PROJECT BLUE BOOK

.
PROJECT 10073 RECORD
Tot SAGlp 2. AOCATION
ca/ca1- Burnettown. S. C.
3. OURCE 10. CONCLUSION
Civilian Probable Astro. Possible (sIRIus)
4. NUMBER OF OBJECTS
At 2ll5, PRocYoN at elevation 5 deg, azimuth 85 at zll5, Frocrun at elevatlon 5 deg. azimutn deg. SIRIUS at
One 3 deg elevation, azimuth of 1l2 deg, BETELGEUSE 3 deg elevation, azimuth of ll2 deg. BETELGEUSE elevation 30 de elevation 30 de.
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS azimuth 100 deg. 100 deg. ani RICEI ani RIGEU 27 27 deg deg
xxiouddr xxinuddr elevation, azimuth elevation, azimuth l20 ueg. 120 ueg.
1 fir, 15 Minutes 1 fir, 15 Minutes also in general area were POLLUX, POLLUX, Eir
6. TYPE OF OBSERVATION CASTOR and ALDEBARAN.
Ground-Visual Ground-Visual Observer sighted an object that looked like a large star but
7. COURSE then the observer noticed movement and a change in colorati. then the observer noticed movement and a change in colorati..
The object appeared blue ard orange in color and was about
Stationary twice the size of a star.
8. PHOTOS
Yes
XXNo
9. PHYSICAL EVIDENCE
Yos
XNo
FORM
FTD SEP 63 0-329 (TDE) Prevlous editions of this form mey be used.
.
:
.

2.e.I.O.
UNCLASSIFIED
3 DEPARTMENT OF THE AIR FORCE
i STAFF MESSARE BRANCN neld
INCOMIND MESSABE M
AF IN: 60904 (13 Nov 67) N/fhe
ACTION: RDC-4
INFO: XOP-2, XOX-2,SAF-OS-3, DIA-1 (13) ADV CY DIC (VIA JCS)
SMB E0120FTLZYUW RLEOXSG0494 3170259-UUUU-RLEFHQA.
DE RUMALS 15 3162318
ZNR UUUUU ZOK JPCCO
0 1222502 NOV 67
FM IAFCC CLARK AB PI
0 RULKSP/PACAF CC
RUHHHQA/CINCPAC CC
EDFIF/FTD WRIGHT PATTERSON AFB /IDETR/ EDFIF/FTD WRIGHT PATTERSON AFB /IDETR/
RUWJSOA/UNIVERSITY OF COLORADO BOULDER COLO
ZIP COE 80322 CONDON/
ET
UNCLAS JHCCO/JOPREP JIFFY/ DOCCE
.. SUBJECT: UNDENT JECT REPOR
ROUND
2. SIZE OF A BASET BALL
3. BRIGH RED
4. ONE A. ONE
1 5.N/A
.
.EENTIC COLRSE, SLOWED DOWN AND THEN SPED UP COLRSE, SLOWED DOWN AND THEN SPED UP
.
AFHQ JAN •3 PORM 0-309C UNCLASSIFIED

UNCLASSIFIED
DEPARTMENT OF THE AIR FORCE
STAFF MESSARE BRANCH
INCOMINS MESSABE
AF IN: 60904 Pg 2of 4
8. NO SOUND
NO NE
PAGE 2 RUMALD 17,:)-
18. MOVING NOR WEST BACK TO SOUTH IN MANILA, WESTWARD AT SANGLY 18. MOVING NOR WESI BACK TO SOUIH IN MANILA, BESIWAD AT SANZLY
11. SIGHTED FROM MANILA TOWER AND MANILA ADVD SANGLY TO WAT IY
12. STRAIGHT AT 5COOFT (APPXS MOVING AT ST IMATED 80 KPH 12. STRAIGHT AT 5COOFT (APPXS MOVING AT STIMATED 80 KPH
13. SEN STRAICHT OVERHEAD AT APPX 5000 FT 13. SEN STRAIGHT OVERHEAD AT APPX 5000 FT
14. LEVEL FLIGHT
15. RLEV OU OF SIGHT
16. 30 MINUTES
17. STAT IONARY
18. MANILA SIGHT ING AT 12/18I7Z - SANGLY ET 12/1845Z
19. DARK
OUTDOCRS
21A. 42 YEARS OF AGE, CAA EMPLOYED FOR 8 YEARS
CONTRAL T ATOR
21B IR AT IONS SANGLEY POINT
..
ATC DIVISION
IR OPERAT IONS SUNGLEY IR OPERAT IONS SUNGLEY
AFHQ JAN 65 FONW 0-309C
UNCLASSIFIED

