PROJECT BLUE BOOK

PROJECT 10073 RECORD
1. DATE · TIME GROUP LOCAYION
1923 CST
IDac 6901232 Round Iake,Illinois
3. SOURCE 0. CONCLUSION
Civilian Insufficient Data
4.NUMBER OF OBJECTS
One(1)
5. LENGTH OF LENGTH OF ATION TION 11. BRIEF SUWMARY AND ANALYSIS 11. BRIEF SUMMARY AND ANALYSIS
30 minutes See Case
6. TYPE OF OBSERYATION 6. TYPE OF OBSERVATION
COMMENTS: The observer did not provide the date of the
Cround-Visual observation. observation.
7. COURSE 7. COURSE
NOTE: T
MNE to F MNE toF
3. PHOTCS 3. PHOTCS
0 Yos n Yos
No
9.PHYSIC. ENCE
07 Y=s
No
FORN
FTD SE? 63 2-329 (TDE) tre crowk.

-
AFR 0-T(CD)
AREAT NA
TE COMNAA TO INAUAT TN4 GNE CTION TO
MNENLAGTJEEN
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THe ind 6 LATOEL H44CE 4N L4 1 - 3. 3H 4 ...
TLON TION o 3 TH T I! 29m424 L 4 2 I EN *3*
MQVVNTR-NCNOTOE 40 EN 2 . I wAT
72AN55T0E44GN7.2U4V004$-143 24-50 T0E440-7.2U4VED04 10-243 RALLH J4ETCHA 4N CALEOP -O O COMLET2
T-214121162724 TH2L421416ET24.
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Page 1
U.S. AIR FORCE TECHNICAL INFORMATION 8. IF you saw the object at NIG
9/20/72 8.1 STARS(Circle One):
This questionnaire has been prepared so that you car give the U.S. Air Force as much a. None
information as possible concerning the unidentified aerial phenomenon that you have observed. b. Afew
Please try to answer as many questions as you possibly can. The information that you give will C. Many
be used for research purposes. Your name will not be used in connection with any statements, d. Don'tremember
conclusions, or publications without your permission. We request this personal information so
that if it is deemed necessary, we may contact you for further details. 9.
What were the weather conc
CLOUDS(Circle One):
. When did you see the object? 2.Time of day: 1500 upprx a. Clearsky-
Hours Minutes b. Hazy
5758-54? - C. C. Scattered clouds Scatrered clouds
5758-54 d. Thick ar heavy clouds Thick ar heavy clouds
(Circle One): A.M. A.M. or P.M. P.M.
Day Month Month Year
T
3. Time Zone: 10. The object appeared: (Circle 10. The object appeared: (Cirele
(Circle One): a. Eastern (Circle One): a. Daylight Saving (Circle One): a. Daylight Saving 0. Solic- 0. Solicd-
b. Central 2 b. Standard b. Transparent b. Transparent
c. Mountain Cc. Mountain c. Vapor
d. Pacific d. Pacific
e. Other
.If it appeared as a light, was 11. If it appeared as a light, was
4. Where were you when you saw the object? 4. Where were you when you saw the abject? a. Brighter
Fhe Crstha RecFilSltha 11tah b. Dimmer
Nearest Postal Address City or Town State ao County 11.1 Compare brightness to s
2 sbout the inkwte
5. How long was object in sight? (Tatal Duration) 30(approx)
Hours Minutes Seconds
9. Certain c. Not very sure The edges of the object were:
b. Fairiy certain d. Just a guess (Circle One): a. Fuzzy or
5.1 How was time in sight determined? b. Like a bri
5.2 Was object in signt continuously? Yes_X c. Sharply
No d. Don'tren
6. What was the condition at the sky? Did the object:
DAY NIGHT a. Appear to stond still at ar
a. Brign a. Bright
b. Cloudy 5. Cloudy b. Suddenly speed up and r
c.Break up into parts or exp
d Give off smoke?
7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object? e. Change brightness?
f. Change shape?
(Circle One: a. In front of you d. To your lefu g Flash or flicker?
b In back otyou e. Overhead h. Disappear and reappear
c. To yourright f. Don't remember
FORM This form supersedes FTD 164. jul 61, which is obsolete. (r
FTD OCT 62 164

