PROJECT BLUE BOOK

PROJECT 10J73 RECORD
1. DATE · TIME GROUP 2. LOCATION
23 June 68 24/00452 Rego Park, New York (2 witnesses)
3. SOURCE 10. CONCLUSION
Civilien Other: (UNRELIABLE REPORT)
4. NUMBER OF OBJECTS
The observer has seen many UFOs before, (Reference of 16 Jar
One 68), ans is only 13 years old.
5. LENGTH OF OBSEI ATION ANALYSIS
15 Minutes The observer sighted a bright orange light that I looked about
b. the size of a star without binoculars. Through the .
TYPE OF OBSERVATION binoculars the object appeared about the size of a half dollar
Ground-Visual held at arms length. It appeared similar to a saucer shaped
7. object and had what the observer thought could have been
COURSE
portholes. portholes.
NE - ENE
8. PHOTOS
Yes
OCXNo )
9. PHYSICAL PHYSICA VIDENCE DENCE
Y Y.s
TONo TNo
FORM FORM
FTD SEP 63 0-329 (TDE) Prevlous editions of thi. lorm may be ueed. Prevtous editions of thie form may be ueed,
.
.

27. INFORMATION WHICH YOU FEEL IS PERTINENT BUT WMICH I3 NOT AOEQUATELY COVERED IN AFR 80-17(C1)
ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THZ SIGHTING. THIS QUESTIONNAIRE,
/
ire like thir
for Thank Jou
L
ZIP.! 11379 Regor Pak

SIGHTING OF UNIDENTIFIED PHEMOMENA QUESTIONNAIRE BUDGET BUREAU APPROVAL
NUMBER 21-R258
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 QUESTIONS INFORMATIO RESEARCH PURPOSES.
YOUR NECTION Y OE YOUR STAT CONCLUSIONS WITHOUT
YOUR PERMISSIGN. RETUF RCE BASE INVESTIGATOR FOR ARDING TO FTD (TDETR), WRIGHT-
PATTERSON AFB, OHIO 45433, IAW AFR 80-17. (IF ADDITIONAL SHEETS ARE NE FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO RM OR ANNOTATE WITH YOUR NAME FOR II FICATION.)
WHEN DID YOU SEE THE PHENOMENON? 3
Dandunday MONTH YEAR 1968
2. WHAT TIME DID Y oU HT THE PHENOMENON?
HOUR 8:00 MINUTES 45 A.M. P.
3. WHAT TIME DID YOU L AST SIGHT THE PHENOMENON?
HOUR 8.00 MINUTES A.M. P.M.
1
4. TIME/ZONE DAYLIGHT SAVINGS STANDARD
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 YON 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.
Pole Esawcer
x-↑ x-↑
across strect
poad joad
↑
House of Houre of
6. IMAGINE YOU ARE AT THE POINT A" ON THE CURVEO LINE TO SHOW HOW HIGH THE
PHENOMENON WAS ABOVE THE HORIZON, OR SXYLINE, WHEN FIRST SEEN. PLACE A "B° ON THE SAME CURVED LINE TO
SHOW HOW HIGH ASOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
9L 1
I
I
I
I
1
1
1
1
V
OBSERVER
AF FORM 117
AUG 67
=
-

6A. NOW IMAGINE YOU ARE AT THE CENTER OF THE COMPASS ROSE. PLACE AN *A* ON THE COMPASS TO INDICATE THE
DIRECTION TO THE PHENOMENON WHEN FIRST SEEN. PLACE A *B* ON THE COMPASS TO INDICATE THE DIRECTION TO
THE PHENOMENON WHEN LAST SEEN.
N
NNW NNE changed
N w NE
course
WNW ENE
WSW ESE
sW SE
sSw SSE
7. IN THE SKETCH BELOW, PLACE AN *A* AT THE POSITION OF THE PHENOMENON WHEN FIRST SEEN, AND A *B* AT THE
POSITION OF THE PHENOMENON WHEN LAST SEEN. CONNECT THE *A° AND *B° WITH A LINE TO APPROXIMATE THE
MOVEMENT OF THE PHENOMENON BETWEEN *A* AND *B°. THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT
APPEARED TO BE STRAIGHT, CURVED OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE
THELARGER SKETCM.
-is
shape
PAGE 2 OF 9 PAGES

