PROJECT BLUE BOOK

PRO.EC 3R.C31 1
LATION
2 We1 3/00012 rimieion, e.
. -ONCLUSION U CONCLUSION UT
AStro(VENUS) 2rt grt
m
Yonus was on a. ..rinuth Yonus was on a. ..rinuth t
vation of 9 deernns at t vation of 9 degrnns at t
RYATION 11. 11. BRIEF SUMMARY AND ANALYSIS
-5 Object had a red rim vit
OBLERVATION OBSERVATION botton. Objec as movin
GtO 1s-a-(EX) :
LOUKSE
h-
N
PHOTOS
n Yes
%No
2. PHYSICA DENCE
n Yes
No
FORM 240
FTD SEP63 0-329 (TDE) Provious editions of thio form may be uac.
.

Mar 61
Astuol Vem)
Yenue on Re of
t 3C
U.S. AIR FORCE TECHNICAL INFORMATION
This questionne has been prepared so that you can give the U.S. Air Force as much
information as possibl concerning the unidentified aerial phenomenon that you have observed.
Please try to answer as many questions as you possibly can. information that you give will
ion with any statements,
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.
1.When did you see the object? 2. Time of day: 7 00.. 00..
Hour Minutes
and
Teusd=y M9RCH1967 MIRCH 1967 (Circle One): A.M. or P.M. P.M.
Doy Day Month Month Year .
.
3. Time Zone: (Circle One): a. Easta
(Circle One): Caster (Circle One): a. Daylight Saving a. Daylight Saving
b. Central b. Standard
c. Mountain
d. Pacific
e. Other
you saw the object?
KINNELONNEWJERSEY
Nearest Pestal Address City or Town State or County
how long was object in sight Total Duration) \rac}$
Hours Minutes Seconds
Carrain c. Not very sure
b. Fairly certain d. Just a guess
5.2 Was objeet in sight continuously? 5.2 Was object in sight Yes Yes No_-— No
6. What was the condition of the sky?
DAY DAY NIGHT NIGHT
a. Bright a. Bright a. Bright
b. b. Cloudy
(Circle One): a. in front of you d. To your left
b. In back of you e. Overheod
c. To your right f. Don't remember
FORM
FTD OCT 62 164 Thie form supernedes FTD) 164, Jul 61, which is obsolete.

Png2
.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 No moonlight - pitch dark
d. Don't remember
What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
Clear sky a. a. Dry Dry
Hazy .Fog, mist, or light rain b. Fog, mist, or light rain
c. Scattered clouds Scattered clouds Moderate or heavy rain
d. Thick or heavy clouds Thick or heavy clouds SNOWCN TNECRCUNO NOT SNCWiNG SnOWCN THECROUNO NOT SNcwiNG
e. Don't remember
10. The object appeared: (Circle One): 10. The object appeared: (Circle One):
WITH WITH
@ Solid alight
. Transperent e. Don't remember
c. Vapor
1If it appeared as a light, was it brighter than the brightest stars? (Circle One):
Brighter c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
LIGNT BUKB GO FEETAWAY
12. The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
b. Like a bright star
Sharply outlined
d. Don't remember Don't remember
.Did the object: Did the object: (Circle One for each question)
a. a. Appear to stand still at any time? Yes No No Don't know
b. Suddenly speed up and rush away at any time? Suddenly speed up and rush away at any time? Yes ND NO Don't know
c. Break up into parts or explode? Yes No Don't know
d. Give off smoke? Yes No No Don't know
e. Change brightness? Yes Yes) No Don't know Don't know
f. Change shape? Chance shane? Yes =090 Don't know Don't know
g. Flash or flicker? Yes Don't know
h. Disappear and reappear? Yes Don't know
Ml

Poge 3
NO
1. Did the abiect move bahind samething at any time, porticularly a cloud?
(Circle Cne): Yes Don't Know. IF you answered YES, then tell what
1Did the obiect move in front of something at any time, particularly a cloud?
(Circle One): Yes NO Don't Know. IF you answarad YES, then tell what
in front of:
17. Tell in a few words the following things about the object:
0. SoundNO SOUND
ONBOITOM
Wa wish to know the angular siza. 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?
Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details
of the sbjecr that you saw such 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.
G FORT LREORIM
MOUIN MOUING AND HOUIN HOUIN GBASK -
BACK AND AND
BACK DOWN DOWN FOARTH FOARTH
SLUER SILUER
ANO ANO WNTETWIRLIING
SLOWLT WNTETWIRLIING
LIGHT'S LIGHT'S
)

Poge 4
20. Do you think you can estimate the spoed of the objoct?
(Circle One) Yes No
IF you answered YES, then what speed would you estimate? .
21. Do you think you can estimate how for away from you the object was?
(Cirele One) YO No
IF you cnswered YES; then how for away would you say it was? dE
FEiV
22. Where were you located when you saw the object? 2 Were you (Circle One)
(Circle One)
aIn the business section of a city?
a. Inside a building b. In the residential section of a city?
b. In c car c. In open countryside?
Outdoors d. Near an airfiold?
d. in an sirplane (type) e. Flying over a city?
e. At sea f. Flying over open country?
f. Other g. Other TREE'SLJY THE
COUNrRP
24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:
24.1 What diraction were you moving? (Circle One)
aNorth c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? — miles per hour.
24.3 Did you stop at any time while you were looking at the object?
(Cirsle One) Yes No
Did you obsarve the object through any of the following?
a. Eyegiexses Y0s No e. Binoculars Yes
b. Sun glasses Yes f. Telescope Yos 200
c. Windshieid g. Theodolite Yes
d. d. Window Window giess Yes NO h. Other h. Other -
2. In order that you cen give as clear a picture as possible of what you saw, describe in your own words a common
KEO EO LIKEIT LIKEIT

Pago 5
2. In the following sketch, imagine that you are at the point shown. Place ar "A" 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 where you last saw the object.
90°
60
NW NU
Sty Sty 33
2 BACF
ALSO AND
ANO UnY
DOWN
B
29. IF there wes MORE THAN ONE object, then how many were here? NO
Drow a picture of how they were crrenged, and put an arrow to show the direction that they were traveling.
1

Fag 6
3. Have you ever seen this, or a similar object before. If so give date or dates and location.
NO
31. Was anyone sise 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) Ye3 No
31.2 Please list their names and addresses:
MY MOTH MRS.
LAKE SIEW ORIUE
KINNE
07H05
32. Please give the following information about yourself:
t S ozy
IMINTE N ON U.F.O.
I
3.When and to whom did you report that you had sean the object? 3.When and to whom did you report that you had sean the object? MTFRIEND
WEOSOBN MARCH 1902
Day Month Yoar
NEXT

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34. Date you completed thi nis questionnaire: SUNDAY APR16 1967
Day Month Year
Information which you feel pertinent and which is not adequately covered in the specific points of the
quastionnaire or  narrative explanation of your sighting.
A5 h
BNOLNNENS3ULTEUSSADELIT CA
SLE~iL
17
0ADTN=:
8
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