PROJECT BLUE BOOK

. n. J
3. GOURCF ats11:8, 6.16
10. CONCLOSION
Civ.i.. INSUFNXCIENE S.EA
4. NUMBER OF OGJECTS No dirreren: si. s Th;
4-5 on vhe sighting but v i rone: wre .- rei lne. oit co-orven wat -slod :, ive.
5. LENGTH OF OBSERVATION inrorati. suen . Gda.iin o
11. BRIEF SUMMARY AND AALYSIS ad CE "ii.
Not neporied .icn O u.ea".re coe
6. TYPE OF OBSERVATION Obeorver wes in nis ear driving W when ho observed 4 o.' g
Ground-Visual glowing straaks e? iight going B. The observer aeserise
7. COURSE wires moving thrcugh spe ce.
and were moving at a rather high speed. They appaared to be cuite io
Last
8. P HOTOS bONclUsIoN cor'n: The sightang is similar to those of sareils:
decay but Spabxts,lists no decays on this date.
9. 'SICAL E IDENCE
us
(TDE) Prortoii
1 m 119.
S0
,

O
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PATTERSON AIR FORCE SE. OHIO 45433
SEP 13 1967 B
REPLY TO TDET/UFO
ATTN OF
SUBJECT UFO oservation 6 Sept 67
TO
Cincinnati.15, Ohio 45215
Reference your unidentified observation. The information which
we have received is not sufficient for a scientific evaluation.
Request you complete the attached FTD Form 164 and return it in
the envelope provided. Thank you for reporting your observation
to the Air Force. Force.
JAMES C. MANATT, ColOnel, USAF JAMES C. MANATT, Colonel, USAF 1 Atch
Director Technology Technology and and Subsystems Subsystems FTD Form 164 w/envelope I

MEMO FOR THE RECORD 7 September 1967
Subject: UFO Sig September 1967, Cincinnati, Ohio
Mr. bf 3 Cincinnati 15, Ohio and his
neighbors observed an unidentified flying object at 950 pm. Mr.
sighting was at least twenty minutes long, his next door neightbor
observed the object while walking his dog. He and his son put
binoculars and telescope on the object. The object looked like
somebody reached down and put the object out. The object never
changed position, it was in the west, 270 deg az and 75 deg elev.
The object was perfectly stationary. The pulsating was similar The object was perfectly stationary. The pulsating was similar
to that of a lightning bug but not quite the same. M Mrr Mr N
gave his boy and the neighbors boy a pencilf and they all drew
the same think. It looked like the bottom of our space ships, the same think. It looked like the bottom of our space ships,
with cracks in the surface, similar to that of a volcanoe. Mr.
said he , . aboard
ased to be in the Air Force.
Colorado is doing their IN A
own independent evaluationand investigations into UFOs. Major
Quintanilla said he would send him four copies of FTD Form 164 so -
that he and his neighbors could complete them and return them in the
self-addressed envelope.

)
..SCATION
10. CONCLOSION
IMSUFFIOIENT D.E.
2 2 ame
J. EHOTR SF OSSERVATISN EHOTR OF DBSERVATION 11. 11. BRIEF SUMMARY AND M-SIS AND~N-SIS
20-25Mn) 20-25 Mn)
DLs (5 Cis (lS Minuses) Minuzes Observar hes ove 3ghting. 2. 24g0 02, 6 ott 67.
OF OSSERVATION at 0310 3DT, 7 J0t 67. at 0310 3DT. 7 J0t 67. Rop--. -- non- ino tie Diy Rop--. -- aon- ino tne Disy
Additional inrormation was reizvstes from the observer h.m Additional inrormation was retrsstes from the observer sm
Gao.-Visual Cao.-Visual never received. never received.
Fr0600
Y
As
9. SICAL EVIDENCE
C
CN
FO% ovious vdisons of thl form may o used.
FTD 32.5 5-227 (TD
-

6-7 Gil
IDET/UFO (Maj. Guintanilla/709l6/jaf/13 Oct 67)
OCT 171067
UFO Observation or 6-7
Cincinnati 39, Ohio 45239
1. Thank you for reporting your sighting of 6-7 Oct 1967 to the
Air Force. However, additional information is needed. If you
would complete the inclosed FTD Form 164, it would be helpful
in our analysis.
2. Thank you for your assistance in this matter.
AMES C. MANATT, COlOnel, USAF 1 Atch
Pirector chnology and Subsystems FTD Form 164

A16
U.S. AIR FORCE TECHNICAL INFORMATION
Su.
This questionnaire
information as possil concerning the unidentified gerial phenomenon that you have observed.
Please try to answer questions as you possibly can. The information that you give will
ba usad 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
that if it is deamed necessary, we may contact you for further details.
2230 -6-0T
1. When did you see the object? Timne of day: 0310 7OCT
Hour Minutes
06-07 OCT 67 (Circle One): A.M. or P.M.
Day Month Year
3. Time Zone:
(Circle One): (Circle One): a. Eastern Daylight Saving
b. Central Centra! b. Standard
c. Mountain
d. Pacific
e. Other
4. Where were 4. Where were v Iec Cincinnat: Cincinat: 39
$12}$ Ohio Ohio
$2 \fra{2}$ 222 ' t1
"'
Nearest Postal Ad City or Town State or County
20
5. how long was object in sight? . (Total Duration) - i0
Hours Minutes Seconds
a. Certain c. Not very sure
Fairly certain d. Just a guess
5.1 How was time in sight determined? Car radio 4 approximation
tne
5.2 Was object in sight continuously? Yes X No
What was the condition of the sky?
DAY NIGHT
a. Bright (clear)
b. Cloudy b.
7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object? NIA
(Circle One): a. In front of you d. To your left
b. in back of you e. Overheod
c. To your right f. Don't remember Sod /64
FORM
FTD OCT 62 164 Thi- frem niuna.

Payn 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 moonlight
Many c. No moonlight - pitch dark
d. Don't remamber ① Don'trememberdid no see
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
Clear sky Dry ?
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds Moderate or heavy rain
d. Thick or heavy clouds d. Snow
: e. Don't remember
10. The object appeared: (Circle One):
s Solid As a light
b. Transparent Transparent e. Don't remember
c. Vapor Vapor
If it appeared as a light, was it brighter than the brightest stars? (Circle One): 1. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
Brighter Brighter c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
Road flane in air.
12. The edges of the object were: to0 high
e. Other
. Like a bright star
Sharply outlined2 time
d. Don't remember
. Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes Tie No Don't know
b. Suddenly speed up and rush away at any time? Tes 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) No Don't know
f. Change shape? Yes (VO Don't know
g. Flash or flicker? Yes * No Don't know
h. Disappear and reappear? No Don't know
* chauge alout every minute

24 tiine - was in
1.Did the object move behind somathing at any time, particularly a cloud?
(Circle One): Yes NO Don't Know. IF you answered YES, then tel! what
it moved behind;
16. Did the object mova in front of something at any time, particularly a cloud?
(Circle One): Yes N0 Don't Know. IF you answered YES, then tell what
in front of:
17. Tell in a few words the following things about the obiect:
0. Sound20
b. Color. floureseent red -both-cases
18. We wish to know the angular size. Hold a match stick at arm's length in line with a known objoct and note how
much of tha object is covered by the head of the match. If you had parformed this experiment at the time of the
sighting, how much of the obiect would hove been covered by the match head? SBEL
of the object that you saw such as wings, protrusions, etc., and aspecially exhaust trails or vapor trails.
Place an arrow beside the drawing to show the direction the object was moving.
1s tine 2ndtene
too high to
deteimine wo traie
qeen
notued til S.W
behind object Occaseorolly

22. Where were you located when you saw the object? 2Were you (Circle One)
(Circle One):
a. In the business section of a city?
a. Inside a building 5.
time In open countrysids?- 2N
.Outdoors - 13 time d.Near an dirfield?
d. In an airplan (type) o. Flying over a cily?
e. At saa 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 South g. Wost
b. Northeast d. Southeast f. Southwest h. Northwest
26. In order that you can give as clear a picture as possible of what you saw, dascribe in your own words a common
object or objocts which, when placed up in the sky, would give the same appearance as the object which you saw.
Second ianzd to
form a fegure 8 - shaped abjelt

Pap5
27. In the following sketch, imagine that you are at the point shown. Place or "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
whan you first saw it. Place a "B"' on the compass where you last saw the object.
90 75
B2 60
A B
45 NW NR
A2
E
$A_,-15 3W
β1 -62
$A{2 A2
B2
Uraw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the 28. (Oraw 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. path, a "B" at the end of the path, and show any changes in direction during the course. 2ndten 2ndteu
Proreeded: Proceeded:
7SW-3min SW-3min
fase falle 30see 3osee obsewer-SB
3 E sl -3 men 30 sec
↑ Y2C
V absewer
8
. IF there was MORE THAN ONE object, then how many orly one
Draw a picture of hov they were arranged, and put an arrow to show the direction that they were traveling.