UNCLASSIFIED
1 DEPARTMENT OF THE AIR FORCE
STAFF MESSABE BRANCH
AF IN: 60904 INCOMNO MESSAGE PE3of4
POINT ATC DIVISION
D. OFERAT IONS SANGLEY POINT
ATC DIVISION ATC DIvISioN
PAGE 3 RUMALB 15 UNCLAS 15 UNCLAS
22.1
1800Z WEATHER 15 SCAT 70 BKN 10 MILES O40/9
12/12OZ BSERVAT ION CLARK AB 12/1200Z BSERVA T ION CLARK AB
VINS VINDS TEMP
5M #50/12 ALUS 16C
10M 000/-8 ILUS SC
15M 178/17 MINUS IC
29M 130/31 MINUS IIC
25M 120/21 MIMUS 20C
30M 20/06 MINUS 31C
35M 150/22 MINUS 45C
4EM 160/25 MINUS 57C
45M 160/39 MINUS 68C
: a 5EM 150/25 MIMUS 78C MINUS 780
53M TEPXOI 53M TEPXQ1 MINUS 8AC
23. NONE
24. NONE
AFHQ JAN 65 FORN 0-309C UNCLASSIFIED

UNCLASSIFIED
i DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMINB MESSABE
AF IN: 60904 Pg4 of 4
25. NONE
26NONE
27. NONE
BT
NNNN
07 72 .n
31
.
-
~ mx
-
AFHQ PORM 0-309C
JAN 65 UNCLASSIFIED

Page 1
1 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 name' will not be used in connection with any statements,
conclusions, or publications without your permission. We request this personal information so conclusions, or publications without your permission. We request this personal information so
that if it is deemed necessary, we may contact you for further details.
1. W'hen did you see the object? When did you see the object? 2. Time of day: Time of day: o
Hours Minutes
12 Aov Dov (Circle One): (Circle One): A.M. P.M.
or
Day Month Year Year
3. Time Zone:
(Circle One):.Eastera (Circle One): a. Daylight Saving
b. Central b. Standard
c. Mountain
d. Pacific
e. Other_
4. Where were you when you saw the object?
s Sothwick 150.
Nearest Postal Address City or Town State or County
5. How long was object in sight? (Totai Duration) 100
Hours Minutes Seconds
a. Certain c. Not very sure 4
.Fairly certain d. Just a guess
5.1 How was time in sight determined?
5.2 Was object in sight continuously? 5.2 Was object in sight continuously? res Yes No_ No
6. What was the cendition of the sky? 6. What was the candition of the sky?
DAY NIGHT
. Bright a. Bright a. Bright a. Bright
b. Cloudy
7. IF you saw the sbject during DAYLIGHT, where was the SUN located as you looked at the object? 7. IF you saw the object during DAYLlGHT, where was the SUN located as you looked at the object?
(Circle One): a. In front of you (Circle ne): a. In front of you d. To your left d. To your left
b. In back of you e. Overhead =T
c. To your right f. Don't remember
FORM
FTD OCT 62 164 This form supersedes FTD 164. jul 61, which is obsolete.

Holose Jf Only
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):
. None a. Bright moonlight>
o. A few b. Dull moonlight
c. Many c.No moonlight—pitch dark
dDan't remember d. Don't remember
. What were the weather conditions at the time you saw the object? 9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): CLOUDS(Circle One): WEATHER(Circle One):
a. Clear sky a. Dry a. Dry
b. Hazy b. Fog, mist, or light rain b. Fog, mist, or light rain
c. Scattered clouds Seattere c. Moderate or heavy rain tateara
d.Thick or heavy clouds d. Snow
e. Don'tremember
10. The object appeared: (Circle One):
a. Solid d. As a light.
b. Transparent e. 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'tknow
11.1 Compare brightness to some common obiect:
2.The edges or the ebiect were: Iz. ine scges crmne cbietr were:
(Circie Oneh a. Fuzzy or blurred (Circie Onek a. Fuzzy or blurred e. Other.
b. Like a bright star b. Like a bright star
c. Sharply outlined c. Sharply outlined E
c. Don'tremember
Did the object: (Circle One for each question)
a. Appear to stand still at any time? d.Appear to stand still at any time? Yes No Don't know
b. Suddeniy speed up and rush away at any time? b. Suddeniy speed up and rush away at any time? Yes No No Don't know
c. Break up into parts or explode? c. Break up into parts or explode? Yes No Don't know
d. Give off smoke? Yes No Don'tknow
e. Change brightness? Yes No Don't know
f. Change shape? Yes No Don't know
g. Flash or flicker? Yes No Don't know
h. Disappear and reappear? Yes No Don't know

Official U.S. Air Force
Page 3
4. Did the object disappear while you were watching it? If so, how?
15. Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes Yes No Don't know. Don't know. IF you answered YES, then tell what IF you answered YES, then tell what
it moved behind: it moved behind:.
16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): (Circle One): Yes No Don't know. IF you answered YES, then tell what IF you answered YES, then tell what
in front of:
17. Tell in a few words the foilowing things about the object:
a. Sound.
b. Color
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
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?
. Drew 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.
moon
YT
1

