PROJECT BLUE BOOK

PROJECT 10073 RECORD
2. DATE - TIME GROUP 2. LOCATION
1900
October 1968 Ostober 1968 Burnham, Illinois Burnham, Illinois
3. 3. SOURCE . CONCLUSION 0. CONCLUSION
Civilian INSUFFICIENT DATA FOR EVAIUATION INSUFFICIENT DATA FOR EVAIUATION
4. 4. NUMBER OF OBJECTS
See Case observer a observer a l 1l7, no date given for observation. 1l7, no date given for observation.
5. LENGTH OF OBSERVATION LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS BRIEF SUMMARY ANALYSIS
15 Minutes See Case Files
6. TYPE OF OBSERVATION /
Ground-Visual
7. COURSE
S to SSE
8. PHOTOS
Yos
27.No
9. PHYSICA IDENCE .
Ys
XXNo
FORM
FTD SEP 63 0-329 (TDE) Prevlous editlons of this lorm may be used.
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27. INFORMATION WHICH YOU FEEL IS PERTINENT BUT WHICH IS NOT ADEQUATELY COVERED IN THIS QUESTIONNAIRE. ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
BLANK
B
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PAGE 9 OF PAGE 9 OF 9 PAGES
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SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDGET BUREAU APPROVAL
NUMBER 21-R258
AS POSSIBLE CERNING THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO
ANSWER OUESTIONS. THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES
YOUR IN CONNECTION WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT
PATTERSON AFB, OHIO 45433, IAW AFR BO-I7. (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1. WHEN DID YOU SEE THE PHENOMENON?
DAYYNKNOWN MONTH OcFYEAR 196?
2. WHAT TIME DID YOU FIRS T SIGH THE PHENOMENON?
HOUR. MINUTES 00 (IA.M. P.M.
3. WHAT TIME DID Y o U L AST SIGHT THE PHENOMENON?
HOUR 7 MINUTES 1 A.M. EP.M.
4. TIME/ZONE DAYLIGHT SAVINGS STANDARD
EASTERN CENTRAL MOUNTAIN PACIFIC COTHER
5. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY GIVE THE NEAREST STREET ADDRESS AND INDICATE ON 5. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY GIVE THE NEAREST STREET ADDRESS AND INDICATE ON
A HAND DRAWN MAP WHERE YOU WERE STANOING WITH REFERENCE TO THE ADDRESS. IF IN THE COUNTRY. IDENTIFY THE A HANO DRAWN MAP WHERE YOU WERE STANOING WITH REFERENCE TO THE ADDRESS. IF IN THE COUNTRY, IDENTIFY THE
HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
Burnha nols ols
YCAR CAR
147th Stree+ 147th Stre-+
T
UFO
ovdwZOw
6. IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH. PLACE AN "A ON THE CURVED LINE TO SHOW HOW HIGH THE
PHENOMENON WAS ABOVE THE HORIZON. OR SKYLINE. WHEN FIRST SEEN. PLACE A 3* ON THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90 1
L
1
1
I
1
1
1
1 1 15 15
1
OBSERVER
AF FORM 117
AUG 67
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1

6A. NOW IMAGINE YOU ARE AT THE CENTEP OF THE COMPASS ROSE. PLACE AN A" ON THE COMPASS TO INDICATE THE
THE PHENOMENON WHEN LAST SEEN. DIRECTION TO THE PHENOMENON WHEN FIRL F SEEN PLACE A *B° ON THE COMPASS TO INDIGATE THE DIRECTION TO
*
N
NNW NNE
NW NE
WNW ENE
WSw ESE
SE
sSw SSE
PAGE 2 OF 9 PAGES

8 WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CAPCK dRPIODTNLe blOCKS.)
OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SECTION OF CITY
- IN CAR AS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELO
IN AIRPLANE AS PILOT AS PASSENGER FLYING OVER CITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
A. IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWING:
WHAT DIRECTION WERE YOU MOVING? HOW FAST YOU MOVING?
35M.P.H.
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS S AND 6
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD TERRAIN OR BODY OF TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD. TERRAIN OR BODY OF WATER YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN. WERE UP OR QOWN. HAIR SUTRAVERS Streer
1966 96 1n 4 Lan sid
Ford
windows dowN
HOW MUCH OTHER TRAFI TRAF FIC FIC WAS THERE?
Light Light
DID YOU NOTICE ANY AIRPLANES? ANY AIRPLANES? YES NO. IF *YES. DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME NO. IF YES.* DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGMTING THE PHENOMENON AND WHEPE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF OF SIGHTING THE PHENOMENON AND WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON. THE PHENOMENON.
Not there Same elat
Was during
UFO
PLANE
C
FRONT VIEW
9. HOW LONG WAS THE PHENOMENON IN SIGHT?
LENGTH OF TIME CERTAIN OF TIME NOT V ERY SURE
15 iin. FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
A good guess
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? YES NO. IF *NO," INDICATE WHETHER THIS IS OUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON. AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES.

