PROJECT BLUE BOOK

PROJECT IOO73 RECORD
1 DATE ME GROUP 2. LOCATION
05/1750
Juns 05/2250z Ilinois, Iowa, Missouri, Area
3 SOURCE 10. CONCLUSION .
Civilian Astro (METEOR)
1. NUMBER OF OBJECTS
One:
5. LENGTH OF OBSERVATION OBSERVATION 11. BRIEF SUNARY AND ANALYSIS 11. BRIEF SUMARY AND ANALYSIS
10 - 30 Seconds Stimulus identified identified by the Smithsonian Astrophysi cal by the Smithsonian Astrophysi cal
TYPE OF OBSERVATION TYPE OF OBSERVATION Observatory as a meteor. Observatory as a meteor.
Ground-Visual
7. COURSE
3. PHOTOS
n Yos
XNo
9. PHY DENCZ
n7 Yos
XINo
PORY
T .EP43 0.329 (TDE) ond
.
0

CHANGE BRIGHTNESS?
CHANGE SHAPE?
FLASH OR FLICKER?
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
WAS KOINTED ToME by Ofter AILOT
0 0 A. HOW DID IT FINALLY DISAPPEAR? FINALLY DISAPPEAR?
our our OF OF S16HT 516HT DUE DUE T2 TO ACIT. ACRT. MOSMISUT MOGMISUT
B. DID THE MOVE BEHIND OR IN FRONT SOMET LIKE A CLOUD TREE, OR BUILDING AT ANY TIME?
YES NO. IF *YES. DESCRIBE.
PAGE5OF 9 PAGES
0

DIRECTION THE PHENOMENON WAS MOVING. 0
-CHCON ObSES
-2600T560f1000
ASOVEACFT
$$}$ Sn ous
LAST 1
CHLsF SSAN
SAAO
AF G ATEE NANO NADINO EnT
:
200-225KT5 200-225KT5 IAS AS
I5. 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 SY THE HEAD OF THE MATCH. NOW IF YOU HAD
PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD. BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
I
PAGE 6OF 9 PAGES

I7. OID YOU OBSERVE THE PHENOMENON THROUGH ANV OF THE FOLLOWING? INCLUDE INFORMATION ON MODEL.
TYPE, FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES NO B. DO YOU USE READING GLASSES? YESN
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
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.
COMMON OBJECT AND WHAT YOU SAW.
SIMC TO UBRY ALSTOL FLARES- GREBO IN
Cole, APPEALES TO WH HAD TAIL OF SmokE
OR TO WAVE BAAN Tes TO GSTNER $\$
some soeT OF TON
0 0
21. DID YOU NOTICE ANY ODOR NOISE, OR HEAT EMANATINGFROM THE PHENOMENON OR ANY EFFECT ON YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY? YES X NO. IF *YES,"DESCRIBE.
A. DID THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YES NO.
IF "YES. DESCRIBE.
/
UNKNOWN
0 PAGE 7OF 9 PAGES

FS ILC
.
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME,FIRSTNAME, MIDDLE NAMS
ADDRESS
COUTAN ILL CU18
TELE AGE
X MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
RECEN RETOLNED FMOM S.E.A. WNEE AS
AN WITN AN Akvy NT1
WAS FAMILIAL WITN OLOOANCS
UseD Fok SIGNALLING.AND
RECOCNIBE IT. THE THING RESEVSLINg
onoy
1 OULD Bs :
B
8
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
NAME SoT BAsE Oe YEAR
_ DAY MONTH
25.DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY. MONTH YEAR
PAGE 3 OF 9 PAGES

UNIDENTIFIED QUESTIONNAIRE
NUMBER 21-R258
THIS QUESTIONNAIRE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S. AIR FORCE AS MUCH INFORMATION
AS POSSIBLE CONCERNING THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO
ANSWER ALD OF HE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES.
ONNECTION WITH ANY OF YOUR STATEMEI NTS OR CONCLUSIONS WITHOUT
YOUR PERMISSION. O AIR FORCE BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR), WRIGHT.
PATTERSON AFB, OHIO 45433, IAW AFR8O-17. (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1. WHE N D1D SEE THE
DAY5 MONTH/UNE YEAR. 1969
2. WHA TIME DID YOU H T T HE PHENOMENON?
HOUR5}$ MINUTES5A.M. DP.M.
3 WHA TIM DID T H P E OMENON?
HOUR 5 _MINUTESA.M. P.M.
4.TIME ZONE DAYLIGHT SAVINGS STANDARD
EASTERN CENTRAL MOUNTAIN PACIFIC OTHER
5 WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY, GIVE THE NEAREST STREET ADDRESS AND INDICATE OM
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.
.
x
6 IMAGINE YOU ARE AT THE R POINT SHOWN IN THE SKETCH, PLACE AN *A° ON THE CURVED LINE TO S 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
| 8
1
1
| X13
| 15
1
OBSERVER
AF FORM 117
AUG 67

