PROJECT BLUE BOOK

SOURCE 10. CONCLUSION
Civilian INSUFF DATA FOR EV
4. NUMBER OF OBJECTS
One
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
Not Reported The observer called to say that her daughter had sighted and
6. TYPE OF OBSERVATION photographed a UFo. Neither the form ll7 or photographes have
been forwarded to this office as of 25 Nov 68.
Ground-Visual
7. COURSE
Not Reported
8. PHOTOS
Yes
XCXNO
9. PHYSICAL EVIDENCE
Y.s
XxNO XOXNo
FORM
FTD SEP 63 0-329 (TDE) FTD SEP 63 0-329 (TDE) Prevlous editione of thle forw may be used. Prevlous editions of thle form may be used.
.
8
.

AFR 80-17(C1)
15. DRAW A PICTURE THAT WILL SHOW THE SHAPE OF THE PHENOMENON. INCLUDE AND LABEL ANY DETAILS THAT MIGHT
HAVE APPEAREO AS WINGS ON PROTRUSIONS, AND INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING.
-'-
dnictan→
--N
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.
3/4
/
-
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
WINOSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINOOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES NO 8. DO YOU USE READING GLASSES? YES!INO
18. WHAT WAS YOUR IMPRESSION OF THE SPEED PF THEC 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENON? GIVE ESTIMATE OF SPEED PHENOMENON? GIVE ESTIMATE OF DISTANCE
se 6A
2O. IN ORDER THAT WE MAY OBTAIN AS CLEAR A PICTURE AS POSSIBLE 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 DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE
COMMON OSJECT AND WHAT YOU SAW.
a 3 letteT
( .
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 IX NO. IF YES,DESCRIBE.
A. DID THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YES DNO.
IF *YES," DESCRIBE.
(
PAGE 7 PAGES

AFR 80-17(C1)
LOCATION.
23. WAS ANYONE WITH YOU AT THE TIME YOU SAW THE PHENOMENON? YES 0I0 THEY SEE IT TOO?
YES HO.
A. LIST THEIR NAMES AND ADORESSES
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME, FIRST NAME, MIDDLE NAME
ADDRESS (Swreet, City, State and Zip Code)
45216
TELEPMONE(Area code and number) AGE
MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT. OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
REPORT THA HAO SIGHTED THIS PHENOMENON?
MONTH. any YEAR1968
26.DATE YOU
PAGE 8OF 9 PAGES
.-

belmeer dustame
them Ry halding a deme at
a's lesytk and There was
a a dimes dimes duameter duameter all all
Emes. times.
1 PAGE 9 OF 9 PAGES

2ute 2ute Lt4
Halbraith Rd efit Halbrait 2 Rd efit
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 CRIZON, OR SKYLINE. WHEN FIRST SEEN. PLACE A B° ON THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HOR:ZON THE PHENOMENON WAS WHEN LAST SEEN.
9L B
1
|
1
I 30
I
-'- 15
OBSERVER
(
AF AUG 67 FORM 117
--

AFR 80-17(C1)
SA. NOWIMAGINE YOU ARZ ATTHY CENTER OF THE COWMASS ROSE, PLACE AN ON THE COMPASS TOINDICATZ THE
DIRECTION TO TME PHENCMENON WHEN FIAS? SEEM. PLACN A S° ON THE COMPASS TO INDICATE THE DIRECTION TO
THE PHENOMENON WHEN LAST SXIN.
A
-
NNW NNE
NE
B
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 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. TMAT IS, SCHEMATICALLY SMOW WHETHER THE MOVEMENT MOVEMENT OF THE PHENOMENON BETWEEN A° AND B. TMAT IS, SCHEMATICALLY SMOW WHETHER THE MOVEMENT
APPEARED TO SE STRAIGHT, CUPVED OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE APPEAREO TO SE STRAIGHT, CUPVED OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE
THE LARGER SKETCH.
--
A--B
PAGE 2 OF 9 PAGES

AFR 80-17(C1)
WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CheCK nPprOpriate 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 O AS PILOT 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
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER! SUCH MOVEMENT AFFECTS 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 HOW MUCH MUCH OTHER TRAFFIC TRAFFIC WAS WAS THERE?
DID YOU NOTICE ANY AIRPLANES? YES NO. IF *YES, * DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME NO. IF *YES,* DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHERE THEY THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON. WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
9. 9. HOW LONG WAS THE PHENOMENON IN SIGHT? HOW LONG WAS THE PHENOMENON IN SIGHT?
LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE NOT VERY SURE
FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
WAS THE PHENOMENON IN STGHT CONTINUOUSLY XYES NO. IF NO,INDICATE WHETHER THIS IS OUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PH HENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES.
PAGE B OF 9 PAGES

