PROJECT BLUE BOOK

PROJLGY 307S RECORD
DATC - TIME GROUP 2. LOCATION
004/0300∠ Worthangton. .i (2:itnesses)
3. SOUNCE 10. CONCLUSION
Civlian Probable (ALRCRAFT)
4. NUMBER OF OBJECTS Observer was sent a 1l7 but failed to return it as or this d..
The obgerver lives near the Columbus Municipal airport and ie
2 Each Time seems to be no reason whv the observer cauldn't have cbsery.i
5. LENGTH 5. LENGTH OF OBSERVATION OF OBSERVATION 11. BRIEF sUMMARY AND ANALYSIs aircraft with their landing lihts on. 11. BRIEF sUMMARY AND ANALYsis aircrart with their landing lignts ons
1. 15 Minutes .
2 10 Minutes 10 Minutes At 2200 and at At 2200 and at 2300 hrs, the observer observer r sighted two lite rignts -
6. TYPE OF OBSERVATION TYPE OF OBSERVATION in the sky.
Ground-Visual
7. COURSE
Not Reported Not Repcrted
8. PHOTOS
Yes Yos
XCXNo
9. PHYSICAL EVIDENCE
:. Yes
CCNO
FORM
FTD SEP 63 0-329 (TDE) Previous editiona of uaed.
H-

3Ma68
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PATTERSON AIR FORCE BASE, OHIO 4S433
REPLY TO MAR 1 3 1968
ATTN OF TDPT/UFO
SUBJRCT. UFO Obs servation, 3 Ma arch 1968
TO:
Worthingtor Ohio 43085
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. reporting your observation to
the Air Force. the Air Force.
AMES C. MANATT, ColOnel, USAF 1 Atch
Birector ction AF Form 117 AF Form 1l7

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 passible concerning the unidentified aerial phenomenon that you havs observed.
Please try to answ questions as you possibly can. The information that you give will
be usad for research 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.
1. When did you see the object? 2. Time of day:
Minytes
3 MAP 6$ (Circle One):
A.M. or P.M.
Day Month Year
3. Time Zone: 3. Time Zone:
(Circle One): (Circle One): Eastern Eastern a. Daylight Saving
b. Central b. Standard Standard
c. Mountain
d. Pacific Pacific lseal boeal
e. Other Other
4. Where were you when you saw the object? 4. Where were you when you saw the object?
Woth O. Worth 0.
Nearest Postal Address City or Town State or County
5. How long was object in sight? (Total Duration) 615mi
Hours Minutes . Seconds
Certain Hsun
a. c. Not very sure
Fairly certain d. Just g guess
5.1 How was time in sight determined? DshinAe
sed Tonns Chond
5.2 Was object in sight continuously? Yes N0)
6.What was the condition of the sky?
DAY NIGHT
a. Bright Bright
b. Cloudy Cloudy
7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): In front of you d. To your left N/A
b. in back of you e. Overhead
c. To your right f. Don't remember
ETO or FORM Co 761

8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None Bright moonlight
b.A few b. Dull moonlight
c. Many C. No moonlight - pitch dark
d. Don't remember
CLOUDS (Circle One): WEATHER (Circle One):
a.) Clear sky a. Dry
b. Hozy 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):
(a.Solid lochlenn d. As a light
b. Transparent e. e. Don't remember
c. Vapor
11. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter [ivrcel c. About the same
b. Dimmer b. Dimmer d. Don't know
1.The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
b.Like a bright star
c. Sharply outlined
d. Don't remember
. Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes No Don't know
b. Suddenly speed up and rush away at any time? es 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 222 Don't know
f. Change shape? Yes Don't know
g. Flash or flicker? Yes Don't know
h. Disappear and reappear? Yes No Don't know
hl:

Puga 3
14. Did the obinct disappedr while you were watching it? If so, how?
)
42 down 7
15. Did the objoct mova behind somathing at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answared YES, then tell what
it moved behind:
16. Did the object mova in front of something at any time, particularly a cloud?
(Circle One): Yes (No) Don't Know. IF you answered YEs, than tell what
in front of:_
17. Tall in a few words the following things about the object:
a. Sound ani
b. Color pukite
18. We wish to know the angular size. Hold a match stick at arm's length in line with a known object and nota how
much of the object is covered by the head of the match. If you had performed this experiment at the time of the
M eatao

22. Where were you located when you saw the object? Were you (Circle One)
(Circle One):
In the business section of a ciry?
a. Inside a building b. In the residential section of a city?
b. In a car In open countryside?
Ouldoors d. Near an airfield?
d. In an airplane (type) e. Flying over a city?
e. At sea f.
f. Other f. Other g. g.
24.1 What direction were you moving? (Circle One) 24.1 What direction were you moving? (Circle One)
c. North c. North c. East e. South $g. $West $g $West
b. Northeast b. Northeast d. Southeast d. Southeast f. Southwest f. Southwest h. Northwest
24.2 How fast were you moving? miles per hour. stoped tobe
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. Eyeglassos Yes No e. Binoculars №o
b. Sun glasses Yes No f. Telescope No
c. Windshield Yes lst No g. Theodolite Yas No
d. Window glass Yes No h. Other
.
26. In order that you can give as clear a picture as possible of f what you saw, describe in your own words a common
no onaligy

Page 5
27. In the following sketch, imagine that you are at the point shown. Place or "A' on the curvad 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 tha object was above the horizon (skyline) when you last saw it. Place an "A" on the compass
when you first sawit. Place a "B' on the compass where you last saw the object.
900 75
alufred
60 nare
lction
mg nay
45 NW N
A53 sosnibl
15 9W 35,
O.
. (Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the 28. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the
path, a "B" at the end of the path, and show any changes in direction during the course.
eel ovir iny
29. IF there was MORE THAN ONE object, then how many were there? Zubjito iack liine
Draw a picture of how ythey were arranged, and put an arrow to show the direction that they were traveling.
Trinding sicu bseile

Page 6
30. Have you ever seen this, or a similar objact before. If so give date or dates and location.
ance ( lpt Neltrg
fow yais ug
3. Was anyone olse with you at the time you saw the object? (Circle One) Yos No
31.1 IF you answered YES, did they see the obj Circle One) (Yes No
/
n finine , ahe siet
32. Please give the following information about yourself:
NAME Last Name Last Name Middle Name Middie Name
First Name First Name
ADDRESS ADDRESS
Strost Strost City City Zone Stao Stata
TELEPHONE NUMBER AGE SEX
perience, which might be pertinent.
33When and to whom did you report that you had seen the object?
3 LE
Day Month Yoar

Poga 7
34. Date you complated this questionnaire:
Day Month Year
3. Information which you feel pertinent and which is not adequately covered in the spacific points of the
questionnaire or a narrative explanation of your sighting.
yth pech tat ut ghoe
Sonded  ot mnt outit
to bft, sleppd
finielf at con
in contalbi
enail candiluie
-