PROJECT BLUE BOOK

PROJECT :OO: RECORD
12. LOCATION
05/0130 shetandeat
10.CONCLUSION cs.
v.I. Probable Astro (MHS)
4. T.ER OF OBJECTS
At approx 2030 CST. MARS was setting at ezimuth 29+ deg.
a stellar mag. plus i.s
5. 5. LENGTH OF LENGTI ATION ATION 11. BRIEF SUMMARY AND ANALYSIS 11. BRIEF AND ANALYSIS
Minutes Observer sightea a bright white light on the horizon ia t.. sightea a bright white light on the horizon ia ....
6. TYPE OF OBSERVATION TYPE OF OBSERVATION NW. The observer stated that the object was about as briht NW. The observer stated that the object was about as bright
as tne full moon. as tne full moon.
Ground-Visual Ground-Visual
7. COURSE
See Case
8. PHOTOS
t. Yos t. Yes
XOXNo
9. PHYSIC ENCE
. Yes
XXo
FORM
FTD SEP 63 0-329 (TDE) Prevlous editions of this form may be ueed.

U.S. AIR FORCE TECHNICAL INFORMATION
that you have observed. Please try to answer as many questions as you possibly
can. The information that you give will be used for research urposes. Your
name will not be used in connection with any statements, conclusions, or publica- I
tions without your permission. We request this personal information so that if it
is deemed necessary, contact you for further details.
1. When did you see the object? 2. Time of day: 8
Hours Minutes
4 19A8
Day Month Year (Circle One): A.M. or P.M.
3. Time Zone:
(Circle One): a. Eastern Daylight Saving
b. Central Standard
c. Mountain
d. Pacific Pacific
e. Other
4. Where were you when you saw the object?
Nearest Postal Address Nearest Postal Address City or Town State or County
5. How long was object in sight? How long was object in sight? (Total Duration) (Total Duration)
Hours Minutes Minutes Seconds
a, Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1 a 1 I0
5.2 Was object Yes No_
6. What was the o condition of the sky?
DAY NIGHT
Bright a.
b. Cloudy b.
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. Overhead
c. To your right f. Don't remember

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8. IF you saw the object at NIGHT, what did you i notice concerning the STARs and
MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
None a. Bright moonlight
b. A few b. Dull noonlight
C. Many c. No moonlight--pitch dark
d. Don't remember d. Don't remember
9. What ware the weather conditions at the time you saw the object?
CLOUDS.(Circle One): WEATHER (Circle One):
2Clear sky a. Dry
b. Hazy Fog, mist, or light rain
C. Scattered clouds c. Moderate or heavy rain
Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One):
a. Solid d. As a light
b. Transparent Transparent e. e Don't Don remember
c. Vapor
11. If it appeared as light, was it brighter than the brightest stars?
(Circle One):
a. Brighter c. About the same the same
b. b. I Dimmer d. Don't know
11.1 11.1 Compare brightness to some common object: Compare brightness to some common object:
Mhnt
12. The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
b. Like a bright star)
c. Sharply outlined
d. Don't remember
13. (Circle One for each question)
a. Appear to stand still at any time? Yes No Don't know
b. Suddanly speed up and sh away at
any time? Yes No Don't know
c. Break up into parts or 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

No YES,
then tell what it moved behind:
16. Did the object move in front of something at any time, partic larly a cloud?
(Circle One): Yes No Don't
then tell what in front of:
17..T Tell in a few words t the following things about the object:
a. Sound Sound
b. Color Color
18. We wish to kncw the angular size. Hold a match stick at aru's length in Hold a match stick at aru's length in
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?
19. Label and
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.
very cright
O

—
(Circle One) Yes No
22. Where were you 23. Were you (Circle One)
object? (Circle One):
Inside a building a. In the business section
b. In a car of a city?
c. Outdoors b. In the residential sec-
d. In an airplane (type) tion of a city?
e. At sea c. In open countryside?
f. Other d. Near an airfield?
e. Flying over a city?
f. Flying over open country
g. Other
24. IF yOu Were MOVING IN AN AUTOMOBILE E or other vehicle at then
complete the following questions:
24.1 What direction were you moving? (Circle One)
a. North c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving?_ miles per hour.
t biect?
(Circle One) Yes No
25. Did you observe the object through any of the following?
a. Eyeglasses Yes e. Binoculars Yes No
b. Sun glasses No. f. Telescope Yes No
c. Windshield NQ) g· Theodolite Yes No
d. Window glass Yes No 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 placed
up in the sky, give the same appearance the object which you saw.
nt 2t

*.
.
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27. In the following sketch, imagine that you are at the pcint shown. Place
an "" on the curved line to show how high the object was above the
horizon (skyline) when you first saw it. Place a "B" on the same curved
line to show how high the object was above 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 when you last saw the object.
H
W F
AA
s
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 show any changes in direction during the course.
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29. IF thare was more than one object, then how many were there?
Draw a picture how they were arranged, and put
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.
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 see the object too?
(Circle One) Yes No
31.2 Please 1 list their names and addresses:
32. 32. Plesse give the following information about yourself:
NAME
Lase Name First Name Middle Name Middle Name
ADDRESS ADDRESS OL
Street City State Zip
TELEPHONE NUMBER TELEPHONE NUM AGE AGE SEX male
Indicate any additional information about -
experiences, which might be pertinent.
33. When and to whom did you report that you had seen the object?
Day Month Year

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*
34. Date you completed this questionnaire: 196
Day Month Year
35. Information which you feel pertinent and which is not adequately covered
in the specific points of the questionnaire or a narrative explanation of
your sighting.
SEND TO: U.F.O. Report
Air Force Research and Development
Wright-Patterson Air Force Base
Dayton, Ohio