1O. IF THERE WERE MORE THAN ONE PHENOMENON, HOW MANY WERE THERE? DRAW A PICTURE TO SHOW HOW THEY WERE
ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
ORd
C
Gre pulgl
ORed
0
Green IT Did wot change
11. CONDITIONS (Check appropriate blocks.)
A. SKY 8. WEATHER
DAY CUMULUS CLOUDS (l.OW fluffy) FOG OR MIST
TWILIGHT CiRRus CLouDs (iigh fleecy or Herring- HEAVY RAIN
X NIGHT bone) LIGHT RAIN OR ORIZZLE
x CLEAR CLEAR NIMBUS CLOUDS NIMBUS CLOUDS (Rain) (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CUMULONIMBUS CLOUDS SNOW OR SLEET OR SLEET
COMPLETELY OVERCAST COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG HAZEOR SMOG NONE OF THE ABOVE
C. IF THE C. IF THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT D!D YOU NOTICE ABOUT THE STARS AND MOON? AND MOON?
(1 (1) STARS (2) MOON
NONE BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL (New or quarter) PARTIAL (New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? YES NO. IF WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD(NeW nOON)
IN BACK OF YOU TO YOUR LEFT UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR
STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
Head
12. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
REFLECTEO LIGHT OR WAS SELF-LUMINOUS AND WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLID OR TRANSPARENT, WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT
APPEARED AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELO OF VIEW.
Florescent
Point of hyjht
Appeared
Led
Oreen Solid
Edges
oed Rec Share
R8$ R
0 reen reen
PAGE 4 OF 9 PAGES

13. DID THE PHENOMENON YES NO UNKNOWN
MOVE IN A STRAIGHT LINE?
STAND STILL AT ANYTIME?
SUDDENL Y SPEED UP AND RUN AWAY?
BREAK UP IN PARTS AND EXPLODE? a
CHANGE COLOR?
GIVE OFF SMOKE'
CHANGE BRIGHTNESS?
CHANGE SHAPE?
FLASH OR FLICKER?
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
xx
MAKE A NOISE?
FLUTTER OR WOBBLE? -x
14. WHAT DREW YOUR AT 14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON? TENTION TO THE PHENOMENON?
The brightness of of i+ it producing
a
sillouette the front window of the
on car car
A. HOW DID IT FINALLY DISAPPEAR?
Unknown (I left the site)
B. DID THE
YES NO. IF *YES."DESCRIBE.
PAGE 5 OF 9 PAGES
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15. DRAW A PIGTURE THAT WILL SHOW THE SHAPE OF THE PHENOMENON. INCLUDE AND LABEL ANY DETAILS THAT MIGHT HAVE APPEARED AS WINGS OR PROTRUSIONS, AND INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
OIRECTION THE PHENOMENON WAS MOVING.
- Dots Dots
1 of of light
Last
1
- Seen I I
.. o 0
- 0 0
0 0
0 __
16. WHAT WAS THE ANGULAR SIZE? HOLD A MATCH AT ARM'S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET LAMP OR THE MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. NOW IF YOU HAD
PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD. BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
MaTCh O
0 0
0 0 C
0
PAGE 6 OF 9 PAGES

47 DIO YOU O9SERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING? INCLUDE INFORMATION ON MODEL,
TYPE, FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES O NO B. DO YOU USE READING GLASSES? YES NO
18 WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENON? GIVE ESTIMATE OF SPEED_ 3000PH PHENOMENON? GIVE ESTIMATE OF DISTANCE LOO
2O. IN ORDER THAT WE MAY OBTAIN AS CLEAR A PICTURE AS POSSIBLE OF WHAT YOU SAW, DESCRIBE IN YOUR OWN WOROS
A COMMON OBJECT OR OBJECTS WHICH, WHEN PLACED IN THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENOMENON.
WOULD BEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE
COMMON OBJECT AND WHAT YOU SAW.
SAW:
the dark sky.
6 Points of lig ht in
about about 33 33 a an3 from each from each other.
Being Being Y
The m.ddle The m.dd le
or mainone , Being the largest. th elargest.
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATINGFROM THE PHENOMENON OR ANY EFFECT ON YOURSELF.
ANIMALS OR MACHINERY IN THE VICINITY? YES NO. IF *YES,"DESCRIBE.
A. DID THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. O YES NO.
IF "YES," DESCRIBE.
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LOCATION.
23. WAS ANYONE WITH YOU AT THE T IME Y oU SAW ENOMENON
YES NO.
A. LIST THEIR NAMES AND ADDRESSES
mother
Father
SOUTH HOLL 60473
24. GIVE THE FOLLOWING IN FO RMATION ABOUT YOURSELF
LAST NAME. LAST NAME. FIRST NAME, MIDDLE FIRST NAME, MIDDLE
ADDRESs (Street, City, State and ADDRESS (Street, City, State and ZA.
AVE AVE
TELEPHON= (Area COde and IA TELEPHONE(.Area cOde and TIM AGE
312 312 13yrs 8mc.3dav X MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING ION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
No
25. WHEN AND TO 25. WHEN AND TO WHOM DID YOU REPORT WHOM DID YOU REPORT THAT YOU HAD SIGHTEO THIS YOU HAD SIGHTEO THIS PHENOMENON?
Michael Liccar 28 MONTH Nave mbetreaR MONTH Narembetrear 1968 1968
NAME DAY. DAY.
26. DATE 25. DATE YOU COMPLETEO THIS QUESTIONNAIRE. YOU COM MPLETEO THIS QUESTIONNAIRE.
DAY_ 6 MONTH Decem betrEaR19(8 MONTH Decem betreae19(8
DAY
PAGE 8 OF 9 PAGES
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