PROJECT BLUE BOOK

Please try to answ any questions as you possibly can. The information that you give will
be used for research purposes. name will not be used in connection with any statements,
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 Minutes
18 N 1961 (Circle One):
A.M. or (P.M.)
Day Month Year
. Time Zone:
a. Eastem (Circle One): a. Daylight Saving
b. Central b. Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
Chia
Noarest Postal Address City or Town Stats 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?
5.2 Was objecr in sight continuously? Yes V No
6. What was the condition of the sky?
DAY NIGHT
a. Bright . Bright
b. Cloudy b. Cloudy
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
b. In back of you e. Overhead
c. To your right f, Don't remember
FORM
FTD OCT 62 164 This form supers-des FT! . Jul 6l, which is obsoiete.

Page 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
S.A Few b. Dull moonlight
.c. Many c. No moonlight - pitch dar
d. Don't remember d. Don'Fremember
. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky a. Dryj
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
d. 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'tremember
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. Like a bright star
c. Sharply outlined
d.Don't remember
1. 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'tknow
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

Paga 3
14. Did the object disappear while you were watching it? If so, how?
Gei.Butdiaroti
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 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 tall what
in front of: _
17.Tell in a few words the following things about the object:
0.Sound20 50un2 5212
b. Color irel/oin(hrizh=)
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

Page 4
20.Do you think you can estimate the speed of the object?
(Circle One) Yes No.
21. Do you think you can estimate how far away from you the object was?
(Circle One) Yes No
IF you answered YES, ther 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?
q. Inside a building) b.In the residential section of a city?
b. In a car two places 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. Other g. Other
24.1 What direction were you moving? (Circle One)
a. North c. East e. South g. West
b. Northeast d. Southeast F. Southwest h. Northwest
in order that you can give as clear a picture as possible of what you saw, describe in your own words a common
avery bright 1.oht (no rag)

Pago 5
2. In the following sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how
when you first saw it. Place a "B" on the compass where you last saw the object.
90 75
43 N3
—
A3
15
3W S5 F
-EB

Pago6
30. Have you ever seon this, or a similar object before. If so give date or dates and location.
n0
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
a
31.2 Please list their names and addresses:
tos 1ajk,Ohios7
32. Please give the following information about yourself:
NAME
Last Name First Name MiddloName
ADDRESS
Street City Zone State
TELEPHONE NUMBER AGE SEX
33, When and to whom did you report that you had seen the object?
101125
Day Month Year.
Wright PaHeron Gib

*
-

U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as poss oncerning the unidentified aerial phenomenon t you have observed.
Plaase try to answer as any questions as you possibly can. The information that you give will
ba used for research rposes. Your name will not be used in connection with any statements,
conclusions, or public ons without your permission. We e 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 Minutes
N012) 1465 (Circle One): A.M. or P.M.
Day . Month Year
3. Time Zone:
(Circle One): a. Eastern (Circle One): a. Daylight Saving (Circle One): a. Daylight Saving
b. Central h.Standard Standard
c. Mountain
d. d. Pacific
e. Other
4. Where were you when you saw the object?
Tingo Pank
Nearest Postal Address City or Town State or County
5. How long was object in sight? (Total Duration) 15
Hours Minutes Seconds
. Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determined? P206R1n-Cuou.
5.2 Was obiect in sight continuously? Yes No
6. What was the condition of the sky?
DAY NIGHT
a. Bright
b. Cloudy 5. Cloudy
)
7. IF you saw the object during DAYLIGHT, where was the SUN laccted as you looked at the object?
(Circle One): a.  front of you d. To your left
b. In back of you e. Overheod
c. To your right f. Don't remember
FORM
FTD OCT 62 164 This form supersedes FTD 164, Jul 61, which is obsolete.

Page 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 few b. Dull moonlight
c. Many 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): WEATHER (Circle One):
a. Clear sky a. Dry
b. Hazy Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One): 10. The object appeared: (Circle One):
a. Solid 8.As a light 8.As alight
b. Transparent e. Don't remember
c. Vapor
1.If it appeared as a light, was it brighter than the brightest stars? (Circle One): 1. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter c. About the same c. About the same
b. Dimmer d. Don't know d. Don't krow oNo
11.1 Compare brightness to some common object:
Bn1nT C.O.nSHATE-WTn S2i21 1-/4xe
12. The edges of the object were:
(Circle One): .Fuzzy or blurred e. Other.
2 b. Like a bright star
c. 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 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
e, Change brightness? Yes No Don't know
f. Change shape? Yes No Don't know
g. Flash or flicker? Yes ($\o}$ Don't know
h. Disappear and reappear? Yes (No Don't know

Page 3
14. Did the object disappear while you were watching it? If so, how?
7E5- HEi8a 5107 27c.1055
SRY nn0 Fr.C.K. To 17 QKL-0ne
To
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, particularly a cloud?
(Circie One): Yes No Don't Know. IF you answered YES, then tell what
in front of: _ 6E4E0
17. Tell in a few words the following things about the object:
a. Sound NONE.
b. Color Bpini WMiTE
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 of the time of the

Terrace Park, Ohio
Dear . 19
FT = a - -
A reviev of our November l96s sightings indicates there was
insufficient information for a proner evaluation of your re- 109
port. Would you please complete the attached FTD Form lóls.
pan 1o ao convenience.
Sincerely,

