PROJECT BLUE BOOK

.I
PROJECT 10073 RE0ORD
1. DAYE- TLS CHOUP B. LeCATION
e3 July 6o
2215 10 29/02150 ATTANISTA. VIRGINIA
C. SOURCE T0. CONCLUSION
CIVILIAN ASTRO PROB MOON ASTRO PROB MOON
4. NUMBER OF OBJECTS .. NUMBER OBJECTS
SNO TNO
3 LENOTH OF OSSERVATION 5- LENOTH OF OSSERVATION 11. BRIEF 11. BRIEF SUWARY AND ANALYSIS AND ANALYSIS
TWO OR TRHEE MINUTES TWO OR TRHEE MINUTES The observer stated that "At first there was a small that "At first there was a small
TYPE OF OSSERVATION 6TYPE OF OSSERVATION spot in the sky and it grew slowly it grew slowly in size. It held
its fall size for a few seconds, before starting starting to
GROUND-VISUAL slowly disappear. As it grew smaller the second one
7. COURSE COURSE started to appear started to appear the same same way." The second one then
disappeared lil disappeare e the first firstone one.
SW
. PHOTOS COMMENTS: The local investigator felt that the
observation was of the moon fading in and out of the
clouds. T The moon was on the horizon at an azimuth of
a80 deg at the time. Dr. Hynek agreed with our
.PHYSICAL EVIDENCE evaluation ob. moon through clouds.
DYs
3 No
FORM
(TDEY imn this fom ory to nand.
.
BT

AFR 80-17(C1)
27. INFORMATION WHICH YOU FEEL IS PERTINENT BUT WNICH I3 NOT ADEQUATELY COVERED IN THIS QUESTIONNAIRE, ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATIOM OF THE SIGHTING.
This seport miny miT ejiser a goool
dwexsbion of the abpit, buit eou
meid information to esplhnin
a0 Dest as Can of oent the objects
PAGE 9 OF 9 PAGES

28 Guly 68
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PA ERSON AIR FORCE BASE. OHIO 45433
REPLY TO
ATTN OF: TDPT (UFO)
SUBJECT:
TO:
gton, Virginia 24550
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
adiressed envelope. Thank y reporting your observation to
the Air Force. the Air Force.
HECTOR QUINTANILLA, Jr, Lt Colonel, USAF 1 Atch
Chief, Aerial Phenomena nenomena Office AF Form 117 w/envelope AF Form 1l7 w/envelope
Aerospace Technologies Division Aerospace Technologies Division
Production rectorate
10:00-10:15
280
m0 on hwigon at ay.
-

ON 6 August 1968
28 July 1968 Oypalta Vista, Virginia

J
UNCLASSIFIED
DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSAGE
AFIN: 18582 (31 Jul 68) P/fdb Pg 1of 6
ACTICN: RDO-4 INFO: XOP- OX-2, SAFOS-3, DIA-1 CY JCS/DIA
SMB E309PTTUZYWW RLEDARD21
ZnR UUUuu
P 312000Z JU 68
R1 649th RADAR SQ BEDFOrD aFS va
TO RUMFVA/ADC ENT AFB COLO
FLEDARA/33RD AIR DIV FT LEE AFS VA FLEDARA/33RD AIR DIV FT LEE AFS VA
RLEPTTUZYUW RUEDARD2183 RLEPTTUZYUW RUEDARD21 -RLEDFIF RLEFHQA RUWMFVA. L-RLEDFIF RLEFHQA RUWMFVA.
ZNR UUUUU
P 312000Z JUL 68 P 312000Z JL 68
FM 649TH RADAR SQ BEDFORD AFS VA
TO RUMFVA/ADC ENT AFB COLO TO RUWMFVA/ADC ENT AFB COLO
RLEDARA/33RD AIR DIV FT LEE AFS VA
RLEDFIF/FTD WRIGHT PATTERSON AFB OHIO
FLEFHOA/CSAF WASHINGTON D C
RLEFHGA/CSAF N DC
ET
UNCLAS 6ASOAC. SLBJECT: UFO REPORT. FTD WPAFB FOR TDETR, CSAF FOR
AFRDC, CSAF FOR SAF-OI, IAF FOR 1AF-OIN, 33RD ADIV FOR 350IN. THE
FOLLOVING INFORMATION CONCERNING A UFO SIGHT ING IS SUBMITTED IAW PARA
11, AFR 80-17 I PRESCRIBED.
.. AFHQ JAN 0-309C FORM
UNCLASSIFIED

