PROJECT BLUE BOOK

PROJECT 10073 RECORD
I. DATE - TIME GROUP 2. LOCATION
JUN 68
0345 CDT 0845Z WALBASH, ILLINOIS 4
CIVILIAN SOURCE . CONCLUSION
4. NUMBER OF OBJECTS
TWO SIGHTINGS
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
25 SECONDS THE OESERVER SENT A REPORT OF TWO UFOS THAT WERE SEEN IN THE
6. TYPE OF OBSERVATION EARLY MORNING HOURS OF 2L JUNE TO THE PROJECT BLUE BOOK OFFICE.
ONE SIGHTING OCCURRED AT 3:45 AM AND THE OTHER AT 4:30 AM.
GROUND VISUAL 25 SECONDS IS LISTED.
7. COURSE COMMENTS: AN AF FORM 117 WAS SENT TO THE WITNESS.
HE RETURNED
SEE CASE HIS FORM APPARENTLY ON THE 4:3O AM SIGHTING. HE GIVES THE
8. PHOTOS DURATION OF THIS SIGHTING AS TWENTY MINUTES AND STATED THAT IT
TRAVELED SOUTH. (THE OBSERVER STATED THAT IT TRAVELED WEST)
Yos Yos IT APPEARS THAT THE OBSERVERS WERE WATCHING
XKNo XXNo BECAUSE OF THE CONFLICTS IN THEIR STATEMENTS THE SIGHTING IS BECAUSE OF THE CONFLICTS IN THEIR STAT TING IS
9. PHYSICAL EVIDENCE IDENCE BEING CARRIED AS CONFLICTING DATA.
Yes
XIC No XXC No
FORM FORM
FTD SEP43 0-329 (TDE) SEP 63 0-329 (TDE) Previous editiona of thi form may ditiona of thi form may be used. be used.
-
.
-
.

AFR 8017(C1)
27. INFORMATION WHICH YOU FEEL IS.PERTINENT SUT WHICH IS NOT ADEQUATELY COVERED IN ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING. TH1S QUESTIONNAIRE,
H7 IT WAS COOL
I THoUg!
PAGE 9 9 PAGES

2June68
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PA BASE. OHIO 45433
REPLY TO
ATTN OF: TDPT (UFO) 3 SEP 1968
SUBJECT: UFO June 1968
TO:
Riverdale, Illinois 60627
Your name has been given to the Aerial Phenomena Office (Project
Blue Bookas being a witness to an unidentified flying object.
If you were a witness to an UFO sighting on 21 June 1968
would you please complete would you please complete the attached AF Form 1l7 and return it the attached AF Form 117 and return it
in the envelope provided. provided. If If you were not a witness to this you were not a witness to this
sighting, would sighting, would you please make a statement to this effect on the
attached form. The information which you provide The information which you provide will be used in used in
evalunting evalunting this observation. Thank you for your assistance in this Thank you
matter.
HECTOR HECTOR QUINTANILLA, Jr, QUINTAN NILLA, Jr, Lt Colonel, USAF 1 Atch
Chief, Aerial Chief, Aerial Phenomena nenomena Office AF Form 117 w/envelope AF Form 1l7 w/envelope
Aerospace Technologies Aerospace Technologies Division Division
Production Directornte

29 AUG 1968
AFR 80-17(C1)
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDGET BUREAU APPROVAL
NUMBER 21-R258
THIS QUESTIONI HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S. AIR FORCE AS MUCH INFORMATION
AS POSSIBLE OENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO
ANSWER ESTIO INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES.
YOUR NCLUSIONS WITHOUT
FORCE BASE INVESTIGATOR (TDETR), WRIGHT-
IO 45433,IAW AFR 80-17. (IF ADDITIONAL SHEETS ARE N FORNARRAT OR SKETCHES
ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1. WHEN DID YOU SEE THE PHENOMENON?
DAY 21 MONTH JU.N YEAR 1965
2. WHAT TIME DID YOU FIRST SIGH IT THE
HOUR. 3 MINUTES 45A.M. P.M.
3. WHAT TIME DID YOU LAST SIGHT THE PHENOMENON?
REAPPEARED HOUR 4 MINUTES 30 A.M. P.M.
4. TIME/ZONE DAYLIGHT SAVINGS O 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 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.
OBJECT
( (
NEIGHa'S N2iGHia's HOUSES
HOUSE
ADDRES
UNKAIW UNKAIW
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 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.
9L 11
1
| 3
I /
1
|
1
! 15A
OBSERVER
AF FORM 117
AUG 67 Attachment 1
7 (Becomes Attachment 1 to AFR 80-17)

