PROJECT BLUE BOOK

.
PROJECT 10073 RECORD
DATE · TIME CROUP 2. LOCATION
:305EDT
Jun y .Jun 29 0305Z 0305Z WEST CARROLLTON, OHIO WEST CARROLLTON, OHIO
3. 2 SOURCE SOURCE 1. CONCLUSION 10. CONCLUSION
Civilian Insufficient Data Insufficient Data
3. NUMBER OF OBJECTS
One1)
5. 5. LENGTH OF OBSE LENGTH OF VATION ATION 11. . BRIEF SUMMARY DAMALYSIS AMALYSIS
Unknown Maxw AITN: Astosp Direct Director CA
6. TYPE OF OBSERVATION TYPE OF OBSERYATICH 5
Ground-Visual Jun 1969
7. COURSE Maxwell AFB, Alabama AlTN: Archives Bronch Astospace Studies Inst
RETURN TO:
Inknown
8. PHOTOS
n Yo
3 No /
9. PHYSICA VIDENCZ
07 Yes
3 Mo
FORM
FTD SEPS3 Tanede saood
3
8

ty
SIGHTING OF UNIDENTIFLEDPHENOMENA QUESTIONNAIRE BUDGET BUREAU APPPOVAL
NUMBER 21-2131
THIS QUESTIONNAIRE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S. AIR FORCE AS MUCH INFORMATION
AS POSSISLE CONCERNING THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO
: ANSWER ALL QUESTIONS. THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES.
YOUR
YOUR PERMISSION. RETURN TO AIR FORCE BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR), WRIGHT-
PATTERSON AFB, OHIO 45433, IAW AFR 8O-[7. (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME GQR IDENTIFICATION.)
11!O5PM Dale TUN.
1. WHEN DID YOU SEE THE PHENOMENON?
DAY. MONTH YEAR
2. WHAT DID YOU FIRST SIGH T TH E PHENOMENON?
HOUR MINUTES A.M. P.M.
3. WHAT TIM 1E DID Y o u LAST SIGHT T H E PHENOMENON?
HOUR MINUTES A.M. P.M.
4. TIME/ZONE DAYLIGHT SAVINGS O STANDARD
EASTERN CENTRAL 0 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.
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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 HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
20 SL
1
1
1
1 30
1 /
1 1
1 1 5
1
1
1,
OBSERVER
AF FORM 117
AUG 67

PBNMTTMNU
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
APPEAREO 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

8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (ChPCK aPPrOPrIAte bloCKS.)
OUTDOORS IN BUSINESS SECTION OF CITY
BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR C 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
on porch
OTHER
A. IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWING:
WHAT DIRECTION 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 YOUR 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 MUCH OTHER OT H ER T RA F FIC FIC WAS THERE?
DID YOU DID YOU NOTICE ANY AIRPLANES? NOTICE ANY AIRPLANES? YES NO. IF YES." DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON ANO WHERE OF SIGHTING THE AND WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
1 1
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7
9. HOW LONG HOW LO NG WAS THE PHENOMENON PH EN O MENON IN SIGHT? SIGHT?
LENGTH OF TIME LENGTH OF TIME CERTAIN OF TIME CERTAIN OF TIME NOT VERY SURE
FAIRLY CERTAIN JUST A GUESS
HOW WAS ME DETERMINEO7
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? YES 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.
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 flujfy) 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
COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG NONE OF THE ABOVE
C. IF C. IF THE THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT DID YOU NOTICE ABOUT THE STARS AND MOON? SIGHTING WAS SAT TWILIGHT OR NIGHT, WHAT DID YOU NOTICE ABOUT THE STARS AND MOON?
(1) STARS STARS (2) MOON 8
NONE BRIGHT BRIGHT MOONLIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO UNKNOWN UNKNOWN
MANY MOON HIODEN BY CLOUDS
UNKNOWN PARTIAL (New or quarter) PARTIAL (New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? YES WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON? THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD (Near noON) OVERHEAD (Near noOn)
IN BACK OF YOU TO YOUR TO YOUR LEFT LEFT UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS S THE SUN, HEADLIGHTS OR
STREET LAMP. ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY OISTANCE TO LIGHT SOURCE. STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
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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. DESCRISE YOUR IMPRESSION OF WHETHER
IT WAS SOLID OR TRANSPARENT, WHETHER EOGES 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 OBJECT IN YOUR FIELD OF VIEW.
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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?
stepped porch + noticed it.
on
A. HOW DID IT FINALLY A. HOW DID IT FINALLY DISAPPEAR?
at 11:25 at 11:25 till till viille
B. DID THE PHENOMENON MOVE BEHIND OR IN FRONT OF ANY TIME?
□ YES 2NO. IF *YES,"DESCRIBE.
PAGE5OF9 PAGES

HAVE APPEARED AS WINGS OR PROTRUSIONS, AND INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING.
15. 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 COVERED BY THE MATCH HEAD.
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PAGE S 9 PAGES

17. DID YOU OBSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING? INCLUDE INFORMATION ON MODEL,
TYPE, FILTER, LENS PRESCRIPTION OR OTHER APPLICAALE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES 7NO 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
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.
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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 D NO. IF YES."DESCRIBE.
/
A. DID THE PHENOMENON DISTURB THE GROUND LEAVE ANY PHYSICAL EVIDENCE. YES NO.
IF *YES." DESCRIBE.
PAGE 7OF9 PAGES

22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE? CYES NO. IF *YES, GIVE DATE AND
LOCATION.
2. WAS ANYONE WITH YOU AT THE TIME YOU SAW THE PHENOMENON? YES DID THEY SEE IT TOO?
YES 0 NO. wfue
A. LIST THEIR NAMES AND ADDRESSES
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME EIRST
ADDRES
ave Weaf Corrall ton
TECEPHONE
AGE 29
MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT. AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
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25. WHEN AND TO WHOM DIO YOU REPORT THAT YOU HAD SIGHTED THIS PHENOM ENON?
NAME DAY MONTH YEAR
26. DATE YOU THIS QUESTIONNAIRE.
DAY. MONTH YEAR
PAGE 8 OF 9 PAGES