PROJECT BLUE BOOK

PROJECT 10073 RECORD
1. DATE·TIME GROUP 2. LOCATION
28 Mey 66 /01502
3. SOURCE 10. CONCLUSION
Civilian Satellite
gt
4. NUMBER OF OBJECTS EchoI
One
5. LENGTH OF OBSERVATION 11. BRIEF SU AND ANALYSIS
10 minutes ro minucss
Object moved from the west to the east. The brightness
6. TYPE OF OBSERVATION 6. TYPE OF OBSERVATION appeared appeared to en a st and a planet.
Ground Visual
There is nothing in the report that does not indicate
7. COURSE COURSE that the sighting is not a that the sighting is not a sat lite.
W to B
8. PHOTOS
Yos Eche II Eche II wae 40La+/ 40 La+/ot
No 0458 . 0458 2.
PHYSICAL EVIDENCE 9. PHYSICA IDENCE
Yes
XNo
FORM
FTD SEP 63 0-329 (TDE) Previous editions of this form mey be used.
.
,

information as poss
Please try to answer 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 sc
that if it is deemed necessary may contact you for further details.
When did you see the object? 2. Time of ay:_23 50
Hour Minutes
28 nay 1966 (Circle One): .-A.M. P.M.
or
Day Month Yoor
.Time Zone: . Time Zone:
(Circle One):a. (Circle One):a. Eastern Eastern (Circle One): a. Daylight Saving (Circle One): a. Doylight Saving
b. Contral b. Standard
c. Mountain
d. Pacific
. e. Other Other
4. Where were you when you saw 4. Where were you when you saw object? (Astobula conntn)
Jofeson Jffenson Olia Olia
Noarest Postal Address Nearest Postal Address City or Town City or Town State or County
5. How long was object in sight? (Totai Duratlon) 0 10
Hours Minutes Soconds
a. Certoin c. Not very sure
b. Fairly certain_ d. Just a guess
5.1 How was time in sight dotermined? Wt
5.2 Was object in sight continuously? YesX No _
What was the condition of the sky?
DAY NIGHT
a. Bright a.
b. Cloudy b. Cloudy
7.IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
D
(Circle One): a. In front of you d. To your loft
b. In back of you , Overheod
c. To your right f. Don't romember
FTD FORM
OCT 62 164 This form supersedes FTD SATELLITE

8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
b. A fow Dull moonlight
Many c. No moonlight - pitch dark
d. Don't remember d.Don't remember
.What wer the weather conditions at the time you saw the objoct?
CLOUDS (Circle One): WEATHER (Circl One):
Cloarsky 0.Dry
b5. Hazy b. Fog, mist, or light rain
c. Scattored clouds c. Moderate or heavy rain
d. Thick or heavy clouds Snow
•. Don't remember
10. The objoct eppeared: (Circle One):
.Solid d. As  light
b. Transporent Don't remember
c. Vapor
a. Brighter c. About the same
b. Dimmer d.Don't know
11.1 Compars brightmess to some common object:
Briatitms h= tee stand planet
The edges of the objoct were:
(Circl One): a. Fuzzy or blurrod :
b. Like a bright stoe
c. Shorply outlined
.Don't remember
.Did the objoct: (Circle One for each question)
a, Appear to stond still at any time? Yes NO Don't know
. Suddenly speed up and rush away at any time? Yes Don't know
c. Break up into parts or explode? Yes Don't know
d. Give off smoke? Yes Don't know
.. Chonge brightness? Yes 999999 Don't know
f. Change shaps? Yes Don't know
g. Flash or flicker? Yes Don't know
h. Disappear and reappear? Yes Don't know

Page 3
4. Did the object disappear while you were watching it? If so, how?
/
No
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:
1. Did the objeet move in front of semething at any time, particularly a cloud?
(Circle One): Yes. No Don't Know. IF you answered YES, then ta!! what
in front of: _
17.  Tell in a few words the following things about the object:
a. Sound None
b. Color_ like  t
We wish to know the angular size. Hold a match stick at arm's length in line with a known objost and nnts, how
much of the object is covered by the head of the match. If you had performed this experiment at the tirns af the
sighting, how much of the object would have been covered by the match head?
Draw a picturs that will show the shape of the objoct or objects. Label and include in your sketch any dotails
of the objoct that you saw such as wings, protrusions, etc., and especlally exhaust trails or vapor trails.
Place an arrow beside the drawing to show the direction the object was moving.
lifeastm

-
(Circle One):
a. in the business section of a city?
a. Inside  building In the residential soction of a city?
b. In a car C. In open countryside?
c. Outdoors d. Near an airfield?
d. In an oirplane (type) e. Flying over a city?
e. At sec f. Flying over oper: country?
f. Other _ g.
24.1 What direction were you moving? (Circle One)
North c. East . South y. West
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How iast were you moving?- miles per hour.
a. Eyeglasses Yes
b. Sun glasses Yes f. Telescope
c. Windshield Yes g. Theodolite No
d. Window glass Yes No h. Other
common
object or objects which, when placed up in the sky, would give the same appearance os the objoct whlch you sow.

show how high the objoct wos above the horizon (skyline) when you last saw it. Place an "A" on the compass
we.' 105 when you first saw it. Place a "B' on the compass where you last saw the abject.
90
45
(c 2350
30
AA
15• BW SG
2Draw a picture that will show the motion that the object or objocts made. Place an "A" at the beginning of the 28. . Draw a picture that will show the motion that the object or objocts made. Place an "A" at the beginning of the
path, a "g" at the end of the path, and show any change: in direction during the course. path, a "g" at the ond of the path, and show any change: in direction during the courss.
2. IF there was MORE THAN ONE object, then how many wore there?
Draw a picture of how they were arranged, and put an arrow to show the direction that thoy were traveling.

37g0 6
30. Have you ever seen this, or a similar object before.
7
Was anyone else with you at the time you saw the object? (Circle One) Yes No
3.1 IF you answerod YES, did they see the object too? (Circle One) Yos No
31.2 Please list their names and addresses:
. Please givs the following information about yourself: 2. Please givs the following information about yourself:
NAME NAME
Lost Name First Name Middio Nams Middio Nams
ADDRESS Jefferson Jeffeson ORio
Street City Zone St ato Stato
TELEPHONE NUMBER TELEPH NUMBER AGE SEX M SEX M
Indicate any additional information about yourself, includ indicoto sow odditioon ding any speclal experience, which might bo perlinenr.
When and to whom did you report that you had sean the object?
29 Ma 16
Day Month Year

Page 7
34. Date you complete estionnaire: 201 6C
Day Month Year
questionnaire or a narrative explanation of your sighting.
Cbig t mo.ed. rom wost 10 Et
No tail ws
Objet declimatien we 8-1010 to Nth.
/