PROJECT BLUE BOOK

-
PROJECT 10073 RECORD
1. DATE - TIME GROUP 2. LOCATION
116 Apr 67 17/00454 Silver Springs , Maryland (1 witness)
3. SODRCE 10. CONCLUSION
Civilian INSUFFICIENT I DATA FOR EVALUATION
". NUWBER OBJECTS
One
S. LENGTH OF S.1 LENGTH OF OBSERVATION ATION 11. BRIEF SUMMARY AND ANALYSIS 11. BRIEF SUMMARY AND ANALYSIS
.
6 minutes SEE CASE FILE
L. TYPE OF OBSERVATION l.. TYPE OF OBSERVATION
Ground Visual
7. COURSE COURSE
Noxth East-North North East-North
8. PHOTOS
n Yes
x0 No
9. PHYSICAI EVIDENCE
17 Yas
No
FORM
FTD SEP63 0-329 (TDE) Previous editions of this form may be used.

be used for research purposes. Your name will not ba used in connection with any statamanis,
conclusions, or publications without your permission. We roquast this personal information sc
that if it is deemod ecossary, we may contact you for furthar details.
1. When did you see tho object? 19 45
Hour Minulaa
NiC 1917 (Circle One): P.M.
A.M. or
Doy Month Your
OCAD
3. Time Zone: . Time Zone:
(Circle One): (Circle One):a. Eastern e (Circle Une): (Circle One): a, Doylight Soring Daylight Soring
Contral b. Standard
c. Mountain
d. Pacific
o. Othar
4. 4Where werd you Whers werd you whon you saw the object? when you saw the object? AN
SuyiSpcnes vSpcnis Cftt
City or Town State or Couney
Total Duration)
Hours Minutes Soconds
o. Certain c. Not very sure
bFoirtycortoin d. Just a guess
5.1 How was time in sight datermined? _ Trmef
5.2 Wes objeet in sight continuously? YosI No_ CHC
6. What was the sondition of the sky?
DAY NIGHT
e. Bright aBright
b. Cloudy
(Circlo One): in front of you d. To your left
b. In bock of you . Overheod
c. To your right f. Don't romember
FTD FORM
OCT 62 164 Thie form superee obaolete.

8.1 STARS (C.ircle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
b. A low b. Dull moonlight
Many No moonlight - pitch dark
d. Don't romember d. Don't ramember
9. joct?
CLOUDS (Circle One):
Clear sky (o Dry
b. Haty Fog, mist, or light rain
c. Scatrerro clouds c. Moderote or heavy rain
d. Thick on hoovy clouds d. Snow
o. Don't remember
:
10. The object appears cle One).
a. Solid d, As a light
b. Tronsporent Don't romember
c. Vepor
i. If it appeared as a light, was ar than the brightost stars? (Circls One):
Brightor c. About the same
b. Dimmer d. Don't know
11.1 Compars brightness to some common object:
Tha edges of the object were:
(Cuclo () 2 Fuzzy or blurred . Other
5. Like a bright stor
c. Sharply outlined
d. Don't remomber
. Did the objeer: (Circle One for each question).
a. Appear to stand still at amy time? Yes (No Don't know
b. Suddanly speod up ond rush away at any time? Yos No Don't know
c. Break up into parts or explode? Yes No Don't know
d. Give ofi smoke? Yes No Don't know
. Change brightnoss? Yes No Don't know
f. Change shape? Yes No Don't know
g. Flash or flicker? Yes No Don't know
h. Disappear cnd reappear? Yes No Don't know

Page 3
you were so, how?
ftiel in
1Did the object mov
(Circle One): Yes No Don't Know. IF you answored YEs, then tell what
it moved behind: +
16. Did th objeet mova front of spmething at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answerad YES, then tn!l wist
in front of:.
17. Toll in a few words the following things about the object:
. Sound. Nin
b. Color_ Witi
8. Ws wish to know the angular size. Hold a match stick at arm's length in line with a known ubject and n?
much of the object is covered by the head of the match. If you had performed this oxperiment at the tirw; i ti.a
sighting, how much of the he object would have been covered by the match head?
vapor trails.
O

22. Whers wer you located
(Circle One):
a. in tha business section of a city?
o. Inside a building b In tha residential section oi a city?
b. in a car c. In opon countryside?
c Outdoors d. Near an airfisld?
d. In an irplane (type) o. Flying over a city?
e. At seo f. Flying over open country?
1. g.
24. IF you wer• MO UTOMOBILE or other vehicle questions:
24.1 What direction wore you moving? (Circle One)
. North c. East .South 4. Wost
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? . miles per hour.
a ioot?
Yes No g. Yes No
d. Window gloss Yes No h. Other
object or objects which, when placed up in the sky, would give the same appearance as the object which you sow
None

900 73"
f
45 NW
15 SW SU.
h boginning of sho
path, a "g" at the ond of the path, and show any changes in direction during the course.
STRAGHT LINE PArt.

Na
No
Ye
No
-
SiLVEC
following infarmation cbout yourself:
NAME Last Namo First Nam* Middls Nama -
(?
ADDRESS faclEno 11D
Stroel City Zom Steto
TELEPHON NUMBER AGE SEX LOLE
CLAMED HE w0age0 ;2
A Sens 1TivE AHGA
For NSA IPENTICATIN CiHe 0AS
FEAAED P.tc
RERIMIUPTIOS
F02 UF0Sigle SicwEnSPias Mio
When and t that you had snen the object?
AVR 67
Doy Month Yoar 75 FTD Dery

Poge 7
is questionnalre: 1 Ar 67
Day Month Your
questionnairs o a narrativs explanation of your sighting.
..
.
.