.. ..
UNCLASSIFIED
DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSAGE
AFIN: 18582 Pg 2of 6
A. DESCRIPTION OF THE OBJECT:
(1) QLARTER MOON SHAPED
(2) POSSIBLY SMALLER THAN THE MOON
(3) WHITE-YELLOW
(4) 2
(5) TWO OBJECTS SI C BY SIDE
(5) NONE
(7) NONE (7)NONE
PAGE 2 RUEDARD2183 UNCLAS PACE 2 RUEDARD2183 UNCLAS
(8)NONE
(9) NONE
B. DESCRIFTION OF COURSE OF OBJECTS:
(1) NOTICED BY THE PROPRIETOR OF A RESTAURANT. OBSERVER OUT OF
CURIOLSITY WENT OUTSIDE OF RESTAURANT TO WITNESS EVENT.
(2) IN THE WESTERN SKY APPROXIMATELY DEGREES ABOVE HORIZON.
(3) SAME AS NUMBER 2.
(4) BOTH OBJECTS WERE PRETTY MUCH STATIONARY. THE OBJECT ON THE
LEFT HAND SIDE MOVED COLNTERCLOCKWISE ONE ONE
ON THE RIGHT REMA INED STATIONARY.
(5) INITIALI ONLY ONE CBJECT WAS S SEEN, AND THEN WHEN IT BEGAN
AFHQ JAN 35 FORM 0-309C
UNCLASSIFIED

7
UNCLASSIFIED
DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSASE
AFIN: 13582 Pg 3 of 6
,
TO FADE THE SECOND OBJECT APFEARED AND INCREASED IN LIGHT INTENSITY.
AS THE SECOND OBJECT INCREASED IN INTENSITY THE FIRST OBJECT DIS-
APPEARED COMPLETELY. THEN THE SECOND ONE REMA INED AT FULL INTENSITY
FOR APPROXIMATELY 30 SECONDS AND THEN IT COMPLETELY.
(6) FIRST OBJECT; 1 MINUIES (6) FIRST OBJECT; 1 MINUTES
SECOND OBJECT: 2 MINUTES
TOTAL TIME BOTH OBJECTS VISIBLE: 2 MINUTES AND 30 SECONDS
(THE LOSS OF 3O SECONDS IS DIE TO THE TIME THAT BOTH OBJECTS WERE (THE LOSS OF 3O SEONDS IS DIE TO THE TIME THAT BOTH OBJECTS WERE
VISIRLE SIMILTANEOUSLY). VISIRLE SIMLTANEOUSLY).
PAGE 3 RLEDARD2183 INCLAS
C MANNER OF OBSERVATION:
(1) GROUND-VISUAL
(2) NONE
(3) NA
D. TIME AND DATE OF SIGHTING:
(1) 290200Z JUL INE 10PM
(2) NIGHT
E. LOCATICN BSERVER: : 4 MILES NORTH OF ALTA VISTA, VIRGINIA, ON
F. IDENTIF
AFHO JAN 65 FORM 0-309C
UNCLASSIFIED

UNCLASSIFIED
DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSAGE
AFIN: 13582 Pg 4 of 6
(1 CIVILIAN;
O WERE VERIFIED
BY A SECOND WITNESS (SEE SECTION K). I SEE NO REASON O DOLBT THE
FLIABILITY OF HIS REPORT.
(2) N/A
G WEATHER AND WINDS - ALOFT CONDITIONS AT TIME AND FLACE OF
SIGHTING:
(1) OBSERVER ACCOLNT OF WX: CLEAR (1) OBSERVER ACCOLNT OF WX: CLEAR
(2) REPORT OF WX FROM US WX BUREAU:
FAGE 4 RUEDARD2183 UNLAS FAGE 4 RUEDARD2183 UNLAS
6: 310/08/PLUS15
10: 310/20/FLUS6
16: 290/20/-1
20: 270/30/-8
30: 270/40/-31
50: 250/35/-72
80: NOT AVA LABLE
(3) CELING: NONE
(4) VISIBIL ITY: UNL.INITED
AFHQ JAN 65 FORM 0-309C
UNCLASSIFIED