Paga 6
30. Have you avar sean this, or a similar object beforo. If so giva data or dates dnd location.
2L0
31. Was anyone alse with you at the time you saw the objact? (Circle One) Y03 No
31.1 IF you answared YES, did they see the object too? (Circle Ona) No
31.2 Please list their names and addresses:
Mr. 4 fanily
Cincinnst, 39, ofis
32. Please give the following information about yourself: 32. Please give the following information about yourself:
NAME (NM1)
Last Name Middle Name
ADDRESS Cinciànati Cinciànati 39 Chio Chio
rOe City Zone Zore Srats
TELEPHONE TELEPH NUMBER AGE 26 26 SEX M M
Indicate any additional information about yoursalf, including any special experienca, which might be pertinent.
Inferest in aircraft.
astionomy Hao a Lelescope,
33. When and to whom did you report that you had seen the object?
3 07 Oct 1967
Day Month Your
-

Bindu
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PATTERSON AIR FORCE 45433
REPLY TO ATTN OF: TDET/UFO NOV 1 1967
SUBJECT: UFO Observation 25 Jul 67
.
TO: M1s8
treet
Bayonne New Jersey 07002
Refercnce your unidentified observation. The information which
we have received is not sufficient for a scientific investigation. ecelved ls not Sufficient for a scientific investigation.
Request you complete the attached FTD Form l64 and return it in
the envelope provided. 'Thank you for reporting your observation the envelope provided. 'Thank you for reporting your observation
to the Air Force.
AMES C. MANATT, COlOnel, USAF 1 Atch 1 Atch
SQirector Qirector Technology and Subsystems Subsystems FTD Form 164 w/envelope FTD Formn 164 w/envelope
.
-
,

Pogo 7
07 Oct 1967
Day Month Yoar
35. Information which you feel pertinent and which is not adequately covered in the specific points of the quastionnaire or a narrative explanation of your sighting.
Yes. Subject has observed alle
types :I ae craft x feel that thes
defferend feom any thing he has
ever

-'
leathe dato
6 Cct67, Cini
loind
Jocttime aogice a Brot
9100 070 11
2200 050 10
2300 OHO 6
2400 060 12

RECOAD
ME GROUP 2. LOCATION
57 10/10152 OELES, LOWA (2 Witnessus)
1 10. CONCLUSION
culian Possible (AInGE)
4. NUMBER OF OBJECTS
One
5. LENGTH OF OBSERVATION 71. BRIEF SUMMARY AND ANALYSIS
2C Minutes The observers signed a light tnat was white in the center with
TYPE OF OBSERVATION an orange ring. a dark space and then blue rays or flames.
The observer estimated
Ground-Visual Ground-Visual
7. COURSE CCMMENTS; CCMMENTS Nothing unusual Nothing unusual was noticed on radar. radar. No pilots
reported anything unusual to the anything unusual to the control tower in
E to NE Waterloo or Aurora, Il. It Aurora, Ill. It seems s possible that possible that the
8. PHOTOS sighting could have been of a small could have been of a small plane or helicoptor plane or helicoptor
with its landing lights on or even of the Pianet Venis with its landing lights on or even of the Planet Venus
0 Yos .Yos which was at about l4 deg elevation and 84 deg azimuth
XNO XNo
during the time of sighting.
9. PHYSICAL EVIDENCE PHYSICAL VIDENCE
Yes
XNo
FORM
FTD SEP63 Previoua ditions of thls form may be used.

U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prepared so that you con give the U.S. Air Force as much
informaticn as possible concorning the unidentified aerial phenomenon that you have observed.
Plecse try to ansy questions as you possibly can. The information that you give will
be used for research purposes. name will not be used in connection with any statements,
conclusions, or publications without your permission. We request this parsonal information so
that if it is deemed necessary, we may contact you for further details.
1. When did you see the object? Time of day 15
Hour Minutes
10 oct 1967 (Circle One): A.M. or P.M.
Doy Month Year
3. Time Zone:
(Circle One): a. Eastern (Circle One): a. Daylight Soving-
Central b. Standard
c. Mountain
d. Pacific
e. Other
4.Where were you when you saw the object?
4 Fayett lava.
Ollven
Nearest Postal Address City or Town State or County
5. How long was object in sight? (Totel Duration) 20
Hours Minutes Seconds
Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How wes time in sight determined? _)atC4
Yes No X
6. What was the condition of the sky?
DAY NIGHT
. Bright a. Bright
b. Cloudy b. CloudypieTiY
7.IF you sow 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. Overheod
c. To your right f. Don't remember
FTD FORM
OCT 62 164 This form superaedes FTD 164, Jul 61, which is obsolete.

{ngn?
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
CbA fo) b. Duil moonlight
c. Many c. No moonlight - pitch dark
d. Den't remamber d. Don't remembor
CLOUDS (Circle One): WEATHER (Circle One):
o. Clear sky a. Dry
Hazy b. Fog, mist, or light rain
Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds Snow
e. e. Don't remember Don't remember
10. The object appeared: (Circle One):
a. Solid d. As  light As  light
b. Transparent e. Don't remember
c. Vapor c. Vapor
11. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
o. Brighter a. Brighter c. About the samne c. About the sarne
b. Dimmer b. Dimmer d. Don't know d. Don't know
11.1 Compare brightness to some common object:
AVERY BRIGHJ SEAL BEAM LAMP
12. The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
b._Like a bright stor
Shgrply outlined
d. Don't remember
Did the object: (Circle One for e ach 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 ND Don't know
d. Give off smoke? Yes No Don't know
e. Change brightness? Yes" No Don't know
f. Change shape? Yes Don't know
g. Flash or flicker? Yes 090 Don't know
h. Disappear and reappear? Yes Don't know

17. Tell in a few words the following things about the object:
0. sound Cauldit tell es Frigut tin siar hyus sahing hifuie
18. We wish to know the angular size. Hold a motch stick at arm's length in line with a known obiect ond note how
much of the obiect is covered by the head of the match. If you had performed this experiment at the time of the
derksing NOT SURE HOO MANY SETS
DIRECTION 7 would CHANGE t0 LONGER
OFTRAUEL tHESE TO DIRECTION
LNg+H oppes,TE SIDE
OFMOVEMENT

2. Do you think you can astimate how far away from you the object was?
(Cirale One) Ye No
22. Where were you located when you saw the object? 3. Were you (Circle One)
(Circle One):
a. In the business section of a city?
a. Inside a building b. In the residential section of a city?
In a car) c.In open countryside?
c. Outdoors d. Near an airfiold?
d. in an cirplana (type) e. Flying over a city?
e. At sea f. Flying over open country?
f. Other. g. Other _
24.1 What direction were you moving? (Circle One)
a. North c. East) South g. Wost
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? 35 miles per hour.
Goind ORALE
ONLY VIEWEL wAS ALCAVS ReipdA
L

Pags 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) whan you first saw it. Place a "B on the same curved line to
show how high the objoct was above the horizon (skyline) whan you last saw it. Place an "A" on the compass
when you first saw it. Place a "B' on the compass where you last saw the object.
90 75
60
45° NW NU
30°
B
L15 15 SW se Se
S
path, a "B" at the end of the path, and show any changes in direction during ths course.
on cnathur popir
29. IF there was MORE THAN ONE object, then how many were there?
Draw a pieture cf how were arranged, and put an arrow to show the direction that they were traveling.
)

NO /
31. Was anyore slse with you at the tima you saw the objoct? (Circle Ona) No
31.1 IF you answared YES, did they sea the object too? (Circle One) No
31.2 Please list their names and addrasses:
Odlindin plaie
32. Please give the following information about yourself: 3. Please give the following information about yourself:
First Noma Middls Name Middla Nome
ADDRESS ADDRESS Celwvein Celwein 2a
City Zors Stots Stels
TELEPHON TELEPHONE NUMBE NUME AGE AGE 26 SEX M M
Indieate any additional information about yoursalf, including any special experlence, which might be pertinent.
Potrtiman vosion duty at tiie
of Eghing
33. When and to whom did you report that you had seen the objact?
10 Oct 191.2 It Can
Day Month Yoar uinvely XTB waeny clve

ha and Xt ohseve us
fhot tixe
)

00 2 C 0 O
a a OBSECT HOVERED
CEMXTERY o RocK BELOO CREST ThEN ROSZ STRAIGHTUP
SARm RUDINGS 7 BeforFgo1Ng SoutH EAST
WENT AOuSE a QUARRY
drectiost D
SARM highuoy in co dreny a 0 DUSTBELOO CLEST OFHILL
TO NORTH EAT thi FAST 0 STOPPED HERE
ATIERYRAPID V L1kE F o
NORTH SOuTH
SWUNG 0
PAKE BACKfErTh WEST L
APENDULUM CoupLEmits
APE CoupLE VMILLELS
LEAVING LEAVING 050050006002000 /
WOOPS WOOPS
GLENAAUEN GLENHAUEN 0006002000 I 1
1 GJECT GJECT
GOLCOUrSE . HELE
v-c SARM 0 HIGH VOLTAGE
OCKISLITND CENTER LINE
H1/1*
HIGHWAY #150
7 Hrury
WEWERE HEREWHEN
TRAVEL OF CITYPARK ,ss4w OBILEET
SGUAD CAP

KD 40ab
SARm CRMETERY Co Rock X THEW ROSE STRAIGH
BUILDINGS a QUARRY BELOW Beforf GOING SCUTH EAST
WOENT From HERE HADSLAT dreeTross d
TIREHERE highuoy in 17 DUSTBELAD CREST OFHILL
TO NORTH EAST the EAST STOPPED HERE
ATUERYRAPID V
NORT SOUTH 0
PACE SOUNG
APENDuLKM WEST 00
COAPLEMIDS 0 VMULELS
LEAVING LA /
D0G600 WOODS WOOPS
GLENHAUEN 1
COUNTRY ELUB + 2 ECT
GOLCOUTSE GOLCOUrSE I s HERE FERE
v-C SARM 1-C SARM 0 HIGH NOLTAGE
ROCK ISLITND RAILROAD / CENTER LINE
H//// 0
HIGH WAY #150
7 Hivrty
- fLIGHTOF OBJECT
TRAUEL OF CITYPARK WEWERE ,54w Ter
SQUAD CAL ZXTLACA

ember located.
2. We would appreciate your asking complete
the AF Form 117 that we forvarded to you in error. His personal
description is necess making
3. Once again, we ar that
1n Thank vo stence you vided.
DO AMLA MPDIO (
ZECTOR ZECTOR QUIN NILLA, Jr, Major, USAF LLA, Jr, Major, USAF
Chier, Aerial Chier, Aeria Phenomena enomena Office
Aerospace Technologies Division Aerospace Technologies Division
Production Directorate
Vertos
at tho tnf the sigttirn
at an 12° et geand f8 2
of
at
%85

