PROJECT BLUE BOOK

II
PROJECT 10073 RECORD
1. DATE. TIME GROUP LOCATION
10 November 67 10/23302 Collingdale, Pennsylvania 2 witnesses)
SOURCE 10. CONCLUSION
Civiiian INSUFFICIENT DATA
4. NUMBER OF OBJECTS IUMBER OF OSJECTS
It is not clear how long each object was seen. The course of the It is not clear how long each object was seen. The course of the
Three bb jects as given by the witness is conflictingr.io objeet was- bbjects as given by the witness is conflictingr.No object was-
5. 1 5. LENGTH OF OBSERVATION LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIs actually seen, only small pinx points of 11. BRIEF SUMMARY AND ANALYSIS actually seen, only Small pinx points of
light. The observer has seen UFc's befc light. The observer has seen UFc's befc
15 - 25 Minutes (see orig letter).
6. 6. TYPE OF OBSERVATION TYPE OF OBSERVATION *
The observer sighted 3 objects. The largest one "looked ajust just
Not Reported like a star." The other 2 objects were two lattle red lights
7. COURSE COURSE that flew near the star-like object. The red object left varor
trails.
Confliatins
8. PHOTOS
D)Yes
0
9. PHYSICAL VIDENCE 1
Yos
XNNo
FORM
FTD CenL? 0.229 (TDE) Previous ditions of this form may be used.

LOCATION. GIVE DATE AND
23. WAS ANYONE WITH YOU AT THE TIME YOU SAW THE PHENOMENON? YES DIO THEY SEE IT TOO'
YES NO.
A. LIST THEIR NAMES AND ADDRESSES
tave alriady filldout a questionain
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME, FIRST NAME, MIDDLE NAME
ADDRESs (strcet, City, State and Zip Code)
TELEPHONE(Area code and number) AGE
10 MALE FEMALE
OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
no Ocupation Mo Occupatin
25. WHEN AND TO DID YOU R T THAT YOU HAD SIGHTED THIS PHENOMENON?
DAY_ i0 YEAR
NAME
26. DATE YOU COM ETEO THIS QUESTIONNAIRE.
PAGE B CF 9 PAGES

27. INFORMATION WHICH YOU FEEL IS PERTINENT BUT WHICH IS NOT ADEQUATELY COVERED IN THIS QUESTIONNAIRZ, ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
We ar , when I saw the uro + THEM
SAW THE 7ue RED ONES.
.
/
L
PAGE 9 OF 9 PAGES

5 10X0
, "
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PATTERSON AIR FORCE BASE. OHIO 4S433
REPLY TO ATTN OP: NOV 21 1967
TDPT/UFO P9
SUBJECTI UFO Observation, 10 8e tember, 10 Hovember, 1967
TO:
COl CoM Van1E 19023
Reference your recent unidentified flying object sighting which Reference your recent unidentified flying object sighting which
you reported to the Air Force. The information which we have you reported to the Air Force. T The information which we have
received is not sufficient for a scientific investigation. Request
you complete the attached AF Form ll7 and return it in the self-
adressed envelope. Thank you for reporting your observation to addressed envelope. Thank for reporting your observation to
the Air Force.
:
ES C. MANATT, COlOnel, USAF 1 Atch
rector luction AF Form 117
-
Clie

the coneteliation t
Dt(tn tuned
read "Lettens t Broject Beu Boot " edited by Bild adbn,
&Jlying Laucen -Serioue Business "edited
Edwords, tm that come atbast