7
UNCLASSIFIED
DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSASE
AFIN: 18582 Pg 5 of 6
(5) CLOUD COVER: 2/8 CIRRUS
(6) THUNDERSTORM: NONE
(7) VERTICAL TENP DIENT: REFER TO PARA G(2)
H. NONE
L. NONE I. NONE
J A WEATHER BALLOON WAS LAINCHED BY THE WEATHER SERVICE IN HLNT- J A WEATHER BALLOON WAS LALNCHED BY THE WEATHER SERVICE IN HINT-
INGTON, WEST VIRGINIA, 165 NAUTICAL NILES VNW OF THE FLACE OF INGTON, WEST VIRGINIA, 165 NAUTICAL MILES WNW OF THE PLACE OF
SIGHT ING. IT WAS LALNCHED AT 1915 EASTERN DAYLIGHT SAVINGS TIME
1 AND RENA INED ALOFT UNTIL 2047 EASTERN DAYLIGHT SAVINGS tIME.
IT REACHED ANALTITIDE OF 94,O0O FEET. AZIMUTH OF BALLOON AT IT REACHED ANALTITUDE OF 94,00O
HIGHEST ALTITUDE APPROXIMATELY 260 DEGREES AND AT A DISTANCE OF
5 MILES FROM LAUNCHING FOINT.
FAGE 5 RLEDARD2183 UNCLAS
K. COMENTS OF INVESTIGATION OFFICER: 2LT RICHARD H. REIPER, GROUND
ELECTRONICS CFFICER, 649TH RADAR S0, BEDFORD AFS, VA.,: AREA CODE 703
HONE TELEPHONE 586-1351, OFFICE TELEPHONE - SAGE AUTOVON 283-4246.
THIS DIFFERENCE IN TIME FRON THE REPORTED TINE OF SIGHTING 22CO LOCAL
AND THE TME THE BALLOON S JOURNEY TERMINATED (APPROXIMATELY 2100
LOCAL DISCOLNTS THE EXPLANATION OF THE SUN REFLECTING OFF OF
THE BALLOON, UNLESS OF COURSE TIMES F RTED WERE INACCURATE.
AFHQ JAN 65 FORM 0-309C
UNCLASSIFIED

UNCLASSIFIED
DEPARTMENT OF THE AIR FORCE
STAFF MESSAGE BRANCH
INCOMING MESSAGE
AFIN: 18582 Pg 6 of 6
J
LYNCHELRG CONTROL TOWER (15 NILES NORTH OF SIGHTING) RECEIVED ONE
CALL AT APPROXIMATELY THE SAME TINE AS REPORTED BY THE OBSERVER.
THEY REPORTED SEING NO OBJECT. ROANOKE MUNICIPAL AIRPORT (50
MILES WEST OF SIGHTING) WAS ALSO CALLED AND THEY REPORTED RE-
CEIVING A NUMBER OF CALLS AT THAT TIME. THE INVESTIGATED AND
NOTICED A FADING IN AND OUT OF THE MON IN THE WESTERN SKY. THEY NOTICED A FADING IN AND OUT OF THE MOON IN THE WESTERN SKY. THEY
ATTRIBUTE MOVING CLOLDS IN FRONT OF THE NOON AS BEING THE CAUSE
FOR THE ALARM, CAUSING THE FADINg AND BRIghTENING ACT ION REPORTED FOR THE ALARM, CAUSING THE FADING AND BRIGHTENING ACT ION REPORTED
BY OBSERVER. THE UFO INVESTIGATOR WOULD TEND TO.BELIEVE THIS
FEPORT FROM THE ROANOKE CONTROL TOWER AND ATTRIBUTE THE TWO. FepORT FROM THE ROANOKE CONTROL TOWER AND ATTRIBUTE THE TWO.
CBJECTS REPORTED BY THE OBSERVER AS BEING TWO PARTS OF THE CBJECTS REPORTED BY THE E ObSERVeR aS BeinG tWO PaRts oF thE mOon S E MOOn S
REFLECTION VARYING IN LIGHT INTENSITY.
ET
AWININ
AFHQ JAN 85 FORM 0-309C
UNCLASSIFIED