JFO form continued
Page 4
20. Do you think you can estimate the speed of the object?
(Circie One) Yes No
IF you arswered YES, then what speed would you estimate?.
2.Do you think you can estimate how far away from you the object was?
(Circle One) (Circle One) Yes Yes No No
IF you answered YEs, then how far away would you say it was?.
22. Where were you located when you saw the object? 23. Were you (Circle One) .Were you (Circle One)
(Circle One):
a. In the business section of a city?
Inside a building b. In the residential section of a city? b. In the residential section of a city?
b. Ind car b. Inc car c. In open countryside?
c. Outdoors d.Near an airfield? d. Near an airfield?
d. In an airplane (type) d. In an airplane (type) Flying over a city? e: Flying over a city?
e. At sea f. Flying over open country?
f. Other. g. Other.
24. 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.
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 foilowing?
4
a. Eyegiasses No e. Binoculars Yes
b. Sun giasses Yes No f. Telescope Yes
c. Wincshield Yes No g. Theodolite Yes No
d. Wincow giass Yes No h. Other_
26. in order tnat you san 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, wouid givethe same appearance as the object which you saw.

.
Official U.S. Air Force
Page 5
I 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
above the horizon (skyline) when you last saw it. Place an "A" on the compass when you first saw it. Place a "B" on the com-
pass when you last saw the object.
90° 75°
N
NW
30° 30°
w
15o 15° SW SE
O0 S
2. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the path, a "B" at
the end of the path, and show any changes in direction during the course.
2?. IF there was MORE THAN ONE object, then how many were there?.
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling. T

uFO form continued
Page 6
. Have you ever seen this, or similar object before. If so give date or dates and location.
3. Was anyone eise with you at the time you saw the object? (Circle One) Yes No
31.1 IF you answered YES, did they see the object too? (Circle One) Yes No
31.2 Please ist their names and addresses:
32. Pleose give the following information about yourself:
Last Name PirsrIName Middle Name
ADDRESS awick56
Street City Zone State
TELEPHONE NUMBER SEX
Indicate any additional information about yourself, including any special experience, which might be pertinent.
33. When and to whom did you report that you had seen the object?
Day Month Year

Mi dnis in his
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 AL QUESTIONS E INEORMATIONYOU GIVE WILL USED FOR RESEARCH PURPOSES.
YOUR NAME WTLL NOT BE USED CONCLUSIONS WITHOUT
YOUR PERMISSION. RETURN FTD (TDETR), WRIGHT-
PATTERSON AFB, OHIO 45433 ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO THIS F H YOUR NAME FOR IDENTIFICATION.) :
1. WHEN DID YOU SEE THE PHENOMENON?
MONTH NOr. YEAR 1967
2. WHAT TIME OID YOU FIRST SIGHT THE PHENOMENON?
HOUR 9:15 MINUTES A.M. P.M.
3. WHAT TIME DID Y ou L AST SIGHT THE PHENOMENON?
HOUR∠D ∴32 HOUR MINUTES MINUT ES A.M. L.M.
4. TIME/ZONE DAYLIGHT SAVINGS 0 STANDARD
DEASTERN EASTERN CENTRAL CENTRAL PACIFIC OTHER
5. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY, GIVE THE NEAREST STREET ADDRESS AND INDICATE ON 5. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY, GIVE THE NEAREST STREET ADDRESS AND INDICATE ON
A HAND DRAWN MAP WHERE YOU WERE STANDING WITH REFERENCE TO THE ADDRESS. IF IN THE COUNTRY, IDENTIFY THE
HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
Located ir Buxettorr,s.c. Located in Bunnettor ,s.e. west of Huy.#421
by abost by about 400 yclr. 400 ycs.
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.
2 obsewedths
90 12/3167 object on two
17
1 60B^2
diffent nights
1
12/3 time did
1 One
1 1 $A^{2 not move lut move
1 1
1 little. little.
61 61
1 5 second rig second nig
the
Rec.3,1967 it Rec.3. 967it
OBSERVER OBSERVER moved constartly
AF FORM 117
AUG 67

Pago7
67
Day Month Year
34. Date you completed this questionnaire:
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.
I+
.
T
F

