PROJECT BLUE BOOK

PROJECT 10073 RECORD
1. DATE ·TIME GROUP 2045EUT 2. LOCATION
19 Aug 68 20/00452 Moatsville, West Virginia (2 Witnesses
3. SOURCE 10. CONCLUSION
Civilian Astro, Probable (CAFELLA)
4. NUMBER OF OBJECTS The ohserver saw the light 3 nights straight. Capella would hav
One been rising in roughly the N at the approx time of the observatipn
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
2 1/2 Hours The observer sighted a bright white light that flashed green
s. TYPE OF OBSERVATION and red through binoculars. The light was firat seen in the
north, low to the horizon and 2l/2 hours later was in tha Ns
Ground-Visual at a higher elevation. : .
7. 7. COURSE COURSE
N - NE N - NE
3, 3. PHOTOS
Yes
XXNo
9. PHYSICAL PHYSIC EVIDENCE, DENCE,
Yos Yos
XXNo TXNo
FORM
FTD SEP 63 0.329 (TDE) Prevlous aditions of thls form may be used,
'

AFR 80-17(C1)
17. DID YOU O3SERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING? INCLUDE INFORMATION ON MODEL,
TYPE, FILTER. LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
4
SUNGLASSES BINOCULARS
WINDSHIELD TEL ESCOPE
SIDE WINDON OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? [YES NO 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, DESCRISE IN YOUR OWN WORDS
A COMNON 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.
(
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF.
ANIMALS OR MACHINERY IN THE VICINITY? 0 YES 1NO. IF *YES," DESCRIBE.
A. DID THE PHENOMENON DISTURS THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YES NO.
IFYES,"DESCRIBE.
1
PAGE 7 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
-
SUNGLAESES BINOCULARS
WINOSHIELD TELESCOPE
SIDE WINDON OF VEHICLE THEODOLITE
WINOOMPANE OTHER
A. DO YOU DRDINARILY WEAR GLASSES? YES !NO B. 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 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 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.
(
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF.
ANIMALS OR MACHINERY IN THE VICINITY? YES NO. IF"YES,"DESCRIBE.
A. DID THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YES NO.
IFYES." DESCRIBE.
-
PAGE 7 OF 9 PAGES

AFR 80-17(C1)
22. MAVE YOU ZVZR SEEN TNIS OR A SIMILAR PHEHOMEN DEFONEI YIB GIVE DATE AND
LOCATION.
23. WAS AHYONE WITH YOU AT THE TIME YOU SAW THE PHENGMENON? E3 NO. IF *YES." DID THEY SEE IT TOO?
OYeS NO.
A. LIST THEIR NAMZS AND ADDRESSES
—
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME, FIRST NAME, MIDDLE NAME
ADDREss (Street, Ciy, State and Zip Code)
TELEPMOWE(Area cOIe aNd nuMbe) AGE
MALE FEMALE
INDICATE ADOITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT. INDICATE ADOITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
22
25. WHEN AND TO WHOM OID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
.
NAME DAY MONTH YEAR
25. DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY MONTH YEAR
PAGE 8 OF 9 PAGES

AFR 80-17(C1)
22. HAVE YOU ZVEA SEEN TMISOR A SIMILAR PHEMOMEMOH BEPONE? DATE AND
LOCATION.
23. WAS ANYONE HITH THE TIME YOU SAW THE PHEMOMENON? NO. IF *YES, DID THEY SEE IT TOO?
YES ONG.
A. LIST THEIR BSES
24. GIVE THE FOLLOWING INFORMATION ABCUT YOURSELF
LAST NAME, FIRST
ADDRESS City, State and
TELEP
MALE FEMALE
TONALINEORMT ONALINFOR INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
23. WHEN AN D D1 = YOU REPORT THAT YOU HAD SIGHTEO THIS PHENOMENON?
NAME DAY. MONTH YEAR
26. DATE YOU CO THIS QUESTIONNAIRE.
DAY MONTH YEAR
PAGE 8 OF 9 PAGES

AFR 80-17(C1)
27. INFORMATION WHICH YOU FEEL IS PERTINENT BUT WHICH IS NOT ADEQUATELY COVERED IN THIS QUESTIONNAIRE, ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
1
J 7.
'
PAGE 9 OF 9 PAGES

