PROJECT BLUE BOOK

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PROJECT 16073 RECORD
2, LOCATION ;

Blauvelt, New York

3. SOURCE 10, CONCLUSION

X Possibly Astro (REFLECTED MOONLIGHT) z

One or More
3. LENGTH OF OBSERVATION

One Hour
. TYPE OF OBSERVATION

on was that light was moonligt.
Tl. BRIEF SUMMARY AND ANALYNS

Twy youths 11 am 13 observed object between 4 ami 5 AM on th
morning of 13 July. Initial impression was moonlight. 2d bo
said it moved. Moved in different directions, Observed for
about one hour. Whitish, metallic sheen. Seemed to be four
of the lights. Foggy night. Lights hovered over the nearby
houses, Faded away about 5 AM. Then btosy decided to tell

Farents, Object drifting South. Located in West. Moon at

19.04h Right Ascension, placing it in the SW 10 deg: elevation
230 deg azimuth. Full moon on 13 July at 1700. Form 164 sent
but not returned. Evaluation based on limited data. Possibl
reevaluation if additional data is presented.

Grournd=-Visual
7. COURSE

Hovered and Moy ed
8. PHOTOS

CO Yes
LANG

-. PHYSICAL EVIDENCE

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

ws

See lo nen nT een IN see Se atta wey ey Sa ae

oon in position of reported lights. Fog in area. Initial imprebs-

ee

Page 2

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

|

b, A few

<A sect ght — pitch dork |
d. Don't remember d. Don’t remember |

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

etn Se BOLE BS Be PISS oi .t

CLOUDS (Circle One): > *\... , _-, WEATHER (Circle One):

a. Clear sky es : a et
b. Hazy >

ce Scattered clouds...4..: ' ¢. Moderate or heavy rain
d. Thick of heavy clouds d. Snow

2. Foesy cial _ @ Don’t remember

sme tt." Thee : * ee | bee a -—

10. The object cppeared:; (Circle One):

a. Solid

b, Transparent @. Don't remember
ce. Vapor

If it appeared as a light, was it brighter then the brightest stars? (Circle One):
a, Brighter. px c. About the some

Ste d. Don't know

11.1 Compare brightness to some common object:

12. The edges of the object ware:

(Circle One)s G_Funsy or blurod

¢. Shorply outlined : } d
d. Don’t remember _ .

13. Did the object: (Circla One for sach question)
a. Appear to stand still at ony time? No Don’t know
b, Suddenly speed up ond rush away atany time? = Yes R Don’? know
c. Break up into parts or explode? Yes (NXo> Don’t know
d. Give off smoke? | Yes Np Don’t know
e. Change brightness? Yos (N> Don’? know
f, Change shape? 4 an No Don’t know
qe Flash of flicker? Yas Nd Don’t ‘mow
h. Disapoecr and reapoear? Vos No ' Don’? know

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14,

15.

16.

17.

(AYRT =...

Page 3

é
Did the aay disappear while you were wotshing it? 1f so, how? Yes LP Jen Ld fade

S$

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

(Circle One): . —. Yes ras) Don’t Know. IF you answered YES, then tell what
w¥ ue tf - »~& — 9
it moved behind: Pr sled 1 SP I . Jane Ox

ee

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

(Circle One}: Yes (io) Don’t Know. . IF you answered YES, then tel! what

in front of:

—--

— —— —

_—— =—s

o> ems 8 ee EE ee ET ES ee ee ee

Tell in a few words the following things about the object:

9. Sound Aoumd Dike ar Laginp 4 =
2 fpr 2 ie

19,

-
b. Color aa a= cal AA ft od aN . Ae hod * ae 4a/4 Aha Z Li 0 4 d.

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 tims of the
sighting, how much of the object would have been covered by the match head? Ro _Adatie. at

Draw 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 saw auch as wings, protrusions, etc., and especially exhaust trails or vopor trails.

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

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4 y | " >
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20. Do you think you can estimate the speed of the object?

(Circle One) Yes

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

— —

—— _—_—_—_—----—- nk ee ° —_-_- —— — SE aS
.

