PROJECT BLUE BOOK

aul a vijual
4. NUMBER 2 plauos,
One chasig the ofhn.
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
25 - 30 seconds Observer noted heard loud jet noise causing him to look up.
About t40 plane lengths in front of the noted jet t aircraft
6. TYPE OF OBSERVATION was a bright light larger than the brightest landing light
Ground Visual on the aircraft. Observer was certain jet was pursuing the
UFO. All during sighting the light seemed to stay ahead
7. COURSE of aircraft. It appears from the information available
South that witnesses saw reflection of landing lights of jet
aircraft off of scattered clouds.
. PHOTO3
Yes
No
. PHYSICAL VIDENCE
Y.s
No
FORM
FTD SEP 63 0-329 (TDE) FTD SEP 63 0-329 (TDE Previous odilome o ths form may bo usod. Previous oditiome of this form may bo usod.
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U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prepar that you can give the U.S. Air Force as much
information as poss concerning the unidentified aerial phenomenon that you have observed.
Please try to answer questions as s you possibly can. The information that you give will
be used for research name will not be used in connection with any statements,
conclusions, or publications vithout your permission. We request this personal information so
that if it is deemed necessary, may contact you for further details.
When did you see the object? Time of day:.
Hour Minutes
1 t-6. (Circle One): A.M. or (P.M.
Day Month Year
3. Time Zone:
(Circle One): G. Eastern a. Daylight Soving
b. Central Standard
c. Mountain
d. Pacific
e. Other
4.Where were you when you saw the object? 4. Where were you when you saw the object?
Nearest Posta! Address Nearest Postal Address City or Town State or County
5. 5. How long was object in sight? (Total Duration)
Hours Hours Minutes Seconds
a. Certain c.Not very sure c.Not very sure
Fairly certain d. Just a guess
5.1 How was time in sight determined? 5.1 How was time in sight determined? 11M Q BU Vs
5.2 Was object in sight continuously? 5.2 Was obiect in sight continuously? !
No
What was the condition of the sky?
DAY NIGHT
a. Bright
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. Overheod
c. To your right f. Don't remember
FORM
FTD OCT 62 164 This form supersedes FTD 164, Jul 61, which is obsolete.

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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
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): WEATHER (Circle One):
a. Clear sky a. Dry
Hazy b. Fog, mist, or light rain
c. Scattered clouds Moderate or heavy rain
Thick or heavy clouds d. Snow
e. Don't remember
. The object appeared: (Circle One):
a. Solid d. As a light
b. Transparent e. Don't remember
c. Vapor
If it appeared as a light, was it brighter than the brightest stars? (Circle One):
d. Brighter c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
The edges of the object were: 12. The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other e. Other
b. Like a bright star
c. c. Sharply outlined 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? 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't know
h. Disappear and reappear? Yes No Don't know

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. Did the object disappear while you were watching it? If so, how?
W5 * WE tlalD
15. Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes №\o Don't Know. IF you answered YES, then tell what
it moved behind:
1. 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
b.Color
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?
T Ne r CE5V PEEY AOT ALOvT TAF SILS OA - Ot T17G T17G
1
. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details
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.
I L
2
1

(Circle One) Yes No
IF you answered YES, then how far away would you say it was?
2Where were you located I when you saw the object? Were you (Circle One)
(Circle One):
a. In the business section of a city?
Inside a building 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
24.1 What direction were you moving? (Circle One) 24.1 What direction were you moving? Circle One)
a. North a. North c. East e. South e. South g. g. West West
b. Northeast d. Southeast Southeast f. Southwest h. h. Northwest
24.2 How fast were you moving? - 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?
(Cirele One) (Cirele One) Yes Yes No
25. Did you observe the object through any of the following? Did you observe the object through any of the following?
a. Eyeglasses Eyeglasses Yes No No e. e. Binoculars Yes .
b. Sun glasses Yes f. Telescope Telescope No
c. Windshield Yes g. Theodolite No
d. Window glass Yes No h. Other
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.
T

high the object was above the horizon (skyline) when you first saw it. Place a "B"" on the same curved line to
90°
75°
60
5. NW NZ
E
15° SW
S5
28. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the
path, a "B"' at the end of the path, and shuw sny changes in direction during the course. path, a "B" at the end of the path, and shuw sny changes in direction during the course.
2. IF there was MORE THAN ONE object, then how many were there? HAN ONE object, then how many were there?
Draw a picture of Draw a picture of ho ey were arranged, and put an arrow to show the direction that they were traveling.

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30. Have you ever seen this, or a similar object before. If so give date or dates and location.
<-37 2 ,
SUTM J4.7 /
C1tV3
31. Was anyone else with you at the time you saw the object? (Circle One) Yes No
-
Yes No
31.2 Please list their names and addresses:
CLEVELANPON
32.Please give the following information about yourself:
NAME
Last Name First Name Middie Name
9 9 01t10 D1t10
City Zone State
TELEPHONE TELEPHONE AGE AGE SEX SEX
indicate any additional information about yourself, including any special experience, which might be pertinent.
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33. When and to whom did you report that you had seen the object 4
Day Month Year
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