AFR 80-17(C1)
1O. IF THERE WERE MORE THAN ONE PHENOMENON, MOW MANY WERE THERE? DHAW A PICTURE TO SHOW MOW THEY WERE
ARRANGED. DID THIS ARRANGZMENT CHANGE DURING THE SIGNTING!
(2)
A.A}$
11. CONDITIONs (Cheek appropriate blocks.)
A. SKY 8. I WEATHER
DAY CUMULUS cLOUDS (LOw fluffy) FOG OR MIST
TWILIGHT CIRRus CLouDs (High fleecy or Herring- HEAVY RAIN
NIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMBUS CLOUDS (Rain) HAIL
PARTLY CLOUOY CUMULONIMBUS CLOUDS SHOW 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 BRIGHT MOONLIGHT NO MOONLIGHT
AFEW MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOWN PARtIAL (New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? YES IF *YES, WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD (Nea noon)
IN BACK OF YOU TO YOUR LEFT UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT OURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR
STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE. STREET LAMP. ETC. FOR TERRESTRIALILLUMINATION. SPECIFY DISTANCE TO LIGHT SOURCE.
MooN MOoN
I2. GIVE A BRIEF DESCRIPTION OF THE PHENOMENOM, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
REFLECTEO LIGHT OR WAS SELF-LUMINOUS AND WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLID OR TRANSPARENT, WHETHER EOGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT
APPEAREO AS A POINT OF LIGHT. INOICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELO OF VIEW.
seand
2 red abjects
sole
appureel
rorel edged Te
like
2
f
PAGE 4 OF9PAGES
2
..

A. HOW DID IT FINALLVDISAPPEAR?
blaeked
the one abjeet
one
aimt
B.DID THE PHENOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDIN AT ANY TIME?
YES
.
1
PAGE 5OF9 PAGES

AFR 80-17(C1)
1S. ORAW A PICTURE THAT WILL SHOW THE SHAPE OF THE PHENOMENON. INCLUDE AND LANEL ANY DETAILS THAT MIGHT
HAVE APPEAREO AS WINGS OR PROTRUSIONS, AND INDICATE EXHAUST OR VAPON TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING.
diruclniny
-→0
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 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 COVEREO BY THE MATCH HEAD.
34
PAGE 6 OF 9 PAGES

needed to perform an investigation. We would appreciate your.
completing the inclosed photographic data sheet and AF Form ll7.
You may return them to our office, along with your original
photograph, in the self-addressed envelope. Upon completion of
analysis we will return your photograph along with our findings. analysia we will return your photograph along with findings.
CO SILD IDLO N) JAL 2. Thank you for repor Thank you for re ing your observation to the Air Force. 3 your observation to the Air Force.
ECTOR QUINTANILLA, Jr, Lt Colonel, USAF 2 Atch
Chief, Aerial Phenomena Chief, Aerial Phenomena Office Office 1. AF Form 117 w/envelope
Aerospace Technologies Mvision Mvision 2. Photo Data Sheet
Production Drectorate Production Directorate
Ix
P

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
TET
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES NO B. DO YOU USE READING GLASSES? YESNO
18. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YO UR IMPRESSION OF THE DISTANCE OF THE
PHENOMENON? GIVE ESTIMATE OF SPEED 11 HENOMENAN? GIVE ESTIMATE OF DISTANCE
e a 242
IN ORDER THAWE OBTAIN AS CLEAR PICTURE AS POSSISLE OF WHAT YOU SAW. DESCRIBE IN YOUR OWN WORDS
A COMMON OBJECT OROBJECTS WHICH, WHEN PL ACED IN THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENOMENON.
WOULD BEAR SOME RESEMBLANCE TO WHAT DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE
COMMON OBJECT AND WHAT YOU SAW.
lecter T
a con
( (
21. DID YOU NOTICE ANY ODOR. NO SE OR HEAT EMANATING FROM THE PHENOMENON ANY EFFECT YOURSELF,
ANIMALS OR MACHINERY IN THZ VICINITY? CYES NO. IF *YES," DESCRIBE.
A. DID THE PHENOMENON DISTURB THE GRO UND EAVE EANY PHYSICAL EVIDENCE. YES XNO.
IF YES," DESCRIBE.
1
PAGE 7 OF 9 PAGES