telephone from the Bulgarian newspaper "Trud." At sunset, against the
sky, eppeared a luminous object of unusual shape first it looked
like a ball, larger than the solar disc. But after a while, it took
the shape of a trapezium. It should be noted that this so-called flying
saucer was moving extremely slowly, and for certain time was immobile.
It was observed through "Luneta" field glasses which magnify forty
times. In its objective, the flying object looked like a ball or, more
precisely, a parachute. In its upper part, it looked like a flattened
dark disc, girded by a wide light band. At first, the ball-parachute
emitted a silvery blue light, looking like a flame, which gradually
became 'orange. Finally, that luminous object, ever receding, disappeared
eastward. In this comection, D. Simetchiyev, who is a scientific worker of
the Institute of Hydrology and Meteorology, said that he observed the
object with the naked eye and therefore cannot give thorough data. But object with the naked eye and therefore cannot give thorough data. But
there is no doubt that it was moving against the wind. This makes it
possible to suppose that it had its own engine. Apparently, it flew
at 30 kn altitude. It is interesting that it did not cause any at 3o kn altitude. It is interesting that it did not cause any static static
in the radio network. [NC]
$xA092 2370 67
C yylbyl
MOSCOW x2 • Izvestia said Thursday nursday 2. 2 huge, huge,
luminous luminous ing objcct bi0 was reported was reported
over over Lea Tuesday evening.. vening..
The oi The newsnaper quoted quoted the the
Bulgaria it resembled a it resemble l a balloon or
parachute. parachute
Its Its uoner upper part seemed to be to dark disc encircled by a
wide brigk wide brigl strin, Izvestia added. Ihe naper did not say Izvestia added. Ihe naper did not say
1 if an investigation into the Uro report has been ordered. if an investigation into report has been ordered.
Informed sources reported here earlier this month that the Informed so urces reported here earlier this month that the
Soviet government has set up a commission to investirate Uro Soviet goverr
reports in country
ASoviet magazine article in April said the theory that
UiOs were visitors from outer space was extremely
speculative but Uro sightings have not yet been satisfactorily
explained.
GoIoelpes Nov. 25

NC10
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 OF QUESTIONS. INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES.
YOUR NAME WILL NOT BE USED I ENTS OR CONCLUSIONS WITHOUT
PATTERSON AFB, OHIO 45433, IAW 80-17. ADDITIONAL SHEETS ARE NEEDE FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
"7
1. WHEN DID YOU SEE THE PHENOMENON?
DAY_26 YEAR 7
MONTH
2. WHAT TIM E D Y ou FIRST SIGHT THE PHENOMENON?
HOUR MINUTES A.M. P.M.
3. WHAT 3. WHAT TIME DID Y TIME DID YOU OU LAST SIGHT THE PHENOMENON? L AST SIGHT THE PHENOMENON?
HOUR MINUTES A.M. 0 P.M. P.M.
4. TIME/ZONE 4. TIME/ZONE n DAYLIGHT SAVINGS O 0 STANDARD
EASTERN CENTRAL 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 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.
BOSTON, MASS BOSTON MASS
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
1 8
1
1 1
1 I
1
1
I 15 15
OBSERVER /
AF FORM 117
AUG 67
/

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
-
CY
PAGE 2 OF 9 PAGES

.
8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CheCk apPrOPRlate bloCKs.)
OUTOOORS 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, COMPL'ETE THE FOLLOWING:
WHAT CIRECTION WERE YOU MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE ERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST NORTHWEST SOUTHWEST YES YES NO NO
EXPLAIN WHETHER SUCH MOVEMENT EFFECTS EXPLAIN WHETHER SUCH MOVEMENT EFFECTS YOUR SKETCHES IN ITEMS 5 AND 6. YOUR SKETCHES IN ITEMS 5 AND 6.
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD, TERRAIN OR BODY DESCRIBE TYE OF VEHICLE YOU WERE IN AND TYPE OF ROAD, TERRAIN OR BODY OF WATER YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER STATE WHETHER WINDOWS OR CONVERTIBLE WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MUCH OTHER TRAFFIC WAS THERE? HOW MUCH OTHER TRAFFIC WAS THERE?
DID YOU NOTICE ANY AIRPLANES? YES D 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
2 H0U1S FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINEO?
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? X YES NO. IF NO, INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OP 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 WERZ
ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
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 C. IF THE SIGHTING WAS AT TWILIGHT OR NIGHT, WHAT DID YOU NOTICE ABOUT THE STARS AND MOON? YOU NOTICE ABOUT THE STARS AND MOON?
(1) (1) STARS (2) MOON
NONE BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS MOON HIODEN BY CLOUDS
UNKNOWN PARTIAL (New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? YES NO. IF *YES, WHERE WAS THE SUN AS YOU FACED YES. WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN IN FRONT OF YOU FRONT OF YOU TO YOUR RIGHT TO YOUR RIGHT OVERHEAD (NeG noon) OVERHEAD (NeCr noon)
IN BACX 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.
12. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
REFLECTEO 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.
BRIGHT POINT SOU.2CE
PAGE 4 OF 9 PAGES

MAKE A NOISE?
FLUTTEROR WOBBLET
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
al
A. HOW DID IT FINALLY DISAPPEAR?
STICL 12 s1617 WHEC NEPORTED
B. DIO THE PHENOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
□ YES C NO. IF *YES,DESCRIBE.
PAGE5 OF 9 PAGES

