PROJECT BLUE BOOK

PROJECT CO73 RECORD
I. DATE · TIME GROUF CCATION
11 48e 07 iear Springrieia, Oa:o (1 W:ness)
3. SOURCE . CONCLUSION E
Civilian INSUFFICIENT DATA FOR EVALUATION
4. NUMBER OBJECTS Only very ylimited information is given in the repe.t. The
observers address is not given, only his phone number. ? This
Ore number was called several times but ao one andwered. Duty
S. ANALYSIS Officer thought the observer
sounded nervous and was evasive.
Not Reported
6. TYPE OF OBSERVATION
flying saucer."
Ground-Visual
7. COURSE
Not Renorted
8. PHOTOS
Yes
XXNo
EVIDENCE
L Yes
XIXNo
ORM
FTD SEP 63 0-329 (TDE) Previous editlonn of thls form me) . i.s.

ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
SUBJECT REPONTED HE WAS PARKED IN
WOODS WITH 4 GIRL I
? 2 OTmON COUPLES.
R SUBJGCT LEPT CAR WENT INTO WOODS TO
ANSWER CALL OF NATURE.HEARD A SOUND
LIKE SONAR PINGS , LOOKED UD: SAW OBUECT
PASS OVER CAR AT LOW ALTITUDE. OBJECT
WAS MBOUT 100 FT. DIAMETGR, METALLIC
COLOR, : HAD LISHTS RESC PIRCAAPT
NAV-LIBHTS.
SUBJECT WAS RELUCTANT RELUCTANT TO GIVE NAME GIVE NAME
PHONE. NUMBER; S SOUNDED NORvOU RVOUS EVASIVO.
PREPARED BY. BY. OD: CAPT OD CAPT JON5/70151 JONES/70151
L
PAGE 9 OF 9 PAGES

3Dec67
7
3 NEIO
OFFICIAL U. S. AIR
Pag1
U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possible concerning the unidentified aerial phenomenon that you have observed.
Please try to answer as many questions as you possibly can. The information that you give will
be used for research purposes. Your r name will not be used in connection with any statements,
conclusions, or publications without your permission. e request this personal information so
that if it is deemed necessc nay contact for further details.
.When did you see the object? 2. Time of day: 5 35
Hours Minutes
Pec 1967 (Circle One): A.M. or P.M.
Day Month Year
Time Zone:
(Circle One): a. Eastern (Circle One): a. Dayligl Saving
b. Central b.Standard
c. Mountain
d. Pacific
e. Other Fastern
4. Where were you when you saw the object?
Nearest Postal Address City or Town State or County
5. How long was object in sight? (Total Duration) 4
Hours Minutes Seconds
a. Cortain. c. Not very sure
b Fairly certain d.Just a guess
I
5.2 Was object in sight continuously? Yes. No.
What was the condition of the sky?
DAY NIGHT
a. Bright .Bright
b. Cloudy b. Cloudy
7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): a. In front of you d. To your left
b. In back of you e. Overhead
c. To your right f. Don't remember
FORM
FTD OCT 62 164 This form supersedes FTD 164, jul 61, which is obsolete.

FORCE UFO FORM
Page 2
8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One): 2
a. None a Bright moonlight
b. A few b. Dull moonitght
Many c. No moonlight—pitch dark
d. Don't remember d. Don'tremember
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Elear sky Dry
Fog, mist, or light rain
c. Scattered clouds Moderate or heavy rain
dThick or heavy clouds d. . Snow
e. Don't remember
8
10. The object appeared:(Circle One):
Solid d.As a light
Transparent .Don'tremember
c. Vapor
1 If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter ter c. About the same Ahoutahoc
b. Dimmer d. Don'tknow
11.1 Compare brightness to some common object:
100 witt Dulb
The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other.
bLike.bright star
c. Sharply outlined
d. Don't remember 25
Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes No Don't know
b. Suddenly speed up and rush away at any time? Yes No Don't,know
c. Break up into parts or explode? Yes No Don't know
d. Give off smoke? Yes No Don't know
e. Change brightness? Yes Don't know
f. Change shape? Yes Don't know
g. Flash or flicker? Yes Don't know
h. Disappear and reappear? Yes Don't know )

Page 2
8 IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a Bright moonlight
b. A few b. Dull moontight
Many c. No moonlight—pitch dark
d. Don't remember dDon't remember
9. What were the weather conditians at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Elear sky a Dry
. b. Fog, mist, or light rain
c. Scattered clouds Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don't remember
The object appeared: (Circle One):
gSolid dAs a light *
Iransparent Don'tremember
c. Vapor
1 If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a.Brighter c.About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
100 witt oulb
12. The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other.
b.Like abright siar
C. Sharply outlined
d. Don't remember
Did the object: (Circle One for each question)
Appear to stand still at any time? Yes No Don't know
Suddenly speed up and rush away at any time? Yes No Don't,know
c. Break up into parts or explode? Yes Don't know
d. Give off smoke? Yes Don't know
e. Change brightness? Yes Don't know
f. Change shape? Yes Don't know
g. Flash or flicker? Yes Don't know
h. Disappear and reappear? Yes Don't know

