PROJECT BLUE BOOK

PROJECY 1SS7S WECOKO
11 JAE · TIME CROUP ?. LOCATION
: 21/2150
A gl January 69 22/02302 Noar Andraws, South Carolina
13. SOURCE 10. CONCLUSION
6
Civilion Fossible Other (RLFLECTION)
I. NMBER OF OBJECTS The only adult witness to the sighting has not returned his A
Form 117 as of 15 Apr 69. Tne observer Form ll7 as or 15 A, ver reported that it wes reported tnat it wec
Cne One night but no stars were visible. It seems possible that she night but no stars were visiblc. It seems possible that she
5. LENGTH OF OBSERVATION 11. BRIEF 11. ANALYSIS Sigated tne reflection of a search
light or si
About 5 Seconds About 5 6 Seconds
The observer sigated an observer sighted an orange orange crescent shaped light (NW (nW
6. TYPE OF OBSERVATION and back to the right (W - Nw) and then disappeared.
-
Ground-Visual
7. 7. COURSE
See Case See Case
8. --
PHOTOS PHOTOS
n Y.s
CCNO
9. PHYSICAL EVIDENCE
07 Yes
CONO
FORN
FYD 5E63 0-329 (TDE) be vood. .
T+
.

I noticeait
revelved
A. HOW DID IT FINALLY DISAPPEAR?
Iof Iof seemed to canish.
DID THE YES CNO. IF *YES,*DESCRIBE. TIME?
was benind some treetops
with itmeoed from behind them
shertly
PAGE 9 PAGES

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.
-
-
A
-—--
PAGE 6 OF 9 PAGES

bright Itwas of
2I. 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 P-ENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. 0 YES BNO.
IF *YES."DEICRIBE.
PAGE 7 OF 9 PAGES
-

22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE? YES NO. IF *YES," GIVE DATE AND
LOCATION.
23. WAS ANYONE WITH YOU AT THE TIME YOU SAW THE PHENOMENON? YES NO. IF YES,"DID THEY SEE IT TOO?
YES NO.
A. LIST THEIR NAMES AN
19510
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME ME
ADE
29510
TEL
14 MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUE INDICATE AODITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPE TION AND ANY EXPE ENCE WHICH MAY BE PERTINENT.
Iamin nunth nnth gradeat gradeat Willia
Williamsburg nsburg
25 ORT THAT YOU HAD SIGHTED THIS PHENOMENON?
NAME on DAY22 MONTH Jan. YEAR 1969
+994
26. DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY 5 MONTHFeb YEAR
PAGE B OF 9 PAGES
i

N
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PATTERSON AIR FORCE BASE OHIO 45433
REPLY TO 18Mk969
ATTN OF TDPT (UFO)
SUSJECT UFO
TO:
Andrews, South Carolina 29510
Your name has been given to the Aerial Phenomena Office (Project
Blue Bookas being a witness to an unidentified flying object.
If you If you were were a witness to an UFO sighting on O an UrO slEnting on 21 January J 1969
would would you please you please complete the atteched AF Form ll7 and complete the atteched AF Form ll7 and return returni it it
in the envelope provided. If you you were not a witness to this were not a witness to this
sighting, would sighting, would you please make a statement to this effect on the
attached form. The information which you provide will be used in information which you provide will be used in
evnluating this observation. obser Thank you fo Thank you your assistance in this your assi ance in this
matter.
HECTOR QUINTANILLA, Jr, Lt Colonel, USAF Lt Colonel, USAF 1 Atch
Chier, Aerial Chief, Aerial Phenomena Office AF Form 117 w/envelope
Aerospace Technologies Division
Production Directorate

of what you saw. However, if you will eomplete the inclosed question-
naire and mail it in the attached envelope, our technicul people at
Wright-Petterson Air Foree Pase, Ohio, will he able investigate
further and make an evel luation.
Should you ever see another UFo, pleuse report it as soon as
possible to the nearest Air Force bsse. Each base in the United
States has a Uro investigetor. He is in a better positicn to make
an on-the-spot investigation, wh) ch usually results in a more results in a more
accurate analysis.
In the meantime, you might In the be sble to identify vour ahle to ideatify vour sighting sighting
of objects often reported as UFo's in
the Project Blue Book we are inclosing.
Sincerely,
151
JAMES H. AIKMAN
Me jor, USAF
Chief, Civil Branch
Community Relations Division
Ofrice of Information
Attochments
Coord Cy - SAF-OICC
Cmbk Cy - SAF-OIC
Carolina 89510 Activity Cy - SAF-OIC
Reader Cy - SAF-OI
Stayback
SAF-OICC cC: WPAFB

Kome
Da Cer aof a bright
Riret tanioked.lle tit
and 4:35PM(EST)L1122

fece - miles from
bb.C.
Ihie
mr
let
lalow fie to tix Dicoride.
object.
-
-
Pleasi
ae seon ae p
!
i

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 ING THE ENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO
ANSWER
FORCE BASE INVESTIGATOR FOR ARDINGTO FTD (TDETR), WRIGHT.
PATTERSON AFB, OHIO 45433, IAW AFR8O-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 OU SEE THE PHENOMENON?
DAY2L MONTHJAN. YEAR 1969
2. WHAT FIRST SIGH T THE PHENOMENON? BETUEEC
HOUR 9 MINUTES30-35 IA.M. 1EFP.M.
3. WH AT E U H T THE PHENOMENON? SETCEEC
HOUR 9 MINUTES30-35A.M. [C7P.M.
4. TIME/ZONE 0 DAYLIGHT SAVINGS STANDARO
CENTRAL 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.
ue were abea 5 miles of Andrews.s.C
I
1
1 15
OBSERVER
AF FORM 117
AUG 67

6A. 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.
$$\vfrac}$
NNW NNE
NW NE
WNW ENE
&
WSW ESE
sw SE
sSw SSE
7 IN THE SIKCETCH 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 PAGES

.
8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CheCk aPprOpriat hloCKS.)
OUTDOORS IN BUSINESS SECTION OF CITY
BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER AS PASSENGER √ IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE O 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 ABOUT 55-60MPH
SOUTH WEST
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR TCHES IN ITEMS 5 AND 6
we aere on 5 road when we sal
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD, TERRAIN OR BODY OF WATER YOU
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
we 10.41966 ev012t
dindOws dindows were wp. were p.
HOW MUCH OTHER TRAFFIC WAS THERE?
Noneother than None,other than a car behind lis
OID YOU NOTICE ANY AIRPLANES? YES 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. 9. HOW LONG HOW LONG WAS THE PHENOMENON IN SIGHT? WAS THE PHENOMENON IN SIGHT?
LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE
5seconds or so. FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? VIYES 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.
N0LI
PAGE 3 OF 9 PAGES

.
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 luffy) FOG OR MIST
TWILIGHT CiaRus CLouDs (High fleecy or Herring- HEAVY RAIN
L NIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMSUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG V 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)
o IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? YES NO. IF "YES. WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD (NeOR 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.
HEAOLIGHTS
were
shorp.
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