22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE? YES NO. IF *YES, GIVE DATE AND
LOCATION.
23. WAS ANYONE WITH YOU AT THE TIME YOU SAW THE PHENOMENON? YES NO. IF YES. DID THEY SEE IT TOO?
YES NO.
A. LIST THEIR NAMES AND ADDRESSES
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME, FIRST NAME MIDDLE NAME
ADDREss (Street, City, State and Zip Code)
BOCTON N+SS.
TELEPHONE (Area code and number) AGE
MALE FEMALE
INDICATE ADDITIONAL DICAtE ADd:TIonAL iNFormATIOn iNCLUUiNG OCCOPATiON AND ANY EXPERiENCE WMCH MAY BE PERTINENT. INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
NAME DAY. MONTH YEAR
26. DATE YOU CO MPLETED THIS QUESTIONNAIRE.
DAY. MONTH YEAR
PAGE 8 OF 9 PAGES

27. INFORMATION WHICH YOU FEEL IS PERTINENT BUT WHICH IS NOT ADEQUATELY COVERED IN THIS QUESTIONNAIRE, ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
REPOT WAS MADE TO PATTENSON OPS
BY PHONE AT 0340 26 V0V AND REL4:CD
70 FTD DUTY OFFICER AT OG3O. SUBJECT
ReronieD CBsEn26 4 PINPOSNT Gcow ESE OF
BOSTON FOn > 1uas . 1URivG WitIC TIME
OBJECT REMTIVED STAT1O04BY. PATTEnsor OPS D1D
NOT PRESh Fon FULL REPOOT sivtc sUBJECT WAS
CALLING 77 His 0wN EXPENSE. SUBECT LEFT NO
ADOnGSS on puov6 NUMBER.
PREPTRED BY : CAPT R.N. WMES ITDPTA BY : C4PT R.N.JONES 1TDPrA
/
PAGE 9 OF 9 PAGES

of peroonal data. Howvor, I ded diopotea Invostigators Hob Jaol troon and
Bob Salvatore to interviow tho Wlldonon'o. Sigting 2
EVALBATIGH
feten:
soumotle or,no
could bo fartheoning but at present thoro do , inarileient
(iiZdonon'o).

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
AO811/30/61
F
PAGE 2 OF 9 PAGES

SVALAHICH
Hewton: Thore may have boon a
sew at Newten
the sane time the phencnenon was sighted but thore io no
nomordo tiog ox' the Blonen'a cynry ctor, no
could bo forth ming but te rreednt thero io inoufricient
data counlod with vitraen ehornetsr monlonn ldormn).

issued magazine or in another publication. Please try to answer many questions as possible. Should you need additional room,
please use another sheet of paper. Please print or typewrite. Your r assistance is of great value and is genuinely appreclated. Thank you.
Nome Rland A: Hildoe Place of Fmployment
-
Address 26 5inmt Av2
Occupation
Ro.Kpert, Mass Education
Special Training
Telephone 542-6097 Military Service
2. Date cf Observation N0v. 28, 1967 Time AM 7:15 PM Time Zone
3. Locality of Observation RccK…+ timate
es
4. How long did you see the object? Hours 12 Minutes Seconds
5. Please describe weather conditions and the type of sky; i.e., bright daylight, nighttime, dusk, etc. C/eL
6. Position of the Sun or Moon in relation to the object and to you.
7. If seen at night, twilight, or dawn, were the stars or moon visible? yes
Were there more than one object? no If so, please tell how many, and draw a sketch of what you saw, indicating
direction of movement, if any.
a Please describe the object(s) in detail. For instance, did It (they) appear solid, or only as a source of
ete? Please use additional sheets of paper, if necessary. etc? Please use additional sheets of paper, if necessary. revolving revolving
10. 10. Was the object(s) brighter than the background of the sky? Was the object(s) brighter than the background of the sky? yes
neadlts angleat
11. If so, compare the brightness with the eSun, Moon, headlights, etc. 75. (est)
12. Did the object(s) - (Please elaborate, if you can give details.)
a. Appear to stand still at any time?
b.
c. Break up into parts or explode? 0 no
J. Give off smoke? 3 n0
e. Leave any visible trail?
f. Drop anything? n
9. Change brightness?
h. Change shape?
i. Change color? no
13. nt neilei.
14. Was there any wind? 119-57 If so, please give direction and speed.
15. etc? What? Bmoculars 7X35
16. Did the object(s) have any sound? n0 What kind? How loud?
17. Please tell if the object(s) was (were)—
a. Fuzzy or blurred.
b. Like a bright star.
C. Sharply outlined. Lights distinet