AFR 80-17(C1)
6A. NOW IMAGINE YOU ARE AT THE CENTER OF THE COMPASS ROSE. PLACE AN *A * ON THE COMPASS TO INDICATE THE
DIRECTION TO THE PHENOMENON WHEN FIRST SEEN. PLACE A *B* ON THE COMPASS TO INDICATE THE DIRECTION TO
THE PHENOMENON WHEN LAST SEEN.
$Afac{$
N
NNW NNE
NW NE
WNW ENE
SeCOND SECOND
SIGHTING A B SIGHTING
wSw ESE
sW SE
sSw SSE
B
7. IN THE SKETCH BELOW, PLACE AN A° AT THE POSITION OF THE PHENOMENON WHEN FIRST SEEN, AND A B* AT THE
POSITION OF THE PHENOMENON WHEN LAST SEEN. CONNECT THE *A* AND *B* WITH A LINE TO APPROXIMATE THE
MOVEMENT OF THE PHENOMENON BETWEEN A° AND "B*. THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT
APPEARED TO BE STRAIGHT, CUPVED OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE
THE LARGER SKETCH.
PAGE 2OF 9 PAGES
Attachment 1
9 (Becomes Attachment 1 to AFR 80-17)

AFR 80-17(C1)
8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (ChECk cppropriate 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 AIRFIELO
IN AIRPLANE C AS PILOT AS PASSENGER FLYING OVER CITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
A. IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWING:
WHAT DIRECTION YOU MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH I 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 TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MUCH HOW MUCH OTHER O THER TRAFFIC WAS THERE?
DID YOU NOTICE ANY AIRPLANES? ANY AIRPLANES? YES NO NO IF YES," DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHERE OF SIGHTING THE PHENOMENON AND WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON. THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
9. HOW LONG HOW LONG WAS THE WAS THE PHENOMENON IN SIGHT? PHENOMENON IN SIGHT?
LENGTH OF TIME LENGTH OF TIME CERTAIN OF TIME CERTAIN OF TIME NOT VERY SURE NOT VERY SURE
25 SECONDS FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINEO?
BY GOINAALONCAIFS PATH AND C.OUNTeO
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.
2ND SICTING
1sr SIGTING
EAST West
NOerH FASTER
Sraneo- VOD0
AND FADED
NEIGHBOR'S IN DIS TANC
HOUSE HE ne
i
HOUses
PAGE 3OF 9 PAGES
Attachment 1
11 (Becomes Attachment 1 to AFR S0-17)

AFR 80-17(C1)
ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
11. CONDITIONS (Check appropriate blocks.)
A. SKY 8. WEATHER
DAY CUMULUS CLoUDS (Low fluffy) FOG OR MIST
TWILIGHT CIRRUS CLouDS (High fleecy or Herring- HEAVY RAIN
NIGHT V bone) LIGHT RAIN OR DRIZZLE
X SECOND 516 HTING
CLEAR NIMBUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG NONE OF THE ABOVE
C. IF TF THE SIGHTING WAS THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT DID WILIGHT OR NIGHT. WHAT DID YOU NOTICE ABOUT YOU NOTICE ABOUT THE STARS THE STARS AND MOON? AND MOON?
(1) (1) STARS (2) MOON
NONE BRIGHT MOONLIGHT X X NO MOONLIGHT
A FEW A FEW MOON WITH HALO UNKNOWN
X MANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL (New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? NO. ES.. WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON? THE PHENOMENON?
IN FROHT OF YOU TO YOUR TO YOUR RIGHT OVERHEAD (Newr noon) OVERHEAD (Near noon)
IN BACK OF YOU TO YOUR LEFT 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.
AMO
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 VOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLIO OR TRANSPARENT, WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT
APPEAREO AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR
OTHER OSJECT IN YOUR FIELD OF VIEW.
SEENAS AST
whire
BLUE
?-POWER BINOCULARS
AN EGC WITH ABLUE CENTER AND DUAL FLAME BOBBING BACK
AND
FORTH
PAGE 4 9 PAGES
Attachment 1
13 (Becomes Attachment 1 to AFR 80-17)