1. Your name was given as a witness to an unidentified flying
object (uvo) sighting on October 10, 1967. On October 25 and
on November 24 we forwarded ro rmssfor your completion to aid in
our investigation on this report. We are i inclosing another
AF Form 1l7 for your completion. If you were not a witness, please
Che self-addressed envelope.
2. 2 Thank Thank you for your assistance in this matter. your nce tter.
CO MD PIO (EN) JPIL
BD (E) IPOL MECTOR GUINTANILLA, Jr, FECTOR GUINTANILLA, Jr, Major, USAF 1 Atch
Chief, Aerial Chief, Aeria henomena enomena Office AF Form 117
Aerospace Technologies Division
Production Directorate Production irectorate

TDPT (uFo)Maj Quirt anilla/70916/mhs/2l Nov 67
NOY RA 1363
UFO servation, 10 October 1967
Celwein,
forwarded a FTD Forn lók completion to aid in our
investigation on report. records indicate that you have
not returned the forms. Therefore, we are inclosing an AF Form
117 (latest UFo Form) for your completion. If you were not a
witness, please state so and return the forms in the If-addressed
envelope. envelope.
2. 2. Thank assistance in this matter. in this matter.
FECTOR ECTOR CUINTANILLA, Jr, CUINTA NILLA, Jr, Major, USAF Major, USAF 1 Atch 1 Atch
Chier, Aerial Chier, Aerial Phenomena Orfice Phenomena Office AF Form 117
Aerospace Technologies Aerospace Technologies Division
Production Directorate
AD SIL IOIOIIO (ORN) JAL

ervation.
798 Radar Scuadron
Waverly AF 50677
Reference your message 788oIn/0ol67 Oct 67, subject UF0 report
of 10 October 1967.
B. Was there any +r scone at the time of
the sighting?
b. D. Was there any air Was there 91T If so, If so,
did they report anything unusual to the control tower? did they report unusual to the control tower? Did personnel Did personnel
in the control tower have any comments as to a possible in the control tower have any comments as to a DO8s cause for cause for
this observation? this observation?
FOR ANDER
PO MIII MID OIN/ LE
C. MANATT, ColOnel, USAF
Birector chnoloc and Subsystems osystems

WAVERLY AIR FORCE STATION
WAVERLY, IOWA 50677
ATTN OF: REPLY TO 7 November 1967
788 0IN
SUBJECT: er 1967
TO: TDET/UFO
Reference your letter 26 October 1967, subject October 1967.
. Yes there were normal traffic indications on our radar scope.
There was also some ECM due to an upcoming exercise noted in that period.
b. There was normal air traffic in the Waterloo area. No pilots reported
anything unusual to the control tower in Waterloo. Traffic was ) not controlled
Aurora, Illinois.
Control tower personnel in Waterloo could not offer any explanation for this
particular sighting. Personnel at ARTcc had no record of a . any ig aoae anything unusual
FOR THE COMMANDER
TihaelF Co TihaelF Ci
MICHAEL F. CARR, 2nd Lt, USAF
Intelligence Officer

DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PATTERSON AIR BASE. OHIO 45433
REPLY YO TDET/UFO
ATTN OF 60729SS7
SUBJECT: UFO Observation 10 0et 67
TO:
owe 50562
Reference your unidentiried observation. The infornation which
Regyest you complete the attached FTD Form 16h and ret rn it in
the envelope provided. Thank you for reporting gour observation
to the Air Force. o the Air Force.
MES C. MANATT, COlOnel, USAF MES C. MANATT, Colonel, USAF 1 Atch
Director firector lechnology 'echnology and Subsystems and Subsystems FTD Fore 164 w/envelope

100067
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PATTERSON AIR FORCE BASE. OHIO 45433
REPLY TO
ATTN OF TDET/UFO ODTOE
SUBJECT: UFO Ouservation 10 006 67
TO
Request you complete the attached FTD Foim l64 and return it in
the envelope provided. 'Thank you for reporting jour observation
to the Air Force.
AMES C. MANATT, Colonel, USAF MES C. MANATT, Colonel, USAF 1 Atch 1 Atch
lirector irector 'echnology chnology and Subsystems and Subsystems FTD Forme 164 w/envelope

(
BN UNCLASSIFIED ROUTINE
-
FFTD
(
/553
¸ FTD
RTTUZYUN RUCIFVFO026 292RO15-UUUU--RUEDF1A.
ZMA UJ000
R 192000Z V07 67
TO RULNFVA/ADC ENT AF COLO
RU.TE-A/LOAF RICHARDS GEOAUR AFS MO ETR-
RUCTFVA/2DADIV TRUAX FLO WISC
RUEDFIA/AFSC PAFS UNIO-FTO RUEDFIA/AFSC PAF: UNIO-FTO
RUEFHLA/OSAF MASH JC RUEFHLA/OSAF WASH UC
RUEFHAA/CSAF RUEFHAA/CSAF
ZE-/0 OF COLO ZE-/U OF COLO BOLDER COLO BOLDER COLO
BT BT
UNCLAS 738011/60167 OCT 67, FOR ADC (ADOIN), 10AF (10-0IN), (ADOIN), 10AF (10-0IN),
201
ROUND.
ATTRACTED BY BRIGRT LICHT. 2. 20 DEG WHEN FIRST SIGHTED. 3. 20 DEG
WHEN DISAPPEARED IN THE DISTANCE. 4. OBJECT KEPT EVEN SPEED &
ALTITULE, IT MOVED VERY FAST AND ERRATICALLY WHEN FIRST SIGHTED.
OSUECT PROCEEDE) EAST FOR 3/4 MILE THEN SOUTH 1 THEN EAST,
U N c LASSIF I E C ROUTINE
Sd/44

report sighting made by a friend
and myself Cedar Avenue
towards Cl Mills. on
July 25. Tues.
11:15 P.M at approx.
lephone Lynhurst
police
police though the
and it would
be report
it is possil believe
seriously take us
very certair are
hat what was no air
States, and that
it can not be explained ome kind of
"natural phenomenon."
Western Reserve Program of Philosophical
Studies.
1 mer
Gt
43
11
.

( UNCLASSIFIEO ROUTINE
THEN OATH, 11 HOVERED FOR A WHILE TEHN VENT NORTH T THEN SOUTH
Th= MOSTH AND FLEA FAST AND LOX 1 TiLL DISAPPEARING IN THE DISTANCE.
PAGE 2 RUCIFVFUD26 UNCLAS
6. DISAPPLANCO IA THE DISTANCE. 6. DSUECT VISI3LE FROM O415-0435 5. Olsapptance Th
(CENTRAL DAYLIGHT (CENTRAL DAYLIGHT TIAE). PART C. GANNER OF TIME). PART C. CAMNER OF OBSERVATION: 1.
GROUID-VISUAL. 2. DO A1CS GROUIO-VISUAL. 2. 6U A1CS OTHER THAN PRESCRIPTION EYEGLASSES.
PART D. DATE/TI E: 1. 10 0CTODER 1015Z-1035Z. 2. NIGHT.
PART E. LOCATION: 1. 2 -ILES SOUTH OF OELWEIN CITY, IOWA. CITY, IOWA.
PART F. IDENTIP PART F. NI
TAH: WAB
HIGHLY RELIAS
15 PLUS 35 JEGREES/ 25 DEGRCES 020 DEOREES/
ALTITUOE ECTION SPIED TEMP No
5,000 5 KTS -7
10.000 350 15 XTS -
UAGLA S SIFIED ROUTINE

.
( UNCLASSIFIED ROUTINE
15.000 330 40 AT5 -1.2
( 20,000 540 35 KTS -23
30,000 34) 65 KTS -46
50.000 300 45 KTS -57
AIRPORT REPORTED
PAGE 3 RUCIFVFOO26 UNCLAS PAGE 3 RUCIFVFOOZ6 UNCLAS
NOTHINS UNUSUAL OCCURRED AT THESE TIMES AND NO SIGHTINGS WERE
REPORTED. PART K. PREPARING OFFICER IS INTELLIGENCE OFFICER. INTELLIGENCE OFFICER,
700 i2 IDENCE
PLEASE NOTE:
WHER ASKED DIKECTLY DOTH MEN DENIED HAVING RADE ANY ATTEMPT TO
CONTACT HE BEFORE E I CONTACTED THEM.
BT
(
UACLASSIFIED ROUTINE

the following.
A little before O400 1 a Mrs. Ossian woke up
and saw a bright object She observed
it for about l5 min.
namedimjamemstat
saw a red tinged object that hart hes eyes when he looked at it.
The object emitted blue rays that hurt thair eyes. The object was - BE
first headed but then turned for about 2
mile till it turned NE. They continued to follow anothar 2 mile
till their car and ere forced to stor.
at or about the same time a motorist
-
IE
it for a while but finally lost it.
to the luns at the School they attend.

.
.
30/0
3.
N
3.: 734
.KPER SFC.ECTS KPIROFC:.ECTS 4 ..6 :0.0 .e.. . w xn . . o w xn..
. T -' 2.
- J. 128 3h 18 3 11 20 Lnd
5. LENGTH OF OBIERVATION 5.  ENGTH OF DBIERVATION to
T. SMEF SUMMARY AND ANALYSIS SIGhBLES- 1. SM.EF SUMMARY AND ANAL ALYSIS sighting-
9063:004 70 83:08
TYPL UF CBSERVATION
cheeted oolor fr n yellow to brighe whise. :
brriorly and sterved to approach observars perision thsa v.. cngad cot--
back to it's original posi icn.
trails. Observer dia Lot state how objeet Thers Wsre to Yogir c. aie.
rUs CONCLUSION (COnt'A). 33-206200.
Tine and duratist Ls sorrect ror a. A/c,
X0 although the color change from yellow to white cannot be snieiit
S. PHYS.CAL -ENCE the above sighting.
J
X
,0 Jea als. wOv 6)
. N4-E Prerloue sditons of this form way he ssed.
.