AFR 80-17(C1)
27. INFORNATION WHICH YOU FEEL IS PERTINENT BUT WHICH IS NOT ADEQUATELY COVERED IN THIS QUESTIONNAIRE,
ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
2SSEP -
.
auatry
'…
PAGE 9 OF 9 PAGES

AFR 80-17(C1)
SIGHTING OF UNIDENTIFIED PHENOMENA 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
ANSWER ALL
YOUR PERMISSION. RETUK TO AIR FORCE BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR), WRIGHT.
PATTERSON AFB, OHIO 45433, IAW AFR 8O-[7. (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1. WHEN DID YOU SEE THE PHENOMENON?
DAY19-21 MONTH YEAR 68
WHAT T E YOU FIRST SIGHT THE PHENOMENON?
HOUR2100 MINUTES CIA.M. LJP.M.
3. WHAT TIME DIO YOU LAST SIGHT THE PHENOMENON?
2155 []A.M. CP.M.
HOUR MINUTES
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 DRANN MAP WHERE YOU WERE STANDING WITH REFERENCE TO THE ADDRESS. IF IN THE COUNTRY, IDENTIFY THS
HIGHNAY VOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
Aaide N
S S
6 IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN *A' ON THE CURVED LINE TO SHOW HOW HIGH THE IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN 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 WHEN EIPST SEEN SAL
SHOW HOA HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90 11
L
|
1
1
I
1
|
I 15
1
OBSERVER
AF FORM 117
AUG 67

AFR 80-17(C1)
6A. NOW IMAGINE YOU ARE ATTHE CEN TER 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.
2
N
NNW NNE
NW NE
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
THE LARGER SKETCH.
E
PAGE 2 OF 9 PAGES

AFR 80-17(C1)
8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? ((AeCk aPPTOPriate blOrkS.)
OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR 0 AS DRIVER ]AS PASSENGER X IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE AS PILOT PASSENGER FLYING OVER CITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
A. IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWING:
WAT DIRECTION WERE YOU MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DIQ YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES [NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS 5 AND 6.
a
DESCRISE 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 OTHER TRAFFIC WAS HOW MUCH OTHER TRAFFIC WAS THERE?
CITTLE
DID YOU NOTICE ANY AIRPLANES? DID YOU NOTICE ANY AIRPLANES? C YES
OF SIGHTING THE PHENOMENON AND WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
9. 9. HOW LONG HOW LONG WAS THE PHENOMENON IN PHENOMENON IN SIGHT? SIGHT?
LENGTH OF TIME CERTAIN OF TIME CERTAIN OF TIME NOT VERY SURE
2HRS. Has FAIRLY CERTAIN FAIRLY CERTAIN JUST A GUESS JUST A GUESS
HOW WAS TIME DETERMINED?
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. INDICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES.
PAGE 3 OF 9 PAGES

AFR 80-17(C1)
1O. 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 THE SIGHTING?
11. CoNDiTiONs (Check appropriate blocks.)
A. SKY 8. WEATHER
DAY CUMULUS CLOUDS (LOW flujfy) 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) STAPS STARS (2) MOON
NONE BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL (New or quarter)
D. F SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? O. F SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? YES 0 NO. IF "YES," WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU 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. STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIF DISTANCE TO LIGHT SOURCE.
CIGHTS
12. GIVE A BRIEF CESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
REFLECTED LIGHT OR WAS SELF-LUMINOUS 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
APPEAREO AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEW.
RED -WHITE(FLASHING)
SELF-LUMINOUS-
SOLIP
GLOBE STAPED
PAGE 4 OF 9 PAGES

AFR 80-17(C1)
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDGET DUREAU APPTOVA
NUMBER 21-R230
AS POSSIELE ERNING THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO
ANSWER QUESTIONS. THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES
YOUR WILL NOT BE USED IN CONNECTION WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT
YOUR PERMISSION. RETURN TO AIR FORCE BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR), WRIGHT-
PATTERSON AFB, OHIO 45433, IAW AFRBO-I7. (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1. WHEN DID YOU SEE THE PHENOMENON?
MONTH YEAR
2. WHAT E DID YOU FIRST SIGH T HE PHENOMENON?
HOUR MINUTES A.M. P.M.
. WHAT TIME DID YOU LAST SIGHT THE PHENOMENON?
HOUR MINUTES A.M. D P.M.
4. TIME/ZONE DAYLIGHT SAVINGS STANDARD
EASTERN CENTRAL MOUNTAIN PACIFIC OTHER
5. WHERE WERE YOU WHEN YOU SAW THE PHENOMENONT IF IN CITY. GIVE THE NEAREST STREET ADDRESS AND INDICATE ON
A HANO 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.
.
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 HO4 HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90 17
L
1 60
I
1
1
1
I
1 15
1
OBSERVER
{
AF FORM 117
AUG 67