18. Wes the object -
a. Self-luminous ?
b. Dull finish?
c. Reflecting?
d. Transparent
19. Did the object(s) rise or fall while In motlon? 7c
20. Tell the =pparent size of the object(s) when compared with the following held at arm's length:
o. Pinhead d. Nickel g. Orange
b. Pea e. Half dollar h. Grapefruit
c. Dime f. Silver dollar i. Larger
Or, if easier, give apparent size in Inches on a ruler held at arm's length.
21. 11yr?.
22. Lingrein
23. How did the object(s) disappeor from vlew? 1)el,n(( nori20~( tRE)
24. fuster
25.
26.
127. What was the elevation of the object(s) in the sky? Please mark on this hemisphere sketch:
28. Names and addresses of other witnesses, if any.
29. Please draw a map of the locality of the observation showing North; your position; the directlon from which the object(s)
appeared and disappeared from view; the direction of Its course over the area; roads, towns, villages, railroods, and other
landmarks within a mile. landmarks within a mile.
Is there an airport, milltary, govemmental, or research installation In the arma? Sagomore Hill
30.
he
31.
32. Please ensiose photographs, motion pictures, news clippings, notes of radio or television programs (Include time, station and
date, if passible) regarding this or similar observations, or any other background materlal. We will re
ne
33. the name and rank or title of the agent, his office, and de questioning ok place.nC
Were you csked or tald not to reveal or discuss the incident? If so, were any recsons or official orders mentioned? Please
elaborate carefully. nU
34. We shouid like permission to quote your name in connection with this report. This action wlll encourage other responsible
citizens to report similar observations to NlCAP. However, if you prefer, we will keap your name confidential. Please note
your choice by checking the proper statement below. In any case, ploase fill in all parts of the form, for our own confidential
files. Thank you for your cooperation.
You may use my name. ( Please keep my name confidentlal. ()
35. Date of filling out this report:

NOV.28, 1968
composite drawing
of Hildeonon's sighting
"dark mass"as seen by Mrs. Hildeonon (Nany) "dark mass"as seen by Mrs. Hildeonon (Nancy)
Divect, of trave stationavg Sub dued yellowis h lights stationarg Subdued yellowis h lights
WEST --revolving ov blinking
lights in sequence cobor white (very bright)
8
NICAY

Afing light yeelohnak
An
BlasA AHido
c

4. How long did you see the object? Hours .2/2 Minutes Seconds
5. ght, nighttime dusk, etc.
6.
7. Excellent visibility
∞ Were there more than one object? no If so, please tell how many, and what you saw, indicating
direction of movement, if any.
9. Please describe the object(s) in detail. For instance, did it (they) appear solid, or only as a source of light; was it revolving,
ligurt Souvce
10. Was the obiect(s) brighter than the background of the sky? ye s
If so, compare the brightness with the Sun moon
11. etc.
12. Did the object(s) - (Pleae elaborate, If you can give details.) .
a. Appear to stand still at any time? se
b. Suddenly speed up and rush away at any time? asmbno
c. Break up into parts or explode?
J. Give off smoke? no
e. Leave any visible trall?
F. Drop anything? nO
8. Change brightness? no
n. Change shape? no
i. Change color? no
13. yes, Passe 2es 300f7.aveay
14. Was there any wind? please give direction and speed.
15. thotcal strnerwihnowp win
etc? ye) What? Binocular? as object startuc behid trees
16. Did the object(s) have any sound? n What kind? How loud?
17. Please tell if the object(s) was (were) —
a. Fuzzy or blurred.
b. Like a bright star. slow moving .
c. Sharply outlined.

23.
24. slowee
25. Helicoptere wert ovev twiee
yes - coast Goand
26. Please estimate the distance of the object(s). thut it apparod quite high
nor fossibie-only
27. What was the elevation of the object(s) in the sky? Please mark on this hemisphere sketch:
28. Names and addresses of other witnesses, If any.
29. Please draw a map of the locality of the observation showing North; your position; the direction fron: which the object(s)
landmarks within a mile.
sce sketch)
30. is there an airport, milltary, govemmental, or research installation in the area? Topsfeld
NIKE SITE my) Danue
31.
32. Please anclose photographs, motion pictures, news clippings, notes of radio or televislon programs (Include time, station and
date, if possible) reg egarding this or simi rations, or any other background materia will return the material to you.
33. Were you interrogat Forca igators? By any other federal
the name and re office, and deta no place.
Were you asked or told not to reveal or discuss the Incident? If so, were any reasons or officlal orders mentloned? Please
elaborate carefully no
34. We should like permission to quote your name in connection wlth this report. This action wlll encouregs other responsible
citizens to report similar observations to NiCAP. However, if you prefer, we will keep your name confidential. Please note
your choice by checking the proper statement below. In any case, please fill in all parts of the form, for our own confidontial
files. Thank you for your cooperation.
You may use my name. (VT Please keep my name confidentlal.
fh fhk.
35. Date of filling out this report: NO0.28,1967 Signature:

STATIonarY
STATIONAY 1 3
I
Apparent Motion
1 'v - of oBject
4
1 seen a+ 240^ s.W
1 NOV 28, 1967-5:15 P.M.
Danvers, Mass.
1 v
Jaude actea i I
11 1
STATIONAry 2 1
STATIONQrY
o=x- 4 STATIOnarY
.

