PROJECT BLUE BOOK

PRUJECI 10073 RECORD .
1. DATE · TIME GROUP LOCATION .
8 Dec 67 09/04352 Springfield, Ohio
3. SOUNCE T 10. CONCLUSION -
Civilian Probable (HOT AIR R BALLOON) J20
4. NUMBER OBJECTS
The description is consistent with that of hot air balloon.
2 The wind was blowing due west at
5. LENGTH OF OBSERVATION
2 Minutes Observer sighted a bright orange light in the NE. The light
6. TYPE OF OBSERVATION moved westerly and a smaller orenge light appeared, and then
disappeared under the larger orange light. The orange light
Ground-Visual continued and disappeared t he north of the observer.
7. COURSE
.
See Summary
8. PHOTOS
Yes
XX No
DENCE
Ys
XNo
FORM
FTD SEP 63 0-329 (TDE) Previous editions of thie form may be used.
'

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excited and
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they they obsered this obsered this
. laph. 25. xinisi laph. 25. xinishi
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PAGE 9 OF 9 PAGES

ANSWER ALL IFORMATION YOU GIVE RESEARCH PURPOSES.
YOUR NAMI CLUSIONS WITHOUT IRS
VESTIGATORFOR DETR), WRIGHT-
PATTERSON AFB, OHIO 45433, IAW 80-17 TIONAL SHEETS ARE NE narrative oi ETCHES
ATTAC FICATION.)
1. WHEN SEE THE PHENOMENON!
DAY MONTH. YEAR-
2. WH Y F SIGHT THE PHENOMENON?
HOUR MINUTES 3.5A.M. P.M.
3. WH IE T HE PHENOMENON?
HOUR/ MINUTES 3A.M. P.M.
4. TIME/ZONE DAYLIGHT SAVINGS STANDARD
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.
X
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W
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S. C D 3
6. IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCN. PLACE AN A* ON THE CURVED LINE TO SHOW HOW HIGH THE 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.
90
1
1
1
1
I
1
1 5
OBSERVER
AF FORM 117
AUG 67

1
GA. 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.
N
NNW NNE
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 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 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.
B
.
B._---A
1
PAGE 2 OF 9 PAGES

O. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CAeCK apPPOPPlate blOCKS.)
OUTDOORS IN BUSINESS SECTION OF CITY
X IN BUILDING X IN RESIDENTIAL SECTION OF CITY
IN CAR 0 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 YOU MOVING? HOW FAST MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP A E VING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT EFFECTS YOUR SKETCHES IN ITEMS AND 6.
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD, TERRAIN OR BODY WATER TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MUCH THER THERE! THEREI
DID YOU DID YOU NOTICE ANY AIRPLANES? ANY AIRPLANES1 YES YES NO. IF NO. IF YES, DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME YES, DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHERE OF SIGHTING THE PHENOMENON ANO WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
9. 9. HOW LONG HOW LONG WAS THE PHENOMENON IN SIGHT? WAS THE PH ENOMENON IIN SIGHT?
LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE
FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? DYES NO. IF "NO," INDICATE WHETHER THIS IS DUE TOYOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES.
Thiw
Saapp 2009
2. 3
c.1
2
N.EAST
HoingNORT AP: F:
PAGE 3 OF 9 PAGES

1O. IF THERE WERE MORE THAN ONE PHENOMENON, HOW MANY WERE THERE? DRAW PICTURE TO SHOW HOW THEY WERE
ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
121
0608
nat
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
x 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 X NONE OF THE ABOVE
C. IF THE SIGHTING WAS AT TWILIGHT OR NIGHT, WHAT DID YOU NOTICE ABOUT THE STARS OONOTTCCABOUTTHESTARSAND MOONY AND MOON?
(1) (1) STARS (2) MOON
NONE BRIGHT MOONLIGHT BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO 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 SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? VISIBLE? YES YES WHERE WAS THE SUN AS YOU FACED VHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD (Near noon)
IN BACK OF YOU IN BACK OF YOU TO YOUR LEFT 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. RESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
"7
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
APPEARED AS INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARSA LIGHT OR
OTHER OBJECT IN
G
Poilo.hedgoce
xthes
matonealo
11
V
PAGE 4 OF 9 PAGES

