PROJECT BLUE BOOK

1. DATE - TIME GROUP

29 June 65 30/03202
3. SOURCE

Birdsboro, Pennsylvania

10. CONCLUSION
SATELLITE

Civilian

4. NUMBER OF OBJECTS
One

5. LENGTH OF OBSERVATION

12 Minutes
6. TYPE OF OBSERVATION

11. BRIEF SUMMARY AND ANALYSIS

Object like a star moving to the right am left ina ik
direction. Observed below the base of the big dipper.

' Ground-Visual CQIENTS: Object was NOT Echo I or II, or Pegasus I or Il.
7. COURSE Description of sighting is in accord with a Satellite observatign.
Possible that this object is one of the other visible Satellites
NE such as Centaur 2, Satum 5 or Tyros 9 all of which are as
8. PHOTOS bright or brighter than ECHO I.

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

.
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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 cerial phenomenon that you have ot served.
Please try to onswer as many questions as you possibly can. The information that you give will
be used for research purposes. Your name will not be used in connection with any statements,
conclusions, or publications without your permission. We request this personal information se
that if it is deemed necessery, we may contact you for further details.

1. When did you see the object? 2. Time of day; _.=2 = Zao |
Hour Minvtes
(Circle One): A.M. or ¢ P.M. ) |
< Zener bid ! ) . E (Cirel ) Day! Sa
ircle One): astern ircie One); oy ight ving
} Central : ' 4 Standard |
c. Mountain
d. Pacific |
e. Other —
4. Where were you when you sow the object?
BAL aE OT SERENE CS ENR = i PO A i eed ae |
Nearest Postal Address City or Town State or County
SM wOWN —
5. How long was sie in sight? . (Tete! Duration) Th eientt h ieintmasiasey: seitaalaiteadins i
Hours Minutes Seconds
a. Certain €. Not very sure
b. Fairly certain d. Just a guess ;
5.1 How was time in sight deleniend? .
5, 2 Wos object in sight continuously? Yes No

6. What was the condition of the sky? vv Kn OW WV

a. Bright a. Bright STARS BPPAREVT~+SY
b. Cloudy b. Cloudy VISIBLE

DAY Qicuy |

7. IF you saw see object during DAYLIGHT, where was the SUN located as you looked at tha object? MSA

(Circle One); a, In front of yee d. To your left
b. In back of e. Overhead
c. To your ri f. Don’t remember .
7) 7 pe ones rg. i a. Sy to a SNRs a ee i ic mein nme naam neal , ne ree

FTD oct 62 164 Thies form supersedes FTD 154, Jul 61, which is obsolete.

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8. IF you sow the object at NIGHT, what did you notice conceming the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):

a. None Gig, PI PPE-AR . Bright moonlight UK K row
b. Afew AF4AR LaTLY VisiGse b. Dull moonlight

Many c. No moonlight — pitch dark

Don’t remember d. Don’t remember

What were the weather conditions at the time you sew the object? DOCK VYoww

CLOUDS ( Circle One): 3 WEATHER (Circle One):

@ Clear shy, = | o. Dry
be Hazy / sane b. Fog, mist, or light rain
c. Scattered clouds - + @. Moderate or heavy rain
d. Thick or heavy clouds tt” de Snow
pois ie Don’t remember

The object gineered: Te One):

a. Solid . th 7 : @ Ase light = SFE 1Trem. 3S.
b. Transperent e. Don't remember pia te
Ce Vapor

If it appeared as a light, was it brighter than the brightest stars? (Circle One): vy RH VY ow WJ

a. Brighter i c. About the same .
b. Dimmer She ey d. Don’t know

11.1 Compore brightness to somes common object:

12. The edges of the object were: VK KROwr

(Circle One): a. Fuzzy or blurred e. Other
b. Like a bright stor
c. Shorply outlined
d. Don’t remember

13. Did the object: ~ (Circle One for sach question)
a. Appear to stand still at ony time? Yes No Don’t know
b. Suddenly speed up ond rush awcy at any time? Yes No Don’t know
c. Break up into ports 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 - ‘No Don’t know
h. Disappecr and reappeor? Yes No Don't know
TRAVELL SCO StOwseyY ) VARIED GPEED, MerED TO Ricnte And «éF

é
doe 3 To - - Ee .  ee

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‘Page 3

14, Did the object disappear while you were watching it? If so, how? YUM Kv own

—— ae

15. .Did the object move behind something at any time, particularly a cloud? pr RNOWH

(Circle One): Yes No Don’t Know. IF you answered YES, then tell what
i A Oe EE ee LE ea

16. Did the objeet move in front of semething ot ony time, particularly a cloud? YY KV ow

(Circle One): Yes No - Don’t Know. IF you answered YES, then teal! what
in front of: . tei

17. . Tell in a few words the following things about the object: UeKuown
a. Sound | | ae
b. Color

18. We wish to know the angulor size. Hold a match stick at arm’s length in line with a known object and not« 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? vt aw Wow

'
a

19. Drew a picture that will show the shape of the object or objects. Label and include in your sketch any details
of the object that you sow such as wings, protrusions, etc., and especially exhaust trails or vapor trails.

Place an orrow beside the drawing to show the direction the object wos moving.

TRAVELLING MLR TREAT

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

21

> ae eo — ee «2 © - a - a 7 ~
- _ —_— - i
-

(Circle One) Yes No
IF you answered YES, then what speed would you estimate?

+ Do you think you can estimate how far away from you the object was? U &’ Kan Ow WV

(Circle One) | Yes No
IF you answered YES, then how for away would you say it was?

Where were you located when you saw the object? 23. Were you (Circle One) U¥* KN OWA
(Circle One): Un Kw eow a : |

a. In the business section of c city? |

a. Inside a building b. In the residential section of a city?

b. Inacor — : | | c. In open countryside?

c. Outdoors kid Pare. d. Near an airfield?

d. in an airplane (type) ——- ‘ hy se site P @e Flying over a city? sti
e. Atseq eer ae : "Flying over open country? - nae ae
he Giver ee i ee g. 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 One) Uv KN Awa)

a. North Cc. East : 6. South : Ye West
b. Northeast d. Southeast f. Southwest h. Northwes?

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) we ‘Yes No

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

26.

a. Eyeglasses Yes =—Ss 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 SR AN ade ccc deasinpealentlndimactslaaiiaapuindiniliee seldipiliesas

el
In 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 sow,

uw MAIl ki A

Se a

LS SA CY AS a. tk

al Fee ee ee Jer

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 composs
when you first saw it. Place o ‘’B’’ on the compass where you last saw the object. vy KK WOW

90°

75°

28. .Draw a picture thet will show the motion that the object or objects made. Place an “A” at the beginning of the
path, o *’B”’ at the end of the path, and show ony changes in direction during the course, C4 A ow WD)

29. IF there was MORE THAN ONE object, then how many were there? UV“ KV uc
Draw a picture of how they were orranged, and put an arrow to show the direction that they were traveling.

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30. Have you ever seen this, or a similar object before. If so give date or dates and location, © A) fq nooigy iy

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

31.2 Please list their names and addresses: CHMNOWW

“We Gee 1D

32. Please give the following information about yourself;

vnc SO — ae _— om

Lost Name First —e Middle ne
ADDRESS ae gage Bapshets | piewivarsn wa |
Street City ' Zore $+ ate

TELEPHONE NUMBER WU OSes. 6 AGE UN CSEX LN...

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

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33. When and to whom did you report that you had seen the object?

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Day Month Yeor
DUTY OFFICER , CEMSTE gD AFB (Ee MAND Pest)

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