PROJECT BLUE BOOK

PROJECT 1OO73 RECORO
1. DATE - TIME GROUP LOCATION
3 October 1965 03/1257Z October 1965 03/1257Z Independence, Independence
3. SOURCE IO. CONCLUSION 10. CONCLUSION y
Civilian Civilian Astro (ValUS) Astro (ValS)
4. NUMBER OF OBJECTS NUMBER OF OBJECTS
One Venus RAl5.17.44, Mag -3.7 at horizon, 245 des asinuth.
S. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS 11. BRIEF SUMMARY AND ANALYSIS
20 Minutes Object agpdared as a light and brightor tnan tie brightost
6. TYPE OF OBSERVATION stars, sharply outlined. Object faded from view end renppearfd
in about 5 minutes. Very-bright white cienging bo bright red
Ground-Visual (TX) Object appeared about as large as the koon, round ad moving
7. COURSE very slaw.
Not Reported
8. PHOTOS
07 Yea
TNo
9. PHYSICAL EVIDENCE
i7 Yas
CENO
FORM
FTD SEP 63 0-329 (TDE) Prevloua editiona of thly lorm oay be usad.

Page 7
34. Date you completed this questionnaire: 3 O07
Day Month Year
35. Information which you feel pertinent and which is not adequately covered in the specific points of the quastionnaire or a narrative explanation of your sighting.
apcired to desand slowly: 70
The ground
miute:
desinded T C T4e
stes betwe srgt white

U.S. AIR FORCE TECHNICAL INFORMATION
This questionnal 3 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 nor be used in connection with any stataments,
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.
1. When did you see the object? 2Time of day: 8 03
Hour Mimutes
3 0I 0 B
1965 (Circle One): A.M. A.M. or P.
Day Month Year
3. Time Zone:
(Circle One): (Circle One):Ca. o. Eastern (Circle One): _a. Davlight Saving (Circle One):_a. Davlight Saving
b. Cenfral Central . Standard .Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
Conieaton, Kentucley oation a)
Nearest Postal Address Ciyfor Town Staryor County
5. How long was object in sight? (Total Duration) O 2
Hours Minutes Saconds
0. Certain c. Not very sure
b. Fairly certain d. Just a guess
5.2 Was object in sight continuously? Yes. No2
6. What was the condition of the sky? 6. What was the condition of the sky?
DAY NIGHT a Dua at Duak
a, Bright a,
b. Cloudy b. Cloudy b. Cloudy
7. IF you saw the object during DAYLIGHT, where wos the SUN located as you looked at the object? 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 left
h. In back of you e. Overheod
c. To your right f. Don't remember
FORM
FTD OCT 62 164 This form auparsedes F TD lo4, jul 6l, whtch ia obsolete.

Pags 2
8. IF you saw the object at NIGHT, what did you notice concerning the STARS und MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One): /
a. None a. Bright moonlight
o. A few b Dull moonlight
c. Many c. No moonlight - pitch dark
d. Don't remember
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHEn (Circle One): WEATHEn (Circle One):
a. Clear sky a. Dry
b. Hazy b. Hazy b. Fog, mist, or light rain
c. Scattered clouds c. Scattered clouds c. Moderate or heavy rain c. Moderate or heavy rain
d. Thick or heavy clouds Thick or heavy clouds d. Snow d. Snow
e. Don't remember
10. Ths object appeared: (Circle One):
a. Solid d. As alight
Tronsparent Don't remember
c. Vapor
11. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
The olipt's Drigatnes wos alot the came a Venss.
12. The edges of the object were:
(Circle One): a. Fuzzy or blurred Other
O. Like a bright star
c. Sharply outlined c. Sharply cutlined
d. Don't remember
13.Did the object: 1. Did the object: (Circle One for each question) (Circle One for eoch question)
a, Appear to stand still at any time? Appear to stand stili at any time? Yes No No Don't know
b. Suddenly speed up and rush away at any time? Yes Don't know
c. Break up into parts or explode? Yes Don't know
e, Give off smoke? Yes Don't know
e. Change brightness? Yes Don't know
5. Change shape? Yes 2 Don't know
9. Flash or flicker? Yes Don't know
h. Disappear and reappear? Yos No Don't know

