PROJECT BLUE BOOK

:
PROJECT 1OO73 RECORD
1. DATE · TIME GROUP LOCATION
3 January 66 03/2300z Waverly, New York
3. SOURCE 10. CONCLUSION
Civilian Por Astro (STAR/PLANET)
1. NUMBER OF OBJECTS Star CAPELLA was at 65 deg az and 5o deg elev at the time
of sighting. Also JUPITER Was 90 deg az and 40'deg elev
Three at that t time
5. LENGTH OF OBSERVATION 11. BRIEF SUWMARY AND ANALYSIS
30 minutes Cbserver watched three lights, one bigger than the other two.
6. TYPE OF OBSERVATION for about 3o minutes. They appeared to be yellow in o lor
with red flashes. The objects apjeared to move around and
Ground-Visual change positions. He said that on 4 Jan he observed several
7. COURSE of these lights.
N/A
8. PHOTOS
07 Yes
T8 in
-
a 40

U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prepared so that you can give the IJ.S. Air Force as much
information as possible concerning the unidentified cerial phonomenon that you havs obsarved.
Ploase try to answer as ma yquestions as you possibly cqn. The information that you givs will
ba used for resaarch purposes. Your name will not be used in connection with any statoments,
conclusions, or publications without yòur parmission. Wa request this personal information so
that if it is deemed necessary, we may contact you for further datails.
. When did you see the object? 2.Time of day:100
Hour. Minutes
2 1766
(Circle Ona): A.M. or P.M.
i Day Month Yoar
3. Time Zone:
(Circle One): (Circle One): a, Eastor Eastorn (Circle One): a. Daylight Saving a. Daylight Saving
b. Cantral Cantrai o, Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object? Where were you when you saw the object?
Line besdy 2 besrd
Nearesr PonarAddress Nearest Posur Address City or town City or Town Stoteor County Statebr County
5. How long was object in sight? (Tatal Duration) 20
Hours Minutes Seconds
a.Cortain c. Not vary sure
b. Fairly certain d. just a guass
5.1 How was time in sight determined?
5.2 Was abject in sight continuously? Yas No TTT
.What was the condition of the sky?
DAY NIGHT
a. Bright c. Brigh
b. Cloudy 5.Cloudy
7.iF you saw the object during DAY LIGHT, whars was the SUN located as you looked at the object?
(Circie One): a. In front of you d. To your loft
b. In back of you e. Overhaod
c. To your right 4. Don't romomber
FORM
FTD OCT 62 164 This forra superaedea FTn 164. Jul 6l, which ia obsolete.

Pogo 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(Circla One):
a. None a. Bright moonlight
b.Afew b. Dull moonlight
c. Maay c. No moonlight - pitch dark
d. Don't ramember d. Don't remember
9. What were the weather conditions at the time you saw the abject?
CLOUDS (Circle One): WEATHER (Circle One):
2
a. Clear sky a.Dry
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 abject appeared: (Circle One):
a, Solid d.As a light d.As a light
b. Transperent e. Don't remember
e. Yapor Vapor
1. if it appeared as a light, was it brighter thon the brighrest srars? (Circle One): 1. if it appeared as a light, was it brighter thon the brightest stars? (Circle One):
a. Brighter c. About the same
b. Dimmer d. Don't know dDooaLow
1l.1 Compars brightness to some common objact:
12. The edges of the object were:
(Cirele 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 eoch question)
d. Appear to stond still at any time? Yes No Don't know
b. Suddenly spoed up and rush away at any tims? Yes. No Don't know
c. Break up into parts or exploda? Yes No Don'tknow
d. Give off smake?. Yes No Don'tknow
o. Change brighmess? Yes. No Don't know
f. Change shope? 1as No. Don't know
g. Flash or flicker? No Don'tknow
h. Disappear and remppear? 03 No Don't know

Paga 3
15. Did the object move bohind something at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answered YES, then rell what
it meved 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. Toll in a few words the following things about the object:
0.Sound_Z
b. Color_
18. We wish to know the angular siza. 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?

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 objoct was?
(Circle One) Yes (No)
IF you answernd YEs, then how far away would you say it was? _
22. Where ware you located when you saw the object? 23. Ware you (Circle One)
(Circle One):
c. In the business section of a city?
a. Inside a building b. In the rasidential section of a city?
b.. In a car c. In open countryside?
c. Outdoors d. Near an cirfield?
d. in an airpiane (type) d. in an airpiane (type) e. Flying over a city? riying ovardeiy?
.At sea f. Flying ovar open country? f. Flying over open country?
. Other. Other. g. Other Other
2. IF you ware MOVING IN AN AUTOMOBILE or other vehicl at tha time, than complets the following qestions: 24. IF you ware MOVING IN AN AUTOMOBILE or other vehicle at tha time, then complete the following qestions:
24.1 What direction were you moving? (Cirels One)
a. North a. North c. East . South g. West g. West
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? _ 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) Yos No
25. Did you obsarve the object through any of th following?
a. Eyoglasses Yes Binoculars .Yes N\o}
b. Sun glasses 9909 f. Telescope Yes No
c. Windshield g. Theodolite Yes No
d. Window gloss Yes 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 placad up in tha sky, would giva the same appearance as the object which you saw
tach Ligtn

Pago 5
27. In the foilowing sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how
high the objsct was above the horizon (skyline) when you first saw it. Place a " on the same curved line to
show how high the object was dbove 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.
9 75
60 -
45 NW NX
30
E
!
A -15 3W
38
28.Draw a picture that will show the motion that the object or objects made. Pluce 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.
Air ore d Io A o
7
thay tf0 i
O

Pago 6
30. Have you ever seen this, or a similar objact before. If so give dats or dates and location.
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 sae the object too? (Circla Ons) Yes No
31.2 Pleas• list their names and addresses:
32. Please give the following information about yourself: .Please give the following information about yourself:
NAME
Last Nams First Nama Middl Name
ADDRESS 051i11A 05111A
Street City Zone Zone State
TELEPHONE NUMBER AGE SEX
Indicate any additional information about yoursalf, including any special experience, which might be pertinent.
I' won in The T L a,F deg Ie 20
I am an auts techunie and I alao Iver
Ia C
iDi6G
Bcd LEEE
Day Month Year

for 01
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