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

Cirel
% (Circle One) pee & No

LF _you answered YES, then how far away would you say it was? vst SBR OD- 10 agile eoetett Ti

22._Where were you located when you saw the object? | 23. Were you (Circle One) |
(Circle One): a

a. in the business section of a city? ©

a., inside a building __.. b. In the residential suction of a city?
b. Ina car c. In open countryside?

c. Qutdoors | d. Near an airfield?

d. {nan airplane (type) e. Flying over a city?

e. Atsea . f. Flying over open country? ob
f. Other) __-#7 “4 g. Other tata) btn th Toate
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24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions;

24.1 What direction iene you moving? (Circle One)

a. North _ ¢, Ease e. South y. West
b. Northeast ni d. Southeast f, Southwest 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

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

OF Oe Eyeglasses Yes iy fia)  @. Binoculars =—s_- Yess
b. Sun glasses Yes 2 ' f. Telescope Yes
c. Windshield Yes g. Theodolite = Yes
d. Window glass Yes (No) h. Other ;

—_—

ar,
26. 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 t the same appearance as the object which you sow,

Vi 1D 012, trian, AINA agate) Abe pend a ttiwddb,

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27, In the following sketch, imegine thet you are at the point shown, Place un A" on the curves line te show how

high the object wes above the horizon (skyline) when you firs? saw it, Ploce 1 ''B’’ on the same curved line to |

show how high the object wos above the horizon (skyline) when you last suw it. Place an ‘’A’'’ on the compass
when you firs? sew it. Plece o ‘'B’’ on the compass where you /ost 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
path, a “8” at the end of the path, and show any changes in natin during the courae,

A

Y
29. IF there was MORE THAN ONE object, then how many were there? ons) a seh 5

Draw a picture of how they were arranged, and put on arrow to show the direction that they were traveling.

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Page 6

30. Have you ever seen this, or a similar object before. if so give date or dates and location.

7a

_ _—

31. Was anyone else with you at the time you sow the object? (Circle One) (Yes No
31.) IF you answered YES, did shey see the object too? (Circle

31.2 Please list their n names ond ‘oddressea¥

32. Please give the following information about yourself;

NAME
First Name.

ADDRE
Street » 73 City Sem: bete

TELEPHONE _ ae AGE /3 SEX bey

A

indicate any additional information obout yourself, including ony special experience, which might be pertinenr.

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J

33, When and to whom did you report that you hed seen the object? ~*~” oh mst) yb wthe,

x + +20 " ¢/
eR sce oe ‘ynky (7b s— v

Day = Month Year

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 not be used in connection with any statements,

conclusions, of publications without your permission. We request this personal information so
that if it is deemed necessary, we may contact you for further details. -., isa ert :

1. When did you see the object? 2. Time of day: #00

Hour Minutes

196.5 ee er (em)
£3 Saab if Z mie (Circle One): (A.M) or P.M.

— — ——--—— ——

——

3. Time Zone:

(Circle One): “a. paste (Circle One):
b. Centra b. Standard

c. Mountain
d. Pacific
S, Other

4. Where were you when you saw the object?

e’* OT 1 TT ote ¢ .

hecseas Postel Adieoes SYate of County aes
5.. How long was object in sight? (Total Duration) Ps ! Pat , Ds
x : Hours Minutes Seconds
c- Certain 7
b. Fairly certain d. Just a guess

2 /

No iv

——_ -—

ry How was time in sight determined?

5.2 Was object in sight continuously? Yes

——

6. What was the condition of the sky?

DAY © NIGHT
a. Bright a,-Bright
b, Cloudy (b, Cloudy)
7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One); a. In front of you |. d. To your lef
b. In back of you e. Overhecd
¢. To your right f, Don’t remember

M
FTO oct 62 164 This form supersedes FTD 164, Jul 61, which ie obsolete.

Page 2

8. IF you sow the object at NIGHT, what did you notice concerning the STARS and MOON?

8.1 STARS (Circle One): 8.2 MOON (Circle One):

(a, None) n. Bricht moonlight
A Tew \b_—Dull_ moonlight S
c. Many c. No moonlight — pitch dork
d. Don’t remember . = | d. Don't remember

What were the weather conditions at the time you saw the object?:'

“CLOUDS (Circle One): ==. ~=———S—~*«é«<(WEEATTHER(CCirccle Orne):
“a. Clear sky 7 a. D
b, Hazy b. Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow

e. Don’t remember

é! fog

10. The object appeared: (Circle One):
a. Solid

b. Transparent e. Don't remember
Cc. Vapor

-_-_-—_——_—_-— —————

1}. If it cppeared as a light, was it brighter than the brightest stors? (Circle One):

a. Brighter c. About the same
(b. Dimmer d. Don'tknow ,

11.1 Compare brightness to some common object:
a. = KA g Z oP het a LETT

12. The edges of the object were:

(Cirele Ome):C& Fussy oc blared | e. Other pie 2] Sls! a
D. Like a bright star | : (eS

c. Sharply outlined
d. Don’t remember

—- + +

13. Did the object: (Circle One for each question)
a. Appear to stand still at any time? 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 : Don’t know
f, Change shape? Yes ee) Don’t know
g. Flash or flicker? Yas (NY Don’t know
h. Disappear ond reappear? No Don’t know