Official U.S. Air Force
Page 3
. Did the object disappear while you were watching it? If so, how?
No
15. Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes No Don't know. IF you answered YES, then tell what
it moved behind:.
Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes No Don't know. IF you answered YES, then tell what
in front of:.
17. Tell in a few words the following things about the object:
noso tohigh
a.Sound_ a.Sound
6.clorleiyprightlight .cololey pright light
18. We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how much of the We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how much of the
object is covered by the head of the match. If you had performed this experiment at the time of the sighting, how much of
the object would have been covered by the match head
round
1. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details of the object
that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails. Place an arrow beside the drawing
to show the direction the object was moving.
tohighto
notice anything
0
B
)
UNY

IF you answered YE then what speed would you estimate?.
21. Do you think you can estimate how far away from you the object was?
(Circle One) Yes No
22. Where were you located when you saw the object? 23. Were you (Circle One)
(Circle One): aIn the business section of a city?
a.Inside a building .In the residential section of a city?
b. In a car In open countryside?
c. Outdoors c. Outdoors d. Near an airtield? d. Near an airtield?
d. In an airplane (type) d.In an airplane (type) e.Flying over a city?
e. At sea e. At sea f. Flying over open country?
f. Other. g. Other_ g. Other
IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 2. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:
24.1 What direction were you moving? (Circle One)
a. North c. East e. South 9 West
b. Northeast d. Southeast f. Southwest h. h. Northwest
24.2 How fast were you moving? 45 miles per hour. miles per hour.
24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No
25. Did you observe the object through any of the following?
a. Eyeglasses Yes No e. Binoculars Yes
.Sun glasses Yes No f. Telescope Yes 3
c. Windshield Yes No g. Theodolite
d. Window glass Yes No h. Other.
. In order that you can give as clear a picture as possible of hat you saw, describe in your own words a common object or ob-
jects which, when placed up in the sky, would give the same appearance as the object which you saw.
very,very, brightlasestar
9
1

!×
Official U.S. Air Force
Page 5
27. In the following sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how high the object
was above the horizon (skyline) when you first saw it. Place a "B" on the same curved line to show how high the object was
pass when you last saw the object.
75°
o N
NW NE
30°
w E
15° SE
S
Draa ictue that will showthe motion that heec ject madPlace at the beinnig f the pt Draw a picture that will show the motion that the object or objects made.Place an at the beginning of the path, a
the end of the path, and show any changes in direction during the course.
AOS B
2. IF there was MORE THAN ONE object, then how many were there?
Draw a picture of ho y were arranged, and put an arrow to show the direction that they were traveling.
+
-
1) 2-

UFO form continued
Page 6
Have you ever seen this, or a similar object before. If so give date or dates and location.
X
3. Was anyone else with you at the time you saw the object? (Circle One) - Yes TE
31.1 IF you answered YES, did they see the object to (Circle One) Yes No
. Please list their names and addresses:
AF
32. Please give the (pllowing informatien about yourself: 32.Please give the following informat" about yourself:
NAME
Name uadle Name ddle Name
ADDRESS ADDRESS 02417 N.J.
Stree Street Frankiin Lakes FrankiinLakkes Zone Zone State
TELEPHONE NUMI TELEPHONE NUMI AGE 2 2 sex male
Indicate any additional information about yourself, including any special experience, which might be pertinent.
E2
33. When and to whom did you report that you had seen the object?
5 December 1967
Day Month Year

Offisial U.S. Air For
Poge7
5 Dec 1962
Day Month Year
Information which you feel pertinent and which is not adequately covered in the specific points of the
questionnaire or a narrative explanation of your sighting.
nonoise no doors of landing
gear noteable

Pag
U.S. AIR FORCE TECHNICAL I INFORMATION u
,
This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possible co oncerning the unidentified aerial phenomenon that you have observed.
Please try to answer as questions as you possibly can. The information that you give will
be used for research purposes. Your name will not be used in connection with any statements,
conclusions, or publications without your permission. request this personal information so
that if it is deemed necessary ay contact y for further details.
.When did you see the object? 2.Time of day:. 35
Hours Minutes
5 5 Pec 1967 (Circle One): (Circle One): (A.M3 A.M. or P.M.
Day Day Month Month Year Year
3.Time Zone: .Time Zone:
(Circle One): a. Eastern (Circle One): a. a. Daylight Saving DaylightSaving
b. Central b.(Standard
C. Mountain
d. Pacific
e. Other Other Fastern Fastern
4. Where were you when you saw the object?
Rockanay Townshir Marcella Neu Jersey
Nearest Postal Address City or Town State or County
.How long was object in sight? (Total Duration) 4
Hours Minutes Seconds
a. c. Not very sure
b Fairly certain d.Just a guess
5.2 Was object in sight continuously? Yes No-
What was the condition of the sky?
DAY NIGHT
a. Bright Bright
b. Cloudy Cloudy
7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): a. In front of you d. To your left
b. In back of you e. Overhead
c. To your right f. Don't remember
FORM
PCT 62 164 This form supersedes FTD 164, jul 61, which is obsolete.

