1. OAlf:. TIME ,GROUP 2. LOCATION . . 10. CONCLUSION INSUF'FICIE~'T n:\r;r, FOi ~ Et/ALUATILm .i. Nli E'E R OF OBJECTS ~. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS Few minutes 6. Tl'PE OF ORSERVATION Gronnd Visual SJ. Ptfoi'oS . 9. PHYSICAL EVIDENCE r;TD sc p ~ 3 0-329 (TOE) P"loua edlUon of thl fota .... , be uud 8. IF you tow tho obJect ot NIGtil, what did you not"e COI\Cerning the STARS and MOON? d. Don't remember 8.2 MOON (C.iu:le One): o. Bri~t moonlaght b. Dull moonlight c._ No_m_g nlight - pitch darl& ~on't reN 9. What -...ere toe ~other tondetions at the time yau aaw the obittct? CLOUDS (C:rde One): WEATHER (Circle One): a. Clenr aky t.. r og, mist, Of leght ro6u c. Moderate or hea-,y rain d. Thic ot he\J.,~ cf-:.u,h d. Snow e. Don't remember 10. The objt!tct appeared; (Circle One). o. Solici C$. Aa:'l li;hU b. Tranapuront e. Don't rmemb.r If it appeared as a light, was it blighter than the brighteat atars? (Circle One): (0. Brightit) c. About the aame cf. Don't know lwightneaa to aowee common ~biect: ., 12. The edge of the object were: f(1,do t;:e) a. Fuzzv or blurred b. Like a bright star ~:.. sn~rpty outlineD d. Don't remember 13. Did the ob1ect: One for each queatlon) Appear to stand still at any tin:e? Yes Don't lcnow Suddenly speed up and ruah away at any time? Don't lcnow Break up into part a ot explode? Yes D.on't know d. Gave off smoke? Yea Dcn't lcnow Chon~ bri~tnesa? Don't know f. Change ahcpe? Don't know flash or flicker'? Don't lmow g. Yes Oiaappear and reappear? (Circle OneJ: Don't Know. IF you .:mswerod Y [ ;,, thttu htll ,._.hat it moved behind: Did the object move in front of mething at any t1me, porticularly a cloud? (Circle One): Don't Know. IF you answered YES. th'!., ~u w;;'JI 17 . Tell in a few words the following thing' about the obiect: We wish to know the angular size. Hold a match stick ot arm, length in lintt with a known ubioct anc:l~t':r 'j,. much of the obiact is covered by the head of the match. If you hod pttrformeJ this experin1ent at th tir;..,.; ..t t.~ sighting, how much of the object would hovo been covered by the match head? Draw a picture that will show the shape of the obiect or obiects. Label and include in your sketch any detCi I;~ of the obiect that you sow such 01 wings, protrusions, etc., and especially exhaust trail a or vapot trails. Place an arrow beside the drawing to show the direction the obiect was moving. 20. Do you think you can estimate the speed of the object? (Circle One) Yes (~ IF you answered YES, then what speed would you estin.ote'f ------- 21. Do you think you can estimate how far away from you th~ object w'ls? (Cirde One) \._Yes../ No IF you answered YES, then how far away would you say it was? 22. Where were you located when '/CN saw the oblect? (Circle One): 23. Were you (Circle One) lr; the business iection of a city? o. Inside a building (C ... Outdoors) \_b. lr, th(r residenttol s~dic,e1 -vi G :ci~!) IIi o pc,n countryl\ide? N"ar an airfield? d. In an airplane (type) Flying over a city? f. Fly;nfi over open country? Other ----- 2A. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete t~a followir.g queations: . 24.1 What direction wera you "'oving? (Circle One) a. North c. East e. South i~ w.,.t 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? (C ire I One) In order that you can give as clear a picture aa possible of what you saw, dttscribe in your own worcfs a cOtnmOft obiect or objects which, when placed up In the sky, would give th~ same appearance at the object which } 'OU ao~. '" th followlnt a ketch, lmotiM tht.~t you ore ot the polnt how". P l~c un ''A" on d ... r:ut~: I tnt. to a how ho~ high the oblect woe above the horlaon (akyllne) when yw llrtt sow lt. Ploc:", "8 .. ~n the t:~me ~ur~d line 1<' ahow how high the obiect wo1 above the horizon (tlcyllne) when ynu lost ~c..w it, Place un '/A.' on the compos when you ''"' taw It, Ploce a "B" on the compo11 whre you /rut a ow tt ohject. 28 . Draw a picture that wi II ahow th motion that the oblect or obiects macftt. Plac:e on A' at the bo9inni:1g ot 1he path, a "8" at the end of th path, and ahbw\ any changes in direction during the ~ours 29, IF there waa MORE THAN ONE obJect, then how many were there? _ Draw a picture of how they wer orrongd, ond put on arrow to ahow the direction that they wertt traveling 30. Hov you ever seen this, or a similar objeet befOfe, If to give date or dotta ond locotlo.,, 31. Was anyone else with you at tt.e time you saw the obiect? (Circle One) 31.1 IF you answered YES, did they the obiect too? (Circle One) 31.2 PI list their names end oddr: 32. Please give the following lnfmatlon about yourself: Laet Nfllle tndlcot. any additional lnfortlon about yourself, Including o'r1y apeclal perlence, which might be ~rtinn, . 33. When and to whom did you report that you had n the object? l-'. Date you completed this questionnaire: Information which you feel pertinent and which Is not adequately covered in the specific pointa of th. questionnaire 0# a narrative explanation of your sighting. UFO Observat i on, observation your unidentified jnf'orrnation in your letter su:f'ficient evaluation Ra que_ at. you comolete the r...re wis~ .. to thank you attached F-r'D your ooaerv.ation Sincerely, ....... B ~NTMiiiJA Chief', Project Blue Jr, Major, \..V o o.OS PROJ2C7 ~:J73 RECORD 1. OAiE TIME GROUP 2. LOCATION S. LENGTH Ot' OBSERVATION 35 s econds fl. TYPE OF 03SERVATION Ground t/isual 19. PHY_SICAL EVIDENCE 10. CONCLUSION Aircr~ft(possi~le) 11. BRIEF SUMMARY AKD ANALYSIS cc:o.:eci