AFR 80-17(C1)
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDGET EUREAU APPXOVAL
NUMBER 21-753
THIS QUESTIO HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S. AIR FORCE AS MUCH INFORMATION
AS POSSIBLE THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO
ANSWER AL E INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES
YOUR WITH ANY OE YOUR STATEME ENTS OR CONCLUSIONS WITHOUT
YOUR TORCE BASE INVESTIGATOR FOR FOR ARDING TO FTD (TDETR), WRIGHT-
PATTER AFRSO-I7. (IF ADDITIONAL SHEETS ARE NEE D FOR NARRATIVE OR SKETCHES
ATTACH YTO
1. WHEN ou SE E TH PHENOMENON?
DAY.. 28 MONTH JULY YEAR /86.8
2. WHAT DID YOU IRS SIGH T THE PHENOMENON? 10:0t 10:15
HOUR MINUTES P.MA.M. F.M.
3. WHAT TIME DID YOU LAST SIGHT T PHENOMENON 7 10:00 410:K5
MINUTES A.M. ErP.M.
4. TIME ZONE &AYLIGHT SAVINGS STANDARD
EASTERN CENTRAL PACIFIC JOTHER
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.
3 mi c HLTUISTA 2LUISTH UA. ON U.5, 29. u.5,29.
NonT it NOnT it
IN oF REsT6pi
FN DEIVEWAY DEIVEWAY THE O6JECTS O6jECTS
WERE WECE 111 17 1N 1? SOUTH We SOUTH WEST
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
L
1
I
|
A - 1B
I
I
I
1 15
OBSERVER
81311
AF FORM 117
AUG 67

AFR80-17(C1)
LAVAN2wW34MN
SA. MON IMAGINE YOU ARE ATTHZ CENTRA O" THE COMPASS RONE. PLACH AN *A* ON THE COMPASS TO INDICATE THE
DIRECTION TO THE PHENOMEYON WNNN FIRSY SEEM. PLACE A "&" ON THE COMPASS TO INOICATE THE DIRECTION TO
THE PHENOMENON WHEN LASTSEXN.
A
NNON NNE
NE
WNW ENE
WSH E
SE
SSW SSE
B-
7. IN THE SKETCH BELOW, PLACE AN "A° AT THE POSITION OF THE PHEMOMENON WHEN FIRST SEEN, AND A B" AT THE
POSITION OF THE PHENOMENON WHEN LAST SEEH. 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 SKETCM AS AN EXAMPLE OF HOW TO COMPLETE
THE LARGERSKETCH.
PAGE 2 OF 9 PAGES

AFR 80-17(C1)
8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (ChECk aPprOPriate 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 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 WERE MOVING? HOW FAST WERE YOU MOVING?
INORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS 5 ANO 6.
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD, TERRAIN NOR BODY OF WATER YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MU CH OTHER TRAF FIC WAS THERE?
DID YOU NOTICE ANY AIRPLANES? YES 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 L ONG WAS TH IE PH ENOMENON IN SIGHT?
PAGE 3 OF 9 PAGES

AFR 80-17(C1)
BALN
BO. IF THERE WERE MORE THAN ONZ PHENOMENON, HOW MANY WEME THSRE? DRAW A PICTURE TO SHOW HOW WERE
ARRANGED. DIO THIS ARAANGEMENT CHANGE DURING THE SIGHTING?
THe deconcl obzeer poiition
11. CoNOiTiONs(Check appropriate blocks.)
A. ExY B. WEATHER
DAY CUMULUS CLOUDS (LOW fluffy) FOG OR MIST
YWILIGHT CiaRus CLouDs (High fleecy or Herring- HEAVY RAIN
NIGHT bone) LIGHT HAIN ORI DRIZZLE
CLEAR NIMBUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMSUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNKNONN
MAZEORSMOG NONE OF THE ABOVE
C. 'F TNE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT DID YOU NOTICE ABOUT THE STARS AND MOON?
STARS STARS (2) MOON
NONE BRIGHT BRIGHT MOONLIGHT NO MOONLIGHT
AFEW MOON HITH HALO UNKNOWN
MANY MANY MOON HIDDEN BY CLOUDS
JUNKNOWN PARTIAL (New or quarter)
DM D. IF SIG-TING WAS IN DAYLIGHT, WAS THE SUM IF SIG-TING AS IN DAYLIGHT, WAS THE SUN VISIBLE1 VISIBLEI YES NO. NO. IF "YES, WHERE WAS THE SUN AS YOU FACED IF YES,· WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU IN FRONT OF YOU TO YOUR RIGHT OVERHEAD(NeG nOON) OVERHEAD(NeOr 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 ILLUHINATION, SPECIFY DISTANCE TO LIGHT SOURCE. STREET LAMP, ETC. FOR TERRESTRIAL ILLUHINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
12. GIVE A BRIEF CESCRIPTION OF THE PHEVOMEMON, INDICATING WHETHER IT APPEAREO DARK OR LIGHT, WHETHER IT
REFLECTED LICHT OR WAS SELE-LUMIMQUS 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 THEY WERE SELF-LUM1HOU5
THE EdGEs LOERE A LITTLE F0234.
PAGE 4 OF 9 PAGES