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 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 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 APPEARED TO BE STRAIGHT, CURVED OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE
THE LARGER SKETCH.
1
PAGE 2 OF 9 PAGES

:.'
CaIbOly
OFFICIAL U. S. AIR
Page 1
U.S. AIR FORCE TECHNICAL INFORMATION 8D6c1967
This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possibl oncerning the unidentified aerial phenomenon that you have observed.
Please try to an many questions as you possibly can. The information that you give will
be used for research purposes. Your r name will not be used in connection with any statements,
conclusions, or publications without your permission. request this personal information nso
that if it is deemed necessary may contact ye or further details.
1. When did you see the object? 2.Time of day: _ 30
Hours Minutes
8 8 Dec. Des. 1967 1967 (Circle One): (Circle One): A.M. or P.M P.M.
Day Month Year Year
3. Time Zone: 3.Time Zone:
(Circle One)(a. Eastern (Circle One): a. Daylight Saving
b. Central b. Standard
c. c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
PRBi_I PEUUSIVADE
Nearest Postal Address City or Town State or County
5.How long was object in sight? (Total Duration) 1.5
Hours Minutes Seconds
a. Certain c. Not very sure
b. Fairly certain dJust a guess
5.1 How was time in sight determined? KIMATION
5.2 Was object in sight continuously? Yes_ No-—
.
What was the condition of the sky?
DAY NIGHT
a. Bright a. Brigh
b. Cloudy
IF you saw the object durig DAYLGHT, where was the SN located as you looked at the object?
(Circle One): a. In front of you d. To your left
b. In back of you e. Overhead
c. To your right f. Don't remember
FORM
FTD OCT 62 164 This form supersedes FTD 164, jul 61, which is obsolete.

FORCE UFO FORM
Page 2
8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a.None Bright moonligh?
b. A few b. Dull moonlight
c. Many c. No moonlight—pitch dark
d. Don't remember d. Don't remember
. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a.Clear sky a. Dry
b. Hazy Fog, mist, or light rain
C. Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One):
a. Solid d. As a light
b. Transparent . Don't remember
C. Vapor
1 If it appeared as a light, was it brighter than the brightest stars? (Circle One): If it appeared as a light, was it brighter than the brightest stars? (Circle One):
Brighter Brighter c. About the same c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
Scroet lipht
2.The edges of the object were:
(Circle One): a. Fuzzy or blurred Other_ Gla
Like a bright star
c. Sharply outlined 20and 2iden-
d. Don't remember rifid ds qloming.
Did the object: (Circle One for each question)
Appear to stand still at any time? Yes No Don't know
b.Suddenly speed up and rush away at any time? Yes No Don't know
c. Break up into parts or explode? Yes No Don't know
d. Give off smoke? Yes Don't know
e. Change brightness? Yes Don't know
f. . Change shape? Yes Don't know
g. Flash or flicker? Yes Don't know
h.Disappear and reappear? Yes Don't know )

(Circle One) Yes No
21. Do you think you can estimate how far away from you the object was?
(Circle One) Yes NO
IF you answered YEs, then how far away would you say it was?
22. Where were you located when you saw the object? 2. Were you (Circle One)
(Circle One): a.In the business section of a city?
aInside a building In the residential section of a city?
b. In a car c. In open countryside?
c. Outdoors dNear an airfield?
d. In an airplane (type) e: Flying over a city?
e. At sea f. Flying over open country?
f. Other. 9. Other Luburbran devalopomant
IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:
24.1 What direction were you moving? (Circle One)
a. North c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving?. miles per hour.
25. Did you observe the object through any of the following?
a. Eyeglasses No e. Binoculars Yes No
b.Sun glasses Yes No f. Telescope Ng
c. Windshield No 9.Theodolite Yes Ng
d. Window glass Yes NS h. OtherMaBe2
2. In order that you can give as clear a picture as possible of what you saw, describe in your own words a common object or ob-
jects which, when placed up in the sky, would give the same appearance as the object which you saw. 1
/
prale wernt so distinct , on
strost ligh ht
a

to.two -
then iust
15. Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes NO Don't know. IF you answered YES, then tell what
it moved behind:
16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes No Don't know. IF you answered YES, then tell what
inton o a slaude, just ae buan Brekiig p Greoking up
17. Tellin a few words the following things about the object: 17. Tell in a few words the following things about the object:
a. sound Mone a. Sound Mone
b. color bluiah-cdite .ehetertonde renter.
We wish to know the angular size. Hold a match stick atatm's length in line with a known object and note how much of the We wish to know the angular size. Hold a match stick attm's length in line with a known object and note how much of the
object is covered by the head of the match. If you had performed this experiment at the time of the sighting, how much of obiect is covered by the head of the mgtch. If vou orred this oxn the time of the siahtina. how much of
the object would have been covered by the match head? aloohals op,
Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details of the object
that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails. Place an arrow beside the drawing
to show the direction the object was moving.
Glow -aee Center - actual dject
around outetde
:
-