8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CheCK appropriate blocks.)
OUTDOORS IN BUSINESS SECTION CF CITY
IN BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR □ AS DRIVER O AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE AS PILOT PASSENGER FLYING OVER CITY
OTHER FLYING SOVER 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 NG THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOU CHESIN LTEMS 5 AND
O
DESCRIBE/TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD, TERRAIN OR BODY OF WATER YOU TRAVERSEO-DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MUCH OTHER TRAFFIC WAS THERE?
DID YOU NOTICE ANY AIRPLANES? YES
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
minuter) FAIRLY CERTAIN JUST A GUESS
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY?  YES NO. IF NO* INOICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRISE 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. DIO THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
11. CoNDiTioNs (Check appropriate blocks.)
A. SKY B. WEATHER
DAY CUMULUS cLOUDS (Low luffy) FOG OR MIST
TWILIGHT CIRRUs CLOuDS (High fleecy or Herring- HEAVY RAIN
NIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMBUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG NONE OF THE ABOVE *
C. IF THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT DID YOU NOTICE ABOUT THE STARS AND MOON?
(1) STARS (2) MOON
NONE V BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL (New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? C 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. TOLIGHT SOURCE.
12. GIVE A SPIEF DESCRIPTION OF THE PHENOMENON. INDICATING WHETHER :T APPEARED DARK OR LIGHT, WHETHER IT
REFLECTEO LIGHT OR WAS SELF-LUMINOUS AND WHAT COLORS YOU NOTICED. 'DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLIO OR TRANSPARENT, WHETHER EDGES WERE SHARP OR FUZZY. DESCRISE THE SHAPE OR INDICATE IF IT
APPEARED AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER DASERVED OBJECTS, LIKE STARS, A LIGHT OR
OTHER DBJECT IN YOUR FIELD OF VIEW.
attintionsbeeause
light. But then
it
got the lineulars.
Cobape - Jwo parte
Cobr)-was
PAGE 4 OF 9 PAGES
*- cleane sty, no clonde. -

A. HOW DID IT FINALLY DISAPPEAR? an aisplane jet bielton et.
St rer the
went wet aut aut
of
1 *
8.D1D YES THE NO. IF *YES, DESCRIBE.
*
PAGE 5 OF 9 PAGES
TT

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.
o
. startid as higie.
-two
/ vashilak
had ne
b8-binowar wings
* X  obeerve
PAGES
and

17. DID YOU OSSERVE 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 ORDINARILY WEAR GLASSES? YES NO B. DO YOU USE READING GLASSES? YESN
18. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
GIVE ESTIMATE OF SPEED 50 .ph PHENOMENON? GIVE ESTIMATE OF DISTANCE_LRO
20. 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 BEAR SOME RESEMBLANCE TO WHAT YOU SAW: DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE
COMMON OBJECT AND WHAT YOU SAW.
4f can think
I objert
similear to the
saneer.
O0O 00
but did not mot
wlethem. rele then doars
ite it
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT REEE ON NYOURSELF.
ANIMALS OR MACHINERY IN THE VICINITY? YES NO. IF *YESDESCRIBE.
A. DID THE PHENOMENCN DISTURB THE GROUND ORLEAVE ANY PHYSICAL EVIDENCE. YES NO.
IF YES,"DESCRIBE.
-
PAGE 7 OF 9 PAGES
-

22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE? YES NO. IF YS IVE DATE AND
LOCATION.
did scelces once tnit hal
pie a
Kperh
23. WAS ANYONE WITH YOU AT THE TIME YOU SAW THE PHENOMENON? YES I5
YES O NO.
LIST TH
Strut Med
strect Regack
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME
TELEPH AGE
i3 MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT. INDICATE ADDITIONAL INFORMATION INCLUDING OC NON AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
25. WHEN YOU HAD SIGHTED THIS PHENOMENON?
23.
NAME DAY:UdyMONTH_ nYEARLI6E
25. DATE YOU COMPLETED THIS QUESTIONNAIRE. 29.
DAY AChdMONTH.
PAGE B OF 9 PAGE3
- T

