Ci vil ll'l .t. NUMBER OF OBJECTS s. LENGTH OF OBSERVATION 5 1 _;_nutes 6. TYPE OF OBSf~VATION ~rcund-Visual 9. PHYSICAL EVIO!NCE PROJECT 10073 RECORD 2. LOCATION 10. CONCLUSION 11. BRIEF SUMMARY AND ANALYSIS Obs rve r s n ot ::d \~l:, i: ! 1:~r: l'''d flash ine li[;ht s tia.:.~ t 'l.)r e ~ ~on bit ~ u~' and do\m al1,) . l'':'.'l:i.rl~.: : .. \)\"[crcl the east. One obj~ct ':;~lO oos~!"VCd anJ t,,IQ nti.nt,: 0 J.;t t:r i'ollat~cd another r;imi.la.r object. 8. IF you sow the object at NIGHT, what did you notice Ct'~ceorning the STARS and MOON? 8.1 STARS (Circle One): 8.2 MOO~ (Circi Onej: a./ Bright moonlight . .' b. 'n-u-t rmoon tiQh, d. Don't reme,ber c. No moonlight -pitch dark cl. Don't remember 9. What were the weather conditions at the time you saw the object? CLOUDS (Circle Olfd: a. ( Clear s kv _. c. Scotter~c cloud~ d. Thick or heavy c f~uds 10. The object appeared: (Circle One): WEATHER (Circle One): b. Fo~, ..,; :;t, or I ight r a in c, Modert'Jt" or heavy rain e. Don': r~-.,ember b. T rcr. s~o~e~t 11. tf it c;:>peore: as o ligh~, was it brigr+~r than the brightes t !tors? (Circle OneJ: ; 0 c. About the so-nt" b. D immer d. Don't know 11.1 Com~cr!: brightn.,ss to some common obiect: 12. The edges of Me o bi ec:t were: (Circle On~,l: a. Fuzzy or bl urred b. Lik~ c briyht star c. Sr:arp ly out I ined d. Don' rem~mbe-r Did the obj ec~:. (Circle One for each question) Appear to stond sti II nt ony time? Don't know b. Suddenly s:>eed up and rush away at any time? Don't know Break uc ir:to ports or exolode? Don't know c. Give off s~oi<~ '? Don't know Change br ight.,~ss? (ffo~) Don't know f. Change shape? Don't know Flash or flicker? Don't know Disappear and r~appecr? Don't know 14. Did the object disappenr while you were watching it? If so, how? "1(. Did the object move beh(,d something at any time, particularly a cloud? (Circle One l: y.,, (-(;) Don't Know. IF you answered YES, then tell what 16. Did the o biect move in front of something at any time, particularly a cloud? (Circle One): Yes s: Don't Know. IF you answered YES, then tell what 17. T~ll in o fe w words the following th in g s about the object: 18. We wish to know the angular s1ze. Hold a match stick at arm's length in line with a known object and note how much of t he -,bject is covered by the h~ad of the match. If you hod performed this experiment at the time of the sighting, h ew much of the object would have been covered by the match head? 19. Draw o pic:~.Jr~ ;,:=t will show the sha pe of the obiect or objects. Lobel and include in your sketch any details of the object c 'f~U sow such a s wings, protrusions, etc., and especially exhaust trails or vapor trails. Place an crro....., Seside t he drawing to show the direction the object was moving 20. Do you think you can estimate the speed of the object? (Circle One) Yes 0-::} . IF you answered YES, then what speed would you estimate? ------------~-- 21. Do you thi:1k y ou con estimatehow for away from you the object was? (Cirde One) IF you onswered YES, then how for away would you say it was? I~L/21.Lj~--- 22. Where were you located when you saw the object? (Circle One .l: a. Ins ide o cui ld ing d. In on o irplone (type) 23. Were you (Circle One) a. In the business section of a city? (f) In the residential section of a city? c. In open countryside? d. Near an airfield? e. Flying over a city? f. Flying over open country? g. Other th~/l / .A--tl e 24. 