PROJECT BLUE BOOK

1.
PROJECT 1O073 RECORD
1. DATE - TIME GROUP 2. LOCATION
11/2231
Teanar 1967 7032l 2ovincton. Ohto
3. SOURCE 0. CONCLUSION
Cudlian 7 141 Probable ( Probable (AIRORAFT) (AIRORAFT)
4. NUMBER OF OBJECTS NUMBER OF OBJECTS
One
S. S. LENGTH OF OBSERVATION LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS 11. BRIEF SUMMARY AND ANALYSIS
10 Moutes 10 Mautes The observer ' sighted sighted white , red and green flashing white , red and green flashing
6. TYPE OF OBSERVATION light crossing the sky.
Cromni-Visual Cromni-Visual
7. COURSE 7. COURSE
3MEL0N
a. PHOTOS
D Yos
17- No
9. PHYSICAL EVIDENCE
Yas
CNo
FORH
FTD SEP 63 0-029 (TDE) Previous editions of this form may be used.

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

ir
AFR 80-17(C1)
SIGHTING OF UNIDENTIFIED PHENOME QUESTIONMAIRE BUDGET BU2EAU APPPOYAL
NUMBER 21-2239
THIS QUESTIONNAIRE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S. AIR FORCE
AS POSSIBLE NCERNING THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO
ANSWER AI THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES
YOUR
YOUR PER R FORCE BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR). WRIGHT-
PATTERSC .FB,0H1045433
ATTACH SECURELY TO THI RM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1. WHEN OU SEE NOMENON? JAM
11 AR
DAY.. MONTH
2. WHAT IME DID YOU T S1 G HT HE PHENOMENON?
2236 MINUTES 30AM XP.M.
HOUR
3 WHAT DID SIGH P PHENOMENON? 22
40A.M. P.M.
HOUR MINUTES
4. TIME'ZONE DAYLIGHT SAVINGS STANDARD
MEASTERN 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. HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DIST
IN
CUCR ROAD
OUER BARTLY BARTLY
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 3°ON THE SAME CURVED LINE TO
SHOW HCW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
9L0 -75
I
1
1
I .,B
-
1
1
1 15
1
OBSERVER
AF FO RM 117

-
AFR 8017(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.
AB 4
N 2
NNW NNE
NW NE
A
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 PAGES

AFR 80-17(C1)
3. WHERE WERE YOU WHEN YOU SAW THS PHENOMENON? (Ch*CK aPPTOPRIRte 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 0 AS PASSENGER FLYING OVER CITY
OT-E" 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 WHIL m OBSERVING THE
PHENOMENON?
NORTHZAST SOUTHEAST
NORTHHEST SOUTHWEST CYES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS S AND 6
DESCRIBE TYPE OF VEHICLE YOU WEREIN 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 HER FIC WAS THERE'
DID YOU N OTICE ANY AIRPLANES? CBYES TNO. IF YES. DESCRISE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON ANO WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
Ece
.
hinleed
estiate
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AFR 80-17(C1)
10. IF THERE WERE MORE THAN ONE PHENOHSHON. HOW MANY WERE THERE? DRAW A PICTURE TO SHOW HOW THEY WERE
ARRANGED. DID THIS AARANGZMENT CHANGE DURING THE SIGHTING?
oe
only
11. CoNOITioNs(Check appropriate blocks.)
A. SKY a. WEATHER
DAY CUMULUS CLOUDS (LOW fluffy) FOG OR MIST
TWILIGHT CIRRUs CLouDS (High fleecy or Herring- HEAVY RAIN
NIGHT bone) LIGHT RAIN OR ORIZZLE
CLEAR NIMBUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIWBUS CLOUDS SNOW OR SLEET
CONPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG NONE OF THE ABOVE
C.IF THE SIGNTING WAS AT TWILIGHT OR NIGHT. WHAT DID YOU NOTICE ABOUT THE STARS AND MOON?
(1) STARS (2) MOON
HOME BRIGHT MOONLIGHT NO MOONLIGHT
AFEW MOON VITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL(New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? NO. 1F YES WHERE WAS THE SUN AS YOU FACED
THE PHENOMENONT
IN FRONT OFYOU TO YOUR RIGHT OVERHEAD (NeW nOON)
IN BACK OF YOU TO YOUR LEFT UNXNOWN
E. SPZCIFY THE WAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR
STREET LANP. ETC. FOR TERRESTRIAL ILLUMINATIQN, SPECIFY DISTANCE TO LIGHT SOURCE.
PAGE PAGES

CHANGE SHAPET
FLASH oR FLICKER?
DISAPPEAR AHD REAPPEAR?
SPIN LIKE ATOPY
MAKE A NOISET
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTIQN TO THE PHEHOMENON?
reflect Can meft
A. HOW DIDIT FINALLY DISAPPEAR?
A
!
PAGE S OF 9 PAGES

AFR 80-17(C1)
13. DRAW A PICTURE THAT WILL SHOW THE SHAPE OF THE PHENOMENON. INCLUDE ANO 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.
ehausk
Rd No
truil
or vapun
--NaaNrN
E
.
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 WOON. NOTE HOW MUCH O= THE OBJECT IS COVEREO BY THE HEAD OF THE MATCH. NOW IF YOU HAD
BEEN ABLE TO =ERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD.
PAGE 6 OF 9 PAGES

AFR 80-17(C1)
I7. DID YOU OBSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING? INCLUDE INFORMATION ON MODEL,
TYOE, FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINOSHIELO TELESCOPE
SIDE WINCOW OF VEHICLE THEODCLITE
WINDONPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES XNO B. DO YOU USE READING GLASSES? YES 7NO
18 WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE I9. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENON? GIVE ESTIMATE OF S PHENOMENON? GIVE ESTIMATE OF DISTANCE
20. 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.
light
attentior reamblone
attentw no
C
/
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.
IF*YES.*DESCRIBE.
(
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AFR 80-17(C1)
22. HAVE YOU ZVZM SEEH THIS OR A SIMILAA PHSHOMENOM SEFOME? GIVE DATE AND
LOCATION.
23.WAS ANYONE WITH YOU AT.THE TIME YOU SAN THE IONENONG RYES THEY IT TOO?
YES NO. wre 1
A. LIST T THZIR MAMZS/AND ADDRESSZS
wife
24. GIVE THE FOLLOWING INFORMATION ADOUT YOURSELF
LAST
ADDROJ
TELEPMONEAN TELEPHONEIAn AGE AGE
20 MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING INDICATE ACDITIONAL INFORMATION INCLUDI OCCUPATION OCCUPATION AND ANY EXPERIENCE WHICH NAY BE PERTINENT.
.
25. WHEN AND TO WHOM DID YOU REPORT THATY YOU HAO SIGHTED THIS PHENOMENON?
NAME DAY. MONTH YEAR
23. DATE YOU COMP 2 THIS QUESTIONNAIRE.
DAY MONTH YEAR
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