PROJECT BLUE BOOK

22. Where wers you located when you saw the object? 2. Were you (Circle One)
(Circle One):
a. In the business section of a city?
a. Inside a building 63 In the residential section of a city?
b. In a car c. In open countryside?
C3 Outdoors d. Near an airfield?
d. in an airplane (type) c. Flying over a city?
e. At sea f. Flying over open country?
f.Other__ g. Other_
24.1 What direction were you moving? (Circle One)
0. North c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? miles per hour.
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.
TheoLosestThegfoir waS WiTh
statgethingi stik ing 26

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27. In the following sketch, imagine that you are at the point shown. Placs an "A" on ths curved line to show how
high the abject was above the horizon (skyline) when you first saw it. Place a "B" on the same curved lins 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.
NW NI
30
E
-15 3W
path, a "B at the end of the path, and show any changes in direction during the course.

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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 cnswered YES, did they see the object too? (Circle One) Yes No
31.2 Please list their names and addresses:
32. Please give the following information about yoursalf:
-
NA
Last Name Middia Name
ADD 14 hi potk
Strent City Zone State
TELEPHONE NUMBE AGE 13 SEX A1 ALe
18 7465
Day Month Yoar

Tapr trail
i

t.a4.0..
Washington, B. C. 20330

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WhehI
-F
Woodward Mewher

ET
II Reference your unidentified observation. The Infornation which
we received was not surficient for evaluation. Request you com-
provided.
!0 Cw
We wish -
Force. to thank you for reporting your observation to the Air in
seeg
Sincerely, ma
2
-
- 1T
T

Please try to ans any questions as you possibly can. The information that you give will
be used for resear rposes. name will not be used in connaction with any statements,
conclusions, or publicat your permission. Wa request this personal information so
that if it is deemed sary we may contact you for further details.
1. When did you see the object? 2.Time of day:__/2
Hour Minutes
nov 1915 (Circle One): A.M. or P.M.
Day Month Year
3. Time Zone:
(Circle One): ) Eastern (Circle One): a. Daylight Saving
6. Central . Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
Nearest Postal Address City or Town State or County
5.How long was object in sight? (Total Duration) 5
Hours Minutes Seconds
a. Certain c. Not very sure
b. Fairly certain Just a guess
5.1 How was time in sight determined?
5.2. Was object in sight continuously? Yes No
6. What was the condition of the sky?
DAY NIGHT
Bright a. . Bright
b. Cloudy
7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Cirale One): a. In front of you d. To your left
Bi In back of you e. Overheod
c. To your right f. Don't remember
FORM
FTD OCT 62 164 This form supersedaa FTD 164, Jul 61, which is obsolete.

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8.IF you saw the object at NIGHT, what did you notice concarning 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. Don't remember
9. What wers the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky Dry
b. Hazy b. Fog, mist, or light rain
Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One):
Solid d. As a light
b. Transparent e. Don't remember
c. Vepor
1. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter c. About the same
b. Dimmer b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
12. The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
b. Like a bright stor
Sharply outlined
d. Don't remember
13. 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 rime? 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 No Don't know
f. Change shape? Yes No, Don't know
g. Flash or flicker? Yes No Don'tknow
h. Disappear and reappear? Yes No Don't know

Fewfeat to Fhe LeFttosee itagaiW,
:
15. Did the abject move behind something at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answered YES, then tall what
it moved behind:.
16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answered YES, then tell what
in front of:
17. Tell in a few words the following things about the objact:
c. Sound lik jet lit 2
b. Colaadcile
8. 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 at the time of the
whsald have() "bein cseril.
1. Draw a picture that will show the shape of the object or objects. Label and includs in your sketch any details
of the object that you saw such as wings, protrusions, ete., and especially exhaust trails or vopor trails.
Place an arrow beside the drawing to show the direction the object was moving.
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