18
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PATTERSON AIR FORCE BASE. OHIO 45433
REPLY TO 27 ..1968.
ATTN OF TDPT (UFO)
SUBJECT: UFO ervation
TO:
Street
Rego Park, ,New York 11379
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 you complete the F Form ll7 and return it in the self- 117 and return it in the self-
addressed envelope. addressed envelope Thank observation to ation to
the Air Force.
ECTOR QUIN ILLA, Jr, Lt Colonel, USAF Colonel, USAF 1 Atch
Chief, Aeria nenomena enomena Office AF Form 1l7 w/envelope AF Form 117 w/envelope
Aerospace Technologies Aerospace Technologies Division
Producticn Directorate
68 AlSo
23 Ju
see
-

AFR 80-17(C1)
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDGET EUREAU APPIOVAL
( NUMBER 21-2350
YOU CAN GIVE THE U.S. AIR FORCE AS MUCH INFORMATION
AS POSSIBLE CON
ANSWER ALL ESTIONS. THE INFORMATION YOU GIVE WILL BE RESEARCH PURPOSES.
YOUR CONNEOTION NY OF YOUR STATE CONCLUSIONS WITHOUT
YOUR PERMISSIGN. RE AIR FORCE BASE INVESTIGATOR FOR FORI FTD (TDETR), WRIGHT-
PATTERSON AFB,OHI0 45433 W AFRBO-I7. (IF ADDITIONAL SHEETS ARE NEEDE D FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO TH DRM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1. WHEN DID YOU SEE THE PHENOMENON?
DArdundar MoNTH Dun reaR 1268
2. WH A T E DID SIGH PH ENOMENON?
"HOUR 8:00 MINUTES 4.5 A.M. P.M.
3. WHAT TIMI F DI D Y ou L AST SIGH T EN OM IENON?
HOUR 0 O MINUTES A.M. P.M.
4. TIME/ZONE 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 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.
Street er
E
street Street
1 1
observer sver
tsrit
6. IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN A ON THE CURVED LINE TO SHOW HOW HIGH THE 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 HOPIZCN THE PHENOMENON WAS WHEN LAST SEEN.
90 , A
1 8
|
1
1
I
1
1 15
OBSERVER
(
AF FORM 117
AUG67

about incident that
happened me about a month ago. It was a clear day,
bright and sunney. was walking along my alley,
when my attention was drawn to a bright shiney object
in the sky. about 250 ft the air, and
about 100 from me. It couldn't have been a
plane or je ecause it made no sound whatdoever.
There was one thing very strange, befo it disappeared
it let out a large column of smoke. Would you please
write me and tell me what this thing is. Thank You.
Sincerely you
Rego Par
11379
Ravd ir Juie as
6

explanation of what you However, i: will complete
the attached questionnair and mail it inclosed
envelope, our technical pe Air Force
an evaluation.
Should sight another UFO. please report it a3 soon
as possible to the nearest Air Force base- I Each base has a UFO
investigator, who is better position to make an on-the-spot
investigat ugus1 resulta in a more accurate analysis.
In the meantime, you might be able to identify the sighting
yourself by looking at the categories of object often reported as
UFO's in the Project Blue Book report we sent you on June 20,1968.
Sincerely
JAMES E.-AIKMAN
Major, UA3
Chief, Civll Aranch
Commnity Relations Division
Office of Inforxation
Mr
Rego Park, New York 11.379
Coord Cy- SAFOICC
Cmbk Cy -SAF-CIC
Activity Cy -SAFCIC
Reader Cy - SAF-OT
Stayback
SAF-CICC
2
ir

Jiine 20to - 4.M.
Tal
Bate

concl
behiar
You Sncerily yuirs
Lego TarkN.Yi37 11379
P.S.
h /
frindd

often these planes if one were shot down, a
senseless tragedy would result. ermore, no unidentified flying
object reported , investigated, and evaluated by the Air Force has ever
given any in cation f threat to our national security.
Moreover, M Moreover, M the Air Force contimues to extend an open
invitation to anyone invitation to anyone feels that he possesses he possesse any evidence of
extraterrestrial v lcles operating within the earth's space pace envelope
to submit his eviden to submit his evidenc for analysis; r analysis; one done sO.
Sincerely, Sincerely
JAMES H. AIKMAN
Ma jor, USAP
Chier, Civil Branch
Community Relations Division
Office of
Rego Park, New York 11379
Coord Cy - SAF-OICC
Cmbk Cy - SAF-OIC
Activity Cy - SAF-OIC
Reader Cy - SAF-OI
Stayback
SAF-OICC