-
15. Did the object movs behind something at any time, particularly a cloud?
(Circle One): Yes No) Don't Know, IF you answared YES, then rell what
it moved behind:
16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): (Circle One): Yes Yes ND Don't Know. IF you answered YES, then tell what IF you answered YES, then tell what
in front of:
17. Tell in a few words the following things about the object:
b. color It changed fron white is sed
18. We wish to know the angular size. Hold a match stick di arm's langth in line with a known abject and note how
much of the object is covered by the head of the match. if you had performed this experiment af the time of the
sighting, how much of the object would have been covered by the match head?
MATCH
19. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any derails I9. Draw a picfure mat will show the shape of the ooject or oojects. Label and include in your skeren any deraiis
of the object that you saw such as wings, protrusicns, etc., and especially exhaust trails or vaper trails. of the object that you saw such as wings, protrusions, ete., and especially exhaust trails or vapor trails.
Place an arrow beside the drawing to show the diraction the object was moving. Place an arrow beside the drawing to show the direction the object was moving.
→ →.
/
i/.

Page 4
20. Do you think you can estimate the speed of the object?
(Circle One) Yes N\o
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?
(CircleOne) Yes No
IF you answered YES, then how far away would you say it was?
22. Where were you located when you saw the object? 23. Were you (Circle One)
(Circle One):
a. In the business section of a city?
a. Inside a building b. in the residential section of a city?
b. In a car c. In open country side?
c. Outdoors dNear an airfield?
d. In an airplane (type) e. Flying over a city?
. At sea f. Flying over open country?
6. Other. 9. Other_ doo
. Northeast d. Southeast F. Southwast 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 the object through any of the following?
. Eyeglasses Yes No e. Binoculars No
b. Sun glasses Yes f. Telescope Yes No
c. Windshield Yes No g. Theodolire Yes No
d. Window glass Yes No h. Other
25. In order that you can give as clear a picture as possible of what you saw, describe in your own words a common
objec: or objects which, when placed up in the sk sky, would give appearance as the object which you sow.
ppeondsomti paandsomitinay
the aome

Paga 5
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 sama curved lina to
show how high the object was above the horizon (skylina) when you last saw it. Place an "A" on the compass
when you first saw it. Place a "B" on the compass where you last saw the object.
90 !
75°
2
NW N3
30°
E
-15 3
3W 3 AJ
9
8
28. Draw a picture that will show the motion that the object or objects made. Place on "A" ot the boginning of the
path, a "B" at the end of the path, and show any changes in direction during tha course.
X g:03 2
DAJEST7
715w
29. IF there was MORE THAN ONE object, then how many were there?
Draw a picturs of how they were arranged, and put an arrow to show the direction that they were traveling.

Page 6
30. Have you ever seen this, or a similar object befor date or dates and location.
>/19165 10/2>165 all2rom
18/5165 10/28/65 Corienel
1012/65
31. Was anyone else with you at the time you saw the object? (Circle One) Yes N
31.1 IF you answered YES, did they see the object too? (Circle One) Yes No
31.2 Please list their names and addresses:
ZA
32. Please give the following information about yourself:
√V
/
33. When and to whom did you raport that you had sean the objear? 33. When and to whom did you raport that you had sean the objear?
Day Month Year

E
Page 7
34. Date you completed this questionnaire: 29 Des. 1965
Day Month Year
35. Information which you feel pertinent and which is not adequately covered in the specific points of the
questionnaire or a narrative explanation of your sighting.
was t bservin he oiject finst. colled
me and a wernt back ort and speoted the ojet which througt
was Veneo-
/
.
i

U.S. AIR FORCE TECHNICAL INFORMATION
This questionnair has been prepared that you can give the U.S. Air Force as much
information as possible concerning the unidentified aerial phenomenon that you have obsarved.
Please try to answar as many questions as you possibly can. The information that you give will
be usad for research purposes. Your name will not be usad in connection with any statements,
conclusions, or publications without your parmission. We request this personal information so
that if it is deemed necessary, we may contact you for further details.
1. When did you see the object? 2. Time of day:
Hour Mimutes Minutes
(Circle One): A.M. or P.M.
Day Month Year
. Time Zone: . Time Zone:
(Circla Onal a. Eastern (Circle One): Ci-claDaal. aOav 0. Daylight Saving Sawvin
b. Central Standard
c. Mountain
d. Pacific
e. Other
4Where were you when you saw the object?
Indeoindence
Nearest Postal Address City or Town Srote or County
11
5. How long was object in sight? (Toral Duration)
Hours Minutes Seconds
a. Certain c. Nol very sure
Fairly certain d. Just a guess
5.1 How was time in sight determined?
5.2 Was object in sight continuously? 5.2 Was object in sight continuously? Yes
Cr wiu
back
6.What was the condition of the sky? 6. What was the condition of the sky?
DAY DAY NIGHT NIGHT
a. (a) Bright
b, b. Cloudy 5. 6.
7. IF you sow the object during DAYLIGHT, whare was the SUN located os you looked of the object?
(Circle Ona): a. In Front of you d. To your left
b. In back of you e. Overheed
c. To your right f. Don't remember
FORW
FTD GCT 62 164 This form superaedes F rp lo4, Jut al, which ia obsolate.