-
Official U.S. Air Force
Poge 7
34. Date you completed this questionnaire: 7 Day DEC. Month 1967 Year
questionnaire or a narrative explanation of your sighting.
othe object foso appeared G=mne
at A∴30 pm directtey overhead . f
was walking lawn'to my
house with Bob wilson. 8 motiad
J and yelled for Dob & look
Qute fast dliqured 800onhe mpH
Canth's almosphere aD to tims
tat d sood), and bwar hard
ofor Bob to pide up 2e motied
is i ust bepove o broke up aind
disoppeared. S We we walking
South Wid , and the objet
1 at took

000 war a metear 008 wwao
just entering t Corth's otn
(7hat woul count for iti pudden
appearence.) The abjeat then
to brake uplinto tet darge pies) M
and then to dsopeaad altoother.
accaunt
0 )
glowp. Since meteors do
travel very fast the speel
the
mne of to langest b've Dver
heand of? 7
)

Now the problem is where we go from here?
3. AFR 80-17
the United States"; yet states elsewhere of its interest "if the UFO is
a possible threat to the Uhited States". In this recent incident, the
Director of Public Safety, US Mission, Berlin per sonally requested FTD's
evaluation; they y are concerned lest there be a potential security threat
(lt Col I Klinikowski believes it was
in fact the moon and reported as much to US Mission, Berlin.)
concerned. For many months we've enjoyed relative quiet on this s topic
until 11 Dec 67, once again are pressured into asking FTD for
assistance and advice.
5. Request you pass this data on to the current FTD in-house OPR on
UFO Reports, not so much for its evaluation as for help in furnishing
Det 3 with a sound and reasonable professional approach in handling
these matters in the future. The formula may be simple, but we need
that formula so as not to decrease Det 3's stature in this theater.
OER
3 Atchs:
1. Ltr, US Mission, Berlin
lalis 2. AF Form 117
ROBERT A CALLANAN, Capt, USAF 3. AF Fomr 117
Executive Officer

Rc'd. aprR
68-
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC) ENSE
WRIGHT-PATTERSON AIR FORCE BASE. OHIO 4S433
REPLY TO TDA(DET OPR) APR 5 1908
ATTN OF:
SUBJECT: UFO Reporting
TOI TDPT-UFO
1. The attached correspondence is forwarded for necessary action as
requested in paragraph 5. Detachment 3 obviously has a problem which
has both immediate and long range unfavorable ramifications. We ask
that you provide TDA with s specific advice and guidance relative to
FTD Detachment participation and procedure in pursuing UFO incidences.
2 ted.
n
O. D. GRAHAM, Colonel, USAF D. GRAHAM, Colonel, USAF 1 Atch
Director of Foreign Activities ITIA Ltr, 8 Jan 68, ITIA Ltr, 8 Jan 68,
w/3 Atch: 1. Ltr, US
Mission, Berlin. 2. AF
Form 117.
-
.

Guidance
.
TDPT
TDP
TDA (DET OPR)
IN TURN
l. Reference TDA (DET OPR) letter of April 5, 1968, subject "UPO
Reporting," in which they transmitted a letter from Detachment 3,
dated 8 Jamuary 1968, subject "UFO Reporting." It is apparent that
the Detachment has a problem, however, it appears to be political
and this type of advice is not available from the UFO OPR. APR 80-17
and Change 1, thereto, specifically etates that "this regulation
establishes the Air Force gram for investigating and analyzing
UFOs over the United States The Deputy Chief Staff for Research
and Development at Hqs USAI s not in favor of investigating UPO
reports which ocour on foreigm soil. the Facility Commander rels
that his facility is threatened by an unidentified flying object,
then he should take immed steps to inform his Air Defense Forces.
2. FTD cannot offer any guidance for the investigationg of UFOs in
continental Europe because AFR 80-17 is not seeking UFO reports which
occur outside the continental limite of the United States.

