PROJECT BLUE BOOK

PROJECT TOO73 RECORD
1. DATE· TIME GROUP LOCATION
Lo Mar 67 11/0115Z Aloxandria, Virginia (2 witnesses)
. SOURCE 10. CONCLUSION
Civilian INSUFFICIENT DATA FOR EVALUATION
4. NUMBER OF OBJECTS
One Report is confusing some parts.
s. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
45 minutes Observers said there were no sounds, but said object disapp-
eared by speeding off out of sight. Ooject was silver color.
t. TYPE OF OBSERVATION Object appeared as two plates put together, with a pointed
Ground-Visual painted cup upside down on it.
7. COURSE
Not Reported
8. PHOTOS
D Yes
No
9. PHYSICAL .PHYSI EVIDENCE IDENCE
i7 Yes
X No
FORM
FTD SLP 63 0-329 (TDE) Previous editlone of thla lorm may be used. Previoue editions of thla lorm may be used.
!
4

P
n this, or a similar object before. If so give date or dates and location.
Yos No
31.1 IF you answered YES, did they see the object too ircle Onel Yo No.
31.2 Piaase ist their names and addresses:
i Du.
3.Please give the foliowing information about yourself:
NAME
st Name Name First Name Middi Nome Middi Name
ADDRESS Alexawalria- Alexiwslria- Vitinit
Street City Zone State State
TELEPHONE NUMBER AGE 13 SEX F SEX F
indicate any odditional information about yowselfincluding any special experiance, which might be pertinenr. indicate any additional information about yowself, luding any special experiorice, which might be pertinens. ,
.wien and to whom did you report that you had seen the object? Bert Piurremer
13 Maek 1917 J1
Day Month Yeor

Poge 7
34. Date you com his questionnaire: 13 Manch 7
Day Month Yeer
35. Information which you foel pertinent and which is net adequately covered in the specific points of the
questionnaire or a narrative explanation of your sighting.
Wi
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THIS 1S THE SNOP'E
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Aene sond a 2d apy AN.A.P.1416.
Thank-you
anterested
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D0IN
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 pos concerning the unidentified aerial phenomenon that you have obsarved.
Please try to answer r as many questions as you possibly can. The information that you give will
be used for resea rposes. Your name will oot be used in connection with any statements,
conclusions, or publications without your permission. We roquest this personal information so
that if it is deemed necessary, we may contact you for further details.
.When did you see the object? 2. Time of day: 1900
Hour
Manch 1962 (Circle One): A.M or P.M.
Day Month Year
3. Time Zone:
(Circle Ono): a. a. Eastern. Eastorn (Circle One): a. Daylight Soving (Circle One): g.Daylight Soving
b. Contral Standard Standard
c. c. Mountain Mountain
d. Pacific
o. Other
4. Where were you when you saw the object? 4Where were you when you saw the object?
Lixandaia LiXandiN EAREAX VIRGINIA FAIREAX  VIRGINIA
Noarest Postal Address Noarest Postal Address City or Town City or Town State or County State or County
5. How long was object in sigh 5. How long was object in sight? (Toral Duration) Toral Duration) O 45 450
Hours Minutes Soconds
o. Cortain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determined?
5.2 Was object in sight continuously? Yos K No_--
6.What was the condition of the sky?
DAY NIGHT
o. Bright 3.
b. Cloudy b.
7.IF you sow the object during DAYLIGHT, where was the SUN located as you looked at the object? Y
(Circle One): In front of you d. To your loft
b. In back of you a. Overhead
c. To your right f. Don't ramember
FORM Reproduced by Library of Congress, Legislative Referance Service
FTD OCT 62 164 Thie form supersedes FTD 164, Jul S1, which ie obsolete. May. 1966