NCIO
See phto
BOB Nr 2l-R258 C
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. HE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES.
YOUR NAME WILL NOT BE USED IN CO INECTION WITH ANY OF YOUR STATEME CONCLUSIONS WITHOUT
YOUR PERMISSION. RETURN TO AIR FORCE BASE INVESTIGATOR FOR FORI FTD (TDETR), WRIGHT-
PATTERSON AFB, OHIO 4S433, IAW 80-17. (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
:
1. WHEN DID YOU SEE THE PHENOMENON?
DAY._.. MONTH- NOKYEAR.L26Z
2. WHAT TIME DID YOU FIRST SIGHT THE PHENOMENON?
HOUR MINUTES A.M. P.M.
3. WHAT TIME DID YOU LAST SIGHT THE PHENOMENON?
HOUR MINUTES_ C _A.M. P.M.
4. TIME/ZONE DAYLIGHT SAVINGS
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 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.
ininde
-×2
1
6. IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN *A* ON THE CURVED LINE TO SHOW HOW HIGH THE
PHENOHENON WAS 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.
90
L*
8
1
1
1
1
1
1 15
1
OBSERVER
AF FORM 117
AUG 87
/

-
6A. NOW IMAGINE YOU ARE ATTHE 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 SXETCH AS AN EXAMPLE OF HOW TO COMPLETE
TME LARGER SKETCH.
PAGE 2 OF 9 PAGES

OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING 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 WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST a YES NO
EXPLAIN WHETHER SUCH MOVEMENT EFFECTS YOUR SXETCHES IN ITEMS 5 AND 6.
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD, TERRAIN OR BODY OF 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 MUCH HOW MUCH OTHER O H ER TRAFFIC TRAF WAS WAS THERE? THEREI
DID YOU NOTICE DID YOU NOTICE ANY AIRPLANES? 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.
quute all the
ain taffic was
cod the
iew a e cp
a y
hom the objict.
9. HOW LONG WAS THE PHI ENOMENON IN SIGHT?
LENGTH OF TIME CERTAIN N OF TIME NOT VERY SURE
Cppuctinately ILom to 1'hr. FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED1 -
By clock.
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? VYES 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
11
)

8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CheCk apPrOPRlate blocKS.)
OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR O AS DRIVER I AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE AS PILOT AS PASSENGER FLYING OVER CITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
A. IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWING:
WHAT DIRECTION WERE YOU MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE
PHENOMENON1
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 TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MUCH OTHER TRAFFIC HOW MUCH OTHER TRAFFIC WAS THERE? THERE?
DID YOU NOTICE ANY AIRPLANES? YES YES 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 WHERE OF SIGHTING THE PHENOMENON AND WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
9. HOW LONG WAS WAS THE PH PHENOMENON ENOMENON IN SIGHT? IN SIGHT?
LENGTH OF TIME X CERTAIN OF TIME NOT VERY SURE
25 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.
CLOAD
00T
PAGE 3OF 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?
11. CONDiTioNs (Check appropriate blocks.)
A. SKY B. WEATHER 1
DAY CUMULUS CLOUDS (LoW luffy) FOG OR MIST
TWILIGHT CIRRUS CLOuDS (High fleecy or Herring- HEAVY RAIN
NIGHT bone) x 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 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 TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
a
/
PAGE 4 OF 9 PAGES

MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
l mitend
the the
A. HOW DID IT FINALLY DISAPPEAR?
AA ove  mat ove mat
B.DID THE PHENOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
EYES 0 NO. IF YES,"DESCRISE.
tieit
-
A
PAGE 5 OF 9 PAGES

.

I7. DID YOU OBSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING? INGLUDE INFORMATION ON MODEL,
TYPE, FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TEL ESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU OROINARILY WEAR GLASSES? YES B. DO YOU USE READING GLASSES? YES NO
18. WHAT NAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF TNE
PHENOMENON? GIVE ESTIMATE OF SPEED PHENOMENON? GIVE ESTIMATE OF DISTANCE
2O. IN CRDER 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.
t
LIKE THIS THIS
REFLBECTION REFLECTION
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY? CYES NOIF YES,DESCRIBE.
A. DID THE PHENCMENCN DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YES NO.
IF "YES,"OESCRIBE.
/
PAGE 7 OF 9 PAGE3

22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE? 2 YES NO. IF YES,GIVE DATE AND
LOCATION.
Ea
2 1960
23. WAS ANYONE WITH YOU AT THE TIME YOU SAW THE PHENOMENON? YES
IYES NO.
A. LIST THEIR NAMES AND ADDRESSES
Miy dad
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME, FIRST NAME. MIDDL - M
ADDRESS (StTeEs, City, State and Zip Code)
TenmHont(Areucode and number) AGE
9 hong MALE MALE FEMALE FEMALE
INDICATEALOITION INDICATEAEO ORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT. RMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
V
N222%
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
NAME DAY../ MONTH YEAR
26. DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY MONTH. YEAR
PAGE 8 OF 9 PAGES