MEMO ROUTING SLIP NEVER USE FOR APPROVALS, DISAPPROVALS, ACTION
1 TO CONCURRENCES, OR SIMILAR ACTIONS
INITIALS CIRCULATE
DATE COORDINATION
2
FILE
Ssn RCoa INFORMATION
3 3
NOTE AND RETURN
30 De7 30 De7 VERSATION PER CON-
4
SEE ME
SIGNATURE
REMARKS
Ploves ThaT wy
S0r
woreght BTT all
hare Cane s0 Sason SouTh
le3 as CiTy and wos ld hav
have bee
soing 2 NE
T-2√ 0948 pm .
2oc-2
^33 0953 2m
"
91
FROM **
DATE DATE
PHONE
DDR 60 95 DD  CRTM9 Replaces DD Form 94, 1 Feb 50 and DD Form 95, 1 Feb 50 which will be used until exbausted. 1 Feb 50 which will be used until exhausted. GP0 1991 : 0-596759 GP0 1991 : 0-596753

'r 296.267
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PATTERSON AIR FORCE BASE. OHIO 45433
ATTN OF: REPLY TO TDET/UFO NOV 1 1967
SUBJEct: UFO Observation 29 Oct 67
TO:
Farmersville, Ohio 45325
Reference your unidentified observation. The information which Reference your unidentified observation. The information which
Request you complete the attached FTD Form l64 and retorn it in
the envelope provided. 'Thank you for reporting your observation
to the Air Force.
MES C. MANATT, COlOnel, USAF 1 Atch
Qirector Technology and Subsystems FTD Form 164 w/envelope
1
-
11

U.S. AIR FORCE1 TECHNICAL INFORMATION
This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possib ncerning the unidentified aerial phenomenon that you have observed.
Please try to answ y qusstions as you possibly can. The information that you give will
be used for research rposes. Your name will not be used in connection with any statements,
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.
11
1. When did you see the object? . When did you see the object? 2. Time of day: .. Time of day: 10 O
Hour Hour Minutes
30 i0 10 1967 1967 (Circle One):
A.M. or or P.M. CP.M.)
Day Day Month Month Year
3. Time Zone:
(Circle One): a. Eastern (Circle One): Daylight Saving
b. Central Standard
C. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
ALMERsille Ohio
Nearest Postal Address City or Town State or County
.How long was object in sight? (Total Duration) 30
Hours Minutes Seconds
6 Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was te in sight determined? im B Wis ATh S /AND 5.l How was Time in signt derermined? -Zizlc
5.2 Was object in sight continuously? YesX YesX No _ No
6.What was the condition of the sky? What was the condition of the sky?
DAY NIGHT NIGHT
o. Bright a. Bright
b. Cloudy b. Cloudy
7.IF you sow 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 154, Jul 61, which is obsolete.
il

.
Pnge 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
) A few Dull moonlight
c. Many C No moonlight - pitch dark
d. Don't remember d. Don't remember
9. What were the weather conditions at the time you saw the object?
CLOUDS(Circle One): Coobs tcmrcre Ome): WEATHER (Circle One): rEAihcktcirie One):
a. Clear sky a.Clear sky Dry
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds Scattered clouds c. Moderate or heavy rain Moderate or heavy rain
@ Thick or heavy clouds d. Snow d. Snow
e. Don't remember
10. The object oppeared: (Circle One):
a. Solid As a light
b. Transparent e. Don't remember
c. Vapor
1. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
Brighter c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
The edges of the object were:
(Circle One): a. 1 Fuzzy or blurred e. Other
Like a bright stor
c. Sharply outlined Shdrpiy outlined
d. Don'tremember Don't remember
Did the object: .Did the object: (Circle One for eoch question) (Circle One for each question)
a. Appear to stand still at any time? Appear to stand still at any time? Yes No Don't know
b. Suddenly speed up and rush away at any time? Suddenly speed up and rush away at any time? Yes No Don't know
c. c. Break up into parts or explode? Yes Don't know
d. Give off smoke? Yes ②999209② Don't know Don't know
e. Change brightness? e. Change brightness? es Don't know 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

1
Page 3
14. Did the object disappear while you were watching it? If so, how?
No
1.Did the bjec: 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:
1.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 ef: .
17. Tell in a few words the following things about the object:
sighting, how much of the object would have been covered by the match head? PPNOKIMPTELY
33 OF The OBJECT Wtd have BEEN COwGEAlO BY A
MATCH hEAD EXCEPT FOR THE FERiODS aVEN iT BECAME
INTEUSELY BE:GhT. DORING BR:GhTEST PEC.DS ONLY
$\frac { { 2 }$ OBRECT WoLD hAvE BEEN CONCEMED BY MeTch KEAD.
Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details
of the sbiect 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. Place an orre beside the drawing to show the direction the object was moving.
.
ONe ONe
There There WERE wekE No VAfoR VAfoR ok OK EXhAUST EXhAUST TRAits)
11

Page 4
2.Do you think you can estimate the speed of the object?
(Circle One) Yo No
IF you answared YES, then what speed would you estimate?
2. Do you think you can estimate how far away from you the object was?
(Circle One) Yos No
2. Where were you located when you saw the object? Were you (Circle One)
(Circle One):
a. In the business section of a city?
a. Inside c building b. In the residential section of a city?
b. b. In a car In open countryside?
©) c. Outdoors d.Near an airfield? d.Near an airfiold?
d. In an cirplane (type) Flying over a city? . Flying over a city?
e. At saa f.Flying over open country? f. Flying over open country?
f. Other -
24.1 What diroction 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 following?
a. u, Eyeglaases Yes Tes C. Binoculars DnTOCOTurs
b. Sun glasses b. Sun glasses Yes 9999 f. Telescope Telescope Yes 99② (NO
c. Windshield Windshield Yes g. Theodolite Yes
d. Window glass Window glass Yes Yes h. Other . Other ..
In order that you can give as clear a picture as possibls of what you saw, describe in your own words a common . In ordar that you can give as clear a picture as possibls of what you saw, describe in your own words a common
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw.
A. YELLOw LiGST Yellow LiGiT BelB BOLB AT A AT A DISTANCE DISTANCE OF
APPROXiMATELY 4mice WOOLD APfEAR SimilAk To
The OBJECT Excert Fol PER.0OS OF INTENSE
BRICHTNESS.
N

I saw at that moment. noticed it while
ad also As we came closer,
later that Mr anead of us. vas moving toward
it was still realized that saw what lo ked
we both ight, per-
us, and moving
like The best
fectly parall mpressions
parallel ould give that it
description v hat mome connected
we received illuminated di It
through space
ev were directly 5 distinct
wasn't until it as 4 or fast and in
us that we could see very
* ,0 21
30 st- it
A t  oe I yow n A

Pago 5
. 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 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 compass where you last saw the object.
90a
60
NW NG
L15° 15 36
AB AB
raw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the
path, a "g at the end of the path, and show any changes in direction during the course.
The OBOEC7 WaS OBSEEUED ONLY As A BCiGhT
LiGhT  IT CHANGED COURSE BRIEFLY AND STAPTED
To APPROACh MY  POSiT.ON TheN VEeReD BACKTO
iTs PREViOuS CouRse.
2. IF there was MORE THAN ONE object, then how many were there?
Draw a picrure of how they were arranged, and put an arrow to show the direction that they were traveling.
11

Paga 6
30. Have you ever seen this, or a sinilar objnct bafore. If so glve date or datas and location.
I heve NEvER BeFoke SEEM ANYTh:NE
THAT wAS EVEO KEmoTEly Sim:LAK To
This OBSECT.
. Was anyone eise with you at the time you saw the abjact? (Circle Ona) No
31.1 IF you answored YES, did they sea the object roo? (Circle One) No
31.2 Please list their numes ond addresses:
(mt wire
ED.
FARMERSI
32. Please give the following information about yourself. 32. Please give the following information about yourself:
NAME
Last Name First Rums Middle Nama
ADDRESS FALMERSiME Ohio
Streat Ciry Zaro Stote
9710w)
TELEPHONE NUMBER AGE 38 SEX MALE
Indiccte any additional information about yoursali, incl iding any spe exporience, which might be pertinent.
In 1944, AT ThE AGE OF FIFTEEN, I WAS
A VOLONTEER CIULIAN "AIRPLANE SPOTTER: I
HAD mORE ThAN A YEPR EXPERIENCE
OBselUNG OBSEEUNG PIRCRAET PIRCRAFT (AND IDENTIFYiNG ThEM) DuENE THEM) DUENE
BoTh DAMT DA TiME ME AND NiehTTime HOves. HOVeS.
33. When and to whom did you report that you hod sean the object? 33. When and to whom did you report that you hod seen the object?
30 10 1967
Day Month Your
REfeRT WAS MADE To WRFB OFO DESARTMENT

Page 7
34. Date you com questionnaire: 2 11 1967
Day Month Yoar
Information which you feel pertinent and which is not adequately covered in
questionnaire or a narrative explanation of your sighting.
I OBSECVED This OBJECT Fouk DIFPERENT
Times, ThE FiRST OBSERiRTION WAS MADE ON
29 OCTOBER, 1967 PT 8:30 R.M-ThE
Secoud Jecae OBSERVATION OGSCB6AT1ON WAs MADE Or7he ON THE SAme SAME
DATE AT MIDNIGHT. MIDNIGHT. The ThieD OBSERYATION OBSEEYATION
WAS MADE ON 30 OCTO BER, 1967 AT 9:15 P.m. AT 9:15P.m.
The FOURTh OBSERVATION OBSERVATON wfs ON 30 OCFBER 30 OCKOBER
1767 1767, AT 10:00 R.m. 10:00 P.m. AND is AND is The The OBSERJATION
DESCRIGED ACr iN :. This RElokr
The OβJECT WAS OBOCRVED in The
most. INCREDIBLE MANNER DOCING The SECOND
SIGHTING m:DNiGhT ON 29 CCTOBER, 1967).
ThE FIRST OBSERIRTION MADE me QUITE
Cull00s 50 I SFENT SEVERAL RERiODS
OF 30 MINUTES OR THEREABOOTS STANDING
in MY SIDE YARD in AN EFFORT TO
OBTAIN ANoThER look AT This OBJECT
AND PND fERhAPS PEEAATS IDENTFY iT IDENTFY i7. AT AT MIDNiGhT MIDNIGHT
I WAS LookNG LOOKNG to to ThE WEST WEST WhEN WHEN
INSTANTLY AND SUDDENLY BRIGHT BRIGAT YELLOw YELLow
LiGAT APFEARED APFEARED ASPROX:MATELY TEN TEN DEGREES DEGREES
Tc Tc The Richt oF OF The Sfer SfeT AT whiGh I
WAS WAS LOOKNG. LOOKING. ThE LiGhT APPEALED ACEACED AGOVE AGote
(LiGhTLY) AND BEYOND A LARGE ScLITARY
TREE which STANDS ARfEOXIMPTCLY 800 FCeT
(OVER)
1a1 8
L