AFR 80-17(C1)
13. DID THE PHENOMENON YES NO UNKNOWN
MOVE IN A STRAIGHT LINE? X
STAND STILL AT ANYTIME? X
SUDDENLY SPEED UP AND RUNLAWAY?
BREAK UP IN PARTS AND EXPLODE?
CHANGE COLOR?
GIVE OF F SMOKE?
—— xxxxxx
CHANGE BRIGHTNESS?
CHANGE SHAPE?
FLASH OR FLICKER?
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
THOUGHT ITWHS
11 11
A. HOW DID A. HOW NALLY DISAPPEAR? DISAPPEAR?
ITSTO AND
INO SICHRIn= DISADpEARD 1ir0 CLOUDS
9. DID THE PHENOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
YES NO. IFYES. DESCRIBE.
SECOND SICHTING,
E.
U)
PAGE 5 OF 9 PAGES
L Attachment 1
15 (Becomes Attachment 1 to AFR 80-17)

AFR 80-17(C1)
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.
THROUGH 7-POWER
LOOKEA LIISE ASTAR WHIFE BINOCULARS
,
BLUE
/
SOUTH
NORTH
MoUNG oui
SrOPPED
AND
ME FADED
NEG0n INDISTANCE
MOUSE
16. WHAT WAS THE ANGULAR SIZE? LAMP OR THE MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. NOW IF YOU HAD HOLD A MATCH AT ARM'S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET
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.
p.D Ner
L SES
PAGE 6 OF 9 PAGES
Attachment 1
17 (Becomes Attachment 1 to AFR 80-17)

AFR 80-17(C1) 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 7x
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YESNO 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 ORDER THAT WE MAY OBTAIN AS CLEAR A PICTURE AS POSSIBLE OF WHAT YOU SAW, DESCRIBE IN YOUR OWN WORDS
A COMMON OBJECT OR OSJECTS 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.
THROUGH NAKED ITAPP
- JINKLE ANDWAS THIAN
JuPireR.
LE
S $S$
21. DID YOU NOTICE ANY ODOR. NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY? 7 YES X NO. IF *VES.*DESCRIBE.
A. DID TME PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YES x NO.
IF *YES.  DESCRIBE.
PAGE 7 OF 9 PAGES PAGES
Attachment 1
19 (Becomes Attachment 1 to AFR 80-17)

AFR 80-17(C1)
YES NO. VE DATE AND
LOCATION.
FRIEND WITH ME
?=1967
RIUER DALE, IIINOIC
23. WAS ANYONE WITH YOU AT THE TIME YOU SAW YES NO. IF DID THEY SEE
YES NO.
A. LIST THEIR NAMES AND ADDRESSES - SruDENT
RIDERDALE,I1INOS
60627 Ac_{- 13
24. GIVE THE FOLLOWING INFORMATION A ABOUT YOURSELF
LAST NAME. FIRST MIDDLE NAME
-STODENT
ADDRESS/SMC State and Zip Code)
Sou:n HOLLAND,I 11NO1S 60473
TEL EPHONE (Area code and number) AGE
Aac 13 X MALE FEMALE
ANY EXPERIENCE WHICH MAY BE PERTINENT.
WE ARE BOTH INT BOTN INUFO'S, ASTR INUFO's,ASI
ETc. ETC.
0
/
25. WHEN AND TO WHOM DID ou REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
NAME_GRAY BARKER DAY24M MONTH. JUNE YEAR 1968
25, DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY_30 MONTHFu YEAR_J468
PAGE 8 OF 9 PAGES
Attachment 1
21 (Becomes Attachment 1 to AFR 80-17)