1.
THE PHENOMENON WHEN LAST SEEN.
A-8 foe
$\rac}$
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
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

-
8. WHERE WERE YOU WHEN YOU SAW THE PHENomENON? (Check appropriate blocks.)
OUTDOORS + IN BUSINESS SECTION OF CITY
IN BUILDING X IN RESIOENTIAL SECTION OF CITY
IN CAR AS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE 0 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
SOUTH WEST DID YOU STOP WHI IL E OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECT CHES IN ITEMS 5 AND 6.
DESCRIBE TYPE OF VEHICLE YOU WEREIN N AND TYPE OF POAD, TERRAIN OR BODY OF WATER YOU TRA SEO DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MUCI AF FIC THERE? HERE?
DID YOU NOTICE ANY AIRPLANES? 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 THE SKY RELATIVE TO THE POSITION OF POSITION OF THE PHENOMENON.
0 0
9. HOW LONG HOW LONG WAS THE PH HENOMENON IN SIGHT? ENOMENON IN SIGHT?
LENGTH OF TIME LENGTH OF TIME CERTAIN OF TIME CERTAIN OF TIME NOT VERY SURE NOT VERY SURE
60- 80 sonds X FAIRLY CERTAIN JUST A GUESS
HOW DETERMINED?
estimates
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 OESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP-
PEARANCES ON PREVIOUS SKETCHES.
*
PAGE 3 OF 9 PAGES
0

it seemed to be OnO at fint-(ot CERTAIN)
11. CONDITiONs (Check appropriate blocks.)
A. SXY 8. WEATHER
DAY CUMULUS CLOUOS(LOW fluffy) FOG OR MIST
TWILIGHT CIRRus CLouDs (High fleecy or Herring- HEAVY RAIN
NIGHT bone) LIGHT RAIN OR DRIZZLE
X CLEAR NIMBUS CLouDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLS STELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG X NONE OF THE ABOVE
C.IF THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT OID YOU NOTICE ABOUT THE STARS AND MOON?
(1) STARS (2) MOON
NONE BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOCN 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(Near noon)
IN BACK OF YOU TO YOUR LEFT UNKNOWN
STREET LAMP, ETC. . FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
SUNAIGHT- SONAI
12. GIVE A BRIEF DESCRIPTION OF T THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
REFLECTED LIGHT OR WAS SELF-LUMINOUS AND WHAT COLORS S YOU NOTICED. DESCRIBE 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.'
shaped ee skeled EAR
Cone
the llue it wad heenish,
against sky
a Propone tarch flome,
yello) to any stors
(nat ar
meterans, an falling stars shape did
not chonge
ldedge mere
ANlar
PAGES

CHANGE SHAPE? V
FLASH OR FLICKER? x
DISAPPEAR AND REAPPEAR? X
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
talking to accupont. I et haune
cuas
suddingy she painted
went my
to the Math and said lodP o0 the
V1t
object objiet sinditly sineditly
0 0 A. HOW A. HOW DID DID IT FINALLY FINALLY DISAPPEAR? DISAPPEAR?
Uiew Uiew was. wao broken broten by by ther tree
Haue,
B. DID THE YES PHENOMENON MOVE BEHIND OR NO. IF"YES." IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR ANY TIME?
DESCRIBE.
PAGE 5 OF 9 PAGES
0

-
DIRECTION THE PHENOMENON WAS MOVING. .
a
not Certain
O
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 MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. NOW IF YOU HAD
BEEN AALE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD.
PAGE6 OF9PAGES