$Pa=go 2$
8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
b. A few b. Dull moonlight
Many c. No moonlight—pitch dark
d. Don't remember d. Don'tremember
9. What were the weather conditions at the time you saw the object?
CLQUDS(Circle One): WEATHER(Circle One):
a. Clearsky a. Dry
b. Hazy b. Fog, mist, or light rain
Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds Snow
e. Don't remember
10. The object appeared:(Circle One)i <i 515-1 light refe
a. Solid d. As a light fnm thme
b. Transparent . Don'tremember if ruficction fo tn
c. Vapor c. Vapor sun uigit. sun wight.
If it appeared as a light, was it brighter than the brightest stars? (Circle ne):
a. Brighter c. About the same
b. Dimmer d. Don'tknow
11.1 Compare brightness to some comman object:
2 2tlb1hh -0 atet5
12 The edges of the object were:
(Circie Onen a. Fuzzy or blurred e. Other.
5. Like a bright star
c. Sharply outined
9. Don'tremember
Did the oclect (Circle One for each question)
a. Acpear ra stand still at any time? Yes No Don'tknow
b. Sudceniy speed up and rush away at any time? You No Don't know
c. Break uo into parts or explode? Yes Nov Don'tknow
d. Give art smoke? Yes No Don'tkno wthea as tAe
e. Change brightness? * Yes Nome Don'tknow
F. Change shape? Yes Not Don'tknow itSeindd T
g. Flash ar flicker? Yu No Don'tknow rile-
h. Disappear and reappear? Yes No Don'tknow Thun Gueh 4s
a suiek rig
(re-h.) ( allept afher th r
it did sudehenty,din upd

15. Did the object move behind something at any time, particularly a cloud? No clouds war visisl 21. Do you think you can estima
(Circle One)t Yes Now Don't know. IF you answered YES, then teil what (Cirela One)
IF you answered YES, then h
it moved behind:_
2Where were you located wh
(Circle One)
16. Did the object move in front of something at any time, particularly a cloud? a inside a building
(Circle One): Yes Don't know. IF you answered YES, then telil what b. In a car
in front of: C. Outdoon
d. In an airplane (type)
At sea
f. Other nte
17. Teil in a few words the foilowing things about the object: Selt Ki
a.SoundCone t lan 24. IF you Were MOVING IN A!
0.Color 5 E1rg-vl 24.1 What direction were yc
hesh a. North
. We wish to know the angular size. Hald a match stick at arm's length in line with a known object and note how much of the b. Nartheast
tut jects which, when placed up
thes
TALr dt obfeet C
coposit ter a
shnesey :
4 Tissin
Y7
the actuut 5122/200
D
51etch init ln X Tead,
wly See any hedfur S-
net

Page 3 Page 4
lring 20.Do you think you can estimate the speed of the object? (aprxcn/y)
MA (Circle One) Yes No 290-30
IF you answered YES, then what speed would you estimate? mmisfper.hr.- untri the ti
it inrt berde isinased sud to 4ur5tii
sbl 21. Do you think you can estimate how far away from you the object was?
what (Circle One) Yesi No 4-8mi (20x)
IF you answered YES, then how far away would you say it was?.
22. Where were you located when you saw the object? 23. Were you (Circle One)
(Circle One): a. In the business section of a city?
Inside a building b. In the residential section of a city?
what . In a car c. In open countryside?
c. Outdoors d.Near an airfield?
d. In an airplane (type) e. Flying over a city?
e. Atsea f. Flying over apen country?
. Diner fon the beieh f the Grnt g. Other sand afen
ScltLike vurds othe
ler dsnt F yu wer MOVING IN AN AUTOMOBILE or ohr vehice o h ti hen coplete  follow questons:
c/ou 24.1 What direction were you moving? (Circle One)
a. North c. East e. South g. West
b. Northeast d. Southeast Southwest h. Northwest
a 5/swing,
dissinet liner couli be mad out.
I had the notion "t af the Liiin thet
the tie 511 cirplinn
MaJ00 tusugh it mght
turs- JeG gulde tie like sur plarese
nctieis it wus c

Official U.S. Air Force UFO form ci
(Page 5)
27. In the foilowing skerch, imagine that you are at the point shown. Place an "A" on the curved line to show how high the object 30 Have you aver seen this, or a s
was above the horizon (skyline) when you first saw it. Place a "B" on the same curved line to show how high the abject was
above the horizan (skyline) when you last saw it. Place an "A" on the compass when you first saw it. Place a "B" on the com-
pass when you last saw the object.
90 75° A
N 31. Was anyone else with you at
31.1 IF you answered YES, div
NW NE 31.2 Please list their names ar
diit net, Ie1
W E cistunce
A the i foe u
15 Aprurmly
SW SE bu t 1l tie
32. Please give t Please give liowing infor liowinginfor
B B S S
NAME NAME
the end of the path, and show any changes in direction during the course. the end of the path, and show any changes in direction during the course. ADDRESS
TELEPHONE NUMBER
Indicate any additional inforr Indicate any additional inforn
29. IF there was MCRE THAN ONE object, then how many were there?. Ture: J a2
Draw a picture of how they were arrgnged, and put an arrow to show the direction that they were traveling.
observing Car
and 4
(xaet like
alsoy Z
En curin
G mi 9 feed
on crift iin ons
(05 oofarthr First 33. When and to whom did you re
to my 4 Se cu on Sighiting (net rmui)
the oppoiit siide leecums Day
Vi8i2)
(he to the lo
M. Esurtced in a 50rt of fram segunde
distince sljit sennd t freie foon