AFR 80-17(C1)
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDGET BUREAU APPIOYAL
NUMBER 21-2230
THIS QUESTIONNAIRE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S. AIR FORCE AS MUCH INFORMATION
ANSWER ALU OF INFORMATION YOU GIVE WILL BE USED FOR ESEARCH PURPOSES
YOUR NAME WILL NOT BE Y OF YOUR STATE CLUSIONS WITHOUT
YOUR PERMISSIGN. RETUR FORCE BASE INVESTIGATOR FOR (TDETR), WRIGHT-
R NARRATIVE OR SKETCHES
ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR ID FICATION.)
1. WHEN DI0 YOU I SEE THE PHENOMENON?
DAY 21 MONTH TUNE YEAR 68
2. WH AT DID YOU F T SIGH IT THE PHENOMENON?
ABOUT HOUR_ MINUTES 251A.M. P.M.
WHAT DID ou L AS SIGHT THE PHENOMENON?
ABOUT HOUR MINUTES 45A.M. P.M.
4. TIME/ZONE DAYLIGHT SAVINGS STANDARD
EASTERN 21 CENTRAL MOUNTAIN PACIFIC OTHER
5. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY, GIVE THE NEAREST STREET ADDRESS AND INDICATE ON
A HAND DRAWN MAP WHERE YOU WERE STANDING WITH REFERENCE TO THE ADDRESS. IF IN THE COUNTRY, IDENTIFY THE
HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
wKUFO wKUF0
0n56 045
GARAGE
6. IMAGINE YOU ARE AT THE 6. IMAGINE YOU ARE AT THE POIN- POIN- SHOWN IN THE SKETCH, PLACE AN *A" ON THE CURVED LINE TO SHOW HOW HIGH THE SHOWN IN THE SKETCH. PLACE AN A" ON THE CURVED LINE TO SHOW HOW HIGH THE
PHENOMENON NAS ABOVE THE HORIZON, OR SKYLINE WHEN FIRST SEEN. PLACE A T ON THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90 15
i
1
1
1
1
! 15
ABor4
15
dEgREES
OBSERVER
AF FORM 117
AUG 67

.
n BJEC
DISSAPPEAREDIN DISSAPPEAREDIN B
. G1 IM
ORTH
isr SiGHrin Sourt
NORTH
MOUING SLOWL
OBJECT ME
FRIEND CAR STOPPED AND
FAPEOIN
HOoS DISTANCE
PAGE 9OF 9 PAGES
Attachment 1
23 (Becomes Attachment 1 to AFR S0-17)

AFR 80-17(C1)
SA. 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
W E
WSW ESE
sw SE
sSW SSE
7. IN THE SKETCH BELOW. PLACE AN *A* AT THE POSITION OF THE PHENOMENON WHEN FIRST SEEN, AND A *B° AT THE
POSITION OF THE PHENOMENON WHEN LAST SEEN. CONNECT THE *A° AND B* WITH A LINE TO APPROXIMATE THE
MOVEMENT OF THE PHENOMENON BETWEEN *A° AND *. THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT
APPEARED TO BE STRAIGHT, CURVED OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE
THE LARGER SKETCH.
PAGE 2 OF 9 PAGES

AFR 80-17(C1)
a. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CheCk aPpTOPrIate blOCKS.)
OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE 7 AS PILOT AS PASSENGER FLYING OVER CITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
A. IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWING:
WHAT DIRECTION YOU MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS 5 AND 6.
A HENO SHUT 0i T o 5174T
IT THC
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD. TERRAIN OR 900Y OF WATER TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MUCH OTHER TRAF FIC WAS THERE?
DID YOU NOTICE ANY AIRPLANES? YES CH NO. IF YES.* DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHERE TREY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
9. HOW L O N G WAS TI HE PHENOMENON IN SIGHT?
LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON. AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES. BEHid
WENT
THE GLOUDS
Houst GKRAOE
1
N
2$
PAGE 3 OF 9 PAGES

AFR 80-17(C1)
:O. IF THERE WERE MORE THAM ONE PHEMOMENON, HOW MANY WERE THERE? DRAW A PICTURE TO SHOW HOW THEY WERE
ARRANGEO. DID THIS ARRANGZMENT CHANGZ OURING THZ SIGHTIN3'
11. CONDiTIONs(Check appropriate blocks.)
A. SKY B. WEATHER
DAY X CUMULUS CLOUDS(LOW fluffy)?? FOG OR MIST
TWILIGHT CiRmus CLouDs (High fleecy or Herring- HEAVY RAIN
X NIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMBUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG X NONE OF THE ABOVE
C.IF THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT DID YOU NOTICE ABOUT THE STARS AND MOON?
(1) STARS (2) 21 MOON MOON
NONE BRIGHT MOONLIGHT ? NO HOONLIGHT
A FEW AFEW MOON WITH HALO UNKNOWN UNKNOWN
MANY MANY MOON HIDDEN BY CLOUOS MOON HIDDEN BY CLOUOS
UNKNOWN PARTIAL(New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN D.IF SIGMTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? VISIBLE? YES NO. WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON? PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD(NeW nOON)
IN BACX OF YOU TO YOUR LEFT UNKNOWN
E. SPECIFY E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT OURING THE MAJOR SOURCE OF ILLUMINATIOM PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR THE SIGHTING. SUCH AS THE SUN, HEADLIGHTS OR
STREET LAMP. ETC. STREETLAMP. ETC. FOR TERMESTRIALJLLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE. FOR TERMESTRIALJLLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE. J
THERE WA 5 STREC THE Right
-
12. GIVE A BRIEF DESCRIPTION OF THZ PHENCMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
REFLECTEO LIGHT OR WAS SELF-LUMINCUS ANO WMAT COLORS YOU NOTICED. DESCRISE YOUR IMPRESSION OF WHETHER
IT WAS SOLID OR TRANSPARENT, WMETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT
APPEARED AS A POINT O  LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVEO OBJECTS, LIKE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEW.
SATURN HAd A FLAME
BRIGH7 LIKE
WAS
ME TH THERE
COLOR
IT CHANGED
VEIW
IN OUR
WERE CLOUDS
PAGE 4OF 9 PAGES