Kice.
BOB Nr 21-R258
SIGATING 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 JESTIONS E INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES.
YOUR NAME WILL NOT BE USED XOON WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT
YOUR PERMISSION. RETURN TO AIR E BASE INVESTIGATOR FOR FOK ARDING TO FTD (TDETR), WRIGHT-
PATTERSON AFB, OHIO 45433, IAW 80 ADDITIONAL SHEETS ARE NEEI D FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO OTATE WITH YOUR NAME FOR ID ENTIFICATION.)
1. WHEN DID EN ION!
DAY 11MONTH DECYEAR67
TIME DID YoU FIRST PHENOMENON? EVENING
HOUR MINUTES A.M. P.M.
3. EN IOMENON?
HOUR MINUTES A.M. ]P.M.
4. TIME/ZONE DA YL IGHT SAVINGS STANDARD
CENTRAL MOUNTAIN PACIFIC OTHER
S. 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.
NEAR NEARC SPINGFIELD.0.
SMIN6FTELD,D.
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
1
1
1
1 30
I
1
- - 15
-
OBSERVER )
AF FORM 117
AUG67
Serd 117

I
No sound coming from that object was heard. Radio operations
center was informed.
b) IP-Luft - Mergene
Above statements nfirmed.
The flying object had the form of an average orange,
flew without lights and had a diameter of about 5-10 meters.
by the radar ystems Marienfelde, Teufelsberg and airport Tempelhof,
is not known, ,because - these installations work "strictly secret"
and give no mation. In case details will become known, PGrS
will be informed.
a)
The radio operations center was informed by the dut'y
officer of IP-Luft. Inquiries made at the police bases along the
demarcation line and with several radio patrol cars did not confirm
the reports.
Art/

.
AFR 80-17(C1)
BUDGET BUREAU APPROVAL
6 NUMBER 21-R258
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 OUESTIONS. THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES.
YOUR NAME WILL NOTI CONNECTION WITH ANY OF YOUR STATEMENTS OR ONCLUSIONS WITHOUT
YOUR PERMISSION. RETURN AIR FORCE BASE INVESTIGATOR FOR FORV WARDING TO (TDETR), WRIGHT-
PATTERSON AFB, OHIO 45433,IAW AFR 80- 17. ADDITIONAL SHEETS ARE NEEDED FOR NARRA ATIVE OR SKETCHES
ATTACH SECURELY TO TH WITH YOUR NAME FOR TIFICATION.)
DID IENON?
DAY 11 MONTH Dec YEAR 67
2. WH E PHENOMENON?
I HOUR MINUTES A.M.
P.M.
3. WHAT DID T SIGHT PHENOMENON?
HOUR MINUTES A.M. P.M.
4. TIME/ZONE DAYLIGHT SAVINGS STANDARD CE.MRAL
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 AN AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
BASE FIREIN6 BASE FIREIN6 RANG - Tempelhot Central
RANge. - Tempelhot Centrol
ARport / BERLIN AIRport /BEREIN
C
..
: ':
.
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
1
1
1
1
1
1
!
- 1
-
OBSERVER
AF FORM 117
AUG 67 Attachment 1
7 (Becomes Attachment 1 to AFR 80-17)
ATCH 2

W
4 AFR 80-17(C1)
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 .ON THE COMPASS TO INDICATE THE DIRECTION TO
THE PHENOMENON WHEN LAST SEEN.
I
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
0
PAGE 2OF 9 PAGES
Attachment 1

1
AFR 80-17(C1)
WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (Check appropriate blocks.)
OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR B 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 ON 10 Airfirld
A. IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWING:
WHAT DIRECTION WERE YOU MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST 20-25 KM
SOUTH WEST DID YOU STOP AN TIME
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD, TERRAIN OR BODY OF WATER DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
oper sed Window (FL) open. hard pooement
HOW H THERE?
NONE NOnE
DID YOU NOTICE ANY AIRPLANES? YES NO. IF *YES," DESCRIBE WHEN THEY "YES," DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHERE OF SIGHTING THE PHENOMENON AND WHERE TH EY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON. THE POSITION OF THE PHENOMENON.
9. HOW LONG WAS THE HOW LONG WAS THE PHEN PH ENOMENON IN SIGHT?
LENG TIME CERTAIN OF TIME NOT VERY SURE
90 -120 Seconds FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
Length of Time Travc/red - 20-25 Km
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 INDICATE DISAP-
PEARANCES ON PREVIOUS SKETCHES.
But disappared When we stopped Vebicle
and dismounted
.
PAGE 3 OF 9 PAGES
Attachment 1
11 (Becomes Attachment 1 to AFR 80-17)

CHANGE SHAPE?
FLASH OR FLICKER?
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBBLEI
14. WHAT DREW YOUR PHENOMENON?
A Rado Call To Security Pohice Desk
from mobile Patrols
.
A. HOW DID A. HOW DID FINALL DISAPPEAR? PPEAR?
oNe second it it was
was vi50be
Then it
was NOT
8. DID THE PHENOMENON MOVE BEHIND OR IN FRON SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
YESNO. IF Y DESCRIBE.
.
PAGE 5 OF 9 PAGES
Attachment 1
15