Page 8
AWRY FRom MY YARD. The OBECT WAS
AT LESS ThAN 15 DECRCES ELEVATION. Ir
REMAINED ABSOLOTELY STATONARY
FOR A
PeRioD Which I wouLD ESTIMATE
AT
FIVE OR Six SECONDS AND ThEN
AWAY GLIDED
To ThE NORTH (slichlY NE)
PERHAPS AT
200 MRH. M.H. CTHHE (TitE OBJECT REMAINED
iN siGhT SiGhT ON ALL ALL
Fove OCCASIONS OCCASIONS ONTL
iT DiSAPFEPRED OvEC ovEC The ThE
NORTH NORTh hokizow A Litice A Litce
oF OF NoRThwesT. NokThwesT. Ar AT
DiD THE THE NO TiME No Time
OBJECT EmiT PNY ANY SOUND SOOND
ANY KiND. OF OF
I7 NEVER AffEARED To Flickef,
Go ON AND OFF, NOR DID iT
CHANGE SREDS.
.IT APPEPRED ONLY AS A VECY BCiGHT
LiGhT
which, DORING The FiRST AND FOJRTh
OBSERVATIONS ESPECIALLY BECAME INTENSELY
BRIGAT. These BRiGhTEST FCRiODS LASTED FOR
APPROXIMATELY Two OR ThRee SECONDS
EACh AND cccokkeD ThREE OR Fouk
Times DoR'NG EACh OBSERVATION.
I 1 miGhT miGhi ADD ADD THAT ThAT OBSECVATI 400
WERE MADE ON A BRiGhT BRiGhT AND ChOUDLESS AND COUDLESS
NiGhT. NIGhT. Also, ThE FACT THAT ThE OBJECT OBJECT
WAS NOISELEsS NOISELesS is SOMEThING OF which
I Am! ABSCLOTELY ABSCLOTELY CERTAIN INPSMUCK CERTAIN IDPSMUCK As
my my YRED YAED is SiTOATED ALMOST $\frac { }$ $\frac MiLE miLE
BACK A LANE AND is VERY QUIET ThE
SOONDS oF soπh JET AND PROPELlER DRUEN
(see

PAGE 9
FIRCRAET FRe CLERRLY AOD:BLE FOR LONG DISTANCES
in MY YARD SINCE ThEKE ARE Rner:calY
No ComPeTiTive SOONDS AND The AREA is
OFEN. OFEN.
I I Am UNABlE Am URABlE 70 Give Give ARY INFORMATION ENFORMATION
ON ON ThE CONFiGOCATION CONFiGOCATION i OF This OF This OBJEET OBJECT
DOE To To The -FACT ThE FACT ThAT ThE GOTRE OBJECT OBJECT
WAS 1.345 BRIGHTLY liGhTED. IT HAD NO NAVIGATION
LiGhTS S JOST ThE BRiChT illomiNOS!TY OF
The OBJECT iTSELF. ON Two OCCASIONS
DOKING OBSERIATION #4 iT CHANGED Colok
GOiNG FRoM BRiGhT YEllOw To BRiGhT white.
IN 1944 I OBSERUED A WEATHER
PhEWOM NON KNOWN AS BAll liGhNiNG"
This This OBJECT OBJECT BolE BoEE No RESEMBLANCE
To
"BALL LIGHTNING" LiGHTNiNG" IT WAS NOT WAS NOT
AN AICCRAFT AN AICCRAFT
OF ANY TYPE. TYFE. IT WAS NOT A METEORITE. NOT A METEORITE.
IT IT WAS NOT NOT A CELESTiAL CELESTIAL BoDY. BoDY.
I DON'T Know WhAT This OBJECT was
BOT iT APFEARED AS A VERY BRiGhT Lithr
which SEEMED To GLiDE AlONG SICENTLY.
IT Wf5 NOThING EVEN RemoTeLY SimiLAe To
ANYThING which I LAD EVEL SEEN BEFORE.
(OVER)
.

PAGE 10
I will SAY ThAT it WAS AN EERiE
AND SOMEWhAT FRICHTENING SiGhT IN FAeT,
iT FRIGHTENED M4 WiFE iNTO TEARS,
Imn-1
1 1 woold woolo ARRECATE IT APRECATE iT iF
CAN You
OFFER OFFER SOME CREDBLE CREDBLE AND REASONABLE An REASONABLE
EXPLANATION REGARDiNG RECARDiNG
michT michT HAVE WhAT This WhAT This OBJECT
HAVE BEEN, I Am
SAUCER " NOT NOT A "FLYING
BOT I MUST ADAIT ThAT
I CAN'T HELP
I WONDERINE WhAT iN HeLl
SAW.
WihEN I hAvE AN OPFARTONITY
WiLh CONTINUE I
To Look FoR This OBJECT.
(ALL Fook OBSERUATIONS WEKE
FLYING
The SAME COORSE-FROM sl0
Nw To 1
BEiNG The POinT AT which The
DISPPPEACED OSJECT
OVER The hORiZON.) FERHARS
1F I CONTINUE Te
ST SCAN sc0 I miGhT
which I hAVE LOADEL AND READY. I%!
LOFAFB iF 1 NOTiFY
SECURE A PhoToGkAPh,
ThANK You.
.

1
U.S. AIR FORCE TECHNICAL INFORMATION 71
This questionnaire has been prepared so that you can give the U.S. Air Force as much 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 information as po oncerning the unidentified aerial phenomenon that you have observed.
Plecse try to answ Please try to ans any qusstions as you possibly can. information that you give will rmation that you give will
be used for rese urposes. Your name will not be used in connection with any statements, tion with any statements,
conciusions, or publications without your permission. We request this personal information so conclusions, or publications without your permission. We request this parsonal information so
that if it is deemed necessary, we may contact you for further details. that if it is deemed necessary, we may contact you for further details.
-
1.When did you see the object? .When did you see the object? Time of day: 2030
Hour Minutes
29 7h Qct 47
(Circle One): A.M. or (P.M.)
Doy Month Year
3. Time Zone:
(Circle One):a. Eastern (Circle One): a. Daylight Saving
b. Central b. Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
Farmeraville O
Nearest Postal Address City or Town State or County
5. how long was object in sight? (Totel Duration) 5. how long was object in sight? (Total Duration) 30
Hours Minutes Minutas Seconds
c. Certain . Certain c. Not very sure
b. Fairly certain dJust a guess d.Just a guess
5.1 How was time in sight determined?
5.2 Was object in sight continuously? 5.2 Was objeet in sight continuously? Yes Yes No
6. What was the condition of the sky?
DAY NIGHT
a. Bright a
b. Cloudy b. Cloudy
IF you saw te  drig DAYLIGHT, where was th SU located as  lookd at?
(Circle One): a. In front of you d. To your left 1
b. In back of you e. Overhead
c. To your right f. Don't remember
FORM
FTD OCT 62 164 Thie form supersedes F'TD) 164, Jul 61, which is obsolete.

Page 3
14. Did the obiect disappear while you ware watching it? If so, how?
change. T flewr off
15. Did the obiect move bahind somathing at any time, particularly a cloud?
(Circle One): Yes (N\o) Don't Know. IF you answared YES, then tell what
it moved behind: _..
16. Did the obiect move in front of something at any time, particularly a cloud? 16. Did the obiect meve in front of something at any time, porticularly a cloud?
(Circle One): Yes N0 (N0) 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: 17. Tell in a few words the following thinas about the obiect:
a.Soundnon
wshiti ther
.Ws 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 motch. If you had performed this experiment at ths time of the
sighting, how much of the object would have been covered by the match head?
then later no it woaldut
yes
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 crrow beside the drawing to show the direction the object was moving.

Poge 4
20. Do you think you can ostimate the spoed of the objoct?
(Circle One) Yes No
2. Do you think you can estimate how far away from you the objoct was?
(Cirele One) Yes No
22. Where were you located when you saw the object? 22. Where were you located when you saw the object? 23. Were you (Circle One) 2. Were you Circle One)
(Circle One):
a. In the business section of a city?
a. Inside a building a. Inside a building b. In the residential section of a city? b. In the residential section of a city?
In a car .In open countryside? c.In open countryside? I
B s Outdoors d. Near an airfield?
d. d. In on airplane (type) In on airplane (type) e. Flying over a city?
e. At sea f. Flying over open country? Flying over open country?
f. Other - f. Other _ g. Other Other
.IF you ware 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. Wost
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 following?
a. Eyeglasses Yes D e. Binoculars Yes
b. Sun glasses f. Telescope Yes
c. Windshleld Q222 g. Theodolite Yes
d. Window glass Yes h. Other
. In ordar that you can give as clear a picture as possible of what you saw, describe in your own words a common
object or objects which, when placed up in the sky, would give the saine appearance as the object which you saw.
cun't.