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<a ote ew a —. ee seen — oe re ae ee a ee ee ee - a ——

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Page 3

14. Did the object 1 Rie while you were pausthe it? If so, how? 4B gd Mtimbs fads seisy

‘

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

(Circle One): . Yes (Re) Don’t Know. IF you answered YES, then tell what
it moved behind::— is Pama eek eel dant, EY Laem ane

16. Did the object move in front of something at any time, particularly a cloud?

(Circle One): Yes: (Re Don't Know. IF you answered YES, then tell what

in front of:

Se re ere fee teee 8 ae ©

17. . Tell in a few verde the following things about the object:

ys Ys P . 7 aye
a, Sound Al Aer ds BAN LLANES Lk = AYE? ‘ERE TSMR TY
; ® 4 yf M4 a {7 * . ;
b. Color yell 4a £ ~ > 4 nS LA) Ah BG 4 OL | “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 ts 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? La Aa Pw a

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 vapor trails.

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

wo er a

Page 4

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

(Circle One) Yes

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) | (er) No

IF you answered YES, than h

ow far away would you say it was? _200- 700 whe

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

23. Were you (Circle One)

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

a. Inside a building

b. Ina car c. In open countryside?
c. Outdoors d. Near an airfield?
d. In an airplane (type) e. Flying over a city?
e. At sec . f. Flying over open country? “a
Lhe LLY 7 M10) AGHA nA
CE Othep | r C&_ Othe? == “Ze. Ba fe

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)

@. North c, East 3 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) Yes No

25. Did you observe ‘bie ablncs through ahy of the following?

a. Eyeglesses ; 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 h. Other ___ :

ae

26. 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 saw

Ni? Hh ANAL Ini Peper bi ps wd “ in =H f

Sanit Nhe

Page 5

27. In the following sketch, imagine that you ore 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°

tS5°

28. Drow a picture that 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 any changes in direction during the course.

— _—_

ee 3
29. IF there was MORE THAN ONE object, then how many were there? fa:
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling.

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ee

PCT de 4s Mth ads todas nek Alle

Page 6

30. Hove you ever seen this, or a similar object before. If so give date or dates and location.

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) Yes» No
31.2 Please list their names ond oddresses:

ADDRESS —

TELEPHONE NUMBER i Soe Sh Sh tr |

7;

indicate ony additional informetion about yourself, including any special experience, which might be pertinent,

—omes oe ~

—_--- = -_

33. When cnd to whom did you report that you had seen the object? ~
j- : : ‘Ai &

———

Day Menth Yoor-

——

MEMO ROUTING SLIP

1 To

Re
—

4 noe
a Wa |

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Ter. J

Ai,
SS

SIGNATURE

REMARKS

FORM
OCT 60

DD:

Replaces DD Form 04, 1 Feb 0 andDD Form95, YF waa
95 1 Feb 50 which will be used until exhausted. we tens eee

REMARKS

(isiet

‘gall COORDINATION

SIGNATURE

Please send_a brochure and two copies of FTD Form Ib

to: Mrs

Blauvelt,

spoilt Biorrse rcLLAn Oa 02 hens chase oe.

FORM Popes DD? D Form bob 1 Feb net Re DD Form 98,
DD 1 OCT 60 95 1 Feb 50 will be until exhausted.

4 GPO 1961 : O-8096753

PT ry Prag eet ory

Seaectiet GT A Rae bed

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 not be used in connection with any statements,
conclusions, or publications without your permission. We request this personal information sc
that if it is deemed necessery, we may contact you for further details.

ei tion

1: When did yeu cee the chien? Tee a ree gual ee eae oN oes

tiove Minutes. ~

(Circle One): (A.M) or = PLM.

3. Time Zone:

(Circle One): Gi. Eastern) (Circle One)
>. Centra

c. Mountain
d. Pacifle
e. Other

4, Where were you when you saw the object?

Bhawelf _ Bh Parable 8.

| Neerest Postel Address City of Town “ State or Cownmty

~———-

5. How long was object in sight? (Total Duration) , es YA) | J

Hours Minutes Seconds

a, Certain |
/

b. Fairly certain d. Just o guess
5.1 How was time in sight determined? eS")

5.2 Wos object in sight continuously? Yes — No mr ss

6. What was the condition of the sky?

DAY NIGHT

a. Bright a i ht 4

b. Cloudy » Clou

7. IF you saw ne object during DAYLIGHT, where was the SUN located as you locked at the object?
(Circle One): a, In front of you d. To your left i

b. In bock ed you *, Overhecd 4

¢. To your righ? f, Don’t remember }

‘

FORM
FTD Oct 62 164 = Thie form supersedes FTD 164, Jul 61, which ls obsolete.

Vere et ae a ee oe cae