PROJECT BLUE BOOK

PROJECT 10073 RECORD ATT A
1. DATE - TIME GROUP 2. LOCATION
25 August 65 0600z Burlington, Mass. Atel
3. SOURCE 10. CONCLUSION Maxvell A4B. Alobuna
Civilian Astro (Capella)
v Bianch Perdies Inst
4. NUMBER OF OBJECTS
One
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
3 min. - 5 seconds Observer was looking out of bedrocm window when he noticed
6. TYPE OF OBSERVATION a white object green.
Ground Visual turned away and
left. There was no sound noted during the signting. The sound during
7. COURSE 7. COURSE object remained po the obser-
NE vation.
6. PHOTOS .r T At the time of the time of the sighting Cape sighting Cap at at. elevation of elevation of
30°.at an azimuth of 55.
Yes Yes' -*
2 No No
9. PHYSICAL EVIDENCE
Yes SMC
No I
FORM (TDEI
ETO ETA --- ITDEI - ..•.

information as possible concarning the unidentified aerial phenomenon that you have observed.
Please try to answer y questions as you possibly can. The information that you give will
be used for research
that if it is deemed necessary, may contact you for further details.
~ 00
.When did you see the object? 1
Hour Minutes
aRout 250 1965
(Circle One): A.it. or P.M.
Day Month Yoar
3. Time Zone:
(Circle One): a, Eastern (Circle One): a.Daylight Saving
Contral b. Standard
c. Mountain
d. Pacific
e. e, Other
4. Where were you when you saw the object? 17
ar
Nearest Postal Address City or Town City or Town State or County State or County
5. How long was object in sight? . (Total Duration)
Hours Minutes Seconds Seconds
a. a. Certain c. Not very sure c. Not very sure
b. Fairly certain d. d. Just a guess
5.1 How was time in sighf determined?
5.2 Was object in sight continuously? Yes No
6. What was the condition of the sky?
DAY NIGHI
a. Bright a. Bright
b. Cloudy b. Cloudy
1003596
.IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle Ona): a. In front of you d. To your left
b. In back of you o, Ovarhead
c. To your right f. Don't remember
FORM 70 55 A2 30ELEN
FTD OCT 62 164 This form supersedes F TD 154. jul 51. which ia oheoiete.
icatieiD
B

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8IF you saw 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 a Bright moonlight
b. A few b. Dull moonlight
c. Many c. No moonlight - pitch dark
d. Don't remember d.
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky) a.Dry
b. Hazy Fog, mist, or light rain
c. Scattered clouds Moderate or heavy rain
Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One):
a. Solid d. As a light
b. Transparent e, Don't remember
c. Vapor
a. Brighter G. A hout the sume
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
12. 12. The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
b. Like a brightstar
c. Sharply outlined
d. Don'fremember
.Did the object: (Circle One for eoch question)
a. Appear to stand still at any time? Yes No Don't know
b. Suddenly s 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
o. 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. Disappear and reappear? Yes No Don't know

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Page 3
.Did the object disappear while you were watching it? If so, how?
It di Ppeantne
1015 1Sa17
Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes (N0 Don't Know. IF you answered YES, then tell what
it moved behind:
Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes No IF you answered YES, then tell what
in front of:
17. Tell in a few words the following things about the object: I7. Tell in a few words the tollowing thi gs about the object:
b. Color b. Color
. We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how 18. 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 is covered by the head of the match. if you had performed this experiment at the time of the 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?
19. 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 such as wings, protrusions, etc., and especiatly exhaust trails or vapor trails.
Place an arrow beside the drawing to show the direction the object was moving.
)

a. Inside a building b. In the residentia ection of a city?
b. In a car c. In open countryside?
c. Outdoors d. Near an airfield?
d. In an airplane (type) e. Flying over a city?
e. At sea f. Flying over open country?
f. g. Other
24. IF you were MOVING IN AN AUTOMOBILE or other vahicle at the time, then complate the wing questions:
24.1 What direction were you moving? (Circle One)
a. North c. East 0. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 F How fast were you moving? miles per hour.
24.3 Did you stop at any time while you were looking at the abject?
(Circle One) Yes No
2. Did you observe the objec through any the following?
a. Eyeglasses Yes No . Binoculars No
TW put 9
blnking onond off aiong the rim.

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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
when you first saw it. Place a "B"' on the compass where you last saw the object.
90 75°
60
C
45 NW NS
30
E
-15° 3W
35
Draw a picture that will show the motion that the object or objects made. Place an "A at the beginning of the 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 "B" at the end of the path, and show any changes in direction during the course. path, a "'B"" at the end of the path, and show any changes in direction during the course.
myll syll
29. IF there was MORE THAN ONE object, then how many were there? 29. IF there was MORE THAN ONE object, then how many were there?
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling.
B

Page 6
.Have you ever seen this, or a similar object before. If so give date or dates and location.
No
3. 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? ircle One) Yes No
31.2 Please list their names and addresses:
Er
1 lace
Thetehokes
8
32. Please give the following information about yourself:
NAME NAME
First Name Middlo Name Middle Name
ADDRESS
Street City Zone State
TELEPHONE NUMBER AGE AGE SEX SEX
indicate any additional information about yourself, including any special experience, which might be pertinent. indicate additional information about experience, which might be pertinent.
33. When and to whom did you report that you had seen the object?
2 T
Day Month Year

Road
1 7
Bor 3 Mass
,

Dear Me Poe jf
Blue 30
I me
V. MY
answen
Somme
Hre Quesmion 3 that I did
rund
wosn
/ingSoucer
C ooTed
-
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