PROJECT BLUE BOOK

1.
PLOJECT 1OG73 RECORD
1. DATE·TIME GROUP 2. LOCATION
27 Jun 68 28/0330Z Upper Durby, Penna. (1 witness)
3. s SOURCE 10. CONCLUSION
Civilian Other:
4. NUMBER OF OBJECTS The observer has seen many UFOs before. (See 19 Sept 67). The
Two witness was sent a Form ll7 but did not return it.
5. LENGTH OF OBSERVATION 5. LENGTH OF OBSERVATION 11. 11. BRIEF SUMMARY AND ANALYSIS
5 Minutes The observer sighted two object that looked similar to hub
caps. caps. They were seen traveling westwerd for approx 5 minutes
5. TYPE OF OBSERVATION TYPE OF OBSERVATION at which time they disappeared behind a building.
Cround-Visual
7. 7. COURSE
West
3. 3. PHOTOS PHOTOS
Yos
TONo
9. PHYSICAL IDENCE
Yos
C No NAGER
FORM
FTD SEP 63 0-329 (TDE) Previous ditions of this form may be ussd.

LOCATION. en.
ketrt , tel 212
23. WAS ANYONE WITH YOU A SAW THE PHENOMENONT YE3 NO. 1F DID THEY SEEIT TOOI
Y23 ONO.
A. LIST THZIR NAMES AND ADDRESSES
mas
24. GIVE THE FOLLDWING INFORMATION ABOUT YOURSELF
LAST NANE, FIRST NAME, MIDDLE NAME
AODRE3s (Srert, City, State and Zip Code)
.UenDhyP19082
TELEPHONE (Aran code and number) AGE
act 215 furteen MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUOING OCCUPATION AND ANY EXPERIENCE WMICH MAY BE PERTINENT.
On
the dng of Deunben feat und feth
taw the Doge U.E.O.&wa iae
may hgi t 212
we m the fiunt.
ti widr 2 Ci behoom wrken k bited snt
werder 2 Drtde Drte &tghe sigeet lrghe sigeer
stug bekind atiun bold
2udlinge wotd tni. 2
benall it sped etf chenged entit snd ghoted.
25. WHEN AND TO WHOM DID YOU REPORT THAT VOU HAD SIGHTED THIS PHENOMENON?
dnt retew -angene .
NAME DAY_ MONTH YEAR
45 DATE YOU CONPLETED THIS QUESTIONNAIRE.
YEAR1IG8
PAGEB OF9 PAGES

WRIGHT-PAITERS FORCE BASE OHIO 45433
REPLY TO TDPT (UFO) MARE. 3
ATTN OF
SUDJECT UFO Observation 27 Jan 1968
TO: Mrs
Upper Darby, Penn. 19023
Your name has been given to the Aerial Phenomena Office (Project
Blue Book) as being a witness to an unidentified flying object.
If you were a witness to an UFO sighting on
would you please complete the attached AF
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 whicn you provide will be used in The information which be used in
evaluating evaluating this this observation. Tnank you for your assistance in this observa Thank yo assistance in this
matter. matter.
HECTOR ACTOR QUINTANILLA, Jr, Major, USAF Major, USAF 1 Atch
Chief, Aerial Phenomena enomena Office AF Form 117 w/envelope
Aerospace Technologies Division
Production Directorate Production Directorate

27fnic8
DEPARTMENT OF THE AIR FORCE
MEADGUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC) G
WRIGHT.PATTERSON AIR FORCE BASE. OHI0 43433
RIPLY TO MAR 13 1968
ATTN OF: TDPT/UFO
SUBJKCT UFO Observation, 27 Jan 1968
TO:
Upper Darby Y, Penn. 19023
Reference your recent unidentified flying object sighting which
you reported to the Air Force. The information which we have
received is not sufficient for a scientific investigation. Request
you complete the attached AF Form ll7 and return it in the self-
addressed envelope. Thank you for reporting your observation to
the Air Force. the Air Force.
MES C. MESC. MANATT, Colonel, USAF 1 Atch
rector roduction uction AF Form 117
-