AFR 80-17(C1)
10. IF THERE WERE MORE THAN ONE PHENOMENON, HOW MANY WERE THERE? DRAW A PICTURE TO SHOW THEY WERE
ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
only ONE
11. CoNDiTioNs(Check appropriate blocks.)
A. SKY B. WEATHER
DAY X CUMULUS cLOUDS(LoW fluffy) Strato 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 STARS (2) T MOON MOON
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 WAS IN DAYLIGHT, WAS THE SUN D.IF S SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? HERE WAS THE SUN AS YOU FACED HERE WAS THE SUN AS YOU FACED
THE PHENOMENON? THE PHENOMENON? DYES PA DYA
IN FRONT OF YOU TO YOUR RIGHT TO YOUR RIGHT OVERHEAD (Near noon)
IN BACK OF YOU IN BACK OF YOU TO YOUR LEFT UNKNOWN UNKNOWN 4
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIG SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR SHTS OR
STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE. STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
NONE.
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 FIELD OF VIEW.
.Lorge _
COlOR - shanp edqes g. small Dork shadows
wIThIN- much
Brighten Them The
mooN
would
appcar.
1
PAGE 4OF 9 PAGES
Attachment 1
13 (Becomes Attachment 1 to AFR 80-17)

AFR 80-17(C1)
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. DU2IN6 THJ
oBsepeurwor)
UI
NEW CONTROL CCD CONTROL
TOWER TOWER TOWER TOWER
7
C
#7 #6 ≠6 HANGRE #5
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 PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD.
perhops $\orac0}$
PAGE 6 OF 9 PAGES
(Becomes Attachment 1 to AFR 80-17) Attachment 1
17

AFR 80-17(C1)
22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE? YES NO. SIVE DATE AND
LOCATION.
23. WAS ANYONE WIT YOU AT THE TIME YOU SAW NO. IF *YES, DID THEY SEE IT TOO?
YESNO. TEMMELITOF AIRPORT
INDUSTROL
A. LIST THEIR NAMES AND ADDRESSES
PoCICEMAN WOLDRCH, Dieter SPRON, TCH, Belin
FIRSTCLASS IPIC
END Helmut
SINSP s
24. GIVE THE FOLLOWING IN FO RMATION ABOUT YOURSELF
NAME FIRST NAME, MIDDLE NAME
ADDREss (Sereet, City, State and Zip Code)
7350 S.P BoX71 AP0 Ny 09611
TELEPHONE (Area code and number) AGE
B/N-764958 27 27 MALE MALE FEMALE FEMALE
INDICATE ADDITIONAL INFORMATION INDICATE ADDITIONAL INFORMATIC AND ANY EXPERIENCE WHICH MAY WHICH MAY BE PERTINENT.
①ccupation.- _ SECURITY POLE - 8 yCORS. ECURITy Pole- 8 yeaRS.
:
C
.
25. WHEN AND TO WHOM SIGHTED THIS ENOMENON?
NAME MSGT BRUNS DAY17MONTH12 YEAR 67
26. DATE COMPLETED THIS QUESTIONNAIRE.
DAY_ 13 MONTH 22 YEAR6
PAGE 8 OF 9 PAGES
Attachment 1
21 (Becomes Attachment 1 to AFR 80-17)
A

AFR 80-17(C1)
17. DID YOU OBSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING? INCLUDE INFORMATION ON MODEL,
TYPE, FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
a 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? YESN
18. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE
GIVE ESTIMATE OF SPEED PHENOMENON? 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. I DESCRIBE SIMILARITIES AND OIFFERENCES BETWEEN THE
COMMON OBJECT AND WHAT YOU SAW.
:
The Shope - was
about The Same as
The MOON- But
much Lorgor and
-
Brighter IN COlOR Brighter IN coloR
a .
C
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM HE PHENOMENON OR ANY EFFECT ON YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY? "YES,"DESCRIBE.
A. DID THE PHENOMENON DISTURB
IF *YES, DESCRIBE.
5
oL
PAGE 7OF 9 PAGES
Attachment 1
19 (Becomes Attachment 1 to AFR 80-17)

YOUR PERMISSION. RETURN (TDETR), WRIGHT-
PATTERSON AFB, OHIO 45433,1AW AFR 8O-[7. ITIONAL SHEETS ARE NE R NARRATIVE OR SKETCHES
ATTACH SECURELY TO TH DRM OR ANNOT. YOUR NAME FO rICATION.)
1. WHEN PHENOMENON?
DAY/ MONTH .C YEAR196
2. WHAT TIME DID YOU FIRST SIGH IE PHENOMENON?
HOUR. MINUTES 20A.M. P.M.
3. WHAT E T SI H LE PHENOMENON?
HOUR 0/00 MINUTES AM. P.M.
TIME/ZONE DAYLIGHT SAVINGS STANDARD PEMN
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.
Tempelhof Tempelhof Hirbuse
Bose veatbir station Bose weathier station
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.
: I
90
1
1
1
1. -
I B
1 15
1
-
OBSERVER
AF FORM 117
AUG 67 Attachment 1
.7 .(Becomes Attachment 1 to AFR 80-17)
ATCH3