sui7
me Oard T. eeld me gt
C1sho-sdI carld cnt fos frn.
Apperntly they ddst hur s at she fie,
incciant Hannd
32. Please give the following information about yourself:
Middle Name
96031 Calf
DORESS
City Zone State
EPHONE NUMBE AGE 48 SEX Mal.
Indicate any yadditional informatian about yourself, including any special experience, which might be pertinent.
I fad ciae 7rqm0ing
(net imuud)
Day Month Year Finn.
115ur-
(de to the

Dec 69
Dear sir
60073
3705
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frs
Sancers untie th inccednt 1e55 prt it
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tere, thene saucers
particilarly distiict fo pnt 2o 25 deta
canld cculd he gisn nothing difenite. D dfenite. D o t
then ralned that what war seen dd id certos- 22 I E Ju5t 1051
Bond in "behaner" fo it 30 of the issie f
Cirmnuts I had Mad I waul
othes Secing This piensmen Nver
Thes I suddnly becanne vividly anant do actu
07 tr fact tht there 2E11y were inccident
5uch ojiects—that rally mood iith 1om0)6
so guinly.50 t Tne
-1 fantestic relecity, and Ob s-rvd
I then Ole cred a wibrary cannct
on the 5ubsoit * and be cams Gii t
cerned 31th ethers w cil
t
in this rgarde as to
tinvio 1

Lew tins hiv Seen the
her fr,nds Thist I as"f7y
11 which pepl refr fo
things that one
feast on
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A

AFR 8-17(C1)
MHX N9 YOU WHN YDU SAN TARPNOWENON 1CAP AN MA
DUTIIO* I WUNNEM AAFCNZA
INSUILOING IN REHDEWIALSHECTOON OF CITY
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LXPLAIN MNETWESUCHHOVEWEVT AIZICTS YOUN SAETCHESINITENGS ANDS
CUMCRIDE TVNE OE VEMICLE OU EAYIN ANOPVP OU NCA? TEMNALNONOON OF ATEA VOU TNAVEASED DUMING
TNA-GHTIS ETATE WNETWER RINDUNSCR CONVANTIOLE TUN EAEUPUAUUAN
1
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V6VATML CT V6 VATWL CTEV8O
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NEAAANCESONIEVIDUJHCTCHES NEAAANCESOVINHEVDULJKCTCHES
Attachment I
(Beromen Attachment 1 Io AFR-17)
831 )

15 T THME NEE W JME THAWU PMTNCMENOH -W MANY *E T H EMA* A WICEUW AFR (8-47(C5)
AHANGED DID CHAAAANUENENT CHANGECUMING TOHTING
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Why h
M (Becomes Altachment 1 to AFit Sm-Tf) Attachment i
832

AFR 0-47(CU
YOU 39s6 FRNGWENCN TN E FEH HVCLUGE INPOHMATION OU wUGEL.
TYPE. FL CEN SCcaer 3 CAILE UATA
JEVTGLASSE4 CAMERAUTETM
JUNGLANES AVOCULA
WIHISRIRLD TPAEICONE
HE RINU OF VEMICLE THRODHOLITR
QNA OTHEH
GLAGEN YE  O . D TODS 9AUIMG3LSY 1581]-0
Twe 19+93 ay AT ATOURMRESONOF THE OSFAMCE UF THE
FRENIMENON SIVTEATINATE w42 PMEMOMLMONE GOU TIMATE R LTANCC
an IM REH TMAP *E MAY FATA  LEAA A ICTUME  CENLS F WHAT TTUAN GESCANE IN TIRU4JN NN
A CEWNIM DM.TCT C4UWIECTS NCM. *EN AL ALEOIN FM TAY. SMLSN FO *M VOU NUTEO TE -WENOW(NO.
BUULO AEAN LUNC *LEWLANCE TS HAT YOUAN, GEKRINE MLAUTIES AND GFEMLNGL ETWEEA THE
CNMUVGIECT ANGNAITOUSAE.
AL Ddow tkih
I. hgPoU NaTICE NY3E I.hgPOU NOTICE rJ AOW TNE PMENNEWSHOMANY EFFECT ON VOUNSELF. AOM TNE PHEN NEWSH OM ANY EFFECT ON YOUNGELF
ARL4 5 NO. U1OIR UFYEOICROS
A DIG THEPNEMIMENON DISTUR TNE GAUNG ON LEAV PHYNCAL EVIGERCE Ta
IF*VEL*OESCAIRE.
PAGEIOPBPAUES
Altachment 1
(Decomes Attachment 1 to AFR s-17)
835