Rego Park, N.Y.
June 22, 1968
Dear Project Blue Book,
I want to thank you for sending me the information
on U.F.O.'s. I think we are wasting our time to
send the Air Force letters. The reason is because of the
L
creatures may be planning to attack us right now.
the creatures want to find out about our Defense System.
Also if their ships can fly like we are told, then they
could demolish us. S So I think we should act now and
put out an order to shoot any U.F.o. which will not put out an shoot any U.F.O. which will not
communicate. I hope you will take this theory riously.
I will a1 Thank You.
Rego Park, N.Y.
11379

DEPARTMENT OF THE AIR FORCE
WASHINGTON 20330
OFFICE OF THE SECRETARY June 20, 1968
Dear Mr.
This r replies to your recent letter concerning the obser-
vation of an unidentified flying object (uro).
Without essential information, such as detailed flight
characteristics, angular velocities, or weather information,
we are unable to undertake a scientific investigation. Had
you contacted the UFo investigator at your nearest Air Force
base immediately, an on-the-spot investigation would have been base immediately, ar estigation would have been
possible. possible.
We hope the inclosed Project Blue We hope the inclosed Project Blue Book repor Book repor may be of
help t to you in identifying your observation. identifying your observation.
Thank you repo rep vour observation
Sincerely, Sincerely,
Chief, Civil Branch
Community Relations Division
Office of Information
Attachment
Rego Park, New York 11379 .

to be a saucer. I stared at it for about 3 minutes. I estimate its height
at about 250 feet in the air. It was about 150 to 200 feet away. I knew
it couldn't be a jet or a plane , because of the way it flew. It was traveling
at about 75 m.p.h. Also there was s another strange thing about the saucer. It
let out a thick cloud of smoke af j just before it disappeared. It disappeared
from sight in a instant. It also made no noise
I
write me Also there
were no myse Thank You.
Sincerely
4r
Rego Park, New Yotk.
Zip: 11379
i.

AFR 80-17(C1)
SA. NOW IMAGINK YOU ARN ATTHIE CENTER OF THZ COHPASS ROSE. PLACE AN *A° ON THZ COMPASS TO INDICATE THZ
DIRZCTION TO THE PHENOMENON WMEN FIRST SEEN. PLACE A D* ON THE COMPASS TO INDICATE THE DIRECTION TO
THE PMENOMENON WHEN LAST SEEN.
NNW NNE
NE
B
WNW ENE
WSW ESE
SW SE
sSW SSE
7. IN THE SXETCH 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 "3°. 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. Shir is what it
Zecked
my benicula
3
1
PAGE 2 OF 9 PAGES

AFR 80-17(C1)
8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (Check appropriate blocks.)
OUTDOORS IN BUSIN ESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR □ AS DRIVER O AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE 0 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 MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON? Y
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS 5 AND 5
DESCRISE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAO, TERRAIN OR BODY OF WATER YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN
HOW MUCH OTHER TRAFFIC WAS THERE?
DID YOU NOTICE ANY AIRPLANES? YES NO. . IF YES," DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME IF YES," DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHERE HEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
9. HOWLONG HOW LONG WAS WAS TH E PH PH ENOMENON ENO MENON IN IN SIGHT?
LENGTH OF TIME : CERTAIN CERTAIN OF TIME NOT VERY SURE NOT VERY SURE
mnites -t
C FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINEO?
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. I INDICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES.
/
PAGE 3 OF 9 PAGES