AFR 80-17(C1)
CIVE DATE AND
LOCATION.
23. WAS ANYONE WITH THE TIME YOU SAW THE PHENOMENON? YES NO.IF TOO?
YS NO.
A. LIST THEIR DRESSES
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
NAME,F NAME
ADOR Gity. State and Zip Cod
CintiOhio4 5216
TELEPNONE(ArAC AGE
48 MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCZ WNICH MAY BE PERTINENT. OCCUPATION AND ANY EXPERIENCZ WHICH MAY BE PERTINENT.
-
25. WHEN AND TO WHOM DIO YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
NAM Wreght ollun AF.B Dar  MONTn Lit YEAR 1968
26.DATE OMPLETEO THIS QUESTIONNAIRE.
-

aFB. the one
to the Hord
abyict sheo stalie
completely out ofthe
lually f ther
Chie of peti ithen
ort.
conletily
,
PAGE 9 9 PAGES

WRIGHT-PATTERSON AIR FORCE BASE.OHIO 45433
REPLY TO
ATTN OF: TDPT (UFO)
on,5 September 1963 17 SEP 1968
1 SUBJEcT:
TO:
Cincinnati, Ohio 45216
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
addressed envelope. envelope. Thank your observation to ervation to
the Air Force. the Air Force.
HECTOR QUINTANILLA, Jr, Lt Colonel, USAF 1 Atch
Chief, Aeria Chief, Aeriai Phenomena henomena Office AF Form 1l7 w/envelope AF Form 117 w/envelope
Aerospace Technologies Division Aerospace Technologies Division
Production Directorate

TO: Mrs
Cincinmati, Ohio 45216
Your name has been given to the Aerial Phenomena Office (Project
Blue Book)as being a witness to an unidentified flying object.
If you were a witness to an UFO sighting on
would you please complete the attached AF Form ll7 and return it
in the envelope provided. If you were not a witness to this
sighting, would you you please make a statement to this effect on the please make a statement to this effect on the
attached form. The information which you provide will be used in used in
evaluating evaluating this observation. observation. Thank you for your assistance in t ir assist in this this
matter.
HECTOR QUINTANILLA, Jr, Lt Colonel, USAF 1 Atch 1 Atch
Chief, Aerial Phenomena nenomena Office AF Form 117 w/envelope
Aerospace Technologies Division
Production Directorate

DO RoI
9 SEP 1003
UF
AFR 80-17(C1)
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDGET BUREAU IAPPROVAL
NUMBER 21-R258
THIS QUESTIONNA IRE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S. AIR FORCE AS MUCH INFORMATION
AS POSSIBLE
ANSWER ALD O IESTIONS. THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES
YOUR NAME WII IN CONNECTION WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT
YOUR PERMISSION.RETUR O AIR FORCE BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR), WRIGHT.
PATTERSON AFB, OHIO 45433, IAW AFR 8O-17. (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES
ATTACH SECUREL ORM OR ANNOTATE WITH YOUR NAME, FOR IDENTIFICATION.)
1. WHEN DID YOU SEE PHENOMENON?
DAY_ 06 MONTH SUPI YEAR 1968
1
2. WHAT TIM E DI D ou RS SIGH T PHENOMENON?
HOUR MINUTES 20 CIA.M. TP.M.
3. WHAT T DID Y G P H E N IOMENON?
HOUR 11 MINUTES 30 A.M. DAP.M.
4. TIME'ZONE DAYLIGHT SAVINGS STANDARD
ASTERN 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 DISTANCI ND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
45216
BACKYARD BACKyARD
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 HURIZON. 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.
so 1
L
6
I
B
1
1 30
1
|
1 -- - 15
OBSERVER
)
AF FORM 117
AUG 67

AFR 80-17(C1)
64. 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
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.
PAGE 2 OF 9 PAGES
:

AFR 80-17(C1)
8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? ((heCK (ppTOPrinL 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 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 WERE YOU MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANY TIME WHILE OBSERVING TH
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES CNO
EXPLAIN WHETHER SUCH MOVEMENTAFFECTS IN ITEMS 5 AND 6.
DESCRIBE TYPE OF VEHICLE YOU WEREIN AND TYPZ OF ROAD, TERRAIN OR BODY OF WATER YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTRLE TOP WERE UP OR DOWN.
HOW MUCH OTHER TRAFFIC WAS THERE?
DID YOU NOTICE ANY AIRPLANES? DID YOU NOTICE ANY AIRPLANES? YES YES 7 NO. IF *YES, " DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME 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? HOW LONG WAS THE PHENOMENON IN SIGHT?
LENGTH LENGTH OF TIME OF TIME CERTAIN OF TIME CERTAIN OF TIME NOT VERY SURE
9 mN MIN FAIRLY CERTAIN FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED? HOW WAS TIME DETERMINED?
STIMATED
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? NO. IF NO,^ INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE ENOMENON. AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES.
PAGE 3 OF 9 PAGES