Paga 2
8. IF 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 fow b. Dull moonlight
Many c. No moonlight - pitch dark
d. Don't remamber d. Don't remember
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER(Circle One):
Clear sky Clear sky Dry a. Dry
b. Hazy b. Fog, mist, or light rain b.F Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain c. Moderate or heavy rain
d. Thick or heovy clouds d. Thick or heovy clouds d. Snow
e, e, Don't remember
10. The object appearad: (Circle One):
a. Solid a, Solid As a light d As a light
. Transporent e. Don't remember
c. Vapor
11. If ir appeared as a light, was it brighter than the brightest stars? (Circle One):
©Brighter c. About the same
b. Dimmer d. Don't know
1l.1 Compare brightness to some common object:
12. The edges of the object were:
(Circle One): a. Fuzzy or blurred . Other
Like a bright stor
c. Sharply outlined
d. Don't remember
13. Did the object: 1.Did the object: (Circle One for each question)
a. Appear to stand still at any time? a. Appear to stand still at any time? Yes Yes 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 Yes (N3 (NG) Don't know
d. Give off smoke? Yes (Ng No Don't know
e. Change brightness? (Yes Yes No No Don'tknow Don'tknow
i. Change shape? es No Don't know
S. Flash or flicker? Yes) No Don't know
h. Disappeor and reappear? Yas No Don't know

Hq USAF SAPOICC (Mrs. Hunt)
e have received a comleted Form Léh from oI
Covington, Kentucky. This fora contaimed the inrormation
necessary for evaluation.  The-pcsition given by
who observed the object through s telescope, was low on the
horizon in the Southwest.  The tine of this obeervation was
3:03 P. M. on 3 October 1965. The planet VEnuS has a right
ascension of 15 bours and 17 mimutes. Ihis places the planet
at or. near the borizon at an azimurth or 245 degrees fn the
process of setting.
A103 FOR THE COMMANDER
A
JL

Page 3
hougon
15. Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answered YES, then tell whar
it moved behind:
16. Did the object move in front of something at any time, porticularly a cloud?
(Circle One): (Circle One): Yes No Don't Know. IF you answered YEs, then rell what IF you answered YES, then tell what
in front of: in front of:.
17. Teil in a few words the following things about the objact:
a. sound one ae ovanI can reme
b. color Chonging Alordy froa aed to whte ond rack aaei
18. We wish to know the angular size. Hold a march stick at arm's length in line with a known object and nate how
much of the object is covered by the head of the match. If you had performed this experiment at tha time of the
sighting, how much of the object would have been covered by the match head?
covned and later it wondd have beer.
1. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details 19. Draw a picture that will show the shape of the object or objects. Label and include in y our sketch any details
of the object that you saw such as wings, protrusions, ete., and especially exhaust trails or vapor trails. of the object that 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. Place an arrow beside the drawing to show the direction the object was moving.
HA1