, .
10,1968,
Upper Darby Pa.
Major Hector Quintanilla,jr.
Chief Aerial Phenomena Office
Aerospace Technologies Division
Production Directorate
My Dear Major:
I am sorry about the delay in filling out your form.
I had a lo of work to catch up on. I am sending
you AF Form ll7. If you need any more information
please write me.
Yours True
Upper Darby,Pa. 19082

DEPARTMENT OF THE AIR FORCE
HEGDOUARTER3 43Brh AIN BASE GROUP (MAC) O
McGUIRE AIR FORCE SASS NEW JERSEY OB64!
REPLY TO ATIN OF G438(0BO)
SUBJECY.
tO
(Col James C. Manatt)
Wright Patterson AFB, Ohio 45433
1. The attached letter was received on 14 February 1968. Since the
object was determine the
cause of f this phen
2. If you additional information very
happy to help i possible.
YOWARD C DEA HOWARD C DEAKYNE, JR., JR., LtColonel /ALtColonel, USAF USAF 1 Atch 1 Atch
Base Operations a Base Operatio and Training d Training Officer Ltr, UFO Questionnaire,
27 Jan 68
-

Official U.S. Air Forc
Poge 3
14. Did the object disappear while you were watching it? If so, how? the U F. O, derappeated
ly s0ng behind teidlinugd and their,
15. Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes No Don't know. IF you answered YES, then tell what
16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes No Don't know. IF you answered YES, then tell what
in front of:
. Tell in a few words the following things about the object:
b. Color it ir Lright ihit
18. We wish to know the angular size. Hoid a match stick at arm's length in line with a known abject and nate 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 abject would have been covered by the match head?
elert
19. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details of the objec
that you saw such as wings, protrusians, etc., and especially exhaust trails or vapor trails. Place an arraw beside the drawing
to show the direction the object was moving.

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 aeria! phenomenon that you have observed.
Please try to answer as many questions as you possibly can. The information that you give wil!
be used for research p 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 deemed necessary, we may contac: you for further details.
1. When did you see the object? 2 Time of day: 91272-529
Hours Minutes
27 Qenidig 1968 (Circle One): A.M. or (P.M.)
Day Month Year
3. Time Zone:
(Circle One): a. Eastern (Circie One): a. Daylight Soving
b. Central b. Standord)
c. Mountain
d. Pacific
e. Other
pn thilly
4. Where were you when you saw the object? i
Upper Darly Pinn
Nearest Fostal Address City or Town Stcte or County
5. How long was abject in sight? (Total Duration) 5
Hours Minutes Seconds
Certain c. Not very sure
b. Fairly certain d. Just a guets
mdath
5.2 Was object in sight continuously? Yes- No
What was the condition of the sky?
DAY NIGHT
o. Bright o. Bright
b. Cloudy b. Cloudy
7. iF you sow the object during DAYLiGHT, where was the SUN located as you looked at the cbject?
(Circle One): a. In front of you d. To your left
b. In back of you e. Overhead
c. To your right f. Don'tremember

(Circle One) Yes No
IF you answered YES, then how far away would you say
22. Where were you located when you saw the object? 23. Were you (Circle One)
(Circle One):
a. In the business section of a city?
a. Inside a building b. In the residential section af a city?
b. In a car c. in open countryside?
C. Outdoors d. Near an airfield?
d. In an airplane (type) e. Flying over a city?
e. Atsea 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 directian 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 abserve the object through any af the following?
a. Eyeglasses Yes No e. Binoculars Yes No
b. Sun glasses Yes No f. Telescope Yes No
c. Windshield Yes No g. Theodolite Yes No
d Window glass Yes No h. Other_
In order that you can give as clear a picture as passible of what you saw, describe in your awn words a common object or ob-
jects which, when placed up in the sky, would give the same appearance as the object which you saw.
Chutap s
prese ot rtiet