X
CHANGE BRIGHTNESS?
CHANGE SHAPE? . .
FLASH OR FLICKER1 . x
DISAPPEAR AND REAPPEAR! - X
SPIN LIKE A TOP? x
MAKE A NOISE? X
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
Tinbags sgeligitgfo
H
A. HOW DID IT FINALL A. HOW DID IT FII DISAPPEAR?
Vanachid Vanashid
a
EX2IR
B. DID THE PHENOMENON MOVE BEHIND OR IN FRONT SOMETHING, LIKE A CLOUD, TREE, OR BUILDING ANY TIME?
YES NO. IF *YES, DESCRIBE.
PAGE 5 OF 9 PAGES

1S. DRAW A PICTURE THAT WILL SHOW THE SHAPE OF THE PHENOMENON. INCLUDE ANO 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.
$-CRn
RAVS 4
p.snrers OBJECT
1i075mmk
13E630
16. WHAT WAS THE ANGULAR SIZE? LAMP OR THE MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE M/ "CH. NOW IF YOU HAD HOLD A MATCH AT ARM'S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET
BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT RACTION OF THE PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD.
oclpernentige
L
PAGE 6 OF 9 PAGES

LOCATION.
23. WAS ANYONE WITH YOU THE TIME SAW THE PHENOMENON?
YES NO.
A. LIST THEIR NAMES AND ADDRESSES
-
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
ADDklEss (Street, City, State and Zip
TEEEPHONE (Area code and number) AGE
MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDI TION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
Ohedint xOedint
25. WHEN AND TO WHOM DID oU THAT YOU HAD SIGHTED THIS PHENOMENON?
NAME DAY MONTH YEAR
26. DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY 14 MONTH
PAGE 8 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? YESNO
18. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 1S. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
GIVE ESTIMATE OF SPEED PHENOMENON? GIVE ESTIMATE OF DISTANCE 2
20. 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 OBJECT AND WHAT YOU SAW.
Doaln. inifio
6.7
FE
1EM_
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT E.MANATING FROM THE PHENOMENON or ANY ON YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY? YES DESCRIBE.
IF YES,"DESCRIBE.
T PAGE 7 OF 9 PAGES

GA. 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.
NNW NNE
NW
WNW ENE
&
WSW ESE
8
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

BOB Nr 21-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 OF IM:0 OUESTIONS INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES.
YOUR NAME TTH ANY O YOUR STATEMENTS OR CONCLUSIONS WITHOUT
YOUR PERMISSION. RETURN INVESTIGATOR FOR FORW (TDETR). WRIGHT.
PATTERSON AFB, OHIO 4543 ADDITIONAL SHEETS ARE NEEDI ED FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO YOUR NAME FOR IDENTIFICATION.)
1. WHEN E IENON?
DAY 8MONTH12YEAR /967
2. WHAT DII o 5 s T S H THE PHENOMENON?
HOUR_ 23 MINUTES 35A.M. [4M.
3. WH IAT DID Y ou L AST SIG HE PHENOMENON?
HOUR 23 MINUTES 3 7 A.M. 124m.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.
Irsid a hond located. at
springtield, Ohi Springfield, Oho
' 1
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.
90 17
L.,
1 8
1
1
1 30
1
1
1 15
I
OBSERVER
AF FORM 117
AUG67

BOB Nr 21-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 OF THE QUESTIONS E INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES.
YOUR NAME WILL NOT BE USED CTION WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT
YOUR PERMISSION. RETURN TO AII BASE INVESTIGATOR FOR FORWARDING (TDETR), WRIGHT.
PATTERSON AFB, OHIO ADDITIONAL SHEETS ARE NI NARRATIVE OR SKETCHES
ATTACH SECURELY YOUR NAME FO CATION.)
1. WHEN PHENOMENON?
8 oarDeC MONTH -YEAR 67
2. WHAT TIME DID YOU FIRST SIGH T THE PHENOMENON?
"HOUR //  MINUTES 35 A.M. P.M.
3. WHAT TIME DID YOU LAST SIGHT THE PHENOMENON?
_A.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 S 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 EIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
Srsfed
N.
x hous e
PicTure windon
-
E.
0 beck of Rouse W.
' .
1
1
1
OBSERVER
AF FORM 117
AUG 67