(Circle One) Yes) No
IF you answered YES, then how far away it was? O.MLES
22. Where were you located when you saw the object? 23. Were you (Circle One)
(Circle One): wiPerces
a. In the business section of a city?
a. Inside a building 5. In the residential section 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. Other. g. Other Pss- AaeA
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 g. West
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? les per hour.
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.
Ino Frer l.ATes
Conre:x S;DE

90 3
75 A
45° NK
30 ----
E
A4-13.
15 3W
3
S
2. Draw a picture that will show the mation that the object or objects made. Placa an "A" at the beginning of th
path_a''B" at the end of the path, and shuw uny changes in direction during the course.
C 2 13

Page 6
30. Have you ever seen this, or a similar object before. If so give date or dates and location.
NOnESEZNS=rOxE-
. 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 Pleose list their names and addresses:
EAAnCG NARHD,
Teaics Piret,D
32. Please give the following information about yourself:
NAME
Last Nams First Nams Middle Name
ADDRESS T5p2060802145174 75p20608p245174 OH
Street City Zone Zone State
TELEPHONE NUMBER AGE 12 12 SEX SEX Nuce NHcE
Indicate any additional information about yourself, including any special experience, which might be pertinent.
1 1nvs Reno SE=42 1221CE1
ON D.F.0..
1 HAVE
TIMES
33. When and to whom did you report that you had seen the abjeat?
28 Nd. 961
Day Month Year

U.S. AIR FORCE TECHNICAL INFORMATION
/
This questionnaire has been preparod so that you can give the U.S. Air Forcs as much .
information as possil incerning the unidentified aorial phenomenon that at you have observed.
Please try to answer as y questions as you possibly can. The information that you givs will
be used for research purposes. name will sot be used in connection with any sratemenis,
conciusions, or publications without your permission. We request this personal information so
thar if it is deemed ,we may contact you for further details.
.
1. When did you see the object? 2. Time of day: 2130E
Hour
18 NOV 1965 (Circle One): A.M. or P.M.
Day Month Year
3. Time Zone: . Time Zone:
(Circle One): (Circle One): a. a. Eastern (Circle One): a. Daylight Saving Daylight Saving
b. b. Central b.Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
TERRACE MARK OHS
Noarast Postar Address City or Town Stata
How long was object in sight? (Total Duration) O 0 RO-IMINUTE
Hours Minutes Saconds
a. Certain C. Not very sure
Fairly certain d. Just a guess
5.1 How was time in sight determined? CHILDREN'S STA7EAENT
5.2 Was object in sight continuously? Yes No
6. What was the condition of the sky?
DAY NIGHT
a. Bright a. Bright
b. Cloudy b Cloudy
7. IF you sow 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
b. In back of you e. Overheed
c. To your right f. Don't remember
FORM
FTD OCT 62 164 This lorm supersedes FTD 164, Jul 61, which is obaolete.

Pag 2
8. IF you saw the objoct at NIGHT, what did you notice concerning ths STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circls One):
c. None a. Bright moonlight
b. A fow b. Dull moonlight
c. Many c 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): WEATHER(Circle One):
a. Clear sky a. Dry
b. Hazy b.F 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):
a. Solid As a light
b. Transparent e. Don't remember
c. Vapor
1. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
11.1 Compars brightness to some common object:
100 BRIGHTER 7NAN A S7AR WOULD APPEAR
12.The edges of the object were:
Circle One):  Fuzzy or blurred . Other
b. Like a bright star
c. Sharply outlined
Don't remember
1. Did the object: (Circle One for eoch question)
a. Appear to stand still at any time? 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 explods? 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't know
h. Disappear and reappear? Yes No) Don't know

Page 3
14. Did the object disappear while you were watching it? If so, how?
SPED.AWAY-TUWARP THE EASZ VERYRL EN
WENT BACC TO ORIGINAC POSITICN.  DISAPORAREO
15. Did the sbject move behind something at any tims, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answered YES, then tell what
it moved behind: _
l6. 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 object:
a. Sound_-pO
b. COlOrSTARCIKE- B RICHZ LIFITE
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
sighting, how much of the object would have been covered by the match head?
B

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?
(Circle One) Yes) No
2. 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 o building In the residential section of a city?
b. In a car c. In open countryside?
cy Outdoors Near an airfield?
d. in an airplane (type) e. Flying over a city?
e. At sea f. Flying over open country?
f. Other - g. Other_
24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complate the following qusstions:
24.1 What direction were you moving? (Circle One)
. North c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
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 ploced up in the sky, would give the same appearance as the object which you saw i
SAYS FRUA SERVICE LIGA75
fuT NO BEAM U(SBLE

Paga 5
27. In the following sketch, imagine that you are gt 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 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
when you first saw it. Place a "B" on the compass where you last saw the object.
90-
60
NW NH
30
E
-15 3W
35
/0 -20
ABC7E HONIZON
28. Draw a picturs that will show the motion that the object or objects made. Place an "A" at the beginning of the
path, a  at the end of the path, and show any changes in direction during the course.
B (dieappeaved)
a

Page 6
30. Have you ever seen this, or a similar object before. If so give date or dates and location.
31. Was anyone sise with you at the time you saw the objsct? (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:
32. Please give the following information about yourself:
NAME
First Namo Middla Name
ADDRESS 7ERRACE PARK OAA
Street City Zone State
TELEPHONE NUMBER AGE 40 SEXM
33. When and to whom did you report that you had sean the object? FTO 0D-27HEAALAL2
NOU 65
Day Month Year