Page 2-
8. IF you saw the object at NIGHT, what did you notice concerning the STARS ond MOON?
8.1 STARS (Circle One): 8.2 MOON(Circle One):
a. None a. Bright moonlight
b. Afew b. Dull moonlight
c. Mony C. No moonlight—pitch dark
d. Don'tremember d. Don'tremember
9. What were the weather conditions at the time you sow the object?
CLOUDS (Circle One): WEATHER (Circle One):
0. Clearsky (0. Dry
b. Hczy b. Fog, mist, or light rain
Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
Don'tremember
10. The object appeared: (Circle One):
a. Solid d.Asalight
b. Transparent e. Don'tremember
c. Vopor
11. If it oppeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter c. About the some
b. Dimmer d. Don'tknow
11.1 Compare brightness to some common object:
A Drighti thn soo wett Deull- Diizn
th0
12The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other.
(b. Like a bright star)
c. Sharply outlined
d. Don'tremember
41
Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes No Don'tknow
b. Suddenly speed up and rush away ot ony time? Yes No Don'tknow
c. Break up into parts or explode? Yes No Don't know
d. Give off smake? Yes No Don'tknow
e. Change brightness? Yes No Don'tknow
t. Changeshape? Yes No Don'tknow
g. Flash or flicker? Yes No Don'tknow
h Disoppeor and recppeor? Yes No Don'lknow

Page 6
30. Have you ever seen this, or a similar object befare. If so give date or dates and location. Min Ad the
Cpet 7 te
a21167 nre,27 niD2e5,1967
31. Was anyone else with you at the time you saw the abject? (Circle One) Yes No
31.1 IF you answered YES, did they see the object too? (Circle One) Yes No
31.2 Pleose list their names and addresses:
Mrs
ea Dely Pa
m
gpinerdy
32. Please give the follawing information about yourself:
Last Name First Name Middle Name
ADDRESS Duha Pennahutnin
Street City Zone State
TELEPHONE NUMBER AGELA SEXM7:22
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 cbject? 2 refeiten ti to mor on
27 Seay 1468
Doy Month Year

AFR 80-17(C1)
t
SA. NOW IMAGINE YOU ARE ATTHE CENTEA OF THE COMPASS ROSE. PLACE AN *A° ON THZ COMPASS TO IMDICATE THE
DIRECTION TO THE PHENOMENON WHEN FIRST SEEN. PLACE A *B" ON THE COMPASS TO INDICATE THE DIRECTION TO
THE PHENOMENON WMEN LAST SEEN.
N
NNW NNE
NW NE
WNW ENE
B
WSW ESE
SH 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
APPEAREO TO BE STRAIGHT, CURVED OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE
THE LARGER SKETCH.
/
PAGE 2 OF 9 PAGES

Page 5
.In the following sketch, imagine that you are at the point shown. Piace an "A" on the curved line to show how high the
was above the horizon (skyline) wnen you first sow ir. Place a "B" on the same curved lfie te snow how hign the odiec
above the horizon (skyline) when you last saw it. Place an "A" on the compass when you first sow it. Pioce a "B" on the
pass when you last sow the object.
90° 75°
N
450
NE
30°
E
15 SE
E s
28. Draw a picture that willshow the motion that the object or objects made. Place on "A" at the beginning of the path,
the end of the path, and show any changes in direction during the course.
8 A
2 C
4) EO
29. 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 treveling.
.t .:

510 gectun neasen i got
WT beland
firt Cine
thre dome ru wern do
t contacd me
D

AFR 80-17(C1)
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDGET BUREAU APPROYAL
NUWBER 21-R334
PLEASE TRY TO
ANSWER ALL THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES.
YOUR NCLUSIONS WITHOUT
YOUR PERMISSIGN. RETURN AIR FORCE BASE INVESTIGATOR FOR FORWARDING TO FT (TDETR), WRIGHT-
PATTERSON AFB, OHIO 45433, IAW AFR BO-[7. (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRA VE OR SKETCHES
ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1. WHEN DID YOU SEE THE PHENOMENON?
DAY SUndK MONTHJRhih YEAR 19
2.WHAT TIME DID YOU FIRST SIGHT THE PHENOMENON?
HOUR MINUTES 3C A.M. P.M.
3. WHAT TIME DID YOU LAST SIGHT THE PHENOMENON?
HOURLO MINUTES A0 A.M. X P.M.
4. TIME ZONE DAYLIGHT SAVINGS x STANDARD
EASTERN CENTRAL MOUNTAIN PACIFIC COTHER
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
2 wes shindiny 2 wes stindiny
00 8  8 UD D
the wtnd o whice the wondwwheice
212 2 12 the wheeiis the whetiis
S Ponting
(i71 7
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 BON THE SAME CURVEO LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
Buiping
90 SL
L
1 60
|
1
1
I
1 15
1
OBSERVER
A= FORM 117
AUG 67

R0LARR0HU00MO
AFR 80-17(01)
insbfdibi
O. IF THIRE WERE NORE THAN ONE PHZHOMENOH. MOW MANY WERE THENZ? DRAW A PICYURE TO SHON HOW THEY WERE
ARMAMGED. DID THIS ARRANGZMXNT CHANGE OURING THZ SIGHTING'
O
C
8 8
C 0
0 a D C
C
11. CONDITIONS (Check approprinte blocks.)
A. SXY 9. WEATHER
DAY CUMULUS CLOUDS (LOWiluffy) FOG OR NIST
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 (Thusderstorma) UNKNONN
HAZE OR SMOG NONE OF THE ABOVE
C. IF THE SIGHTING WAS AT TWILIOHT OR NIGHT. WHAT DID YOU NOTICE ABOUT THE STARS AND MOON?
(1) STARS (2) MOON
HONG BRIGHT MOONLIGHT L. NO MOONLIGHT
AFEW MOON WITH HALO UNKNOWN
MANY MOON HIODEN BY CLOUDS
UNKNOWN PARTIAL (New or quarter)
D. IF SIGMTING WAS IN DAYLIGHT, WAS T THE SUN VISIBLE? YES YES, WHERE WAS S THE SUN AS YOU FACED
THE PHENONEMONT
IN FRONT OF YOU TO YOUR RIGHT OVERMEAD (Ned nOON)
IN BACK OF YOU TO YOUR LEFT UNKNOWN
SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR
STREET LANP, ETC. FOR TERNESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
12. GIVE A SRIEF DESCRIPTION OF THE PHENOMENON, INDICATING SWHETHER IT APPEARED OARK OR LIGHT, WHSTHER IT
REFLECTED LIGHT OR WAS SELF-LUMIMOUS AND WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLID OR TRANSPARENT, WHETMER EDGES WERE SHARP OR FUZZY. DESCRISE THE SHAPE OR INOICATE IF IT
APPZARED AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OSSERVED OBJECTS, LIKE STARS. A LIGHT OR
OTHER OBJECT IN YOUR FIELO OF VIEW.
the elject
iver while
and yhowens
cruld see
perfectly noand·lt liggen
thane artes str 2 eer
PAGE A OF9 PAGES

AFR 80-17(C1)
Q. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (ChCCk aPDTOPTIALE blOCKS.)
OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR RAIRFIELD
IN AIRPLANE AS PILOT AS PASSENGER FLYINGOVER 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
PHENOMENONT
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS 5 AND 6.
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD. TERRAIN OR BODY OF WATER YOU TRAVERSEC DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE OR DOWN
HOW MUCH OTHER TRAFFIC WAS THERE?
DID YOU NOTICE ANY AIRPLANES? X 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.
Cizytanes
bo the U.t 0.D b tke U. 4.Diappee
und delanee wnddelanee
when the when the
lugtones lunptoner lifd. lif.
9. HOW LONG HOW LONG WAS THEF WAS THE PHENOMENON IN SIGHT? PH ENOM ENON IN SIGHT?
LENGTH OF TIME 7 CERTAIN OF TIME NOT VERY SURE
five minutes FAIRLY CERTAIN JUST
A GUESS
HOW WAS TIME DETERMINED?
d lokid ut me watch.
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. INOICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES.
the
U. , O atee behin t
bildinga lt disapeaie thnee
Mimer
s7e 06t. and shen finaliy
PAGE3OF9 PAGES