CHANGE SHAPEI
FLASH O R FLICKER?
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
Uutin rad, Mapphed tnstetin the
Hey
A. HOW DID IT FINALLY DISAPPEAR? A. HOW DID IT FINALLY DISAPPEAR?
Atl in Dight
Atill in Jight
8. DID THE PY - IOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
O YES No. IFYES,"DESCRIBE.
PAGE 5 OF 9 PAGES

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.
NNW NNE
M
16. WHAT WAS THE ANGULAR SIZE? HOLD A MATCH AT ARM'S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET
LAMP OR T-E MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. NOW IF YOU HAD
BEEN A3LE TO FERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
PHENOMENON HOULD HAVE BEEN COVERED BY THE MATCH HEAD.
3uof clyect
PAGE 6 OF 9 PAGES

AFR80-17(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 DRDINARILY WEAR GLASSES? YES NO B. DO YOU USE READING GLASSES? IIYES N
18. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENONT GIVE ESTIMATE OF SPEED PHENOMENON? GIVE ESTIMATE OF DISTANCE Smut
NO
2O. IN ORDER T-AT WE MAY OBTAIN AS CLEAR A PICTURE AS POSSIBLE OF WHAT YOU SAW, DESCRIBE IN YOUR OWN WORDS
A COMMON BJECT 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.
aJop
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF.
ANIMALS OR MACHINERY IN THE VICINITY? YES NO. IF *YES, DESCRIBE.
A. DID THE PHENOMENON DISTURB THE GROUND CR LEAVE ANY PHYSICAL EVIDENCE. YES 0 NO.
IF "YES," DESGRIBE
boln't knaw
PAGE 7 OF 9 PAGES

AFR 80-17(C1)
LOCATION.
23. WAS ANYONE WIT YOU A T THE TIME SAW THE PHENOMENON? YES ]NO. IF *YES,DID THEY SEE IT TOO?
YES NO.
A. LIST THEIR NAMES A N ESSES
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LASTNAME.FIRSTNAME IDDLE NAME
AGE
MALE FEMALE
L INFORMATION INCLUDING OCCUPATION AND ANY'EXPERIENCE WHICH MAY BE PERTINENT. LINFORMATION INCLUDING OCCUPATION AND ANY'EXPERIENCE WHICH MAY BE PERTINENT.
25. WHEN AND TO WHCM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
NAME DAY. MONTH YEAR
26. DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY. MONTH YEAR
PAGE 8 OF 9 PAGES

AFR 8017(C1)
27. INFORNATION WHICH YOU FEEL IS PERTINENT BUT WHICH IS NOT ADEQUATELY COVERED IN THIS QUESTIONNAIRE,
ALTZRNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
PAGE 9 OF 9 PAGES

19-21 Cng 68
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFBC)
WRIGHT PATTERSON AIR FORCE BASE. OHIO 43433
REPLY TO GERMS
ATTN O: TDFT (UFO)
SUBJECT: UFO Obse tion
19 - 21 August 1968
TO:
saltimore, Maryland 2l227
Your r name has been given to the Aerial Phenomena Office (Project
Blue I Bookas being a witness to an unidentified flying object.
If you were a witness to an UFo sighting on
would yod please complete the attached AF Folm allatdgretulnodt
in the envelope 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 which you provide will be used in The information which you provide will used in
evalunting this evaluating this observation. Thank you for your assistance in this observation. Thank you for your assistance in this
matter. matter.
HECTOR QUINTANILLA, Jr, Lt Colonel, USAF Lt Colonel, USAF 1 Atch
'Chief, Aerial Chief, Aerial nenomena enomena Office Office AF Form 117 w/envelope AF Form 117 w/envelope
Aerospace Techno Aerospace Technologies ologies Division
Production Directorate Production Directorate