AFR 80-17(C1)
10. 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?
wo
No CHANGE
11. CONOiTIONs (Check appropriate blocks.)
A. SKY B. WEATHER
DAY CUMULUS CLOUDS(Low fluffy) FOG OR MIST
TWILIGHT 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 BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL (New or quarter) PARTIAL (New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN SUN VISIBLE? VISIBLE? YES S. WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON? THEI PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD (Ned noon) OVERHEAD (Nea 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.
12. GIVE A BRIEF DESCRIPTION 12 BRIE N OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
REFLECTED LIGHT OR WAS SELF-LUMINOUS AND WHAT COLORS YOU NOTICEO. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WASSOLIOOR TRANSPARENT, WHETHER EDGES WERESHARPOR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT
APPEARED AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERV VED OBJECTS, LIKE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEW.
-
1
Solio Reo LIGHT
PAGE 4 OF 9 PAGES

MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
up
A. HOW D!D IT
FADE OUT FADE OuT
B. DID THE PHENOMENON-MOVE BEHIND OR IN FRON T SOMETHING, IKE ACLOUD, TREE, OR BUILDING AT ANY TIME?
YES NO.IF *YES,DESCRIBE.
DunppeAncD
/
T. PAGE 5 OF 9 PAGES

PROJECT 10073 RECORD
1.D-TETIME GROUP 2. LOCATION
2315EDT
6 Sept 68 07/03152. Cincinnati, Ohio (2 Witnesses)
SOURCE 1. CONCLUSION ( C
Civilians Possible (HOT AIR BALLOON)
4. NUMBER OF OBJECTS
The description is similar to that of a garmet bag bot air balloqn.
Two
5. LENGTH OF OBSERVATION 11.
15 Minutes The observers sighted two cbjects that looked souetbing liek
6. TYPE OF OBSERVATION round edged red *T's". *The one object furthest north blacked
out completely and instantly, then the other one started fading
Grcund-Visual out and was gone completely in about another minute."
7. COURSE
NNE - Ene NNE-Ene .
8. 8. PHOTOS .
Yos
XOXNo
9. PHYSICA PHYSIC EVIDENCE
Yes
No
FORM
FTD SEP 63 0-329 (TDE) FTD SEP 63 0-329 (TDE) Previous editions of thle form may be ueed. tlone of thle form may be ueed.
J

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.
DTRECTION
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. ,
A Dime AT Anms 3s THe DIST
Dime
As lange As OBJeCT.
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? 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 SPEEDVRILW PHENOMENON? LiK
SLOW PLAM
2O. IN ORDER THAT WE MAY OBTAIN AS CLEAR A PICTURE AS POSSIBLE 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.
couldWT TNINK
ANy
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 GROUN LEAVE ANY PHYSICAL EVIDENCE. □ YES NO.
IF *YES,"* DESCRIBE.
PAGE 7 OF 9 PAGES

AFR 80-17(C1)
LOCATION.
o
23. WAS ANYONE WITH YOU AT IN E THEY SEE IT TOO?
YES NO.
A. LIST THEIR NAMES AND ADDRESSES
sAme low
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME, FIRST NAME, MIDDLE N
ADDREss (Sereet, City, State and Zip Coc
CINCyOHIO
TELEPHONETArea Cod .N AGE
21 MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDIE TION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
25. WHEN AND TO WHOM DID YOU THAT HAD SIGHTED THIS
NAME DAY MONTH YEAR
26. DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY. MONTH YEAR
PAGE 8 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.
To Lange Fon slow spee
.
Heaouny opposite CincyAsaponT
:
PAGE 9 9 PAGES

