PROJECT BLUE BOOK

H
T
PROJECT 1CO73 NECORD
1. DATE-TIME GROUP 2. LOCATION
7.
Da;30n, On0
SOURCE . CONCLUSION
:1 Astro (VENUS)
4. NOMBER OF OBJECTS
I
5. LENGTH OF OBSERVATION S. LENGTH OF OBSERVATION 1 BRIEF SUMMARY AND ANALYSIS 11. BRIEF SUMMARY AND ANALYSIS
251L06 The observer " sighted a light that sighted a light that liked like a large
6. TYPE OF OBSERVATION OF OBSERVATION star.
C.--Vis.al Ceni-is.al
7. COURSE
Stazlanery SSN
8. PHOTOS
-
Yes
F7.No
9. PHYSICAL EVIDENCE
C Yes
ISCNo
FORH
FTD SEP 63 0-329 (TDE) Prevfous editions of this form may be used.
.

Ke TDPI(U60)
.
1iJav69
cex AFR 80-17(C1)
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONMAIRE BUDGET BUZEAU APPROYAL
NUMBER 21-7353
THIS QUESTIONNAIRE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S AIR FORCE AS MUCH INFORMATION
AS POSSIBLE CONC
ANSWER AL IE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES.
YOUR YOUR STATEMENTS OR CONCLUSIONS WITHOUT
YOUR INVESTIGATOR FOR FORWARDING TO FTD (TDETR), WRIGHT-
PATTERSON AFB, OHIO 4S433, JAW AFR BO-[7. (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1. WHEN YOU SEE THE PHENOMENON?
DAY_ MONTH YEAR
2. WHAT DID SIGI T HE PHENOMENON?
HOUR MINUTES CJA.M. P.M.
3. WHAT DID AST S! G H T PHENOMENON? STILL VIS (1915
HOUR MINUTES A.M. P.M.
4 TIME/ZONE DAYLIGHT SAVINGS STANDARD
EASTERN ICENTRAL MOUNTAIN PACIFIC OTHER
5. WHERE ERE 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. HIGHWAYYO
AT His HOME. Home.
IR CITY. AT IN CITY.
-
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 3* ON THE SAME CURVEO LINE TO
SHCW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
9L0 2L-
I
1
10DEG
I
1
|
I 15
1
OBSERVER
AF FORM 117
AUG 67

AFR 80-17(C1)
GA. 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.
NNW NNE
NW NE
WNW ENE
ew
wsw ESE
sw SE
SSW SSE
8
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)
WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? -(CACCK aPPTODTINLe BLOCKS.)
OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING X IN RESIDENTIAL SECTION OF CITY
IN CAR 17 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 DIRECTIONS WERE YOU MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST 1
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHZAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WWETHER SUCH MOVEMENT AFFECT IN ITEMS 5 AND 6
DESCRIBE "YPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD TERRAIN OR BODY WATER YOU TRAVERSED OURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
MUCH E R FIC W AS THERE1
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 SXY RELATIVE TO THE POSITION OF THE PHENOMENON.
PAGE 3 OF 9 PAGES

AFR 80-17(C1)
TO. IF THRRE WEME NORE THAN ONE PHENOMENOM, HOW MANY WERE THERE? DRAW A PICTURE TO SHOW HOW THEY WERE
ARRANGED. DID THIS ARRANGZMZNT CHANGE DURING THE SIGHTING?
ONE
11. CONDitiONs (Check appropriate blocks.)
λ. SXY B. WEATHER
DAY CUMULUS CLOUDS(LOW fluffy) FOG OR MIST
TWILIGHT CIRRUs CLouDs (lligh fleccy or Herring- HEAVY RAIN
NIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIM9US CLOUOS (Rain) HAIL
PARTLY CLOUOY 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 (2) NOON
HOME BRIGHT MOONLIGHT NO NOONLIGHT
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 NO. IF *YES.* WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FROHT OF YOU TO YOUR RIGHT OVERHEAD (NeWr nooN)
IN BACK OF YOU TO YOUR LEFT UNXNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATIONF PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR
STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
PAGE 4 OF 9 PAGES

CHANGE SHAPE?
FLASH OR FLICXER?
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISET
FLUTTEROR YOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
T
A. HOW DID IT FINALLY DISAPPEAR?
-
ts olle gt din, t,
the reppant.
B.DID TH P ENC ENON MOVE SEHIND ORIN FROHT OF SOMETHING, LIKE ACLOUD, TREE, OR BUIL DING AT ANY TINE?
0 YES NC. ES. DESCRIBE.
I
PAGE S OF9 PAGES

AFR 80-17(C1)
13. DMAW A PICTUPE THAT WILL SHOW THE SHAPE OF THE PHENOMENON. INCLUOS AND LADEL 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.
-
.
16. WHAT WAS T-E ANGULAR SIZE? HOLD A MATCH AT ARM*S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET
LAMPORTHEHOON NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. NOW IF YOU HAD
BEEN ABLE TO *ERFORU THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
PHENOMENON -CULD HAVE BEEN COVERED BY THE MATCH HEAD.
4
6oCined
PAGE 6 OF 9 PAGES

AFR 80-17(C1)
17. DID YOU OSSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING? INCLUDE INFORMATION ON MODEL.
TYPE, FILTER. LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEOLABGES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE X
SIDE WINCOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A DO YOU CHDINARILY WEAR GLASSES? YES XNO B. DO YOU USE READING GLASSES? YES NO
18 WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMBRESSION OF THE DISTANCE OF THE
PHENOMENON? GIVE ESTIMATE OF SPEED. PHENOMENONY GIVE ESTIMATEOF/DISTANCE
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 CSJECT AND WHAT YOU SAW.
CAVX.C
21. DID YOU NOTICE ANY ODOR, NOISE, CR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECTON YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITYT YES X NO. IF *YES.* DESCRIBE.
LIYES
IF *YES." DESCRIBE.
(
PAGE7

AFR 80-17(C1)
LOCATION.
NoW
23. WAS ANYOME WITH YOU AT THZ TIME YOU SAW THE PHENOMENONT 17 YES NO. IF SEE IT TOO'
CIYES NO.
A. LIST T
24. GIVE THE FOLLOWING INFORMATIRNSABOUT YOURSELF
LASTHANZ
TELEPHOP TELEPHO AGE AGE
MALE FEMALE
INDICA INOICA INFORMATION INCLUDING OCCUPATION AND ANY EXPERIEHCE WMICH MAY BE PERTINENT. NFORMATION INCLUDING OCCUPATION AND ANY EXPERIEHCE WMICH MAY BE PERTINENT.
.
15. WHEN ANO TO WHOM DID REPORT THAT YOU HAD SIGHTED THIS PHEMOMENON?
NAME DAY MONTH YEAR
26.DATE YOU CONPLETEC T HIS QUESTIONNAIPE.
DAY MONTH YEAR
PAGEB OF 9PAGES