/
Pogs 5
2. In the following sketch, imagine that you are at the point shown. Place ar "A" on the curved line to show how
high the object was above the horizon (skyline) whon 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 compass where you last saw the object.
90.
60
NW NE
-15° 15 o
3w BW 36 3S
Lraw 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.
i

desolate.
and there we ounds from the objects,
that moment. othe road at
We stoppe gas station
a few minutes telephioned
police.
M I
am reporting this to you in case
you have received other reports on that
evening and (4
useful. I believe I have told
can remember but you all I
contact me if you should want to
I will be at the above address
until Friday, July 28. rom July 29 until
be reached at my home address:
53 * -4
2** 2u4 nt
on i λ 17 2 + 1

/
Paga 6
30. Have you ever seen this, or a similar object before. If so give date or datos and location.
no.
Was anyore sise with you at the time you saw the objoct? (Circle One) Yes No
31.1 IF you answerod YES, did they see the object too? (Circle One) Yes No
31.2 Plecse list their namas and addresses:
//
32. Please givs the following info 32. Please givs the following infermation gbout yourself: ition.about yourself:
NAME
Last Name Firs Middla Name
Rd. Famo
ADDRESS
Street City Zone State
TELEPHONE NUMBER AGE SEX M
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? 33. When and to whom did you report that you had seen the object?
Day Month Yoar

Poge 7
34. Date you comp nis questionnaire:
Day Month Year
3. 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.
then eed, thn nutheast
gring north
rugt
shep
+
1.

.
R.
d... -7 29/023021 orins. Chio
3. SOURCE IO. CONCLUS.ON
Fre5.8i6 .: tro, Peasible (SRrus)
Civitlan
4. 4.MGER OF CSJECTS folce-wnite.
Klthongh Sirias Ls vany slightly below horizon at tne begiaming
Onu fthe sighting
BRTEF SUMMARY AND ANALYSTS BRIEF SUMMARY AND ANALYSTS rtest star iurce sky S
.ENGTH OF OESERVATION ENGTH OF OESERVATION 11.
H r8 H rE times as big and tne solers vere brighs ank alvays changit.. tites as big and tne eolers vere brigh: ank slvays ohangit..
c.. o. TYPE OF OBSERVATION Colors given in Ob repors were, Pe-,dreer,yellow,white. Cn.s Colors given in Od regors were, Pe-.dreen.yellow,whtte. t.s
direction at the heginadng of the eie ttag is Se and et tho direction at the heginadng of the sie ttag is Be and at tho
Ground-Visual tetween SSd ani S. Ta. wieration Ziven in Li7 .s conrliot1n tetween SSl and S. Ta. wleration 3iven in Li7 cs oonrlioting
7. COURSE with sratetents, cbserver said obgeet radsed thr. Grduilly with statedents, cbterver said obgeet radsed thr. Greduiliy
vats SN., rot Jhors the elovaticn or "a" ab.vete.. 7
Siowly SW 1on in je98v1on 6.
6. PHOTOS seginnitg sl siAvii3 At end o.' .
Yos SPAR LELVIATON .ZIM -
MXNo States Below Horizon SIRIUS
9. PHYS.CAL EVIDENCE - EMLOJSE 20 D0g - u RETELOUSE S5o
ROE 17 D83 42 00C
Yes
Xno E MELEAMONITOL: : 32 -2, 1131
-
FORY
6

270067
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC) DEPARTMENT OF THE AIR FORCE
WRIGHT-PATTE FORCE BASE. OHIO 45433
MZPLY TO ATTN OF: TDPT/UFO
UFO Observation, aB November 1967 N730967
SUBJNCT:
TO: Mrs. &
Kettering, Ohio 45429
Your name has been given to the Aerial Phenomena Branch (Project Your name has been given to the Aerial Phenomena I Branch (Project
Blue Book) as being a witness to an unidentified flying object. Blue Book) as being a witness to an unidentified flying object. If you were a
witness to an UFO sighting on 28 November 1967
would you please complete the attached AF Form ll7 and return it
in the envelope provided. If you were not a witness to this sighting, in the envelope provided. If you were not a witness to this sighting,
would you please make a statement to this effect on the attached form.
The information which you provide will be used in evaluating this
observation. Thank you for your assistance in this matter. observation. Thank you for your assistance in this matter.
irector of Production 1 Atch
AF Form 117

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 THE OUESTION INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES.
YOUR NAME WILL NOT BE USED ECTION WITH ANY OF YOUR STATEM CONCLUSIONS WITHOUT
YOUR PERMISSION. RETURN TO AIR FORCE BASE INVESTIGATOR FOR FORWARDING TO (TDETR), WRICHT.
PATTERSON AF3, OHIO 45433, 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 YEAR
2. WHAT TIME DID YOU FIRST SIGHT THE PHENOMENON?
HOUR MINUTES A.M. P.M.
3. WHAT TIME DID 3. WHAT TIME DID YOU LAST SIGHT THE PHENOMENON? YOU LAST SIGHT THE PHENOMENON?
HOUR. HOUR MINUTES A.M. P.M.
4. TIME/ZONE 4.TIME/ZONM DAYLIGHT SAVINGS STANDARD
EASTERN CENTRAL MOUNTAIN PACIFIC OTHER
5. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY, GIVE THE NEAREST STREET ADDRESS AND INDICATE ON
A HAND CRAWN 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.
-
.tonwhile.
be and le saunot ofplain.
1
6. IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN *A* ON THE CURVED LINE TO SHOW HOW HIGH THE
PHENOMENON WAS ABOVE THE HORIZON, OR SKYLINE, WHEN FIRST SEEN. PLACE A B* ON THE SAMS CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90 S∠-
.
1
1
1
1
1
1
!
1
OBSERVER

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.
1
N
NNW NNE
NW NE
WNW ENE
WSW ESE
sw SE
sSw SSE
-
PAGE 2 OF 9 PAGES

1
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 0 AS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE n AS PILOT 0 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 o00nwEst YES NO
EXPLAIN WHETHER SUCH MOVEMENT EFFECTS YOUR SKETCHES IN ITEMS 5 AND 6. EXPLAIN WHETHER SUCH MOVEMENT EFFECTS SKETCHES IN ITEMS 5 AND 6.
DESCRIBE TYFE OF VEHICLE YOU WERE IN AND TYPE OF ROAD, TERRAIN OR BODY TYFE OF VEHICLE YOU WERE IN AND TYPE OF ROAD, TERRAIN OR BODY OF WATER YOU TRAVERSED DURING WATER YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN. TOP WERE UP OR DOWN.
HOW MUCH HOW MUCH OTHER OTHER TRAFFIC WAS THERE? TRAFFIC WAS THERE?
DID YOU NOTICE ANY AIRPLANES? YES NO. IF YES, DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHEFE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
9. HOW LONG WAS THE PH ENOMENON IN SIGHT?
LENGTH OF CERTAIN OF TIME NOT VERY SURE
FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
WAS THE PHEN OMENON IN SIGHT CONTINUOUSLY? YES C NO. IF NO, INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP-
PEARANCES ON PREVIOUS SKETCHES.
PAGE 3 OF 9 PAGES

1O. IF THERE WERE MORE THAN ONE PHENOMENON, HOW MANY WERE THERE? DRAW A PICTURE TO SHOW HOW THEY WERE
ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
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 ORIZZLE
CLEAR NIMBUS CLOUDS (Rain) HAIL HAIL
PARTLY CLOUDY PARTLY CLOUDY CUMULONIMBUS CLOUDS CLOUDS SNOW OR SLEET SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) (Thunderstorms) UNKNOWN UNKNOWN
HAZE OR SMOG NONE OF NONE OF THE ABOVE 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 YOU NOTICE ABOUT THE THE STARS AND MOON?
(1) STARS (2) (2) MOON
NONE BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS 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 (Nea 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
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.
V
PAGE 4 OF 9 PAGES

DISAPPEAR AND REAPPEARI
SPIN LIKE A TOP?
MAKE A NOISET
FLUTTERORWOBBLEI
14. WHAT OREW YOUR ATTENTION TO THE PHENOMENON?
A HOW DIO IT FINALLY DISAPPEAR?
B. DID THE PHENOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
0 YES NO. IF *YES," DESCRISE.
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.
.
15. 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 MOCN. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. NOW IF YOU HAD
BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
PHENOMENCN BOULD HAVE BEEN COVERED BY THE MATCH HEAD. PHENOMENCN BOULD HAVE BEEN COVERED BY THE MATCH HEAD.
SI2
PAGE 6 OF 9 PAGES
a1
B4

DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (APSC)
WRIGHT.PATTERBON AIR FORCE Dasr, OHIO 45439
REPLY TO TDET/UFO
ATTN OF
SUBJECT UFO Observation 25 July 67 AUG 21 1967
:
TO:
Bayonne, 07002
Reference your unidentified observation. The information which
we have received is not sufficient for a scientific evaluation.
Request you complete the attached FTD Form 164 and return it in Request you complete the attached FTD Form 164 and return it in
the envelope provided. the envelope provided Thank you for Thank you for reporting your observation your vation
to the Air Force. to the Air Force.
Jemi, USAr 1 Atch M
DIrector of Technology and Subsystems FTD Form 164 w/envelope FTD Form 164 w/envelope
FTD(TD-ET/UFO
WRIGHT-PATTERSON AFB, OHIO POSTAGE AND FEES PAID
45433
UNITED STATES AIR FORCE
OFFICIAL BUSINESS
FAST CSS
2.
Mr HAY
AUG24P eN
Bayome, New Jersey RE
TO
WRITER WRITER
UNKNOWN UNKNOWN HA.UM CHECKED HA.UN CHECKED
UNCLAI.D__REFUSED UNCLAI.=D__REFUSED
UNKNUWN
INSUFFI IENI ADDRESS INSUFFIJIENI ADDRESS
FTD FOR  83 FUR  83 OVED. LEFT NO ADU RESS MOVED. LEFT NO ADURESS
This form suporsedes ATIC Ferm Nr. 383, dated DecNSUEif StREthCMBER Thie form supereodes ATIC Ferm Nr. 383, dated DecNSUEiftREhMBER
DO NOI REMALL IN IHAS ENXELORE
2
,