PROJECT 10073 RECORD
i. DATE · TIME GROUP .LOCATION
27/2130L
27 Sept 68 28/0230Z Cincinmati, Ohis
3. 5 SOURCE . CONCLUSION :
Civilian INSUFFICEENT DATA FOR EVALUATION
4 NUMBER OF OBJECTS
One Nov 68.
5. LENGTH OF OBSERVATION 1. BRIEF SUMMARY AND ANALYSIS
30 Minutes the Duty Officer that he has sighted
I 6. TYPE OF OBSERVATION a black
Ground-Visual ",
7. COURSE COURSE
s s
8. 8. PHOTOS PHOTOS
Y.s Y.s
0X990 CX990
9. 9. PHYSICAL PHYSICAL EVIDENCE EVIDENCE
Ys
Xt
FORM
FTD SEP 53 0-329 (TDE Prevlous oditions of this form may bo used.
:
.
I
-

21
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT.PATTERSON AIR FORCE BASE. OHIO 45433
REPLY TO TDPT (UFO) 1 OCT 1968
ATTN OF:
SUBJECT: UFO Observation 27 September 1968
TO:
Cincinnati, Ohio 45206
Reference your 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 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.
HECTOR QUINTANILLA, Jr, Lt Colonel, USAF 1 Atch
Chief, Aeri henomena Office AF Form 117 w/envelope
Aerospace Technologies Division
Production Directorate
I
i1
1

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 ALLO
YOUR NAME WII D IN CONNECTION WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT
YOUR PERMISSION. RETUR TO AIR FORCE BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR), WRIGHIT.
PATTERSON AFB, OHIO 45433, IAW AFR 8O-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?
7130 DAY_ 27 MONTH YEAR 68
2. WHAT TIME DID YOU FIRST SIGHT THE PHENOMENON?
HOUR MINUTES [IA.M. P.M.
3. WHAT TIME DID YOU LAST SIGHT THE PHENOMENON?
HOUR MINUTES [A.M. P.M.
4. TIME ZONE DAYLIGHT SAVINGS STANDARD
EASTERN EASTERN CENTRAL MOUNTAIN PACIFIC ]PACIFIC [OTHER [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.
FAstof FAstof (
Dowtown Dowtown Ciinn CIMN
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 1
1
I
1
1 w
I 00
I
I 1 15 15
1 1
V -
OBSERVER
AF FORM 117
AUG 67

AFR 80-17(C1)
SA. NOW IMAGINE YOU ARE AT THE CENTEP 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
PAGE 2 OF 9 PAGES

AFR 80-17(C1)
8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (ChRrA HPPMOPriNLC blOCKS.)
OUTDOORS IN BUSINESS SECTION OF CITY
BUILDING L IN RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
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 WERE YOU MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES 1]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 DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD, TERRAIN OR BODY OF WATER YOU TRAVERSED DURING WATER YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MUCH OTHER TRAFFIC WAS THERE? HOW MUCH OTHER TRAFFIC WAS THERE?
hight
DID YOU NOTICE ANY AIRPLANES? YES NO. IF *YES," DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME 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. THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
Cu
9. HOW LONG WAS THE PH IENO MENON IN SIGHT?
LENGTH OF TIME . CERTAIN OF TIME NOT VERY SURE
Thte 30mad
FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? CLYES SNO. 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.
/
PAGEJOF9PAGES

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 B. WEATHER
DAY CUMULUS CLOUDS (Low fluffy) FOG S OR MIST
i TWILIGHT CIRRUs CLoUDS (High fleecy or Herring- HEAVY RAIN
NIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMSUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET 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 THE SIGHTING WAS AT TWILIGHT OR NIGHT, WHAT DID YOU NOTICE NOTICE ABOUT THE STARS ABOUT THE STARS AND MOON?
(1) STARS (2) MOON MOON
NONE BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL (New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? YES TNO. IF *YES, WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD (New 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.
0
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 SOLIO 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 OBJECTIN YOUR FIELD OF VIEW.
Black sitewet
0f
that hAs W
bodry
bodry
4
PAGE E 4 OF 9 PAGES

Mrs
Cincinnati, Onio 4 45216
The deseription of the "uvo" that you sighted is siailar to the
deseriptions that we have had in bne past of garnet bag Hot Air
Balloons. (See attached description).
PECTOR GUIN L Atca
PT DC M  MTE Deseription
Aerospace Technologies Division
Production Directorate
22

DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
hooking for tm smake and Smahe ba
hocking scundew of
spotted this spotted this
A. HOW DID IT FINALLY DISAPPEAR?
hun't
yet
B. DID THE PHENOMENON MOVE BEHIND OR IN FRONT OF YES NO. IF YES." DESCRIBE. SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
/
L
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 APPEAREO AS WINGS OR PROTRUSIONS, AND INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
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.
would weuld A As
Moi W&r~à
PAGE 6 OF 9 PAGES
1