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?
11. CONDITiONs (Check appropriate blocks.)
A. SKY B. WEATHER 1
DAY CUMULUS cLoUDS (Low Rluffy) 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 UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL (New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? YES YES WHERE WAS THE SUN AS YOU FACED
THE THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD (Near noon)
IN BACK OF YOU TO YOUR LEFT UNKNOWN UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THF. 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.
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 YOU: FIELD OF VIEW.
1
PAGE 4 OF 9 PAGES

'
AFR 80-17(C1)
27. INFORMATION WHICH YOU FEEL IS PERTINENT BUT WHICH IS NOT ADEQUATELY COVERED IN THIS QUESTIONNAIRE, ALTERNATIVEL PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
. - 1
.. ;
. 1
. 5
1
ofter (SR.INSPECTOR) 4
1o0serng 519hT SINSP ,
1 END And
went arouNt The houqon To he
oppisite side To see If we could
see it fRom There. we
The object Never observed
ag01n after That.
The Bose weather station
PAGE 9 OF 9 PAGES
23 (Becomes Attachment 1 to AFR 80-17) Attachment 1

L
AFR 80-17(C1)
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.
I
N
NNW NNE
NW NE
A
WNW ENE
B
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
O
PAGE 2 OF 9 PAGES
Attachment 1

AFR 80-17(C1)
8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CheCK appropriate 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 YOU MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST 40K7
SOUTH WEST PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAI
-
DESCRIBE TYPE OF VEHICLE YOU JWEREIN AND TYPE OF ROAD, TERRAIN OR BODY OF WATER VERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
VV VV
LekelAsphalt roady K0 Leve/Asphalt roady N02
HOW MUCH OTHER TRAFFT HOW MUCH OTHER TRAFFI WAS THERE?
W.all WaRl
DID YOU NOTICE ANY AIRPLANES? YES NO. IF *YES," DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHERE OF SIGHTING THE PHENOMENON AND WHERE HEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON. TH EY 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
FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
Time cbecks uitb osk sqt.
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 3OF 9 PAGES
Attachment 1
11

CHANGE SHAPE? E V
FLASH OR FLICKER? V
DISAPPEAR AND REAPPEAR? V
SPIN LIKE A TOP? V
MAKE A NOISE? v
FLUTTER OR WOBBLE1 V
14. WHAT DREW YOUR ATTENTION TO
"Mntl Pos:teod ard movement F 2he 2.ght
2
C -
Dradly Draly 2 2 a+ top
a+ top + botom at + bottom at same sore
Rete B.te
B. DID THE PHENOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
L
PAGE 5OF PAGES
Attachment 1
15
4
. .

AFR 80-17(C1)
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?
XIA
1
11. CONDITiONs (Check appropriate blocks.)
A. SKY B. WEATHER
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 HAZE OR SMOG NONE OF THE ABOVE NONE OF THE ABOVE
C. IF THE SIGHTING WAS AT TWILIGHT OR NIGHT, WHAT DID YOU NOTICE C. IF THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT DID YOU NOTICE ABOUT THE STARS ABOUT THE STARS AND MOON? 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 PARTiAL (New or quarter) PARTIAL (New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS D. IF SIGHTING WAS IN DAYLIGHT. WAS THE SUN VISIBLE1 THE SUN VISIBLE? WHERE WAS THE SUN AS YOU FACED 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 UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR E. SPECIFY THE MAJOR SOURC ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR
STREET LAMP, ETC. STREETLAMP FTC ROPLRDOESTOLA LLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
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.
U. Brrghit obbect with dots
in terPor an it
appearded radiute
Bright orgor 2iyht , obseit appented
to Le solid with well :7
d.ndd ecuqes 1 agfuarde
seded
to be Slope halt sphere
7
PAGE 4 OF 9 PAGES
Attachment 1
. 13 (Becomes Attachment 1 to AFR 80-17)
:

TDPT
TDP
Reference the attached 1 letter (Xerox cy) from TDA
(DET OPR) April 5, 1968. A reply to TDA has been
prepared and is also attached.
70916

AFR 80-17(C1)
27. INFORMATION WHICH YOU FEEL IS PERTINENT BUT WHICH IS NOT ADEQUATELY ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING. IN THIS QUESTIONNAIRE,
when it first apjewnud
inthe distanvce it
appear as 4-5 red lights in d
flat plave.
All doring the sightisg there
was c/oud-,y in back
of the object .
C
.
-
T
PAGE 9 OF 9 PAGES
23 (Becomes Attachment 1 to AFR 80-17) Attachment 1
:4