AFR 80-17(C1)
TO. 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 THZ SIGHTING?
11. COnDITIONS(Check appropriate blocks.)
A. SKY B. WEATHER
DAY CUMULUS CLOUDS (LOW fluffy) FOG OR MIST
TWILIGHT CIRRUS CLOUDS(High fleecy or Herring- HEAVY RAIN
NIGHT bone) LIGHT RAIN OR ORIZZLE
CLEAR NIMBUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMSUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNXNOWN
HAZE OR SMOG NONE OF THE ABOVE
C. IF THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT DID YOU NOTICE ABOUT THE STARS AND MOON?
(1) STARS (2) MOON
NONE V BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO UNKNOWN UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOWN UNXNOWN PARTIAL (New Or quarter) PARTIAL(New Or quarter)
D. IF D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN SIGHTING WAS IN DAYLIGHT. WAS THE SUN VISIBLE? YES YES NO. LE IF -YES WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD(NeG nOOn) OVERHEAD(NeG noon)
IN BACK OF YOU IN BACK OF YOU TO YOUR LEFT UNXNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR
STREET LAMP. ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY STREET LAMP. ETC. FOR TERRESTRIAL ILLUMINATION. DISTANCE TO LIGHT SOURCE.
reely lrh
Streit
12. GIVE A BRIEF DESCRIPTION OF THE PHENOMEMON, INDICATIMG WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT ti
REFLECTEO LIGHT OR WAS SELF-I WHAT COLORS YOU NOTICED. DESCRISE YOUR IMPRESSION OF WHETHER
IT WAS SOLID CR TRANSPARENT, WMETHER DGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT
APPEARED A5 A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELO OF VIEW.
Iwada
bright to

the
A.HOW PPEARI
The trees and over The trees and over
The roftop
8. DID THE MOVE BEHIND oR IN FRON SOMETHING, LIKE A CLOUD, TRE ANY TIME?
YES O NO. DESCRIBE.
It bulding,
went aht /
:
PAGE5OF9 PAGES

AFR 80-17(C1)
1S. DRAW A PICTUNE THAT WILL SHOW THE SHAPE OF THE PHENOMENGN. INCLUDZ AND LABEL ANY DETAILS THAT MIGHT
HAVE APPEARED AS WINGS OR PROTRUSIONS, AND INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW TME
DIRECTION THE PHENOMENON WAS MOVING.
=
. -
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.
Swas
pinny
with the benioudars
PAGE 6 OF 9 PAGES

AFR 80-17(C1)
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? Y B. DO YOU USE READING GLASSES? YES NO
18. WHAT WAS YOUR IMPRESSION OF THE SPEED OE THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE
GIVE ESTIMATE OF SPEED PHENOMENON? GIVE ESTIMATE OF DISTANCELQE o
20. IN OROER THAT WE MAY OBTAIN AS CLEAR A PICTURE AS POSSISLE OF WHAT YOU SAW. DESCRIBE IN YOUR OWN WORDS
A COMMON OBJECT OR OBJECTS WHICH, WHEN PLACED IN THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENOMENON.
WOULD BEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE
COMMON OSJECT AND WHAT YOU SAW.
-
fake it hefore.
l
(
21. DID YOU NOTICE ANY ODOR. NO SE. OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF.
ANIMALS OR MACHINERY IN THE VICINITY? YES NO. IF *YES,*DESCRI9E.
A. DID THE PHENOMENON DISTURB THE GROUNO OR LEAVE ANY PHYSICAL EVIDENCE. YES NO.
IF "YES. "DESCRIBE.
(
PAGE 7 OF 9 PAGES

AFR 80-17(C1)
22. HAVE YOU EVER BEEN TMIS OR ASIMILAR PMEMCMEMOM BEFORS E DATE AND
LOCATION.
23. WAS ANYONE WITH YOU AT THE TIMZ YOU SAW THE PHENOMENON? TRYES NO. I1 DID THEY SEE IT TOO?
YES NO.
λ. LIST THEIR NANES AND ADDR
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME, FIRST MIDOL
ADDrEss (Sreet, Cuy, State and Zip C
Cgo Pak 11379
TELEPHONE
13 MALE MALE FEMALE FEMALE
INDICATE AODITIONAL INFORMATION INCLUDING OCCUPATION ANO ANY EXPEMIENCY WMICH MAY BE PERTINENT. INDICATE ADDITIONAL INFORMATION INCLUOINO OCCUPATION ANO ANY EXPEMIENCE WHICH MAY BE PERTINENT.
.
25. WMEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
NAM Dar duindaymonTnfesr YEAR1968
26. DATE COMPLETED THIS QUESTIONNAIRE.
DAY Briday MoNTy Juy YEa 6P
PAGE 8 OF 9 PAGES