19.21Avg
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PATTERSON AIR FORCE BASE. OHIO 43433
REPLY TO 3 3
ATTN OF: TDPT (UFO)
SUDJECT: UFO vation
19 - 21 1 August 1963
TO:
Moatsvil est Virginia 26405
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.
KECTOR QUINTANILLA, Jr, Lt Colonel, USAF HECTOR QUINTANILLA, Jr, Lt Colonel, USAF 1 Atch 1 Atch
Chief, Aerial Phenomena nenomena a Office Office AF Form 117 w/envelope AF Form 117 w/envelope
Aerospace Technologies I Aerospace Technologies Division
Production Directorate

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
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
POSITICN 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
THE LARGER SKETCH.
PAGE 2 OF 9 PAGES

AFR 80-17(C1)
8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (ChPCK aPPrOPRIAt 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 YOU MOVING? HOW FAST WERE YO U MOVING?
NORTH 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 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 OTHER TRAFFIC WAS THERE?
DID YOU NOTICE ANY AIRPLANES? 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.
9. HOW LONG WAS THE PHENOMENON IN SIGHT?
PAGE 3 OF 9 PAGES

AFR 80-17(C1)
TO. IF THERZ WERE MORE THAH ONE PHENOMENOM, HOW MANY WERE THERE? DRAW A PICTURE TO THEY WERE
ARRANGED. CID THI3 ARRANGVMENT CHANGE DURING TMS SIGHTING!
1
D
11. ConDitions(Check approprlate blocks.)
A. SKY a. WEATHER
DAY CUMULUS CLOUDS (LOW fluffy) FOG OR MIST
TWILIGHT Ciarus CLoucs (High fleecy or Herring- HEAVY RAIN
NIGHY bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMBUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMRUS CLOUDS SNOW OR SLEET
COHPLETELY OVERCAST (TAunderstorns) UNXNOWN
HAZE OR SMOG NONE OF THE ABOVE
C. IF THE SIGHTING WAS AT TWILIGHT OR NIGHT, WHAT DID YOU NOTICE ABOUT THE STARS S AND MOON?
(1) STARS (2) (2) MOON
NONE BRIGHT MOONLIGHT NO MOONLIGHT
AFEW MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOAN UNKNOAN PARTIAL (New Or quarter) PARTIAL(New Or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? D. IF SIGHTING WAS IN OAYLIGHT, WAS THE SUN VISIBLE? YES HO. IF YES, WHERE WAS THE SUN AS YOU FACED WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD(NeM nOON) OVERHEAD(NEM 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 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. STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
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 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 OAJECT IN YOUR FIELD OF VIEW. -
/
PAGE 4 OF 9 PAGES

SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTERORWOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
!
A4
A. HOW DID IT FINALLY DISAPPEAR? A. HOW DID IT FINALLY DISAPPEAR?
a. DIO THE P-ENOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
YES R NO. IF *YES.°DESCRIBE.
-
PAGE 5 OF 9 PAGES

AFR 80-17(C1)
13. DID THE PHINOMENON YES NO UNKNOWN
MOVE IN A STRAIGNT LINE?
STANO STILL AT ANYTIME?
SUDDENLY SPEEO UP AND RUN AWAYY
BREAK UP IN PARTS AND EXPLODE?
CHANGE COLOR"
GIVE OFF SMOXET
CMANGE BRIGHTNESS?
CHANGE SHAPET
FLASH OR F-ICKERI
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTEROR VOBBLE
14. WHAT DRE YOUR ATTENTION TO THE PHENOMENON?
A. HOW DID IT FINALLY DISAPPEAR?
B.OID THE PHENOMENON MOVE BEHIND ORIN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TINET
C YES NO. FYES.DESCRIBE.
-
PAGE5OF 9 PAGES

AFR 80-17(C1)
1S. DRAW A PICTUMS 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.
PAGE 6 OF 9 PAGES

AFR 80-17(C1)
IS. DRAN A PICTURE THAT WILL SHOW THE SHAPE OF THE PHENOMENON. INCLUDE AND LABEL ANY DETAILS THAT MIGHT
HAVE APPEARED AS WINGS OR PROTRUSIONS, ANO INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING.
1S. WHAT WAS THE ANGULAR SIZE? HOLD 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 COVEREO BY THE HEAD OF THE MATCH. NOW IF YOU HAD
BEEN ABLE TO PEPFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
PHENOMENON WOULD MAVE SEEN COVERED BY THE MATCH HEAD.
PAGE 6 OF 9 PAGES