an smull pot
DA heed its fuep Dize for e fiw seconirs before
ACo disppese: ts i grew sinelli tu
sturting tope
A. HOW DID IT FINALLY DISAPPEAR? lide it appeaist , stowty
Tre bist disappeaniai Gotng
pmatlr. smael the secund ine staetide
Tor apear as the olid It Piemeid to fe
i netical
Dionv2 and stantng
B. DIO THE YES PHENOMENON MOVE SEHIND ORIN 4O. IF *YES,"DESCRIBE. N FRONT OF SOMETHING, LIKE A CLOUD, AREE, OR BUILDING AT ANY TIME?
2
PAGE 5 OF 9 PAGES

AFR 80-17(C1)
1S. DRAW A PICTURE THAT WILL SHOW THE SHAPE OF THE PHENOMZNON. INCLUDX AND LABEL ANY DETAILS THAT MIGHT HAVE APPEAREO AS WINGS OR PROTRUSIONS, AND INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING.
IF they Amor it wae cbrictly towond ane
hom ins. Thie wasnt Thee
27 Cottet be Ce speik
in the 1 goiing
PesTI0n oF SECOHD ONE BE FORE STAETING TO DIsrPpern.
16. LAMP CR T-E MCON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. WHAT WAS THE SNGULAR SIZE? HOLD A MATCH AT ARM'S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET NOW IF YOU HAD
BEEN ABLE "O PEPFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE PHENOMENON YOLLD -AVE BEEN COVERED BY THE MATCH HEAD.
pes 1/3 OF iT
PAGE 6 OF 9 PAGES

AFR 80-17(C1)
( 17. OID YOU OBSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING? INCLUDE INFORMATION ON MODEL
TYPE, FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES I CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINEOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES DHNO B. DO YOU USE READING GLASSES? []YES ILNO
18 AHAT 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  AA
2O. IN ORDER THAT WE MAY OBTAIN AS CLEAR A PICTURE AS POSSIBLE OF WHAT YOU SAW, DESCRIBE IN YOUR OWN WORDS
A COMVON 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.
RESEMB 14mooN WW ! T i1
THEY
R BRIGHT GLOW IN ITSELF.
( (
21. DIO YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF.
ANIMALS OR MACHINERYIN THE VICINITY? O YES C140. IF *YES." DESCRIBE.
A. DID THE P-ENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. LIYeS EN.
IF YES."CESCRIBE.
(
PAGE 7 OF 9 PAGES

AFR 80-17(C1)
22. HAVE YOU EVEM SEEN THI3 OR A SIMILAR PHZNCMENOM BZPORN?
LOCATION.
23. WAS ANYON YOU AT THE TIME SAW PHENOMZNONT YES *YESDID THEY SEE IT TOO?
DYEs 0 MO.
A. LIST THEIR HAMES ANDADDRESSZS
WiFE AND SEUECAL OTHER
UNKNOON PEOPLE
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
AME, MIDDLE NAME
ADDPES3 (Strees, Cliy, State and Zip Code)
ONE(Area =ode (number) AGE
24 MALE MALE FEMALE FEMALE
INDICATE ADDITIONALINFORMATION INDICATE ADDITIONAL INFORMATIOI INCLUDING OCCUPATION OCCUPATION AND ANY EXPEAIENCE WMICH MAY AND ANY EXPEAIENC MA BE PERTINENT. ENT.
LYNCHBURG LYNCHBURG V.A. |OFFICE /OFFICE WCEK) WeER)
25. WHEN AND TO D1o YOUREPORT THAT OU HAD SIGHTED THIS PHENOMENON?
FORCE
26. DATE YOU COMPLETEO THIS QUESTIONNAIRE.
DAY 1/MONTH BUEUST YEAR196.S
PAGE B OF 9 PAGES