (type) e. Fiying over a city?
e. At sea | f, Flying over open country?
a | se
—

24. !F you were MOVING IN AN AUTOMOBILE or other vehicia at the time. then comolste the folicving auasnions: |
24.1 What direction were you moving? (Circie One) | :

a. North c. East e. South 3. West
b. Northeast d. Southeast $, Southwes? h. Northwest

24.2 How fast were you moving? _ miles per hour.

—_

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

(Circle One) Yes No

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

a. Eyeglasses Yes No e. Binoculars Yes No

b. Sun glasses Yes No f, Telescope Yes No
c. Windshield Yes No g. Theodolite Yes No
d. Window glass - Yes No 0 ee

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26. in order that you can give as clear a picture as possible of what you saw, describe in your ows worts a cart +

object or objects which, when placed up in the sky, would give the same appegrance as fre odjmc! whim you ic

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27. in the following sketch, imagine that you are at the peint siiown. Place an “‘A"’ on the curved line to show me
high the object was above the horizon (skyline) when you first sew it, flcca u ‘8"' on the sume curved line to |
show how high the object wos above the horizon (skyline) when you fast.» it. Place an‘ > on the compass |
when you firs? saw it. Place a ‘'B’’ on the compass where you jast saw tha of <er.

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60°"

45°

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28. Draw a picture that will show the motion thet the object or objects made. Picea an’ A” at tha beginning of she |
path, a *'B”’ at the end of she path, and show any changes in direction during the course.
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29. iF there was MORE THAN ONE object, then how many were there? __- rn ero db ae eenT Ne
Draw a picture of how they ware arranged, and put an arrow to snow the direction ino! they were traveling. ;
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