PROJECT BLUE BOOK

ae PROJECT 10073 RECORD
1, DATE - TIME GROUP 2. LOCATION

| |
_ 16 August 65 17/03304 _ Cleveland, Ohio _ oe Se
3. SOURCE 10. CONCLUSION
Civilian SATELLITE

4. NUMBER OF OBJECTS ~ Sighting characteristic of Satellite observation. ECHO II over
area at the time of the report but heading NE and not SE as the

One __|jreport states. Possible other Satellite, possible error in revo
5. LENGTH OF OBSERVATION |11. BRIEF SUMMARY AND ANALYSIS ing the direction of flight.
3 Minutes Object in sight for about three minutes. Shaped like a bean and
%. TYPE OF OBSERVATION had about the same brightness as a bright Speak Pe except that it} was
larger. Appeared as a light only no details, VYolor of white
Groum-Vis1al flams. No tail or sound. Looked lile a glowirg bean. Obser
7. COURSE at 15 deg elevation in the SE. Flight was straight directio
ard included up and down motion at regular intervals. ECHO I
SE over area at same time in flight to the NE at 54 deg elevation,
8. PHOTOS

O Yes
XXNo

9. PHYSICAL EVIDENCE

{ O Yes
| yerNe

FORM
FTD sep 43 0-329 (TDE) Previous editions of this form may be used,

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| U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prapared so that you can give the U.S. Air Force os much
| information as possible concerning the unidentified aerial phenomenon that you have observed,
Please try to cnswer as many questions as you possibly can. The information that you give wil!

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.

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1. When did you see the object? 2. Time of day: TOs” La Kase ae

Hour Minutes

16 1, Aan 65° {Circle One): A.M. or
ay

| ba used for research purposes, Your nome will not be used in connection with any statemenis,

Month Your
3. Time Zone: i
(Circle One)Ca Eastern (Circle One}; of Daylight Saving ;
b. Central ~ Standard
c. Mountain }
d. Pacific
e. Other
4, Where were you when you saw the object?
eve | bh
Cigeland =2 Ohie —_
PT at, eares? Postal Address City or Town Stote or County
1 55
eS: wa
i 5. How long wos obiect in sight? (Total Duration) CNG 5
i Hours Minutes Seconds i
i
a, Cartain c. Not very sure tf
Onan, *
( by) Fairly certain d. Justo quess |
5.1 How was time in sight determined? ]
5.2 Was object in sight continuously? ven No
r i ry
1 §, What was ine condition of the sky? 7
?
DAY NIGHT t
o. Bright Ca; Bright
b. Cloudy b, Cloudy 4

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7. !F you saw the object during DAYLIGHT, wnare was the SUN locctad as you looked at the object?

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(Circle Gre}: a, jn front of you 4d. fo your lett iif »

5, In back of you a, Overhecd 7 } Ai :

ec. To your rignt f, Don’t remember f OE’ é

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x FORM
FTD OCT 42 164 — This form supersedes FTD 154, jul 61, which Ie obsolete.

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. 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):
i (22) None a. Bright moonlight
Fy b. A few b. Dull moonlight
: ¢. Many Ces) No moonlight — pitch dark
d. Don’t remember “dy Don’t remember
b
9. What were the weather conditions at the time you saw the objec??
CLOUDS (Circle One): 1 _ WEATHER (Circle One):
(a 9 Clear sky C Py Dry
b. Hazy “b. Fog, mist, of Sight rain
. c. Scattered clouds ¢. Moderate of heavy rain .
{ d. Thick of heavy clouds d. Snow
I e. Don’t remember
10. The object appeored; (Circle One):
| a, Solid CaN As a light
b, Transparent ©. Don't remember
c. Vapor
I = ——
1}. If it appeared os a light, was it brighter than the brightes? stars? (Circle One):
a c, Brighter Ce. About the same
b. Dimmer d. Don’t know
I 11.1 Compare eriguness to 80 object: F
S| sat are ~ these sts
yp mics a ame Bt RASA
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12, The edoes of the obdiect were:

; .

(Circle One): a. Fuzzy or blurred 2. Other Yileg KH Kay

4 Like a bright stor
c? phorply outlined

d, Don’t remember

| | 13. Did the object: {Circle One for soch question) ‘
1: ) a, Appeor to stand still at any time? Yes { = \ Don’t know :
7 b. Suddenly speed up and rush away at ony time? Yes No Don’? know t
c. Srecak up into parts or explode? Yos No } Don’? know i

d. Give off smoke? Yos No | Don’? know ‘

a, Change brightness? Yos | No Don’? know 4

$, Change shove? Yas | No | Den’? know 4

g. Flash o¢ flicker? Yos , No | Don’? ‘now ;

n, Disepoeor and raappear? Yos ‘No / Don’? know

ey

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14, Did the object disappear while you were «watching it? If so, how?

NO

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

(Circle One); Yes Don’t Know. IF you answered YES, then tell what
it moved behind:

16. Did the object move in front of samething at any time, particularly a cloud? |
(Circle One}: Yes Cue Don’t Know. | IF you answered YES, then te!! wisat
in front of: ect = LF). 2 aoe I et
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17. . Tell in a fow words the following things about the object: |
a. Sound N tata 2 = me

by Calor ste Ware | inl

18, We wish to know the angular 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 ot 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. Lobel and include in your sketch any detoils
of the object that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails.

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

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

(Circle One) Yes (ne) |

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

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

(Circle One) Yes C Ne)

IF you answered YES, then how far away would you say it was?

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

a. in the business section of o city?

( bd In the residential section of a city?

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a, Inside a building

b. Ina car c. In open countryside?
(EN Outdoors d. Near an airfield?
= . . .
d. In an airplane (type) e. Flying over a city?
e. At sea f, Flying over open country?
f, Other (Aare Ne RS OOP g. Other t. 2...

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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 were you moving? (Circle One)

a. North c. East e. South y. 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 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?

co, Eyegiasses 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 es =

GS EN 8 et Oe wt RT

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26. In order that you can give os clecr 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.

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27, In the following sketch, imogine that you ore at the point shown, Place an 'A"” on the curved line te show how |
high the object wos above the horizon (skyline) when you first saw It, Ploce a “'B’’ on the same curved line to |

show how high the object wos obove the horizon (skyline) when you last suw it. Place an ‘’A”’ on the compass
when you firs? sow It. Place o ''B’’ on the compass where you /ast saw the object,

90°

75"

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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, o ‘'8”’’ at the and of the path, and show any changes in direction during the course,

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29. IF there wos MORE THAN ONE object, then how many were there? ]
Drow a picture of how they wers arranged, 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, |f so give date or dates and location,

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31. Was anyone else with you at the time you saw the object? (Circle One) (Yes) No

| 31.1 IF you answered YES, did they see the object too? (Circis One) <> No

31.2 Please list their nomes and cadresses:

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32. Please give the following information about yourself;

NAME a
Lost Name

ADDRESS

First Nom Middle Name

Street City Zone State

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TELEPHONE we. | age ls spy re

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

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

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Day Month Yoor
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