PROJECT BLUE BOOK

." 1
PROJECY 1OS73 RECORD
1. DATE ·TIME GROUP LOCATION
4 NCv 67 (5/01002 Davenport Iowa JOwA
. SOURC . SOURC. . CONCLUSION 10. CONCLUSION .
Civilian INSUFFICIENT DATA FOR EVALUATION
4. 4. NUMBER OF OBJECTS Present policy is the automatic classification of insufficient
data to cases subditted l month or more after the observation. cases sulditted l month or more after the observation.
One One Even so it would Still be the sama clasaification sinco tho Even so it would $till be the same clasgification sinco tho
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS observer is not sure of the
30 Minutes The observer sighted a dark object, red and Blue 1 The observer sighted a dark object. red and Blue lights. lights. Thei
6. TYPE OF OBSERVATION object was seen in the NE.
Ground-Visual
7. COURSE
Not Reported
e. PHOTOS
Yes
XXNo 4
9. PHYSIC ENCE poie: see 4Man68
Ys 24Jo0 28
XXNo
FORM
FTD SEP 63 0-329 (TDE) Prevloue editions of th!• form mey be uned.
.

AFR 80-17(C1)
27. INFORMATION WHICH YOU FEEL IS PERTINENT BUT WNICH IS NOT ADEQUATELY COVERED IN THIS QUESTIONNAIRE, ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
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PAGE 9 OF 9 PAGES

AFR 80-17(CI)
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDGET BUREAU AP2OYAL
NUMBER 21-R230
ANSWER ALL OF QUESTIONS. THE INFORMATICN YOU GIVE WILL BE USED FOR RESEARCH PURPOSES.
YOUR NAME D IN CONNECTION WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS WTTHOUT
YOURPERMISSION. RETURN TO AIR FORCE BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR), WRIGHT-
PATTERSON AFB, OHIO 45433, IAW AFRBO- [7. (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1. WHEN DID YOU SEE THE PHENOMENON?
DAYci MONTH/YEARiZ6Z
2. WHAT TIM E DID YOU FIRST SIGHT THE PHENOMENON?
HOUR P.M.
3. WHAT TIME DID YOU LAST SIGHT THE PHENOMENON?
HOUR. HOUR 7:30 MINUTES P.M.
4. TIME ZONE 4. TIME/ZONE DAYLIGHT SAVINGS C DAYLIGHT SAVINGS STANDARD
EASTERN CENTRAL CENTRAL MOUNTAIN PACIFIC PACIFIC OTHER
5. WHERE *ERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY. GIVE THE NEAREST STREET ADDRESS AND INDICATE ON 5. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY. GIVE THE NEAREST STREET ADDRESS AND INDICATE ON
A HAND DRAWN MAP WHERE YOU WERE STANDING WITH REFERENCE TO THE ADDRESS. IF IN THE COUNTRY, IDENTIFY THE
HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
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6. IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN A' ON THE CURVED LINE TO SHOW HOW HIGH THE
PHENOMENON WAS ABOVE THE HORIZON, OR SKYLINE. WHEN FIRST SEEN. PLACE A BON THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
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1 30 10
1 1
1
1 1 15
1
OBSERVER
AF FORM 117
AUG 67
of the

AFR 80-17(C1)
6A. MOW IMAOINZ YOU AME ATTHE CENTEM OP THR COMPABS RORE. PLACZ AN A° ON TNE COMPASS TO INDICATE THE
DIRECTION TO THE PHENOMINON WHEN FIMST SEEN. PLACE A *H" ON THE CONPASS TO INDICATE THE DIRECTION TO THE PHENOMENON WHEN LAST SEZN.
NNW NNE
NW N
WNW ENE
—
WSW WSH ESE
SW SE
SSW SSW SSE
7. IN THE SKETCH BELOW, PLACE AN *A* AT THE POSITION OF THE PHENOMENON WHEN FIRST SEEN, AND A "B° AT THE
POSITION OF THE RHENOMENON WHEN LAST SEEN. CONNECT THE *A° AND *B° WITH A LIME TO APPROXIMATE THE
MOVEMENT OF THE PHENOMENON BETWEEN *A* AND "B*. THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT
APPEARED TO BE STRAIGHT, CURVED OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE THE LARGER SXETCH.
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PAGE 2 OF 3 PAGES
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.
AFR 80-17(C1)
WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (ChECk aPprOPriaTe blOCKS.)
OUTOOORS IN BUSINESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER 0 AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE AS PILOT AS PASSENGER FLYING OVER CITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
A. IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWING:
WHAT DIRECTION WERE YOU MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS 5 AND 6.
DESCRIBE TVPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD, TERRAIN OR BODY OF WATER YOU TRAVERSED DURING
THE SIGHTING. S THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MUCH OTHER TRAFFIC WAS THERE? TRAFFIC WAS THERE?
DIO YOU NOTICE ANY AIRPLANES? DYES
OF SIGHTING THE PHENOMENON ANDWHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
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9. HOW LONG WAS THE PH ENOMENON IN SIGHT?
LENGTH OF TIME CERTAIN NOT VERY SURE
30 susete FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? DIYES NO. IF NO," INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAR.
PEARANCES ON PREVIOUS SKETCHES.
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PAGE 3 OF 9 PAGES