But D ieliw they a ar eptateatial. If you laidditiond
it immediatley.
4

BA
/
BOB Nr 2l-R258
SIGHTING OF UNIDENTIFIED PHENOMENA OUESTIONNAIRE
THIS QUESTIONNAIRE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S. AIR FORCE AS MUCH INFORMATION
AS POSSIBLE CONCERNING THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO
ANSWER ALL OF THE OUESTIONS. THE INFORMATION YOU GIVE WILL USED FOR RESEARCH PURPOSES.
BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR), WRIGHT.
PATTERSON AF3, OHIO 45433, IAW 80-17. (I IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH VOUR NAME FOR IDENTIFICATION.)
1. WHEN DID YOU SEE THE PHENOMENON?
DAY__ MONTH NOVYEAR19(
2. WHAT TIME 0ID YOU FIRST SIGHT THE PHENOMENON?
HOUR 6 MINUTES3A.M. P.M.
. WHAT TIME DID YOU LAST SIGHT THE PHENOMENON? 6
HOUR EYP.M.
4. TIME/ZONE OAYLIGHT SAVINGS STANDARD
EASTERN CENTRAL MOUNTAIN PACIFIC OTHER
S. WHERE WERE YOU WHEN YOU SAW TNE PHENOMENON? IF IN CITY, GIVE THE NEAREST STREET ADDRESS AND INDICATE ON
A HAND DRAWN MAP WHERE YOU WERE STANOING 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.
TA
ina sin-anit highuy -Mnta Aulorank (diin-
ch of  -gll nma-C 20 ich of G rie Cne- reegnigall nmah- Cl
Luin focl Luin focl COLLINCIALT COLLINCLALT
E7 27 SwiMm6 SwMArNG
CLve Cive
Lny IAU Oouro O-uro
BOIARA BOMINARA
MY MY SIODHN
Posirro Posirio
6. IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCN FLACE AN A" ON THE CURVEO LINE TO SHOW HOW HIGH THE
PMENOVENON NAS ASOVE THE HORIZON, OR SKYLINE, WHEN FIRST SEEN. PLACE A "B"° ON THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
B
90 15
! C0A
!
1
1
1 URLUNO
1
1 - 15
OSSERVER
AF FORM 117
AUG67

6A. NOW IMAGINE YOU ARE AT THE CENTER OF THE COMPASS ROSE. PLACE AN *A° ON THE COMPASS TO INDICATE THE
DIRECTION TO THE PHENOMENON WHEN FIRST SEEN. PLACE A *B* ON THE COMPASS TO INDICATE THE DIRECTION TO
THE PHENOMENON WHEN LAST SEEN.
B -
NNW NNE
NW NE
WNW ENE
WSW
SW SE
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 PHENOMENON WHEN LAST SEEN. CONNECT THE *A° AND *B° WITH A LINE TO APPROXIMATE THE
MOVEMENT OF THE PHENOMENON BETWEEN "A° AND "O. THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT
APPEAREO TO BE STRAIGHT, CURVED OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE
THELARGER SKETCH.
/
PAGE 2 OF9 PAGES

/
8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (Ch=CK aPPTOPPlat: blOcKS.)
OUTDOORS IN BUSINESS SECTION OF CITY =
IN BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER 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 MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT EFFECTS YOUR SKETCHES IN ITEMS 5 AND 6.
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD, TERRAIN OR BODY OF WATER YOU TRA VERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MUCH OTHER TRAFFIC WAS TRAFFIC WAS THERE?
DID YOU NOTICE ANY AIRPLANES? DID YOU NOTICE ANY AIRPLANES? YES NO. IF *YES, DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
CF SIGHTING THE PHENOMENON AND WHERE OF SIGHTING THE PHENOMENON AND WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON. THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
9. HOW HOW LONG WAS THE PHENOMENON IN SIGHT? NIN SIGHT?
LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE
15 minuteo FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? YES NO. IF NO, INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP-
PEARANCES ON PREVIOUS SKETCHES.
PAGE 3 OF 9 PAGES