1 F yo~.: wer~ MOVING IN AN AUTOMOo I L E or other vehicle at the time, then complete the following questions: 24.1 Wha t d irection were you moving? (Circle One) a. N~r~ c. East e. South g. West b. N::lrtheast d. Southeast f. Southwest h. Northwest 24.2 How f=s t were you moving? miles per hour. 24.3 Did you stop at any time while you were looking at the obiect? (Circl~ One) Did ~ou ob s erve t he obiect through ony of the following? Eyeglc s s~s No e. Binoculars Sun g l:s..:;e s f. Telescope w d I I I 1n sn :c. Yes No g. Theodolite Window ; i c.:;s In order thct you can give as clear a picture as possible of what you saw, describe in your own words a common object or objects which, when placed up in the sky, would give the some appearance as the obiect which you saw. 27. In the following sketch, imagine that you are at the point shown. Pfoce an .. A .. on the curved I ine to show how the obiect was above the horizon (skyline) when you first sow it. Place a "8., on the sam& curved line to show how high the obiect was above the horizon (skyline) when you lost saw it. Place on "A" on the compass when you lirst sow it. Place a .. 8 .. on the compass where you lost saw the obioct. 28. Draw a picrure that will show the mction that the obiect or obiects made. Place an "A" at the beginning of the path, a "B" ot the end of the path, o:'ld shv~ \lny changes in direction during the course. 29. IF there wc:s MORE THAN ONE object, then how many were there?----=~------ Draw a picture of how they weret arranged, and put on arrow to show the direction that they were traveling. 30. Have you ever ~een this, or a simi lor obiect before. If so give dote or dotes and location. 31. Was anyone els~ with you at the time you saw the object? (Circle One) 31.1 IF you answered YES, did they see the object too? (Circle One) 31.2 Pleosr: list their names and addresses: 32. Please gi ve the following information about yourse If: TELEPHONE NU Indicate any additional information about yourself, including any special experience, which might be pertinent. 33. When and to wh:>r-d id you report that you hod seen the object? 34. Date you completed this questionnaire: Information which you feel pertinent and which is not adequately covered in the specific points of the questionnaire or a narrative expla.nation of your sighting. l'l'D (TDER)M Wright-Patterson AFB, l September ~966 Reference your unidentified observation of 19 August ~966. The information which we have received is not s uf.ficient for evaluation. Request you complete the attached ?I'D Form ~64 and return it in the envelope provided We wish to thank you for reporting your observation to the Air Force Sincerely, OR Q.Ulllrk"'ILLA Chief, Project B~ue.Book . a your unidentified observation ot 19 August 1966 The 1nfoxmat1on which we have received is not sufficient for evaluation. Request you complete ~ attached P'TD Fo1111 l64 and return 1 t in the envelope provided . w~ wish to thank you tor reporting your observation to the Air Force. Sincerel.y QUDTA.1 I' .Itt\, Jr, l4aJor, ProJect Blue Book U.S. AIR FORCE TECHNICAL INFORMATION This questionnaire has been prepared so that you can give t~e U.S. Air Force as much information as possible concerning the unidentified aerial phenomenon that you have observed Please try to answer as ma.ny questioni as you possibly can. The information that you give will : be used for research purposes. Your name wi II not be used in connection with any statenents, condusions, 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 yoJ see the object? (Circle One): 3. Time Zone: (Circle One): a. t:cstern {b. C~ntfo I) c. Mountain d. Pac ir ic 4. Where were you when you sow the ob jec:t? Neores' Postal Address 5. How long w~s object in sight? (Toto I Duration) (Circle One): City or Town Hours Minutes G. Certo ;;) c. Not very sure Day I ight Savin ~--.c:.-r.darcr Stote or County b. Fairly certain d. Just a guess 5.2 Was obje ir. s ight continuously? 6. What was the condition of the sky? Yes.L No 7. IF you sow the object during DAYLIGHT, where was the SUN located as you looked at the object? d. To your left e. Overhead f. Don't remember FTO OCT 62 164 Thla form aup~r~,.,. FTn 164. jul 61, whlc~ ia obaolete S I HT I r