Page 4
20. Do you think you can estimate the speed of the object?
(Circle One) Yes (No)
IF you answered YES, then what speed would you estimate?
21. Do you think you can estimate haw far away from you the object was?
(Circle One) Yes No
IF you answered YEs, then how far away would you say it was?
22. Where were you located when you sow the object? 22. Where were you located when you saw the object? 23. Were you (Circle One)
(Circle One)
a. In the business section of a city? a. In the business section of a city?
7. inside a building b. In the residential section of a city? b. In the residential section of a city?
b. In a car In a car In open countryside? In open countryside?
Outdoors d. Near an airfield?
d. In an airplane (type) d. In an airplane (type) e. Flying over a city?
e. At sea f. Flying over open country? f. Flying over open country?
f. Other Whe were inaide and ont- g. Other
24. IF you were MOVING IN AN AUTOMOBiLE or othar vehicle at the time, then complete the following questions:
24.1 What direction were you moving? (Cirele One)
a. North c. East . South 3. West
. Northeast d. Southeast . 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 the object through any of the following?
a. Eyeglasses Yes No) . Binoculars Yes
b. Sun glasses Yes NO f. Telescope NoO
c. Windshield No No g. g. Theodolite Yes Yes
d. Window glass d. Window glass Yes) Yes) No No h. Other _ h. Other _
26. In order that you can give as clear a picture as possible of what you saw, describe in your own words a common 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. object or objects which, when placed up in the sky, would give the some appedrance as the object which you saw.
tnd CarthinofaS
I
/

Pags 5
27. In the following sketch, imagine that you are at the point shown. Place an "A" on the curved lins to show how
high the object was above the horizon (skyline) when you first saw it. Place a "B" on tho same curved line to
show how high the object was above the horizon (skyline) when you last saw it. Place an '"A" on the compass
whan you first saw it. Place a "B" on the compass where you last saw the object.
90 75*
t
NW
30
15 3W 3W
ToaiM B CL
2.Oraw a picture that will show the motion that the cbject or objects made. Place an "A af the beginning of the
path, a "B" at the end of the path, and show any changas in direction during the course.
7
HORIZ
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.

/
Paga 6
30. Have you ever seen this, or a similar object before. If so give date or datas and location.
3,1k5)aty20Pn1.
a ovlaigictat alo thesareKeght (o)an the
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? (Circle One) Yes No
Blease list their names pnd addresses:
Nichdon hdeden
Nichohon ty N4
410s1
SndefindenceK SndefndenceK
3. Please give the following information about yourself: 32. Please give the following information about yourself:
NAME
Last Name First Namo Middle Nome
ADDRESS K
Street City Zone State
41051
TELEPHONE NUMBE GF SEX
Indicate any additional information about yourself, including dny special experience, which might be pertinent.
I am fauly foinelian wth theloation of ptare
fou dgece hut etept fou ths one if have din
33. When and to whom did you report that you had seen the object? 33, When and to whom did you report that you had seen the object? Sornethereat Jorne there at
WaghteKattn
Day Month Year
1

Page 7
34. Date you completed this questionnaire: 2 196e6
Day Month Yoar
35. Information which you feel pertinent and which is not adequately covered in the specific points of the
questionnaire or a narrative'explanation of your sighting.
the ojet, in the peiod of aloit io
minite the lifect tend in watt
reapfeared, tirned whide olely and
and a
wd
lihe ane aiflane o such io
hapferi we
30
HO

30todn15
OCT 3 1 1966
Dear
Your completed Form lod contained all the necessary informa-
Afr Force.
It baa been determined that you observed the planet Venus.
The planet Venus at the time and date of your sighting had a
which
would place it on the southwest horizon.
in our program is appreciated.
Sincerely,
GRORGE P. FREEMAN, JR.
Lt Colonel, USAF
Be Chier, Civil Branch
Community Relations Division
orfice of Information
Covington, Kentucky +1015
COCRDINATED By OORDINATED By Symbol, Namo, drade, Date) mbol, Namo, drade, Date)
SASOT C -A
1 A -T
T
18
- 1 Loy- SAr-OCO
Combi ny - CAF-oKC
SDTOy- SAT-CIO
.Stayback Activity oy - SAr-QIC
1

DEPARTMENT OF THE AIR FORCE OFFICE OF THE SECRETARY
MEMORANDUM
Ber-
This is the on 3
the Nar tianing the Nar tining
setin is cheng stin is chnking
Ma Bo f
② 185. 6576
2003 CST
Venus had aldynet
Ve ah at 1901 q 30l
I her depany
Constis on daglichk? Bur on daghishl?
Hf ae Vens wo righd o hos If se Vens was rughd on horyer sth
2430 st 2430 snts of dne Weat sonts of dhe West
(6 fuld) (0 fuld)

Thrie penid of /
5.8 minit
Cted Ven eppne.

DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PATTERSON AIR FORCE BASE. OHIO 43433
1
REPLY TO TDEW/UFO
ATTN OF:
JAN7 165
SUBJECT: UFO Sighting, 3,October 1965
TO: Hq USAF SAFOICC (Mrs. Hunt)
We have received a completed Form 164
Covington, Kentucky. This form contained the information
necessary for evaluation. The position gi
who observed the object through a telescope, was low on the who observed the object through a telescope, was on the
horizon in the Southwest. The time of this observation was
8:03 P. M. on 3 October 1965. The pLanet VENUS The plenet VB as a right
ascension of 15 hours and 17 minutes. This places the planet ascension of 15 hours and 17 minutes. This places the planet
at or neer the horizon at an azimuth of 245 degrees in the at or neer the horizon at an azimuth of 245 degrees in the
process of setting. process of setting.
FOR THE FOR THE COMMANDER
ERIC T. de JONCKIEZRE, COlOnEl, USAF 1 Atch
Deputy for Technology and Subsystems Address of r
SIK -
4
1A

Pago 6
3o. have you ever seen his, or a similor ebjoct dats or dates and location.
s11810s 10/37165 al Crom
101515 10/20655 Coiinso
1oNals
31. Was anyons else with you at the tima you saw the objoet? (Circle Ona) Yes D
31.1 (F you answared YES, did thay sea the object roo? (Circle One) Yos No
31.2 Ploase list fhoir nomes and addressos:
32. Please give the following information cbout yourself;
33. Whon ond ts whom did you raport thot you had soon the ebjuct?
Day Month Yoar

FTD (TDEW)
Mright-Patterson A7B, Chio 45433 a
17 December 1965
Independence, Kentucky
A review of our Oetober 1965 cases reveals that the data on your
c
two other witnesses obserred the ob.jact through a telescope. We
would appreciate it if vou eould ftil out one or the attached
12 ER Form l64s and have and comlete the other
forms attached. Upcn receipt of these completed forns we will
attempt to evaluate the sighting.
2
Sincerely,
HECTOR QUINTANILLA, Jr, Major, USAF
Chier, Project Blue Book

who cbserred the object thdovgh a teleseone, vas loy on the
horieon in the Southwest. The time of this obaervation vas
B:03 P. M. on 3 October 1965. The planet Vears has a righs
ascension or 15 hours and 17 aimtes. This places the planet
at or mear the horinon at an azinuth or ah5 degrees in ths
procesa of setting.

3a6
U.S. AIR FORCE TECHNICAL INFORMATION
This questionno us been prepared s that you can give the U.S. Air Force as much
information as possible concerning the unidentified derial 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 so
that if it is deamed necessary, we may contact you for further details.
1. When did you see the object? I. When did you see the object? 2. Time of day:_2. 2. Time of day:
Houc..Minutas Hour Minutos
3 (Circle One):. A.M. or P.M. P.M.
Day Month Year
3. Time Zone: . Time Zone:
(Circle One): a. Eastern (Circle One): a. Eastern (Circle One): a. Daylight Saving
b. Central b. Standord
c, Mountain
d. Pacific
e. Other
4.Where were you when you saw the object?
litenKentl id In epi
Nearast Postal Addres Ciry or Town State or County
5. How long was object in sight? (Total Duration)
Hours Minutes Seconds
a. Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determined? Desed
5.2 Was object in sight continuously? 5.2 Was object in sight continuously? Yes Yes No
6. What was the condition of the sky?
DAY NIGHT
a. Bright a. Bright
b. Cloudy
.
7. IF you sow the object during DAYLIGHT, where was the SUN located os you looked af the object? 7. IF you sow the object during DAYLIGHT, where was the SUN located os you looked at the object?
(Circte One): a. in front of you d. To your left
b. In back of you e. Overheed
c. To·your right F. Don't remember
FORM
FTD OCT 62 164 This Form supersedes FTn 164. jut 6l, whtch ia obsolete.
8