1O. IF THERE WERE MORE THAN ONE PHENOMENON, HOW MANY WERE THERE? DRAW A PICTURE TO SHOW HOW THEY WERE
ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
litte red liht that fle cragi em it
11. CONDIrIONs (Check appropriate blocks.)
A. SKY B. WEATHER
DAY CUMULUS CLOUDS (LoW fluffy) FOG OR MIST
TWILIGHT CIRRUs CLouDS (lligh fleecy or Herring- HEAVY RAIN
NIGHT bone LIGHT RAIN OR DRIZZLE
CLSAR NIMBUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG NONE OF THE ASOVE
C. IF THE SIGHTING WAS AT TWILIGHT OR NIGHT, WHAT DID YOU NOTICE ABOUT THE STARS S AND MOON?
(1) STARS (2) MOON
NONE BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS MOON HIDDEN BY CLOUDS
UNKNOWN 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 IF *YES, WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON? THE PHENOMENON?
IN FRONT OF YOU IN FRONT OF YOU TO YOUR RIGHT OVERHEAD (Near noon) OVERHEAD (Near noOn)
IN BACK OF YOU TO YOUR LEFT UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR
STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE. STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
Sten slgn about 100
12. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
REFLECTED LIGHT OR WAS SELF-LUMINOUS AND WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLID OR TRANSPARENT, WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT
APPEAREO AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEN.
It wa light -slf-Luminus-bluesorange-it war solid-it appeatd
as a pint of light- it boohed exactly like a star
PAGE 4 OF 9 PAGES

FLASH OR FLICKER?
DISAPPEAR AND REAPPEARI
SPIN LIKE A TOP?
MAKE A NOISET
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
TL meon wai weny bright &  uas wathing : the moon dr
my attention. I the sau it oven th moor I hue wen loo
littl
othe
A. HOW DID IT FINALLY DISAPPEAR? A. HOW DID IT FINALLY DISAPPEAR?
It went beynd our vi-utover trees. It went beyend our vieu- out over thees.
B. DIO THE PHENOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
YES M NO. 1= YES,DESCRIBE.
L
PAGE S OF 9 PAGES

'.
107
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT.PATTERSON AIR
NoV8o167
REPLY TO ATTN OF: TDPT/UFO
SUMJECT: UFO Observation, 10-Se ber, 10 November, 1967
TO:
Your name has been given to the Aerial Phenomena Branch (Project
Blue Book) as being a witness to an unidentified flying object.
If you were a witness to an UFo sighting on lo Sep, lo Nov, 1967
would you please complete the attached AF Form ll7 and return it
in the envelope provided. If you in the envelope provided. If you i were not a witness to were not a witness to this sighting, this sighting,
would you please make a statement to this effect on the attached form. to this effect on the attached form.
The information which you provide will be used in evaluating this
observation. Thank you for your assistance in this matter.
TMES C. MANATT, COlonel, USAF 1 Atch
irector of irector of Production roduction AF Form 117
4

15. DRAW A PICTURE THAT WILL SHOW THE SHAPE OF THE PHENOMENON. INCLUDE AND LABEL ANY DETAILS THAT MIGHT
HAVE APPEARED AS WINGS OR PROTRUSIONS, AND INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING.
Ne difinite shape, it lookud lif a stan.
Ziigajpiaed
behind
tre.
MCON
7.
: .
16. WHAT WA3 THE ANGULAR SIZE? HOLD A MATCH AT ARM'S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET
LAMP OR THE MOCN. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. NOW IF YOU HAD
BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD.
.
PAGE 6 OF 9 PAGES

17. DID YOU OBSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING? INCLUDE INFORMATION ON MODEL,
TYPE, FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES NO B. DO YOU USE READING GLASSES?
19. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENCN? GIVE ESTIMATE OF SPEED MLE. PHENOMENON? GIVE ESTIMATE OF DISTANCE..LLYLSA.
2O. IN ORDER THAT WE MAY OBTAIN AS CLEAR A PICTURE AS POSSIBLE OF WHAT YOU SAW, DESCRIBE IN YOUR OWN WORDS
A COMMON OSJECT OR OBJECTS WHICH, WHEN PLACED IN THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENOMENON,
WOULD BEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRISE SIMILARITIES AND DIFFERENCES BETWEEN THE
COMMCN OSJECT AND WHAT YOU SAW.
It wold hav loohd lihe a stan Ihv we no othe detail
iyt fo  lue rang lih ig  o
2I. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY? YES NO. IF*YES,DESCRIAE.
A. DID THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YES NO.
IFYES,"DESCRIBE.
PAGE 7 OF 9 PAGES

?. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE? YES NO. IF *YES, GIVE DATE AND
LOCATION.
2t was Lept.10.1ie7,+it practically obove me.
I
23. WA3 ANYONE WITH YOU AT THE TIME YOU SAW THE PHENOMENON? YES 0 NO. IF DID THEY SEE IT TOO?
YES NO.
A. LIST THSIA LAMES AND ADDRESSES
12
1 A 1
mue, Crllingdal. Pa. 1902 3
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME, FIRST NAME, MIDDLE NAME
ADORESsebcc City, State and Zip Code)
CCLLIACPALEPENNSYLCALID-IYCA3
TECEP AGE
13 MALE TL FEMALE
INDIO ORMATION INGUDING OCCUPATION IAND ANY EXPERIENCE WHICH NAY BE PERTINENT.
I am a high echol student. I am a high echool student.
PT
1ATGIPASSNMS
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
NAME Mght tTAn diJar. Ba DAY. 1 MONTHNCVYEAR 19C7
26. DATE YOU COMPLETED THIS QUESTIONNAIRE.
PAGE 8 OF 9 PAGES
4

/
27. INFORMATION WHICH YOU FEEL. IS PERTINENT BUT WHICH IS NOT ADEQUATELY COVERED IN THIS QUESTIONNAIRE, ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
Me we walhing huh adg hn Iwas cientd by the
light f the moon. Ihat i whn  the emall d light My
frid indicated th ta lih oged tenit statd t hover
uhile the tioo rid lighti toak off in the othen diectin ata
fit speed. i ther vateled th vo letar like byed fo 15 menute before it disappeard behind hree.
I possile ould you send me any d information 1 pictive
' "pogen ecae li pge1. Gecae. ded
bad li masamentioch bod li aseentioch a undisantte undislenlMs
.
PAGE 9 OF 9 PAGES

BOB Nr 2l-R258
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE
THIS QUESTIONNAIRE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S. AIR FORCE AS MUCH INFORMATION
AS POSSIBLE CONCERNING THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO
ANSWER ALL THE QUESTIONS. THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES.
YOUR NAME WTLL NOT BE USED N C NECTION WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT
YOUR PERMISSION. RETURN TO AIR FORCE BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR), WRIGHT-
PATTERSON AFB, OHIO 45433, IAW SO-17. (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1. WHEN DIO YOU SEE THE PHENOMENONT
DAY... PO MONTH NOV YEAR 1967
2. WHAT TIME DID YOU FIRST SIGHT THE PHENOMENON?
HOUR MINUTES 30 A.M. P.M.
3. WHAT TIME DID YOU LAST SIGHT THE PHENOMENON?
HOUR MINUTES 55A.M. P.M.
4. TIME/ZONE DAYLIGHT SAVINGS STANDARD
EASTERN []CENTRAL MOUNTAIN PACIFIC OTHER
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.
CATY CATY
RHODES RHODES AVE AVE.
PCSIION -
CF
CPSERVER CPSFRUER DUMp DUMP
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 "B" ON THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
B
90 7
1 8
1 45A
1
1
1
1
1
OBSERVER
AF FORM 117
AUG67

6A. NOW IMAGINE YOU ARE AT THE CENTER OF THE COMPASS ROSE. PLACE AN A° ON THE COMPASS TO INDICATE THE
DIRECTION TO THE PHENOMENON WHEN FIRST SEEN. PLACE A *D° ON THE COMPASS TO INDICATE THE DIRECTION TO
THE PHENOMENON WHEN LAST SEEN.
NNW NNE
NW NE
WNW ENE
wSW ESE
sw SE
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 PHENOMENON WHEN LAST SEEN. CONNECT THE A^° AND B° WITH A LINE 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 SKETCH.
PAGE 2 OF 9 PAGES

a. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CheCK oPPTOPRlate blOCKS.)
OUTDOORS - IN BUSINESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE 0 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
NORTHNEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT EFFECTS YOUR SKETCHES IN ITEMS 5 AND 6.
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD, TERRAIN OR BODY OF WATER YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW HOW MUCH OTHER TRAFFIC MUCH OTHER TRAFFIC WAS THERE?
DID YOU NOTICE ANY AIRPLANES? YES 2 NO. IF YES," DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME NO. IF YES, DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHEPE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
9. 9. HOW LONG WAS THE PHENOMENON IN SIGHT?
LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE
2SMIVUTES FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? YES NO. IF NO, INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP-
PEARANCES ON PREVIOUS SKETCHES.
PAGE 3 OF 9 PAGES