GIVE OFF SMOKE?
CHANGE BRIGHTNESS?
CHANGE SHAPE?
FLASH OR FLICKER? 40
DCISAPPEAR AND REAPPEAR? 2
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT NTION TO THE PHENOMENON?
STARTGD TO MOUE
BECAQSE IT
A. HOW DID IT A. HOW DID IT FINALLY FINALLY Y DISAPPEAR? DISAPPEAR?
up u1p OUT OF 51g 5ig 7
STRAIGHT. STRAIGHT .
SHOT SHOT i -
B. DID THE PHENOMENON MOVE BEHIND ORIN FRON SOMETHING, LIKE
YES NO. IF DESCRIBE.
CLOND
PAGE5OF9 PAGES
.

AFR 80-17(C1)
13. DRAW APICTURE THAT WILL SHOW THE SHAPE OF THE PHENOMENON. INCLUDK ANO LABEL ANY DETAILS THAT MIGHT
HAVE APPEAREO AS WINGS OR PROTRUSIONS, AND INDICATE EXHAUST OR VAPOM TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING.
S7ORED
SJOPED
89
. .
16. WHAT WAS THE ANGULAR SIZE? HOLO A MATCH AT ARM*S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET
LAMP OR THE MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. NOW IF YOU HAD
BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD.
Do
DID NOT
PAGE5 9 PAGES

AFR 80-17(C1)
17. DI0 YOU OBSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING? INCLUDE INFORMATION ON MODEL
TYPE, FILTER. LENS PRESCRIPTION OR OTHER A APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES X BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES NO 8. DO YOU USE READING GLASSES? YESNO
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 2 PHENOMENON? GIVE ESTIMATE OF DISTANCE
2O. IN ORDER THAT WE MAY OBTAIN AS CLEAR A PICTURE AS POSSISLE OF WHAT YOU SAW, DESCRIBE IN YOUR OWN WOROS
A COMMON OBJECT OR OBJECTS WHICH, WHEN PLACED IN THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENOMENON.
WOULD BEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE
COMMON OBJECT AND WHAT YOU SAW.
A REAL BRIKHT STAR
( (
21. DID YOU NOTICE ANY DDOR, NOISE. OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF.
ANIMALS OR MACHINERY IN THE CINITY? YES NO. IF "YES. DESCRIBE.
/
A. DID THE PHENOMENON DISTURB GRO UND OR LEAVE ANY PHYSICAL EVIDENCE. ClYES
IF *YES. DESCRIBE.
(
PAGE 7 OF 9 PAGES

AFR 80-17(C1)
22. NAVE YOU ZVER BEEN THIS OR A SIMILAR PHZNOMENON BXFORE? Y . GIVE DATE AND
LOCATION. BCFORC THiS
3 MORE SIgNTINgS
2 OATES UNKNOWN ABOUT AUGUST 28 1948
YS NO.
GN K OATE
UNKNOWN
60627 RIVLROALL
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME, FI8
ADDREss (Street, Cisy Stataand Zip Code)
NBASH 60027
TELEPMONE (Area COde and number) AGE
/3 MALE FEMALE
INDICAKODTTIONAL INFORMATION INCLUDING INDICA XODITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPEAIENCE WMICH MAY BE PERTINENT. OCCUPATION AND ANY EXPEAIENCE WMICH MAY BE PERTINENT.
25. WHEN AND TO WHOM DIO YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
$f29 Aug. o8
NAME A MONTH YEAR
25. DATE YOU COMPLETEO THIS QUESTIONNAIRE.
DAY 5 MONTH 5E2T YEAR 6P
PAGE 8 OF 9 PAGES