AFR 80-17(C1)
22. HAVE YOU EVR SEEN THIS LOCATION. A SIMILAR PHENOMENON BEFORE? YESO DATE AND
23. AS ANYONE W YOU AT
YESNO.
LIST THEIR NAN
AIC whitfinld17350th 3P. 5p 0961
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME, FIRST NAME, MIDDLE NAME
subliubter Villiars dernes dve
ADDRESS (Street, City, State and Zid Code)
09611
TELEPHONE (Area code and numbe
s200 2 2 MALE MALE FEMALE FEMALE
INDICATE ADDITIONAL INFORMATION INDICATE ADDITIONAL INFORMATIO
Me and Mea and Ae whitfield Ae whitfield cre reguiaf
) Policl Police PatrolMien Patrolmien a nd and
patrol a lot patrol a lot cet Night vight
.
.
25. WHEN AND HAT PHENOMENON?
DAY/ MONTH B& C YEAR 1962
26. DATE QUESTIONNAIRE.
DAY 13 MONTH Dec YEAR1467
PAGE 8 OF 9 PAGES
Attachment 1
21 (Becomes Attachment 1 to AFR 80-17)
m4

PHENOMENON? GIVE ESTIMATE OF 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. COMMON OBJECT AND WHAT YOU SAW. ETWEEN THE
If a half 100.1 was placod in the
sky at the sarep S where
the a n d was 9-10
-.
times timUs larger larger aeird - orange iv orange
color it voulc vouc apiar appiar similav. similav
C C to the object.
21. DID YOU ANIMALS OR MACHINERY IN THE VICINITY? NOTICE ODOR, NOISE, OR HEAT EMAN FROM THE PHENOMENON OR ANY ON YOURSELF,
A. DID THE PHENOMENON IF *YES," DESCRIBE. DISTURB EVIDENCE. YES NO.
C
PAGE 7OF 9 PAGES
19 (Becomes Attachment 1 to AFR 80-17) Attachment 1

N
AFR 80-17(C1)
1S. DRAW A PICTURE THAT WILL SHOW THE SHAPE OF THE PHENOMENON. INCLUDE AND LABEL ANY DETAILS THAT MIGHT
HAVE APPEAREO AS WINGS OR PROTRUSIONS,'AND INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING.
ComING TOWARD CBSEIVERS)
objct
V
0
towe-$2
. .
Air ul t
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. NCW IF YOU HAD
BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
PHENOMENON WOULO HAVE BEEN COVERED BY THE MATCH HEAD.
T0
PAGE 6 OF 9 PAGES
Attachment 1
17 (Becomes Attachment 1 to AFR 80-17)
AY
.

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
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT EFFECTS IN ITEMS 5 AND 6.
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD, TERRAIN OR BODY VERSED DURING
THE SIGHTING. STATE WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW HOW THERE? HERE?
DID YOU NOTICE NOTICE ANY AIRPLANES? ANY AIRPLANES? YES NO. IF YES,DESCRIBE WHEN THEY WERE IN SIGHT NO. IF YES," DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND OF SIGHTING THE PHENOMENON AND WHERE WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON. THE PHENOMENON.
9. HOW LONG WAS THE PHENOMENON IN SIGHT? HOW LONG WAS THE PHI ENOMENON IN SIGHT?
LENGTH OF TIME CERTAIN OF TIME X NOT VERY SURE NOT VERY SURE
FAIRLY CERTAIN JUST A GUESS
HOW TERMINED?
WAS THE PHENOMENON IN SIGHT CONTIN UOUSLY? 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

IS: 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 INOICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING.
0
-.
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 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

FLASH OR FLICKER?
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
SOUND
A. HOW A. HOW DID DID IT FINALLY DISAPPEAR? FINALLY DISAPPEAR?
. .
B. DID THE PHENOMENON MOVE BEHIND OR IN FRON SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
YES NO. IF *YES, DESCRIBE.
PAGE 5 OF 9 PAGES

22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE? YES NO. IF *YES GIVE DATE AND
LOCATION.
23. WASANYONE WITH YOU AT THE
YES NO.
LIST THEIR ADDRESSES
)
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME, FIRST NA
ADDREss (Street, City, Sta.u
SPRINGEIELD
TE ber) AGE
X MALE FEMALE
INDICATL ADDITIONAL INFORMATION INCLUDING OCCUPATION AND EXPERIENCE WHICH MAY BE PERTINENT.
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED PHENOMENON?
NAME FTDDVTY OFFICER DAY14 MONTH DEC YEAR6
26. DATE TIONNAIRE.
DAY. MONTH. YEAR
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
WINDDWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? B. DO YOU USE READING GLASSES? YESNO
18. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 1D. 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 OBJECT AND WHAT YOU SAW.
TWO PLATES FACE TO FACE - CLASSIC
FLYING SAVLER SHAPE.
T
-
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY? YES DESCRIBE.
A. DID THE PHENOMENON DISTURB PHYSICAL EVIDENCE. YES NO.
IF YES, DESCRIBE.
L
PAGE 7 OF 9 PAGES
1