10. IF THERE WERE MORE THAN ONE PHENOMENON, HOW MANY WERE THERE? DRAW A PICTURE TO SHOW HOW THEY WER
ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTINGY
NC
EXHPUSE 7
11. CONDITIONs (Check appropriate blocks.)
A. SKY B. WEATHER I
DAY CUMULUS CLOuDS (LOw fluffy) FOG OR MIST
TWILIGHT CIRRUs CLouDS (High fleecy or Herring- HEAVY RAIN
√ NIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMBUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG NONE OF THE ABOVE
C.IF THE SIGHTING WAS AT TWILIGHT OR NIGHT, WHAT DID YOU NOTICE ABOUT THE STARS AND MOON?
{1) STARS (2) MOON
NONE NONE BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO UNKNOWN
MANY MANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL (New or quarter)
D. IF SIGHTING D.IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? WAS IN DAYLIGHT, WAS THE SUN VISIBLE? YES NO. NO. IF YES," WHERE WAS THE SUN AS YOU FACED IF YES," WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU IN FRONT OF YOU TO YOUR RIGHT OVERHEAD (NeW noor)
IN BACK OF YOU TO YOUR LEFT UNKNOWN AILOTADJ AAIETADASASY
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR
STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE. STREETI LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
STREET LAMP
12. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
REFLECTED LIGHT OR WAS SELF-LUMINOUS AND WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLID OR TRANSPARENT, WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT
APPEAREO AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEW.
Ihe big od doot
Finte of blue and green.
The Ter to teo wre sededish and had ephan
PAGE 4 OF 9 PAGES

FLASH OR FLICKSR?
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISEI
FLUTTEROR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
Thing at sirange in th og sky
A. HOW DID IT FINALLY DISAPPEAR?
peared iefind Tres peared befind Tres
8. DID THE PHENOM HENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
YES NO. 1F *YES,"DESCRISE.
PAGE 5 OF 9 PAGES

I5. DRAW A PICTURE THAT WILL SHOW THE SHAPE OF THE PHENOMENON. INCLUDE AND LABEL ANY DETAILS THAT MIGHT
HAVE APPEARED AS WINGS OR PROTRUSIONS, AND INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING.
shape.o
ivelereat
NO SHAPEO-EEXHAUST iN 2-3
16. WHAT WAS TSE ANGULAR SIZE? HOLC 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 MA CH. NOW IF YOU HAD
BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT PRACTIC - OF THE
PHENOMENON WOULD HAVE-BEEN COVERED BY THE_MATCHHEAD mitehhead
L
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I7. DID YOU O9SERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING? INCLUDE INFORMATION ON MODEL,
TYPE, FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDDWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES NO B. DO YOU USE READING GLASSES? YES NO
18. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENON? GIVE ESTIMATE OF SPEED_S P1: PHENOMENON? GIVE ESTIMATE OF DISTANCE
2O. IN ORDER T -AT WE MAY OBTAIN AS CLEAR A PICTURE AS POSSIBLE OF WHAT YOU SAW, DESCRIBE IN YOUR OWN WORDS
A COMMON OEJECT OR OBJECTS WHICH, WHEN PLACED IN THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENOMENON,
WOULD BEAR SOME RESEMSLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE
COMMON OEJECT AND WHAT YOU SAW.
Do Looked like a stan.
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY! YES NO. IF YES,DESCRIBE.
A. DID THE PHENOMENOM DISTUPB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YES NO.
IF "YES,"DESCRIBE.
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