AFR 30-17(C1)
1S. ORAW A PICTURE THAT WILL SHOW THE SHAPE OF THE PHENOMENON. INCLUOE AND LABEL ANY DETAILS THAT MIGHT
HAVE APPEAREO AS WINGS OR PROTRUSIONS, AND INDICATE EXHAUST OR VAPCR TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING.
(c0
16. WHAT WAS THE ANGULAR SIZE? HOLD A MATCH AT APM'S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET
LAHP OR THE MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. NOW IF YOU HAD
BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD.
ubce -ix
tf isi.
PAGEGOF 9 PAGES

AFR 80-17(C1)
NIL
13. DID THE PHENONENON YES NO UNKHOWN
MOVE IN A STRAIGHT LINE?
STAND STILL AT ANYTIME?
SUDOENLY SPEEDL UP AND RUN AWAY?
BREAK UD IN PARTS ANO EXPLODE?
CHANGE COLOR?
GIVE OFF SMOKE?
CHANGE BRIGHTNESS?
CHANGE SHAPE?
FLASH OR FLICKER?
DISAPPEAR ANO REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER ORWOBSLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
when & saer the ohjet. more
east to wlsk. 2 got a lilerfe.
and dotted int the and dected ont the winede aften
windar aften five mintes it dissppeaned. Bive munntes it dissppened.
A. HOW DID IT FINALLY OISAPPEAR? A. HOW DID IT FIN ALLY DISAPPEAR?
lt puton lt puten
speid speed
und
went betend a beiding
thin it dosuppeareds
B. DID THE PHENOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
YES 0 NO. IF *YES, DESCRISE.
et
stayed closs io Liee, brilding,
PAGES

AFR 80-17(C1
I7 DID YOU OBSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING? INCLUDE INFORMATION ON
TYPE, FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINOSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
L WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES NO B. DO YOU USE READING GLASSEST YEN XNO
18 WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPRESSION O= THE OISTANCE THE
WOULD BEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN TH
COMMON OBJECT AND WHAT YOU SAW.
gisci I mtel.
Crgone of the objicts
would look like'is exept
f the
annd the tall. l-tinking ltinking liki. ligki.
tnd thie tall.
(
21. DID YOU NOTICE ANY OCOR. NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EF FECT OURSEI
ANIMALS OR MACHINERY IN THE VICINITY? YES x NO. IF *YES." DESCRIBE.
A DID THE PHENOMENON DISTURB THE GROUND OR PHYSICAL EVIDENCE. YES XNO.
IF *YES. DESCRIBE.
PAGE 7 OF YPAGES

LOCATION. en
23. WAS ANYONE WITH YOU THE SAW THE PHENOMENONT K YE3 NO. IF YES. OID THEY SEEIT TOOT
BYES 07NO.
A. LIST TMEIR NAMES AND ADDRESSZS
77s
*
Ma
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME, FIRST NAME, MIDDLE NAME
ADDrsss(Street, City, State and Zip Code)
.Upen DyP14082
TELEPHONE (Aran code and number) AGE
acte 215 Fourteen MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WMICH MAY BE PERTINENT.
e ta the Dome
U.F.C. t wsmae
my hyi at 212
Bugai foud 2 wo an the fut
th behoot whe k avied id bedhoet wte & cved ind
wrdete 2 sud were 2 DrAe tnghe stgeer Bighe stgeer
in the shy. 2 seemer to in the shy. 2 siemed Io
brekine Budelings
tenald it sped ett
I
25. WHEN AND TO WHOM DID YOU REPORT THAT VOU HAD SIGHTED THIS PHENOMENON?
dan't angene .
NAME MONTH YEAR
85. DATE YOU CONPLETED THIS QUESTIONNAIRE.
OAY1O MONTH YEAR1968
PAGE B OF9 PAGES