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 wk.£6om
SIDE WINDOW 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
B 7
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.
fish tite
apenes mes fish lite
21. DID YOU NOTICE ANY ODOR, NOISE CR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY? YES ILNO. IF *YES."DESCRIBE.
A. DIO THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. A. DIO THE PHENOMENON DISTURB THE GROUN PHYSICAL EVIDENCE. O YES .NO.
IF *YES," DESCRIBE. IF "YES."DESCRIBE.
PAGE 7 OF 9 PAGES

AFR 80-17(C1)
22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE? CLYES NO. IF *YES," GIVE DATE AND
LOCATION.
23. WAS ANYONE WITH YOU AT THE TIME YOU SAW THE PHENOMENON? YES IF DID TOO'
YES NO.
A. LIST THEIR NAMES AND ADDRESSES
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME, FIRST NAME, MIDQLE NAME
ADDRESS
MALE MALE FEMALE
ONAL INF NAL INF OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT. UPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
/
/
25. WHEN 25. WHEN AND TO WHOM DID AND TO WHOM DID YOU YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
NAME DAY DAY MONTH YEAR
26. DATE 26.DATE YOU COMPLETED THIS COMPLETED THIS QUESTIONNAIRE.
DAY. DAY MONTH YEAR YEAR
PAGE 8 OF 9 PAGES

AS POSSIBLE CONCERNING THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO
ANSWER ALL OF QUESTIONS. THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES.
YOUR NAME WILL NOT BE USED IN CONNECTION WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT
YOUR PERMISSIGN. RETURN TO AIR FORCE BASE INVESTIGATOR FOR FORWARDING TO F (TDETR), WRIGHT-
PATTERSON AFB, OHIO 45433,IAW AFR 8O-T7. (IF ADDITIONAL SHEETS ARE NEEDEDFOR NARRATIVE OR SKETCHES
RM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1. WHEN DID YOU SEE THE PHENOMENON?
DAY YEAR1468
DID SIGH T THE PHENOMENON?
HOUR 11 MINUTES 15A.M. P.M.
TIME DID T T E P HEN OM IENON?
HOUR MINUTES30A.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.
STEEET APPROSS aRMaTeLoCATIO
10 miles I0.mle worth of nerth o daw caw
HUNstordST. HUNstordST. lnntnnoanaat PutnDonce t nd aad Ywest Ywet
(120
of duters I-75 I-75
4*
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 HOR:ZON THE PHENOMENON WAS WHEN LAST SEEN.
.
90 1
L 60
1
I A
I
1 30
1
1
1 15 F
1
OBSERVER
AF FORM 117
AUG 67

a
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 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 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 MOVEMENT OF THE PHENOMENON BETWEEN A* AND B°. THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT
a 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? (CheCK APPrOPRiaIe blOCkS.)
OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SECTION OF CIT
IN CAR D AS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE 0 AS PILOT PASSENGER FLYING OVER CITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
A. IF YOU WERE IN A VEHICLE, COMPLETE THE F FOLLOWING:
WHAT DIRECTION WERE YOU MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS Y TCHES 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 HOW MUCH OTHER TRAFFIC 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 ANDT OF SIGHTING THE PHENOMENON AND WHERE WHERE EY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
9. HOW LONG HOW WAS THE PHENOMENON IN SIGHT?
LENGTH LENGTH OF TIME OF TIME CERTAIN OF TIME NOT VERY SURE NOT VERY SURE
15 mis FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
clack
WAS THE PHENOMENON IN SIGHT CONTINUCUSLY? RYES NO. IF NO" INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENC ND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INOICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES.
PAGE 3 OF 9 PAGES

AFR 80-17(C1)
1O. IF TMERE WERE MORE THAN ONE PHENOMENON, HOW MANY WERE THERE? DRAW A PICTURE TO SHOW HOW THEY WERE
AXRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
(2) J
10-
$A_A}$
-
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 DRIZZLE
CLEAR NIMBUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETZLY 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) A MOON
NONE BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNXNOWN PARTIAL(New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? 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 LE=T UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILI.UMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR
STREET LAMP. ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
MCON
lihe nourd
tised
a te suse
PAGE 4 OF 9 PAGES

FLASH OR FLICKER?
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
nied it and ashed
A. HOW DID IT FINALLY DISAPPEAR?
8. DID THE NOMENON MOVE SEHIND OR AT ANY TIME?
YESO IF *YES," DESCRIBE.
L
PAGE SOF9 PAGES