-
AFR 80-17(C1)
1O. IF THERE WERE MORE THAN ONE PHENOMENOM. MOW MANY WERE THERC? DRAW A PICTURE TO SHOW HOW THEY WERE
ARRAHGED. DID THIS ARRANGEMEHT CHANGE OURING TNE SIGHTING'
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11. CoNDiTiONs(Check appropriate blocks.)
A. SKY B. WEATHER
DAY CUMULUS CLOUDS (LOW flEffy) FOG OR MIST
TWILIGHT TWILIGHT CiRRus CLouDs (lligh fleecy or Herring- CiRRus CLouDs (High fleecy or Herring- HEAVY RAIN HEAVY RAIN
NIGHT HIGHT bone) bone) LIGHT RAIN OR LIGHT RAIN OR DRIZZLE DRIZZLE
CLEAR NIMSUS CLOUDS (RaiN) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS CUMULONIMBUS SCLOUDS SNOW OR SLEET
COMPLETELYOVERCAST COMPLETELY OVERCAST (Thunderstorms) (Thunderstorms) UNKNOWN
HAZE OR SMOC NONE OF THE ASOVE
C. IF THE SIGHTING WAS AT TWILIGNT OR NIGHT. WHAT DID YOU NOTICE ABOUT THE STARS AND MOON? C. IF THE SIGHTING WAS AT TWILIGNT OR NIGHT, WHAT DID YOU NOTICE ABOUT THE STARS AND MOON?
(1) STARS (2) MOON
NONE . BRIGHT MOONLIGHT NO MOONLIGHT
AFEW MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL(New Or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? YES NO. IF YES," WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD(NeW nOON)
IN BACK OF YOU TO YOUR LEFT UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGMTING, SUCH AS THE SUN, HEADLIGHTS OR
STREET LAMP. ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
rwat 12. GIVE A BRIEF DESCRIPTION OF THE PHENOMEHON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
REFLECTEO LIGMT OR WAS SELF-LUMINOUS AND WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER T
IT WAS SOLID OR TRANSPARENT, WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT
APPEARED AS A POINY OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEW.
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PAGE 4 OF 9 PAGES

FLASH OR FLICKERI
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBSLE? FLUTTEROR WOBSLE?
14. WMAT DREW YOUR ATTENTION TO THE PHENOMENON?
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A. HOW DID IT FINALLY DISAPPEAR?
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B. DIO THE YES PHENOMENON MOVE BEHIND OR IN FRONT OF NO IF "YES,"DESCRIBE. ANY TIME?
NO. IF YES,"DESCRIBE.
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PAGE 5 OF 9 PAGES

AFR 80-17(C1)
IS. DRAW A PICTURE THAT WILL SHOW THE SHAPE OF THE PHENOMZNON. INCLUDK AND LABEL ANY DETAILS THAT MIGHT HAVE APPEARED AS WINGS OR PROTRUSIONS, ANO INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING.
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16. WHAT WAS THE ANGULAR SIZE? HOLD A MATCH AT ARM'S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET LAMP OR THE MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. NOW IF YOU HAD
BEEN ABLE TO #ERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD.
ENOMENON *OU-D AAVE BEEN COVER:D BY THE MATCH HEAD.
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PAGE 6 OF 9 PAGES
4
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AFR 80-17(C1)
17. DID YOU OBSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWINC' INCLUDE INFORMATION ON MODEL,
TYPE, F!LTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASRES BINOCUL ARS
WINDSHIELD TELESCOPE
SIDE WINCOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER d2-
A. DO YOU ORDINARILY WEAR GLASSES? YES CINO B. DO YOU USE READING GLASSES? YES ""1NO
18. WHAT W=S YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENON' GIVE ESTIMATE OF SPEED PHENOMENON? GIVE ESTIMATE OF DISTANCE
2O. IN ORDER THAT WE MAY OBTAIN AS CLEAR A PICTURE AS POSSIBLE OF WHAT YOU SAW, DESCRIBE IN YOUR OWN WORDS
A COMMON OBJECT OR OBJECTS WHICH, WHEN PLACED IN THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENOMENON.
WOULD BEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE
COMMON CBJECT AND WHAT YOU SAW.
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21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF.
ANIMALS OR MACHINERY IN THE VICINITY?
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A. DID THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. A. DID THE PHENOVENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YESNO. YES NO.
IFYES.*DESCRISE. IF"YES.*DESCRISE.
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PAGE 7OF 9 PAGES
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1
AFR 80-17(C1)
22.HAVE YOU ZVER SEEN THIS ON A SIMILAM PHEMOMEMON BEFORE? YE DATE AND
LOCATION.
2. WAS ANYONE WITH YOU AT THE TINE YOU SAW THE PHERONZNONI YZS NO. IF *YES.DID THEY SEE IT TOO?
YeS NO.
A. LIST THEIR NAMES AND ADDRESSES
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME, FIRST NAME, UBOWE LAST NAME, FIRST NAME, MAME Mo
ADDREss (Sereet, Ciy, Stnte and
52803
TELEPMOWT TELEPH AGE
MALE MALE FEMALE FEMALE
INDICATE ADDITIOHAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICN MAY BE PERTINENT. INDICATE ADDITIOHAL INFORMATION INCLUOIN OCCUPATION AND ANY EXPERIENCE WHICN MAY BE PERTINENT.
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25. WHEN 25. WHEN AND TO WHOM OID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON? AND TO WHOM OID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
NAME DAY MONTH YEAR LYY
25. DATE COMPLETED THIS QUESTIONNAI
DAY
PAGE 8 OF 9 PAGES