10. 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!
than two L
yes.
11. CONDiTIoNs (Check appropriate blocks.)
A. SKY B. WEATHER 1
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 BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS MOON HIDDEN BY CLOUDS
UNKNOWN UNKNOWN x PARTIAL (New or quarter) PARTIAL(New or quarter)I
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE1 D.IF SIGHTING WAS IN DAYLIGHT, WAST THE SUN VISIBLE1 YES NO. NO. IF YES, WHERE WAS THE SUN AS YOU FACED
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 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, NCE TO LIGHT SOURCE.
tus hrighg oane Cola of is
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
APPEARED AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEW.
light,
oval in shafe
shanfe edges,
PAGE 4 OF 9 PAGES

IN BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE O 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 MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP WH VING 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 WATER YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MUCH OTHER TRAFFIC WAS THERE?
DID YOU NOTICE ANY AIRPLANES? YES NO. IF YES," DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
9. HOW LONG WAS THE PHENOMENON IN SIGHT?
LENGTH OF TIME ( CERTAIN OF TIME NOT VERY SURE NOT VERY SURE
1wo MinN FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
mot in Yiew rely ling
WAS THE RHENOMENON N 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.
. 2w 2
one in full
Sanger
lelw it dusafife wed
fnalln one
fiiss
6
LO
12 siglt3
PAMKi
NE
N
cange
2
Eamalin aeil
Dmi
PAGE3 OF 9 PAGES
IT

1B. 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.
9.
Seejas3
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 M/ CH. NOW IF YOU HAD
BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT RACTICN OF THE KE1EAA
PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD.
PAGE 6 OF 9 PAGES

FLASH OR FLICKER?
DISAPPEAR AND REAPPEAR1
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
The shafe & cola (o oval-
erighes orange as well as size
is
of
A. HOW DID IT DISAPPEAR?
I -
711
B. DID THE ENOMENON MOVE BEHIND OR IN FRONT SOMETHING, A ClOUd, tREE, OR BUILDING At ANY TIME?
PAGE 5 OF 9 PAGES

22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE? YES IVE DATE AND
LOCATION.
23. WAS ANYONE WITH YOU AT THE TIME YOU SAW MAKN
YES NO. HEY SEE IT TOO!
A. LIST THEIR NAMES AND ADDRESSES
and ∂
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LASTNA ST NAME, MIDDLE NAME
AbDREsS (Street, City, State and Zip Code)
air Lane Sp8Fld, Ohio
AGE
49ye MALE FEMALE
INDICATE ADDTTRWRE TNFORMATION TNCLUDING OCCUPATION AND ANY EXRERIENCE WHICH MAY BE PERTINENT. INDICATE ADOITMNNETNF LUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
I9 I
M
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
W-P.A.7.B. DAY MONTH Des YEAR LO?
NAME
26. TIONNAIRE.
DAY16MONTHDeC-YEAR 667
PAGE 8 PAGES

a lightos on
shafe which wz clso
lug
ast cno
were gindl blottedong
affeaned fiss Ithans "
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANIMALS OR MACHINERY IN THE VICINITY? YES NO.IF YES,DESCRIBE. ANY EFFECT ON YOURSELF,
we didn J go onlsis
A. DID THE PHENOMENON DISTURB IF *YES," DESCRIBE. THE GROUNO ORLEAVE PHYSICAL EVIDENCE. YES NO.
not fenown
PAGE 7 OF 9 PAGES

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.
N
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.
6
-A
Br-
PAGE 2 OF 9 PAGES