-
17. DID YOU OBSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING? INCLUDE INFORMATION ON MODEL,
TYPE, FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? 0 YES NO B. DO YOU USE READING GLASSES?
18. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENON? GIVE ESTIMATE OF SPEED 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 COMMCN OJECT 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.
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY? C7 YES NO. IF *YES,DESCRIBE.
A.DID THE PHEHOMENON A. DID THE PHEHOMENON DISTURB THE GROUNO OR LEAVE ANY PHYSICAL EVIDENCE. DISTURS THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YES NO.
IF *YES,"DESCRIBE. IF *YES," DESCRIBE.
y
/
PAGE 7 OF 9 PAGES

. 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 TTOO?
YES NO.
A. LIST THEIR NAMES AND ADDRESSES
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME, FIRST NAME, MIDDLE NAME
ADDRESS (STeEt, City, State and Zip Code) City, State and Zip Code)
TELEPHONE (Area code and number) AGE AGE
MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED TH!S PHENOMENON? YOU HAD SIGHTED THIS PHENOMENON?
NAME DAY. MONTH YEAR YEAR
26. DATE YOU 26. DATE YOU COMPLETED THIS QUESTIONNAIRE. THIS QUESTIONNAIRE.
DAY. MONTH YEAR
PAGE 8 OF 9 PAGES

2 10067
Fending DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PATTERSON AIR FORCE BASE. OHIO 45433
REPLY TO ATTN OF: N0Y801957
TDPT/UFO
SUDJECT: UFO rvation, 23 November 1967
TO:
Kettering, Ohio 45429
Reference your recent unidentified flying object sighting which
you reported to the Air Force. The information which we have you reported to the Air Force. The information which we have
received is not sufficient for a scientific investigation. Request
you complete the attached AF Form ll7 and return it in the self-
addressed envelope. Thank you for reporting your observation to the Air Force. the Air Force.
ES C. MANATT, COlOnel, USAF 1 Atch
Lirector roduction AF Form 117
-

1
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 IDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO
ANSWER ALL OF THE OUESTIONS INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES.
CONCLUSIONS WITHOUT
YOUR PERMISSION. RETURN ASE INVESTIGATOR FOR J FTD (TDETR), WRIGHT-
PATTEPSON AFB, OHIO 45433, IAW 80-1 ADDITIONAL SHEETS ARE NEED OR NARRATIVE OR SKETCHES
ATTACH SECURELY TO THIS FORM OR TATE WITH YOUR NAME FOR IDENTIFICATION.)
1. WHEN DID YOU SEE THE PHENOMENON?
DAY28 MONTH TU YEARLEE Z
2. WHAT E DID Y U F IRST SIGHT THE PHENOMENON?
HOUR MINUTES3A.M. EF.M.
3. WHAT TIME DID YOU LAST SIGHT THE PHENOMENON?
HOUR2 HOUR MINUTES 30 A.M. MINUTES A.M. P.M. P.M.
4. TIME/ZONE DAYLIGHT SAVINGS STANDARD
EASTERN CENTRAL CENTRAL MOUNTAIN MOUNTAIN PACIFIC OTHER
5. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY, GIVE THE NEAREST STREET ADDRESS AND INDICATE ON 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.
off Wilmington pihe
mear Doithy Lane mear
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 AS∠
09
1
4 1
1
1
1
1
1 15 15
1
OBSERVER
AF FORM 117
AUG 67
/

1
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
3
-
PAGE 2 OF 9 PAGES

8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CheCk approprlate blocks.)
OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER 7 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 DIRE CTION YOU MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT EFFECTS YOUR SKETCHES IN ITEMS 5 AND 6.
DESCRISE 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 O o THER THER TRAF T WAS WAS THERE? THERE?
DID YOU DID YOU NOTICE ANY AIRPLANES? 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 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
FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME EDETERMINED?
WAS THE PHENOMENON IN SIGHT CONTINUOUSL Y? 21 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
1

1
1O. IF THERE WERE MORE THAN ONE PHENOMENON, HOW MANY WERE THERE? DRAW A PICTURE TO SHOW HOW THEY WERS
ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
11. CoNDiTioNs(Check appropriate hlocks.)
A. SKY 8. WEATHER I
DAY CUMULUS CLOUDS (LOW fluffy) FOG OR MIST
TWILIGHT CiRRus CLouDs (High fleecy or Herring- HEAVY RAIN
NIGHT NIGHT bone) oone? LIGHT RAIN LIGHT RAIN OR DRIZZLE OR DRIZZLE
CLEAR NIMBUS CLOUDS (Rain) (Rain) HAIL
PARTLY CLOUDY PARTLYCLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET 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 YOU NOTICE ABOUT THE STARS AND MOON?
(1) STARS (2) MOON
NONE BRIGHT MOONLIGHT BRIGHT MOONLIGHT NO MOONIIGHT NO MOONILIGHT
A FEW MOON WITH HALO MOON WITH HALO UNKNOWN
J 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 SRIEF 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.
i
L
PAGE 4 OF 9 PAGES

CHANGE SHAPET
FLASH OR FLICKERI
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
A. HOW DID IT FINALLY DISAPPEAR?
sonthveit and wve went to deeat abacit 1:30.
NOT Nd. AS such or t6
B. DID JHE PHENOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
YES NO. IF *YES, DESCRIBE.
astarted to move atarted to mon 2eandl. eand.
PAGE 5 OF 9 PAGES

15. ORAW 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.
BF
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 MA CH. 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.
aont  hal of it would hav wlonti half af it would have
been covered. been.covered.
PAGE 6 OF 9 PAGES

1
17. DID YOU OBSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING? INCLUDE INFORMATION ON MODEL,
TYPE, FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES NO B. DO YOU USE READING GLASSES? 1.}NO
18. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENON? GIVE ESTIMATE OF SPEED 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 SEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE
COMMON OBJECT AND WHAT YOU SAW.
aliaya cleangeng. aliaya clangeng.
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY? C]YES NO. IF YES, DESCRIBE.
IF "YES," DESCRIBE.
/
PAGE 7 OF 9 PAGES

1
2. 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? DYES NO. IF YES, DID THEY SEE IT TOO?
YES NO.
A. LIST THEIR NAMES AND ADDRESSES
- dolido)
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST MIDDLE NAME MIDDLE NAME
ADDResstenza Gity, State and Zip Code) ADDRassterzacuty, State and Zip Code)
1g01i0 45419 ng0 045419
TELEPHONEYAPEG-COUMNd TELEPHONEYAPEG-COUGMNdM
19 MALE FEMALE
INDICATE ADOITIONALTNF INDICATE ADOITIONALINFO CLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT. CLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
/
.
25. WHEN AND 25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON? TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
NAME tinsown) berown) DAY 28 MONTH )OI YEAR ∠E6Z DAY28 MONTH 72 YEARLECZ
26. DATE YOU COMPLETED THIS QUESTIONNAIRE.
PAGE 8 OF 9 PAGES

1
27. INFORMATION WHICH YOU FEEL IS PERTINENT BUT WHICH IS NOT ADEQUATELY COVERED IN THIS QUESTIONNAIRZ, ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
to scanyslape
thie xarthy
bet aane
up insky. up inshy.
lf
got up se far itistopeal. mo0 mg, lut
mpuand
soutluvst,
PAGE 9 OF 9 PAGES

OD Rejont /
BOB Nr 21-R258
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE
THIS QUESTIONNAIRE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S. AIR FORCE AS MUCH INFORMATION
AS POSSIBLE CONCERNING THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO
ANSWER ALL OI QUESTIONS INFORMATION YOU GIVE WIL BE USED FOR RESEARCH PURPOSES.
NITS OR CONCLUSIONS WITHOUT
YOUR PERMISSION. RETURN TO AII ASE INVESTIGATOR FOR FTD (TDETR), WRIGHT.
PATTERSON AFB, OHIO 45433, IAW 80-17 ADDITIONAL SHEETS ARE OR NARRATIVE OR SKETCHES
ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1. WHEN DID YOU SEE THE PHENOMENON?
DAY.28 MONTH YEAR6
2. WHAT TIME 0ID IRS ST S1 G H T THE PHENOMENON?
HOUR MINUTES A.M. P.M.
3. WHAT TIM E DID YOU LAST SIGHT THE PHENOMENON? 7 4
HOUR MINUTES A.M. A.M. P.M. P.M.
4.TIME/ZONE 4. TIME/ZONE DAYLIGHT SAVINGS STANDARD
X EASTERN CENTRAL CENTRAL MOUNTAIN MOUNTAIN PACIFIC PACIFIC OTHER 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 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.
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.
5
1
1
1
1
1
-
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
THE PHENOMENON WHEN LAST SEEN. DIRECTION TO THE PHENOMENON WHEN FIRST SEEN. PLACE A B° ON THE COMPASS TO INDICATE THE DIRECTION TO
N
NNW NNE
NW NE
WNW ENE
WSW ESE
sw SE
SSW SSE
33
PAGE 2 OF 9 PAGES

8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CheCk apprOPrlate blocKS.)
OUTDOORS 8 IN BUSINESS SECTION OF CITY
BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER 0 AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE AS PILOT AS PASSENGER FLYING OVER CITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
A. IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWING:
WHAT CIRECTION WERE YOU MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT EFFECTS YOUR SKETCHES IN ITEMS 5 AND 6. 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 DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD, TERRAIN OR BODY OF BODY OF WATER YOU TRAVERSED DURING WATER YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MUCH OTHER HOW MUCH OTHER TRAFFIC WAS THERE? TRAFFIC WAS THERE?
DID YOU NOTICE ANY AIRPLANES? NES? YES NO. IF YES," DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME ES 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
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.
U5 chagh
Doing up
PAGE 3 OF 9 PAGES
1