AFR S0-17(C1)
a NO.
OA A LMLAA PHENOMCNUM REFOREY
CO HAVS YOU TVEA SEEM
LOUATION
IT TOO*
Tut SAC ve
7A LHYONE WITH YOU AT THE
3. Ova HG.
-
a LISY THER
ABGUT YOUMSELP
GIVE THE FOLLON
14. LAST NAM. FIMEY NAME, WIC
AGE AGK X WALE FEWAL FEWAL
EPEATINENT,
AY LAPEMENCE 3HICA
7W1LMNEmONCNCmNt
DND TO YEAR
DAY M0NT
Navt JUCATIONNALRE. YeAR
COW- DAYZS uo
24 DATEYOU PAGESORDPAGES
Attachment 1
(Becomes Altachent 1 to ArH 30-17)
836

AFR90-17(C1)
LHAAICTUETAATILLLCW THE PNMCMVMT CLUE AMOLAELAU LETAILNA IINY
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Aftachment1
(Breomes Attachment 1 to AFkt s0-17)
834

AFR S-17(CI)
1a CHD 2H HENJNENON
AATRUNT LNE
S7ANOE6247*WEY
TUCEMLSPEE I AWG HUN AP 8
UUERAPU ANTANGENPLUDE
CHANECH
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TLS
Attachment 1
(Becomes Attachnent I to Ar'k S9-17)
833

-
-
AFR S0-IR(CD
SIGMTING OF UNIDENTIFIED PHEMONENA QUESTTONMAIRE MD6114UJA 2A*A
AUWER 1 25*
THIS CUESTISONNAINE HAS MEEN PRKPARED SO THAT YOU CAN GIVE THE U S AIN POMCX AS MUCH INFORMATIOIN
AS PONNINLE CONCFRNING THE UNIDENTIFIED PHENOMENON THAT YOU HAVK OHIEAVED PLEASE THY TO
AAS*ER ALU OF THK QUESTIONS THE INFORMATION YOU GIVE WILL UE USED FOM HESEAMCH PURPONES
YOUR NAME WILL NOT BE USKD IN CONNECTION MITH ANY OF YOUN STATEMENTS OM CONCLUSIONS WITHOUT
VOUR PENNISAON HKTURN TO ALM FORCE BASE INVESTIGATON FOH FOMRAHDING TO FTD (TOETR), SHIGHT
PAITEXWIN AFA,OHIUASA3),IAN MEANG.IT UIF ADDI TIONAL SHERTS AHK NERDND PON NAAMATIVE OR SKETCHES
ATTACH SECURELY TO THIS FOMM OR ANIVOTATE WITH YOUANANE POR JUENTIPICATION )
WHEA IJ YOUSLE THE PMENJNENNY DA  MOMECAM
MOUM 'MNUT8S0
MHAY FMEONg OULASY LIGNTTMEPMEMUNENON 3:
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THME2ONE UNTLICTSAVNCO LISPAVDAND
Crarees C]cewtess MUNTA C-so Oat-se
"ACAT WNOFNCIT Ort Tat HNERA SHEOTUGOES AND INOATE ON
NFASEFERENZ To TA AUNEA 1N SUNTNDENTI TN
MICHRATTU A DISTANCE AMO DRECTIGN FNH SONE RECO AAUNA4A
FiLD FILD
3
40N1 *3 44 Y 1N 2N0*NN1NS487C4 PL42ATA c40 *ga4f o1f PTINT 2NC*N N14ESAETC4 PL4CEA4TA N THE CUNVED LINE YLNOMMUN MN F4 UNT4 UVFL1NE TOM**MGN 1
*4 AOVETE -2O DSAP *AEN IST MEN FLC 4 *A AAOVE TWE -2ON DSAT *AEN RST MEN PLG 4 M O 1HE LSLCURVEDLRETO CuNVtaLiNE 1O
tom0 mu aooVE Tad mgiz0N HTOe THE PHLMOMEMONWAS*NEN PATNOR2MON"ASRNERLAST SE4 4E4
3
ORSERVER
AF $217 Attachment 1
CBecomem Altachmeat I to AFR s-)
829
.