PATTERSON ADDITIONAL SHEETS ARE NEEDED FOR NARR TIVE OR SKETCHES
ATTACH SECURELY ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
<
1. WHEN DID YOU SEE THE PHENOMENON?
M. DAY -MONTH LYEAR /E62
2. WHAT TIME DID YOU FIRST SIGHT THE PHENOMENON?
1.3S m. HOUR MINUTES 3.5A.M. P.M.
3. WHAT TIME DID YOU LAST SIGHT THE PHENOMENON1
HOUR MINUTES7A.M. XP.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 T E IDDIRECTION FROM SOME RECOGNIZABLE LANDMARK.
sack dhouee Z dhonee
inluu indu 2.S
-F
W. W. $x
X
Sjuepibr ian ar
5.
'
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.
so
1 8
1
I
1
1
I
1 15
OBSERVER
AF FORM 117
AUG 67

aieuppe
auce L1
11. CONDITIONSCAeC appropriate blocks.)
A. SKY B. WEATHER I
DAY CUMULUS cLoUDS (Low fluffy) FOG OR MIST
r
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 BRIGHT MOONLIGHT NO MOONLIGHT
A FEW 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 WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT 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 TERRESTRIALI ILLUMINATION, SPECIEY DISTANCE IO LIGHT SOURCE.
e
in my
L
PAGE 4 OF 9 PAGES

GA. NOW IMAGINE YOU ARE AT THE CENTER OF THE COMPASS ROSE. PLACE AN A° ON THE COMPASS TO INOICATE THE
DIRECTION TO THE PHENOMENON WHEN FIRST SEEN. PLACE A *B° ON THE COMPASS TO INDICATE THE DIRECTION TO
THE PHENOMENON WHEN LAST SEEN.
N
NNW NNE
IW 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.
B
1
PAGE 2 OF 9 PAGES

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 MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP BSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT EFFECTS SKETCHES IN 6.
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD, TERRAIN OR BODY WATER DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MUCH W AS THERE?
DID YOU NOTICE ANY AIRPLANES? YES NO. IF YES, DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
9. HOW LONG WAS THE PHENOMENON IN SIGHT?
bH
LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE
lce
ane
laslgeet.
eel
et dicappear
fiict.
al
PAGE 3 OF 9 PAGES

1S. 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.
.
.
whenthe lange When the lange Que Qce xtapped etapped
- T ajipeared ajipeaned
and arei a a dee dree
an the the end lad
16. WHAT WAS THE ANGULAR SIZE1 I LAMP OR THE MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE M/ "CH. NOW IF YOU HAD HOLD A MATCH AT ARM'S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET
BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTICN OF THE PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD.
vemy xx-
4
PAGE 6 OF 9 PAGES

CHANGE SHAPE?
FLASH OR FLICKER1
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBBLE1
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
The bright
acange
A. HOW DID IT FINALLY DISAPPEAR?
"Masiched "vasinhed
8. DID TH OMENON MOVE BEHIND OR IN FRONT SoMetHiNG, CLOUD, TREE, OR SUILDING AT ANY TIME?
DESCRIBE.
PAGE 5 OF 9 PAGES

GIVE DATE AND
LOCATION.
23. WAS ANYONE WITH YOU AT THE IME W
YESS NO. HENOMENON?YES
A. LIST THEIR NAMES AND ADDRESSES
Hee
dueetbenede
510 8.Sweellre
24. GIVE THE FOLLOWING INFARM ATION ABOUT YOURSELF
LAST NAME, FIRST NAME, MIDDLI the
ADDRESS Ci State and Zip Code)
spfldhio
TELEPHONE (Area cade (ber)
43 MALE FEMA
INDICATE INDICATE ADDIT OING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT. OCCUPA AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
Hance uife Hance wife
B
25. WHEN AND TO WHOM DID YOUREPOR AD SIGHTED THIS PHENOMENON?
right faltereene onr 8 MONTH LOee YEAR 67
NAME
26. DATE YOU PLETED THIS QUESTIONNAIRE.
DAY 14 MONTH CecYEAR 62
PAGE 8 OF 9 PAGES

