PROJECT BLUE BOOK

PROJECT 10073 RECORD
1.UITL TIME GROUP LOCATION
0355L
20 Sept 68 20/13552 Ewa Beach, Hawaii
3. SOURCE : 10. CONCLUSION
Civilian Other: (UNRELIABLE FEPCRT)
4. NUMBER The observer is only l2 yrs old. Since it is very doubtfall that
a dark object would be seen against a dark background, and there
One were no other witnesses. also tkxra due to the estreme young o
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS the observer,·the sighting is being
carried as Unreliable Report
1 Minute
6. TYPE OF OBSERVATION 6. TYPE OF OBSERVATION
Ground-Visual The observer sighted a gray dise shaped object in the The observer sighted a gray dise shaped object in the St that that
7. COURSE COURSE had a back and forth movement.
.
See Case
8. PHOTOS
Yes : .
TOXNo TONo
9. PHYSIC ENCE
Y.s
No .
FORM
FTD SEP 63 0-329 (TDE) Provlous editlone of thls form may be used.
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U.S. AIR FORCE INFORMATION 7
This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possible concerning the unidentified cerial phenomenon that you have observed.
Please try to answer questions as you possibly can. The information that you give will
b used for research Your name will pot be used in conn nection with any statements,
conclusions, or publicatie hout your permission. equest this personal information so
that if it is deemed neces may contact you for further details.
1.When did you see the object? Time of day: 55
Hour Minutes
SepT 65 (Circle One): A.M.
or P.M.
Day Month Year
. Time Zone:
(Circle One): Eastern a. Daylight Saving
b. Central Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
Neurest Postal Address City or Town State or County
5. How long was object in sight? (Total Duration) 1
Hours Minutes Seconds
a. Certain c. Not very sure
b. Fairly certain d. just a guess
5.1 How was time in sight detarmined? ...
Yos No
Y
DAY NIGHT
a. a. Bright Brignt Bright Bright
b. Cloudy b. Cloudy Cloudy
7. IF you saw the cbject during DAYLIGHT, where was the SUN located as you looked at the object? 7. IF you saw the object during DAYLI was the SuN located as you looked at the object?
(Circle One): a. In front of you (Circle Ona): a. In front of you d. To your left 1
b. In bock of you a. Overhead Overhead
c. To your right c. To your right f. Don't remember
FTO FORM FORM Reproduced Reproduced by Library by Library of Congress, Legislative Reference D5 Service
OCT 52 164 Thi form JUDEP 184, Jul dl, omieàa ia obnolete. May 1966

Paga 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 moonlight
b. A few b. Duli moonlight
1 Many c. No moonlight - pitch dark
c.
d. Don't remember d. Don't romember
.
9. What were the wenther conditiens at the time you saw the object?
*
CLOUDS (Circle On): WEATHER (Cirele One): -
-
a. Cleor sky c. Dry
b. Hazy b. Fog, mist, or light rain
Scattered clouds e. Moderat- or heavy rain
Thick or heavy c ouds Snow
e. Don': romember
10. The objoct appeored: (Circle One):
G. Solid d. Asalight
5. Transparent . Don't remember
c. Vapor !
12.The edges of the obiect were:
(Cirale Onel: a. Fuzzy or blurred c. Other
b. Liem bright ster
c. Sharpty ouriined
d. Don' remember
. Did the object: 13. Did the object: (Circle One for soch question) (Circle One for ∞ question RaCE
a. Appear to stand still at any time? Yes No Don't knrow Don't knrow and ani
b. Suddenly speed up and rush away at any time? Yes No Don't know. foith outh
c. Break uo into parrs or explode? Break uo into parts or explode? Yes No Don't know
d. Give off smokn? Give off smokn? Yas No Don't know CLM
o. Change brightress? Yes No Don't know
f. f. Change shape? Change shape? Yes No Don't know Don't know
g. Flash or flicker? Yes No Don't know Don't know
h. h. Disappear and reappecr? Disappear and reappecr? Yas No Don't know

Page 3
14. Did the object disappear while you were watching it? If so, how?
7
hinda.0l07
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 object move in front of something at any time, particularly a cloud?
(Circle One): No Don't Know IF you answered YES, then tell what
in front of: _ 111
17.Tell in a few words the following things about the object:
a. Sound
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?
cY hiad
wol proualg con the Oeo
19. 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.
I

IF you answered YES, then what speed would you estimate? _
(Circle One) Yos .No
22. Where were you located when you saw the object? 23. Were you (Circle One)
(Circle One):
In the business section of a city?
a. Inside a building (b.) In the residential section of a city?
b. In o car c. In open countryside?
Outdoors d. Neur an airfield?
d. In an airplane (rype) e. Flying over a city?
e. At sea f. Flying over open country?
f. Other
24.1 What direction were you moving? (Cirsls One)
24.3 Did you stop at any time while you wars looking at the object?
(Circle One) Yes No
25. Did you observe the objoct through any of the following?
a. Eyeglasses Yes Binocuiors
b. Sun glasses Yes f. Telescope Yes
c. Windshieid 2992 g. Theodolite Yos
d. Window glass Yes h. Other
2. In order that you can give as clear a picture as possible of what you saw, describe in your own words a common 26. In order that you can give as clear a picture as possible of what you saw, describe in your own wc ammon
object or objects which, when placed up in the sky, would give the same appearance as the object which sow.
pind O. OL. lid maylle mayfle
Song
grey grey aeat dh. aeat dsh
1

90° 75 .
60
NW N
15• 15• SW SC SC
path, a "B" at the end of the path, and slun any changes in direction during the course.
1. 3 ),
Cnly a bact and forth MovemeT
29. IF thers was MORE THAN ONE obiect, then how many were there?.
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling.
ONLYONE

Paga 6
0.Have you ever seen thi similar ob lates and location.
NO
- t? (Circle One) Yes No
TE Yes No
31.2 Please list their names and addresses:
.Please give the following information about yourself: 32. Please give the following information about yourself:
NAM AM
First Name First Nam Middl Name Middl Nome
Reach Maurri
ADDRESS
City Zone State
TELEF ENUMBER AGE SEX
Indicate any additional information about yourself, including any special experience, which might be pertinent.
m tuiesoni GotoAchoOl
2 (n swnth grode
+
33. When and to whom did you report that you had seen the object? .When and to whom did you report that you had seen the object?
Day Month Yoar Yuar Tosomebuenaj
Day

Poge 7
34. Date you cor stionnaire: SCPIC
Dey Month Yeer
35. Information which you feel pertinent and which is not adequately covered in ic points of the
questionnaire or a norrative explanation of your sighting.
82
nol
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