PROJECT BLUE BOOK

—— PTET ROBT PE fy oad gore SO NET CppT (ACCRETION Oe mmr ee

PTE eT ORT LT Crue Oe 8 wee em et eee aw iat cannes: |

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ited “~ , inedeaal lle ene ae  ntreetieerteremeenditiann es ren ee ee a ———— —— OD TEP SE SD EEN
3, SOURCE 10, CONCLUSION

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4. NUMASS OF ORIECTS . ae

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9. PRYSICAL EVIDENCE

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a SL LEE LE LAE AE A TE LLL ALCOA NN CA TET LI TE ON IG SCR CN PM Oe Ol A ONT ROG EY NE NORE LAL, A ty te A Ne eR a
FORM
FYO sep 43 0-329 ( fps) Provious editions of Chia oem maay be Uood.

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? N.3, AIR FORCE FECHNICAL INFORMATION

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a rhs QUeoMenninire nos Oeewn prepared SO Phar you con give he Uy. Ale Force as mucn
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information as possibls concerning the unidentified cerial phenomenon thot you have alanis

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‘loose iry to cnswer as many questions 33 you possibly con. Tha information that you giva wi'!

be . ded tore research purposes, Your name will not bea used in connection with ony siateameani:

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iysions, or publications without your permission, Wa request this personal information

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that if it ia ceemed necessary, we may contact you far further datails.

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| 1. Whan dic you see ths object? 2. Time of days, sé aif 22.
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b, Ceres “bh, Standard

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4, NTO Were you Worn you Saw The onjecr:

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Mecras? Postal Address City or Town irote ar Cosne

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5. How long wos object in sight? (Tetal Duration} 3 . |
3, Row jong wos osject In signt? (Tetal Duration) ee eee, Seen :

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Page 3
TOP PO ees OF © OM Oe Oe Pt mm Oe me

Se OF rel eRe 18 6 E+ OR et ee, BE Pe RE I ee 66 em Om OO ele Ore eGabes Tete e OT ND CME ee

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M4, Did the oopsct disappear white you were itching Fae ~O, how?

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No Won t Know. tn You JASweaTey SNS ad ori tall Wiyai

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15, Did the obfser move behind something at any time, perticulurly a cloud? ; ;
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(Circle One)
Sener rs

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tt moves Saniad: _ _ ) Lol de eae.

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Me OR gy A a AE AL AOL A AL ALLE LAG A
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16. Did he o2 bef move in ifOn? oF samMeMung ai any time, p rricularly 9 cloud? ’
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; he) SOF rere and oel fg. See _ pa te Ee ) rT A ph moray atnmrente we ae SD easeeee dhoewte-ce-0e eewcem eo }
he ed -_- SS Sete Ee ee ee —_— eee eee net tenn teeny ep nan Ae a a es eee ‘
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13, We wish to knew ths angular sizes. Hold a mutch stick ot arm’s length in line with a known cbjact and noi ah
4 . ° bi« a F ‘ e ~ . a ‘ . : a Me ;
much of the objact is covered by the head of the match, If you had performed this experiment at the tims of ine |
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sighting, how much of tha ohject would hove been covered by the match head? ;
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19, Draw o picture ther will show the shape of the objact or objects. Lebel and include in your sketch any detotls

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Place on ar-sw beside the drawing to show the direction the object was moving.

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of fhe abject frat you saw such as wings, protrusions, ete., and especiaily s choust frails or vopor trails.
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2). Do you think you can estimote the speed of the object?

(Circle One) (Yas No
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if you answered YES, then what speed would you astin.ate?

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21. Do vou think yrv can ectimote how far away from you the object was?

( srcie One) Yas i No Li wf

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[F you onsewsred YES, thon how far awoy wauld you s ay it wos?

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wh “et were OU located wher You Sow ne opjech? f 4, were you (Coie ia (hae)

ao. in the business section of u city?

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b. Inc cor c. In open countryside?

d. Near on oisfield?

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J. In an sirpione Gype) , e, Flying over a city?

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; 24. $F you worse MOVING IN AN AUTOMCSILE or ofnar vehicle at the time, then cainplete the following questions: 4
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24.1 Whar direction wera you movin3? (Circle One) 3

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Ge. i aca) Cs Sas? Qo, oQouMTn ° fe

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Dd. Northeast d. Southeast ft, Southwest h. Northwesr

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4.2 How fast were you moving? —._- miles per hour. ‘

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; “A Dit. ~ ntar ? ocry time whi] 9uU Were le kin a? the obiect? '

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(Cirela One) Yos No ‘
: ee le ete i a A A A LL LLL LL LLL LL LE LE IO oo —e- - ee oe ee -_ - eo —_—-+ a. or @< e+ ow — ee i
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| 25, Old you observe the object inrougn ony of thie foliowing? :
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: b, Sun gias3e8 Yos No f. Telescope Yas No ;
, c. Windshisic {2s Mo g. theodolite Yeas No :
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d. Window stess Yo No ARCO2 io yo Melt Ae MR SCE “ -
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; 25. in orcer Mm ?vou can give o5 cleor Oo piciure 75 pPoSStio, Ci whe b) y¢ SQw, Gescrive your ow \ ) . S! 12 4
} : : ‘ ‘ J sey af ! suld a} af aime Gopedronce as Me object which vou sow
/ objec? oF onjects which, when piccead up In ihe aky, Would give Me same Copearance O8 Tie OG: ach which y ow sy i
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27, In the followlng skatch, imugine tha? you ora at the poln) chown. Ploce on “4.” on the curves bine to shew now
high the object was cbhoye the horlzon (skyline) whan yeu first saw It, Ploca a A" on the sama curved Tne to
i ahow how high the object was chova tha horizon (skyline) whan you last sow ii. Place an ‘A’ on the compess

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when you firs? 907 It. Ploea 9 "3" on the compass whores you last saw the object,
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90?"

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28. Draw a sisture thet will show tha motion thar the object or objects moda. Placa on A‘! at the beginning of ina

path, 0 'B"" ot the end of the path, aod show aay changes in direction during the course,
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29, IF thers was MORE THAN ONE object, than how many were thers?

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Draw a pictues of how thay wars urranged, and pu? on arrow to show the dirsction that thay were traveling,

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UN YT ee ET PPPOE TS TILT TRY PRA FT Ao mai OTe ‘ . dase) I a Nils Ne a ei Slee ae

meet me

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» Was onyone #!se with you at the tima you saw the object? (Cire/ea Ona) Yos MO.

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31.2 Please !is? their names and addresses

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f 34, 18058 Give he following iniormMation choulr yourseair; .
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