PROJECT BLUE BOOK

PRO.ECT KIO73 RECORD
1. 2YE . TIME COCUP LOCATION
./09202 Suuth Crariaaton Qnio
3. whirs 10. CONCLUSION
Civilian INSUFFICIENT DATA
NUMBER OF OBJECTS
COMMENT: The report was phoned to the Duty Officer. A 117
Five was sent to the observer but has not been returned.
LENGTH OF OESERVATION 11. BRIEF SUMMARY AND ANALYSIS
10 minutes The observer sighted five (?) star-like objects that travelec
6. 6. TYPE OF OBSERYATION TYPE OF OBSERYATION toward the east.
Ground-Visual
7. 7. COURSE
E
8. PHOTOS
Yes D Yes
No No
9. PHYSICAL EVIDENCE . PHYSICAL EVIDENCE
No Yes
FORM
FTD SEP 63 0-329 (TDE) Prevlous oditions  thie form may bo used.

26 Mock
DEPARTMENT OF THE AIR FORCE
MEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PATTERSON AIR FORCE BASE. OHIO 45433
REPLY TO TDPT (UFO)
ATTN OF.
UFO Obser 4 APR 1968
SUBJECT:
TO:
Soudh Charleston, Ohio 45368
Your 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
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 Slsncins, wotid Joa Pi you please make a statement to this effect on the
attached form. attached form. The information which you provide The information which you provide will be used in be used in
evaluating this observation. Thank you fo evaluating this observation. Thank you for your assistance in this or your assistance in this
matter. matter.
KECTOR QUINTANILLA, Jr, MajOr, USAF 1 Atch
Chier, Aerial Chief, Aerial Phenomena Office AF Form 117 w/envelope AF Form 117 w/envelope
Aercspace Aercspace Technologies Technologies Division Division
Production Directorate

Dut ofn
U.S. AIR FORCE TECHNICAL INFORMATION 7
This questionnaire has been prepared so that you can give the U.S. Air Force as much
informat on as possible concerning the unidentified aerial phenomenon that you have observed.
Please try to answ questions as you possibly can. The information that you give will
conclusions, or publications without your permission. We request this personal information so
that if it is deemed necessary, we may contact you for further details.
IS45ETE1
.When did you sse the object? 2. Time of day: 2o
Hour Minutes
26 Man 1968 (Circle One):
A.M. or P.M.
Doy Doy Month Month Year Year
. Time Zone: .Time Zone:
(Circle One): b.Eastern (o.) Eastern (Circle One): (Circle One): c. c. Daylight Saving
b. Central Standard
c. Mountain
d. d. Pacific
e. Other
4.Where were you when you saw the object? 4. Where were you when you saw the object?
Chanlestn t Ck cry,8.
Nearest Postal Address City or Town State or County
5.how long was object in sight (Totol Duration) 10
Hours Minutes Seconds
Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determined?
5.2 Was object in sight continuously? Yes No
What was the condition of the sky?
DAY NIGHT
a. Bright Bright
b. Cloudy
IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): In front of you d. To your left
b. In back of you e. Overheod
c. To your right f.Don't remember
l17
FORM
FTD OCT 62 164 This form supernedes FTD 164, Iul 61, uhich is obsolete.

8. IF you sow the object at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
b.Afew b. Dull moonlight
Many C No moonlight - pitch dark
d. Den't remember d. Don't remember
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
o. Clear sky Dry
b. Hazy Fog, mist, or light rain
②) Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One):
o. Solid Solid As a light
. Transperent . Transperent e. Don't remember
c. Vapor
1.If it appeared as a light, was it brighter than the brightest stars? (Circle One): 1. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
C Brighter c. About the same
o. O. Dimmer d.Don't know d. Don't know
11.1 Compare brightness to some common
Bnght or bright. tham otan
12.The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
b. Like a bright star
c. Sharply outlined
d. Don't remember
.Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes Don't know
b. Suddenly speed up and rush away at any time? Yes Don't know
c. Break up into parts or explode? Yes Don't know
d. Give off smoke? Yes Don't know
e. Change brightness? Yes Don't know
f. Change shope? Yes Don't know
g. Flash or flicker? Yes Don't know
h. Disappear and reappear? Yes No Don't know

17. Tell in a few words the following things about the object:
a. SoundY2
b. Color Stun
.We wish to know the angular size. Hold a match stick at arm's length in line with a known objoct and note how
much of the object is covered by the haad of the match. If you had performed this experiment at the time of the
vered by the match head?
conpetel 3 ened.
. Draw a picture that will show the shape of the object or objects. Label and includs in your sketch any details
of the ab ect that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails.
Place an arrow beside the drawing to show the direction the object was moving.
Colds defie shape.

. At sea f. Flying over open country?
f. Other _ g. Other
Pointed When
o. North c. East e. South g. West d2v
Northeast . Southeast f. Southwest h. Northwest packed
Sirad
24.2 How fast ware you moying? s cer hour.
moe
)

show how high ths objoct was above the horizon (skyline) when you last saw it. Place an "A" on th he compass
when you first saw it. Place a "B"" on the compass where you last saw the object.
90° 75
60
NW AlS
A MB
15°
row a picture that will show the mation that the object or objects made. Place an "Aat the beginning of the .Urow a picture that will show the mation that the object or objects made. Place an "A" at the beginning of the
poth,  "g" at the end of the path, and show any changes in direction during the course. path,  "g" at the end of the path, and show any changes in direction during the course.
fle bect 2ty
29. IF there Was MORE THAN ONE object, then how many were
Draw a picture of how they were arranged, and put an arrow to show the direction that toey ware traveling.

Page 6
befoe
Was anyone slse with you at the tima you saw the objoct? (Circle One) Yes (No
31.1 IF you answerod YEs, did they see the object too? (Circle One) Yos No
31.2 Please list their names and addresses:
aldhened Wife-she ofjiet.
32. Please give the fall arlon about yourself: ron"about yourse!f:
NAME L. L
Last Name Last Name First Name Middla Noma Middla Noma
ADDRESS ADDRESS S. chaileston S. chatleston
Street City Zone Zona Sterte
TELEPHONE NUMBER AG 46 AGE 46 SEX M SEX μ
indicate any additional information about yourself, including any special axperience, which might be partinent.
33. When and to whom did you report that you had seen the object? to
26 1 1968. peported
Day Month Year

Page 7
34. Date you completed this que stionnaire: 26 Hean. 1168.
Doy Month Year
35.1 Information which you feel pertinent and which is not adequately covered in the spacific points of the
qusstionnairs o a narrative explanation of your sighting.
I
1