Page 2
8. IF you saw the object at NIGHT, what did you notice co-cerning the STARS and MOON?
8.1 STARS (Circle Ore): 8.2 MOON (Circle One): -
a. None a. Bright monnlight
b. A few b. Dull monnlighi
c. Many No moonlighi - pitch dark
d. Don't remember d. Don't remember
9. What were the weather sonditioms at the time you saw the a object?
CLOUDS (Circle On): WEATHER(Circle One):
a. Clear sky Dry
b. Hazy Fog, ist, or light rain
c. Scattered clouda c. Modernt- or heavy rain
d. Thick or heavy c'ouds Snow
e. Don': ramember
10. The object appeared: (Cirele Ona): !
. Solid d. Asa light
b. Transparent . Don't remember
c. Vapor
11. If it appeared os a ligh, was it brighter then the brightest stors? (Circle One): L .
a. Brighter c. About the sone c. About the sane
b. Dimmer d.Don't know
11.1 Compare brighm-ss ro some common object: 11.1 Compare brightn-ss ro some common oiject:
12. The edges of the obiect were:
(Circie One): . Fuzzy or blurred Other .
b. Line. bright stor
. Srarply ourlined
d. Dar' remember
Did the object: (Circle One for each question)
a. Appear to stane still at amy time? Y-3 No Don't know
b. Suddeniy speed ud and rush awoy at any time? as No Don't know
c. Break up into parts  explode? Yrs No Don't know
d. Give off smown? Yas No Dan't know
6. Change bright--ss? Yes No Don't know
f. Change shope? Yas No Don't know
g. Flash or flicker? Yes No Don't know
h. Disappear ond reappeer? Yes No Don't know

Pngo 3
14. Did the object disappear while you were watching it? If so, how
yee it f gh
1. 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.
7i
1.Did the object move in front of something at any time, porticularly a cloud?
(Circle One): Yes No Don't Know. IF you answered YES, then tell what
in front of:
T
i7. Tell in a few words the following things about the object:
0. Soundnane 0. Soundnon
b. Coloreiden b. Colorien
i " 18. 18. We wish to know the angular size. Hold a match stick at arm's length in line with a known objecr and note how 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? sighting, how much of the object would have been covered by the match head?
al
1. Draw a picture that will show the shape of the object or objects. Labei 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 crrow beside the drawing to show the direction the objeci was moving.
Towardfrom

(Circle One) Yos No
22. Where were you located when you sow the objeçt? 23. Were you (Circle One)
(Circle One):....
a. In the business section of a city?
a. Inside a building b. In the residential section of a city?
b.In a car In open countryside?
c. Outdoors d. Near an airfield?
d. In an airplane (type) .Flying over a city?
C.-At sea f. Flying over open country?
1. Otee we were oildoopsand then
24.1 What direction were you moving? (Circle One)
a. North c. East e. South g. West
. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fost ware you moving? _miles per hour.
(Circle One) Y=s No
25.Did you observe the o ert through any of the following?
t. Eyegiasses Yes e. Binoculors Yes No
b. Sun giasses Yes No f. Telescope
. Windshield No g. Theodolite Yes No
d.Window gloss Yes No Sh. did
2. In order that you can give as clear a picture os possibls of what you saw, describe in your own words a common
abjee! or objacts which, when placed up in the sky, would give the same ap arancs as the object which you saw.
Pointres
tio plate lip to li i upis iole doan Cup on it
T

D.y
30. Have you ever sten this, or a similar object before. If so give date or dates and location.
m26
No
31.1 IF you answered YES, did they see the object too? ( ircle Onel No
31.2 Pinase ist their names and addresses:
.32.Please givd the foliowing information about yourself:
NAME
L6st Name Lost Name First Name Middi Nom
ADDRESS Alexaudia Alexandria Viitivit Viitivit
Stree City City Zone State
TELEPHONE NUMBER TELEPHONE NUMBER AGE 13 SEX E SEX F
rierice, which might he pertinenr.
.Wiren and to whom did you report thar you had seen the object? Bert Piernner
13 12n0k1947 1
Day Month Yoer