WIND DWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES B. DO YOU USE READING GLASSESI 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 ees PHENOMENONT GIVE ESTIMATE OF DISTANCE
20. 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 OBJECT AND WHAT YOU SAW.
ch loaker
avaut the the
ocal phape
ifet
an bnight ananige
0 V
.
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT MANATING FROM THE PHENOMENON on ANY EFFECT ON YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY1 YES
uent a
A. DID THE PHENOMENON DISTURB OR LEAVE PHYSICAL EVIDENCE. YES NO.
IF *YES,DESCRIBE.
cenkerance
PAGE 7 OF 9 PAGES

8 Dic 67
20 APR 1968
TDPT (UFO) Lt Col Quintanilla/70916/mhs/29 Apr 68
UPO on, 8 December 1967
Springfield Police Department
Springfiel d, Ohio 45501
1.2 The Aerial Phenomena Office is in receipt of an unidentified
flying objeot (UFO) report from Springfield, Ohio,which occurred
December aately 11:35 pm.
2. Observers sighted a large, bright, orange, circular self-
luminous object and another object, similar but smaller and below
it, and seemingly attached to the upper one. The object was
observed for approximately two minutes. The description is con-
sistent with those we have received in the past of hot-air,
garmet-bag balloon obs
3. 1 Did you receive any reports of unusual objects for this date?
DO PM T (E I Has there been any hot-air balloon activity in the area a that you
know of? We would appreciate your comments as to a possible cause
for this sighting.
4. Thank you for your assistance on this matter.

STATE OF OHIO ISAAC W. HOLLOWELL
DIVISION OLICE CHIEF OF POLICE
I May 1968
/M
Hector Quintanilla, Jr.
Lt. Colonel, USAF
Chief, Aeri Phenomena Office
Aerospace Technologies Division
Production Directorate
Wright Patterson Ohio
Dear Sir:
In reply to your letter regarding an unidentified
I967, this is to advise you that we have no
mation regards to such. NCK
NKXA
information of any hot-air baloon activity in this
vicinity.
Trusting we have been of assistance, I am
Yours very
I91.the
nce
I. W. Hollowell
Chief of Police
IWH/ms

3 NOTE AND RETURN
VERSATION PER CON-
SEE ME
SIGNATURE
REMARKS
Request wind data: Request wind data: surface and 6,000 ft. surface and 6,0oo ft.
Dec 8, 1967, 2 a, Ohio. , Ohio.
FROM DATE 12Dec 67
TDPT (UFO)
0916
DDFOT  9 1 Feb 50 which will be used until exhausted. Replaces DD Form 94, 1 Feb 50 and DD Form 95, GPO 10610306738

FR '67
DEPARTMENT OF THE AIR FORCE
MEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
45433
APP TDPT/UFO
UFO Obsery rat ion, 8 December 1967 DEC 11 1967
SUDJECT:
.
TOI
Lane
Spring 0h1o 45505
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 Uro sighting on 8 December 1967
would you please complete the attached AF Form ll7 and return it
in the envelope provided. If you were not a witness to this sighting,
would you would you please make please make a statement to this effect on the attached form.
The information which you provide will be used in evaluating The information which you provide will be used in evaluating this this
observation observation. Thank you for your assistance in this matter. Thank you for your assistance in this matter.
JAMES C. MANATT, COlOnel, USAF JAMES C. MANATT, COlOnel, USAF 1 Atch
Director of Director Production AF Form 117
-

REMARKS:
T
DATA SOURCE: ETAC DAtA FiLeS
AVAIYST: SSgt Dunham
ATCH I,86-4

onalto) 11
algict (B)
lefhe the oral
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
YCLEAR NIMBUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG vun slight V 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 BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO UNKNOWN didnot sotie
MANY MOON HIDDEN BY CLOUDS
UNKNOWN did nothie PARTIAL (New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? YES HERE WAS THE SUN AS YOU FACED
THE PHENOMENON? N/A
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD (Near noon)
IN BACK OF YOU TO YOUR LEFT UNKNOWN
STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
yr in
.
-he lowen she
the uval
difects Cohe eniled a
anee
in aypearan
/
PAGE 4 OF 9 PAGES