1
1O. IF THERE WERE MORE THAN ONE PHENOMENON, HOW MANY WERE THERE? DRAW A PICTURE TO SHOW HOW THEY WERS
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 bbone) LIGHT RAIN OR DRIZZLE
CLEAR NIMBUS CLOUDS NIMBUS CLOUDS (Rain) (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS 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 T TWILIGHT OR NIGHT, WHAT DID YOU YOU NOTICE ABOUT THE STARS AND MOON? NOTICE ABOUT THE STARS AND MOON?
(1) (1) STARS (2) MOON
NONE BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO MOON WITH HALO UNKNOWN UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOWN UNKNOWN PARTIAL (New or quarter) PARTIAL (New or quarter)
O. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? YES NO. 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.
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.
to
C -While (oicala afating
Blinig all e tinle
"C 2 Ca  Da
th
PAGE 4 OF 9 PAGES

CHANGE SHAPET
FLASH OR FLICKER?
DISAPPEAR AND REAPPEART
SPIN LIKEA TOP!
MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON1
T
A. HOW DID IT FINALLY DISAPPEAR?
Stillin iclvi Cald
B. DID THE PHENOMEMON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR SUILDING AT ANY TIME?
YES 7 NO. IF YES,DESCRIBE.
4
then
oul CN.
"!
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.
W
.
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 MOCN. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MA "CH. NOW IF YOU HAD
SEEN 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.
L
PAGE 6 OF 9 PAGES

1
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 WINDON OF VEHICLE THEODOLITE
WINDOWPANE . OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES EINO B. DO YOU USE READING GLASSES? YES NO
18. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENON? GIVE ESTIMATE OF SPEED PHENOMENON? GIVE ESTIMATE OF DISTANCE
2O. IN OPDER THAT WE MAY OBTAIN AS CLEAR A PICTURE AS POSSIBLE OF WHAT YOU SAW, DESCRIBE IN YOUR OWN WORDS
A COUMON 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.
Iig
- NA the
"funny"
"Dat "Deat hane any be have any abipe
C
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY? YES NO. IF *YES,"DESCRISE.
A. DID THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YES NO.
IF "YES,"DESCRIBE.
PAGE 7 OF 9 PAGES
)

22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE? CYES NO. IF *YES, GIVE DATE AND
LOCATION.
23. WAS ANYONE WITH YOU AT THE TIME YOU SAW THE PHENOMENON? NYES SEE IT TTOO?
X ES NO.
LIST THEIR NAMES AND ADDRESSES
Mocha
Brithe S
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST N AME, MIDDLE NAME
ADDRESS/S-P City, State and Zip Code) City, State and Zip Code)
TELEPHONE TELEPHON AGE
MALE FEMALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
2S. WHEN AND 25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON? DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
141? (E/0%)DAY2Y (F0/0%)DAY2 MONTH YEAR YEAR
NAME MONTH
26. DATE 26. DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY_ DAY. MONTH YEAR YEAR
PAGE 8 OF 9 PAGES
BE

CO.
I MASA
v.adk.A a.
Oae Observer ssated thae he cnd tis neighlore stw
For lb4's were sont
1 ; V TION 8 1i. to sbeeiver it: v: tho ot .
BRIEF SUMMARY AND ANALYSIS additiONAL LFOTMALiOn.
did aot compiy with The cbociver.
C.CRVATION this request.
clevation. Ob-erver saw pulseting lighs to 27o
sue asinath tad 75
7. CO bug but not The pulsating was sin_lar to tha. ot a ) quite the 1
object just disappeared. sune.
Se at the end of the signting
8. Pr:CTUS ..
$
IN
C Pr
bo ..ed.
a
455

27. INFORMATION WHICH YOU FEEL IS PERTINENT BUT WHICH IS NOT ADEQUATELY COVERED IN THIS QUESTIONNAIRE, ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
Nial
i fathi 2201 2ZA
-
I
PAGE 9 OF 9 PAGES
/

BOB Nr 2l-R258
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE
THIS QUESTIONNAIRE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S. AIR FORCE AS MUCH INFORMATION
AS POSSIBLE CONCERNING THE UNI ENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO
ANSWER ALL OF THE QUESTIONS INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES.
YOUR NAME WILL NOT BE USED IN YOUR STATEMENTS OR CONCLUSIONS WITHOUT
YOUR PERMUSSION. RETURN TO AIR E BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR), WRIGHT.
PATTERSON AFB, OHIO 45433, IAW 80- F ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO THIS FORM OR AI NOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1. WHEN DID YOU SEE THE PHENOMENON?
DAY_ MONTH- YEAR
2. WHAT TIME DID YOU FIRST SIGHT THE PHENOMENON?
HOUR MINUTES 30A.M. P.M.
3. WHAT TIME CID YOU LAST SIGHT THE PHENOMENON?
HOUR MINUTES 30_EA.M. EA.M. P.M.
4. TIME/ZONE DAYLIGHT SAVINGS LDAYLIGHT SAVINGS 0 STANDARD
EASTERN 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 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.
lit home in the 1112 11/2
11 200 f
defter ave
Wilmington Site
1
6. IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN A" ON THE CURVED LINE TO SHOW HOW HIGH THE
PHENOMENON WAS ABOVE THE HORIZON, OR SKYLINE, WHEN FIRST SEEN. PLACE A "B° ON THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
A
s0 1 B
!
1 8
1
1 1
1 1
i
1 1
1 15
OBSERVER OB3SERVER
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
x
E1PY
I
-
A
PAGE 2 OF 9 PAGES

—
8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CheCk apPrOPPlate blocKS.)
OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING ! IN RESIDENTIAL SECTION OF CITY
IN CAR D AS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANS AS PILOT 0 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 NORTEEPS SOUTHEAST SOUTHEAST
NORTMWEST NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT EFFECTS YOUR SKETCHES IN ITEMS 5 AND 6. 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 DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD, TERRAIN OR BODY OF WATER YOU TRAVERSED DURING WATER YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN. THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MUCH OTHER TRAFFIC OTHER TRAFI FIC WAS THERE?
DID YOU NOTICE ANY AIRPLANES? YES NO. IF YES, DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
9. HOW LONG WAS THE PHENOI MENON IN SIGHT?
LENGTH OF CERTAIN OF TIME NOT VERY SURE
3 runD 1 FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
WAS THE PHENOMENON IN SIGHT CONTINUCUSLY? YES NO. IF NO," INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE SEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP-
PEARANCES ON PREVIOUS SKETCHES.
PAGE 3 OF 9 PAGES

1O. IF THERE WERE MORE THAN ONE PHENOMENON, HOW MANY WERE THERE? DRAW A PICTURE TO SHOW HOW THEY WERE
ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
11. CoNDiTioNs (Check appropriate blocks.)
A. SKY B. WEATHER I
DAY CUMULUS CLOUDS (LoW luffy) FOG OR MIST
TWILIGHT CiRRus CLouDs (High fleecy or Herring- HEAVY RAIN
NIGHT NIGHT bone) bone LIGHT RAIN OR LIGHT RAIN OR DRIZZLE
CLEAR CLEAR NIMBUS CLOUDS (Rain) NIMBUS CLOUDS (Rain) HAIL
PARTLY CLOUDY PARTLY CLOUDY CUMULONIMBUS CUMULONIMBUS CLOUDS CLOUDS 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 YOU THE SIGHTING WAS AT TWILIGHT OR NIGHT, WHAT DID YOU NOTICE ABOUT THE NOTICE ABOUT THE STARS STARS AND MOON?
(1) STARS (2) MOON
NONE NONE BRIGHT MOONLIGHT NO MOONLIGHT
A FEW A FEW MOON WITH HALO 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 (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.
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 SOL'O 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.
iooted like around
lights going
in a ciscle ana moding
stright
uj vey alow
PAGE 4 OF 9 PAGES

1
13. DID THE PHENOMENON YES NO UNKNOWN
MOVE IN A STRAIGHT LINE? V
STAND STILL AT ANYTIME? 1.
SUDOENLY SPEED UP AND RUN AWAY?
BREAK UP IN PARTS AND EXPLODE?
CHANGE COLOR!
GIVE OFF SMOKE?
CHANGE BRIGHTNESS?
CHANGE SHAPE?
FLASH OR FLICKERT
OISAPPEAR AND REAPPEARI
SPIN LIKE A TOP!
MAKE A NOISE!
FLUTTEROR WOBBLE?
14. WHAT DRE" YOUR ATTENTION TO THE PHENOMENON?
My daughtie cethed me to My daughte colhed me to
De
what it wao. what
A. HOW DID IT FINALLY DISAPPEAR?
iled not ace it dicfpian. was not
B. DID THE PHENOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR SUILDING AT ANY TIME?
YES O NO. IF *YES,* DESCRIBE.
ujo ward. lijo wand.
PAGE 5 OF 9 PAGES
Mila

15. DRAW A PICTURE THAT WILL SHOW THE SHAPE OF THE PHENOMENON. INCLUDE AND LABEL ANY DETAILS THAT MIGHT HAVE APPEARED AS WINGS OR PROTRUSIONS, AND INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING.
It wao to far arvay
chape only the lighto and. a
slow movement upiado
.
16. WHAT WAS T HE 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 PHENOMENCN #OULD HAVE BEEN CCVERED BY THE MATCH HEAD.
L
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 APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINOSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
V WINDDWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? 0 YES NO B. DO YOU USE READING GLASSES? LYES 0 NO
18. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENON? GIVE ESTIMATE OF SPEED 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 DSJECT 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.
Viy brghtigt def Vry Bright ight sifend e
fau avay
als
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY? YES NO. IF *YES,DESCRIBE.
Was to far
A. DID THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY
IF *YES,"DESCRIBE.
boeitid. locatid
PAGE 7 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 DID THEY SEE IT TOO?
YES NO.
A. LIST THEIR NAMES AND ADDRESSES
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LASTN LAST N
ADDRESS and Zip Gode)
45419
TEL EPHONE (.Area code andrms TEL EPHONE (Area cODe an AGE
49 49 MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT. INDICATE ADCITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
12-00
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
NAME DAY_ MONTH YEAR
25. DATE YOU COMPLETED THIS S QUESTIONNAIRE.
4