1 - 11 December 1967 Sightings
DATE LOCATION OBSERVER EVALUATION
Perth Amboy, New Jersey Multiple Balloon
Dallas, Texas Other (Clouds)
Buckley ANG Base, Colorado Insufficient Data
Lemoore, California Satellite (ECHO I)
Aiken AFS, South Carolina Civilian Astro (Stars/Planets)
HNMM0ONM∞ Franklin, Indiana Other (Unreliable Report
North Culter, Maine Insufficient Data
Richmond, Indiana Civilian Insufficient Data
Bellevue, Ohio Multiple Aircraft
Amanda, Ohio Insufficient Data
Honolulu, Hawaii Aircraft
Springfield, Ohio Multiple Balloon
10 Bucks Harbor AFS, Maine Military, Civilian Insufficient Data
10 Valley Station, Kentucky Balloon
11 Springfield, Ohio Insufficient Data
ADDITIONAL INFORMATION ON SIGHTINGS C NOT CASES)
DATE LOCATION SOURCE REMARKS REMARKS
5 Marcella, New Jersey
8 Paoli, Pennsylvania
11 German
.
4

10. IF THERE WERE MORE THAN ONE PHENOMENON, HOW MANY WERE THERE? DRAW A PICTURE TO SHOW HOW THEY WERE
ARRANGED. DIO THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
Onl enen!
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) bone) LIGHT RAIN OR DRIZZLE LIGHT RAIN OR DRIZZLE
CLEAR CLEAR NIMBUS CLOUDS (Rain) NIMBUS CLOUDS (Rain) HAIL
PARTLY CLOUDY PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG NONE OF NONE OF THE ABOVE
C.IF THE SIGHTING WAS AT TWILIGHT OR NIGHT, WHAT DID THE SIGHTING WAS AT TWILIGHT OR NIGHT, WHAT DID YOU NOTICE NOTICE ABOUT ABOUT THE STARS AND MOON?
(1) STARS 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)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? YES NO. IF YES, WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD (NeW noon)
IN BACK OF YOU TO YOUR LEFT UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR
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
REFLECTEO 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 OSJECT IN YOUR FIELD OF VIEW.
The leglet
sbiet
slen
appearid as a rond ball alnut toice the sige
wova vertical
whin the olject was blue the light
1
light, light
PAGE 4 OF 9 PAGES

CHANGE BRIGHTNESS?
CHANGE SHAPE?
FLASH OR FLICKERI
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
Jhe ojiet fist Jhe ojet fest
A. HOW DID IT FINALLY DISAPPEAR?
did not see it leave: we went inside and
We
wts gove.
B. DID THE PHEVOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
YES YES NO. IF *YES,"DESCRIBE. NO. IF *YES," DESCRIBE.
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 VAPOR TRAILS. INDICATE BY AN ARROW THE DIRECTION THE PHENOMENON WAS MOVING.
ORANCE 13L05
COLORED COIOREA
O 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 COVEREO 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 FRACTICN OF THE
PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD.
2/3
PAGE 6 OF 9 PAGES
11

17. DID YOU OBSERVE -THE PHENOMENON THROUGH ANY OF THE FOLLOWING? INCLUDE INFORMATION ON MODEL,
TYPE, FILTER, LENS PRESCRIPTION OR OTHER APPLICASLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES B. DO YOU USE READING GLASSESI YES NO
18. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THEA 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENON? GIVE ESTIMATE OF DISTANCE LCLLA
2O. IN ORDER THAT WE MAY OBTAIN AS CLEAR A PICTURE AS POSSIBLE OF WHAT YOU SAW, DESCRIBE IN YOUR OWN WORDS
A COMMCN 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 OSJECT AND WHAT YOU SAW.
a str wonld be siniliàn exapt only alnt half the
aA22a2
d and dow at clong
sine
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING PROM THE PHENOMENON OR ANY EFFECT ON YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY? YES NO. IF *YES,DESCRIBE.
A. DID THE PHENOMENCN DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YES YES NO. DNO.
IF"YES."DESCRIBE. IF "YES," DESCRIBE. +
PAGE 7 OF 9 PAGES

/
IVE DATE AND
LOCATION.
!
23. WAS ANYONE WITH YOU AT THE TIME YOU SAW THE PHENOMENON? YES DID THEY SEE IT TOO?
YES NO.
A. LIST THEIR NAMES AND
mea
Some addur as.
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME EIRST LAST NAME.EIRST NAME, MIDDLE NAME NAME, MIDDLE NAME
ADDREss (Street, City, State and Zip Code, ADDREss (Street, City, State and Zip Code)
BURae BURO swn3.C.29X34 1wn3.C.29X34
TELEPHONE Aecode and number TELEPHONEA code and number AGE AGE
19 MALE FEMALE
INDICATE ADD TIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
none pertinet, pertinet, Ocupation vending machine Ocepation vending machire serve f
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON? THAT YOU HAD SIGHTED THIS PHENOMENON?
NAME 7 NAME DAY172.30MONTH7722 DAY_17V.32 MONTH_ No YEAR196? YEAR1967
2S. DATE YOU COMPLETED THIS QUESTIONNAIRE. 25.DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAYMONTH YEAR_ 1961
PAGE 8 OF 9 PAGES
1