PROJECT BLUE BOOK

',
.
PROJECT 10073 /
1
. COCATION 2. CONCLUSIONE
:
., Sidptur Grova, Ghio
-
T.TYPEOFSBSEA-TION 1
. - 3s.. ...
POM5 420021. 2.- L Srow i-kacar Jrow -hacar - 1
1
11059 . i 4 Possiv PussivAt
- .
6. SOLRG WsAst.. Ast.
CY.: CYe: 4 4 EViLtanc P.obayi.ea. .
Poswbly Astosarn
7. LENOTNOF CASERVATION 7. LAAOTAOF CASERVAT.ON S. NUVGER OF S. NUVGER OFOBAECTS OB1ETS9. 9. COURIE COURSE . : C:e. C:e
imotcet.. iaowcei..
1. 1 .. Una Unana
C. BRIEF SONMARY OF SIGHTING TL. COMMENTS
color. Lalloon relene M at C5008. Malloon
ATC VORM 329 26 SEP S2)
.

2305. Notifid
SECTION A P9K
1. When did you sea the object:
13 Ana
1.1 Date: Month Year
Day
2745 A.M. or P.M. (Circle One)
1.2 Time of day: Hrs. Min.
1.3 Time Zone: (Circle One):
a, Eastern d. Pacific
b. Central e. Other
c. c. Mountain
(Circle One): (Circle ) a, a Daylight Daylight Saving Saving
b..Standard b.. Standard
1.4 Gircla one of the Gircla one of the following to indicate how certain you are
of your answer to the above question 1.2:
a. a. Certain Certain C. C. Not very sure
b. Fairly certain b. I Fairly certain d. a. Just a guess
2. Whare did you see the object?
Xhsuc
Postal Address City or Town State Country
ShiPoite2o1
3. Where were you located when you saw the object:
(Circle Ona): a. Inside a building d. In an airplane
b. In a car e. At sea
Cutdoors f. Other
3.1 Were you:
(Circle One): a In the business section of a city?
bi In the residential section of a city? I
In open countryside?
d. Flying near an airfield?
e. Flying over a city?
f. Flying over opan country? 3719
g. Other
I

(
Page 2
4.
A
5. When did official
Day Month Year
SECTION B
6. What were you doing at th object?
6.1
object? Try to list the activity or activities, and the
approximate amount approximate amount time spent on each.
1
7. object? (Circle One):
Yes or Ho.)
(Circle One): a. North e. South
b. Northeast f. Southwest
c. East g. West
d. Southeast h. Northwest
7.2 How fast were you moving? miles per hour.
7.3 I the object?
(Circle One): Yes or Mo

( -
Page 3
8. What direction were you facing when you first saw the object?
(Circle One): a. North e. South
b. Northeast f. Southwest
c. East g. West
d. Southeast h. Northwest
8.1 S
(Circle One): a. North e. South
b. Northeast f. Southwest
c. East g. West
d. Southeast h. Northwest
8.2 to indicata how certain are of
ra. Certain c. Not very sure J
b. Fairly certain b. I Fairly certain d. J d. Just a guess Just a guess
. . Were you wearing eye glasses when you saw the object? he object? (Circle One): (Circle One):
Yes Yes or or No ULK UAK
10.I 10. I How was the object seen?
(Circle One): a. Through window glass e. theodolite
b. Through windshield f. Through sun glasses
c. Through binoculars g. open space
d. a Through Throu telescope h. Other Other
11. What do you remembe I at the time you saw
the object?
11.1 CLOUDS s (Circle One) 11.3 WEATHER (Circle One)
a. Clear sky Dry
b. Hazy b. Fog, Mist, or light rain
Scattered clouds c. Moderate or heavy rain
Thick or heavy clouds d. Snow
e. Don't remember e. Don't remember
11.2 WID (Cirele One) 11.4 TEMPERATURE (Circle One)
a No wind a. Cold
b. Slight breeze Cool
c. Strong wind Warm
d. Don't remember Hot
e. Don't remember

( (
Page 4
SECTION C
object? Hol
Minutes Seconds
12.1 Circle one of the following W ou are of
your answer to Question 12:
B Certain c. Not very sure
Fairly sure d. Just a guess
13. Did the object look: (Circle One) Solid or Transparent?
14. Did me
(Circle One for each question) (Circle One for each question)
14.1 Change direction? Change direction? Yes Don't know
14.2 Change speed? (Yes Yes 211 2911 Don!i know Don!t know
14.3 Change size? Yes Don't know Don't know
14.4 14.4 Change color? Yes Yes Don't know
14.5 14.5 Break up into Break up into parts parts or
explode? explode? Yes Yes Don't know
14.6 Give off smoke? ga aa Don't kncw
14.7 Change brightness? YYe Yes Don't know
14.8 14..8 Flicker, throb, or
pulsate? YA Don't know
14.9 Remain motionless? Don't know
15. I Did the object give off a light? ? (Circle One): (YesNo Don't know
16. Tell in a few words e object?
16.1 Sound
16.2 Color Wh
17. IF there there?
Draw a picture of how they were arranged, and put an arrow to
show the direction they were traveling.

(
Page 5
18.I Did the object at any time:
18.1 Move behind something? (Circle One) Yes No Don't know
IF you ansvered behind.
18.2
IF you answered moved in front of.
18.3 Blend with the background? ( (Circle One) Yes No Don't kncy
19. Which of the following
object you saw? object you saw? (Circle One): (Circle One):
a. Pea f. Automobile
b. Baseball g. Small airplane
c. Basketball h. Large airplana
d. Bicycle wheel Bicycle wheel i. i. Dirigible
e. Office desk j. Other
19.1 19.1 Circle one of the following to indicate are
of your answer Question 19.
a. Certain c. Not very sure Not very sure
(bDI Fairly certain d. U Uncertain
20. Try to tell the following things about the object:
20.1 I feet.
20.2 How far was it from you? feet or miles
20.3 How fast was it going? _iNis miles per hour.
20.4 Circle one of the following to indicate hcw cer
of your answer to he above questions:
a. Certain c. Not very sure
b. Fairly certain d. Just a guess
2l. How did the object disappear from view?
(Circle One): a Suddenly c. Other
b. Gradually d. Don't remember

. ( (
.
Page 6
SECTION D
22. In the following sketch, imagine your eye at the point shown. Place an
"A" on the curved line to show how high the object was above the horizon
when you first saw it. Place a "B" to show where it was when when you
last saw it.
everhead
Horizon Horizon
Your eye Your eye
23. In the following sketch position the object was
when you first saw it, and a " when you first saw it, and a "E its position position when you last saw it. hen you last saw it.
Overhead Overhead
Horizon
O
Your eye
24. Draw a picture that will show the motion that the object made. Place
at the end of its path.
8

did you er ones?
27. t have
caused it? aaed.
28. Give the following informati on about yourself:
NAME Last llame First Name Middle Name
3men
ADDRESS
Street City Zone State
TELEPHONE NUMBER
What is you
Age
Sex
Last School Attended
Year of last attendance at this school

( ( a
.
Page 8
he object?
(Circle One): Yes or No
(Circle One): Yes. or No
29.2 Please list their names and addresses:
30. 30. Please add here any further comments Please add here any rther comments which you which you beliove are are important. important.
Use additional sheets of the sheets of the same same size paper if size paper necessary. necessary.
To T.0 tol to0
fhon fho tt Dt Dut offier. T
e 1T
d le. Sg}
the wh ha 6 Lo
teleflone e ODs -
IR
3l