82 67 TE
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
OHI045433
APPY TDPT/UFO K12]
SUBJECT:
DEC 11 1967
TOI
Lane
Sprir , Ohio 45505
1E8
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 8 December 1967
would you please complete the attached AF Form ll7 and return it i4
in the envelope provided. If you were not a witness to this sighting,
would you would you please make a statement 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 The information which you provide will be used in evaluating this 1$
observation. observation Thank you for your assistance in this matter. Thank you for your assistance in this matter. IRTAI
1 Atch
Birector of Production AF Form 117
FHEM
-

Y Ree
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PATTERSON AIR FORCI 45433
REPLY TO
ATTN OP: TDPT/UFO
UFO Obse DEC 11 1967
SUBJECT: vation, 8 December 1967
TO:
Springfie Ohio 45505
Reference your recent unidentified flying object sighting which
- you reported to the Air Force. 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-
addressed envelope. Thank you for reporting your observation to addressed envelope. you ror reporting your observation to
the Air Force.
JAMES C. MANATT, COlOnel, USAF 1 Atch
pirector Production oduction AF Form 117
-

WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CAECK aPpPOPRlate 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: WIP
WHAT DIRECTION WERE YOU MOVING? HOW FAST YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME ERVING THE
PHENOMENON1
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT EFFECTS YOUR SKETCHES IN ITEMS 5 AND 6.
N/A
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD, TERRAIN OR BODY OF WATER
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
N/A
HOW MUCH A WAS AS THERE?
N/A
DID YOU NOTICE ANY AIRPLANES? DID YOU NOTICE ANY AIRPLANES? C YES NO.
OF 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 LONG WAS THE PHENOMENON IN SIGHT? WAS THE PH NENOMENON IN SIGHT?
LENGTH OF TIME LENGTH OF TIME + CERTAIN OF TIME NOT VERY SURE
2 mimutes FAIRLY CERTAIN JUST A GUESS EKEE
HOW WAS TIME DETERMINED?
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY1 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

to y ovad coned lue
geecte
y.
A. HOW DID IT FINALLY DISAPPEAR?
alome with
the "segmented ray"
slomly ngad
and in a fe
ishea
B. DID THE YES PHENOMENON MOVE BEHIND OR IN NO. IF *YES,DESCRIBE. FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR
PAGE 5 OF 9 PAGES

1S. 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 VAPON TRAILS. INDICATE BY AN ARROW THE DIRECTION THE PHENOMENON WAS MOVING.
.
-
$e
-mAN
araf
aral apy - 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
WINDJWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES NO B. DO YOU USE READING GLASSES? YES NO
1B. WHAT WAS 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 s000
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 OBJECT AND WHAT YOU SAW.
could not hiaw
I
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING ROM THE PHENOMENON OR ANY EFFECT YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY? YES NO. IF YES DESCRIBE.
A. DID THE PHENOMENON DISTURB THE GROUND PHYSICAL EVIDENCE. YES NO.
IF YES," DESCRIBE.
-
PAGE 7 OF 9 PAGES

8lea 67
22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHEN LOCATION. BEFORE? YES DNO. IF *YE SIVE DATE AND
23. WAS ANYONE WITH YOU AT PYES
YES NO.
M LIST THEIR AND ADDRESSES
min Bity Fohnaon -181 S. Sweethrian Lame
Banbana Ridon
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
E. MIDDLE NAME
ADORESSTSWEL-GWyO
LANE SPRINGFIELO 0
TELEPHONE (Area code and number) AGE
14 MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT. AND ANY EXPERIENCE MAY BE PERTINENT.
student at Franklin Ja. High Schaal student at Franklin Ja. High Scharl U7
it
111342
2S. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTE PHENOMENON! 2350h0
NAMSegh. R.S. Kaninshi DAY 08 MONTH 12 YEAR 196.2
QUESTIONNAIRE.
DAY 0 9 MONTH 17 YEAR 1967
PAGE 8 OF 9 PAGES