Page 2
8. IF you saw the object at NIGHtT, 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:Afew b. Dull moonlight
c. Many ac. No moonlight - pitch dark
d. Don't remember d. Don't remember
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): CuDs (Cireie One): WEATHER (Circle One): WeATHER(CircTe OHe/:
aClear sky a.Clear sky a. Dry a. Dry
b. Hazy b. Fog, mist, or light rain
Scattered clouds Scattered clouds c. c. Moderate or heavy rain Moderate or heavy rain
d.Thick or heavy clouds d. Thick or heavy clouds d. Snow d. Snow
e. e. Don't remember Don't remember
10. The object appeared: (Circle One):
a. Solid d. As a light
. Transparent e. Don't remember
c. Vapor
11. If ir appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter c. About the same
b. Dimmer d. Don't know
1l.1 Compare brightness to some common object:
1.The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
b. Like a bright star
c. Sharply outlined
d. Don't remember
. Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes No Don't know
b. Suddenly speed up and rush away at any time? Suddenly speed up and rush away at any time? Yes No Don't know
c. c. Break up into parts or explode? Break up into parts or explode? Yes Yes No Don't know
d. Give off smoke? Yes Yes No Don't know
e. Change brightness? 1 Yes No Don't know
F. Change shape? Yes C No Don't know
g. Flash or flicker? Yes No Don't know
h. Disappear and reappear? Yes No Don't know
2

Page 3
14. Did the object disappaer while you were watching it? If so, how?
yer feded rom vilw /
mautes
15. Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you dnswered YES, then tell whar
it moved behind:
16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes Yes No No Don't Know. IF you answered YEs, then tell what IF you answered YES, then tell what
in front of: in front of:
17. Tell in a few words the following things about the object:
a.Sound
b. Color iy Srit lit
18. We wish to know the angular size. Hold a match stick at arm's langth 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 ot the time of the
sighting, how much of the object would have been covered by the match head?
?ppeaned 260t 25hr2es The
19. Draw a picture that will show the shape of the object or obiects. Label and include in your sketch any derails
of the object that you saw such as wings, protrusions, ete., and especially exhoust trails or vapor trails. of the object that you saw such as wings, protrusions, ete., and especially exhoust trails or vapor trails.
Place an arrow beside the drawing to show the direction the object was moving.
roind round

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20. Do you think you can estimate the speed of the object?
(Circle One) Yes No
IF you answered YEs, then what speed would you estimate?. s1
21. Do you think you can estimate how far away from you the object was?
(Circle One) Yes No
22. Where were you located when you saw the object? 23. Were you (Circle One)
(Circle One):
a. In the business section of a city? a. In the business section of a city?
a. fnside a building b. In the residential section of a city?
b.ina car b. In a car c.in open countryside? c.in open countryside?
c. Outdoors d. Near an airfield?
d. In an airplane (type) d. in an airplane (type) e. Flying over a city?
e. At sea f. Flying over open country?
9. Other g. Other_
24. IF you were MOVING IN AN AUTOMOB!LE or other vehicle at the time, then complete the following quastions:
24.1 What direction were you moving? (Cirele One)
. North c. East e. South 9. West
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 1 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 abserve the object through any of the following?
a. Eyeglasses Yes No e. Bincculars Yes No
B. Sun glasses Te3 f. Telescope Yes No
c. Windshield Yes No g. g. Theodolite Theodolite Yes No
d. Window glass .d. Window glass Yes No h. Other
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. object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.

6
Page 5
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 abject was above the horizon (skyline) when you first saw it. Place a "B" on ths sama curved line to
show how high the object was above the horizon (skyline) when you last saw it. Place an "A" on the compass
when you first saw it. Place a "B" on the compass where you last saw the object.
90 75
600
45 hw NE
E
5
15 -15
28. Draw a picture that will show the motion that the object or objects made. Place an "A" at the baginning of the
path, a "B" at the end of the path, and show any changes in direction during the course.
west =Sut
uf
29. IF there was MORE THAN ONE object, then how many were there?
Draw a picture of how they were arranged, and put an crrow to show the direction that they were traveling.

Paga 5
30. Have you ever seen this, or a similar object before. If so give date or dates and location.
No
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? (Circle One) Yes No
31.2 Please list their names and addresses:
301
(1)m3142,=) (1)n3142y=)
p/ plor (faela7elp0-10yos Baroga7elep0-10es
32. Please give the following information about yourself:
NAME
Last Name First Name Middla Name
ADDRESS Ind peadu K
City Zone Stdre
TELEPHONE NUMBER AGE 41 SEX
indicare any additional information dbout yourself, including any special experience, which might be pertinent.
Reqocit thot t it
eist 15 thst Se
33. Whan and to whom did you report thar you had sean the object? 33. Whan and to whom did you report that you had sean the objeat?
Day Month Year
.