: 5ito69
.. Metace sighting
Meno Bor the Recond
JON 69
Bavte A.FB Regaueding
what he thougnt was the buen in of
Foh0 I on the evering of 5 JoN69.
A Tele phone call to S.D.C. (Sgt. Magrath)
revealed th=t EchoⅡ had Not decayed
yet. Dec3y3 were 25 follows.
5 Jer.
# # 2890 0355Z5MiN 0355Z15MiN in S.ATLANTiC S.ALANTiC
#3223 2 09222±22Min. 09222122 Min. in Rustralia Rustralia
G JUN. G JUN.
No decoys. decoys.
colled DiN and Soid ThaT
To sigiting was prib. Time of-
the sight ing was 5 Jun 10to 22502-23002
and duration was about3o sec and Approx.
direction of traveL was E to W.
Called Mr. Ctron of Smithsowian. Mr. Citron
confirmed that sighting w35 of a meteor.
It traveled or az. OS 290 deg and wds
S221 Sron Poria, ILL. to Ohnaha. It prob.
booved
Colled and aave hin ahore inso.

WL. HAVE YOU EVER SEEN THIS OP A SIMILAR PHENOM ENON BEFORET TYES NO. IF YES,"GIVE DATE AND
LOCATION.
0
23. WAS ANYONE WITH YOU AT THE TIME SAW PH YES NO. IF DID THEY SEE IT TOO?
YES NO.
A. LIST THEIR NAMES AND ADDRESSES
m aw
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST
T
ADDRED
TEL AGE
56 X MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT. WHICH MAY 8E PERTINENT.
relf employed P R
0
2S. WHEN AND WHOM DID YOU REPORT THAT HAD SIGHTED PHENOMENON?
5 6 YEAR 60
MDAY_ MONTH
PLETED THIS QUESTIONNAIRE.
DAY13 MONTH YEAR
PAGE B OF9 PAGES

17. DID YOU O3SERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING? INCLUOE INFORMATION ON MODEL,
TYPE, FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
0
EYEGLASSES CAMERA VIEWER
SUNGL ASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YESN B. DO YOU USE READING GLASSES? YES NO
18. WHAT WAS YOUR IMPRESSION OF THE SPEEO OF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OE THE ,
PHENOMENON? GIVE ESTIMATE OF PHENOMENON?
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.
a bodmitten, ball or what een the
Carrect me
mare elongated, salid bady dnt
hase hase oe
fland
.
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF.
ANIMALS OR MACHINERY IN THE VICINITY? n YES NO. IF *YES* DESCRIBE.
A. OID THE PHENOMENON DISTURB THE GRO UND OR LEAVE ANY PHYSICAL EVIDENCE. YES ENO.
IF YES. DESCRIBE.
. PAGE 7OF 9 PAGES

LS Mascout llinois 62258
The stimulus of your UF0 sighting of 5 Jun 1969 has been identified
by the Smithsonian Astrcphysical Observatory as a meteor. The meteor
traveled on a heading of 290 degrees and was seen by thcusands of
absence of sightings and sound near its computed pace point, it is
believed that it burned up completely in the atmosphere. Leved uidt iu oarhed up coipleceiy mir Ghe aciospnere
RECTOR QUINTANILLA, Jr, Lt ColOHel, USAF ECTOR QUINTANILLA, Jr, Lt ColOnel, USAF
2 Chief, Aerial PhenomenaOffice Phenomena Office
Aerospace Technologies Division
Production Directorate Production Directorate
)

St.Lou 63139
The stimulus of your UF0 sighting of 5 Jun 1969 has been identified
by the Smithsonian Astrophyaical Observatory as a meteor. The meteor
traveled on a heading of 290 degrees and was seen by thousands of
persons in the Illinois, Missouri and Iowa areas. Because of the
absence of sightings and sound near its computed impact point, it is
believed that it burned up completely in the atmosphere.
ZTOR QUINTANILIA, Jr, Lt Colonel, USAF
Chief, Aerial Phenomena Office
Aérospace Technologies Division
Production Directorate

,
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS 1400 AIR BASE WING (MAC)
SCOTT AIR FORCE BASE, JLLINOIS 6?225
ATIN OF: REPLY TO 1400(0B)
17 June 1969
SUBJECT UFO Report
TO: FTD(TDPT(UFO)
Wright Patterson AFB, Ohio
1. Attached AF Form 117 on UFO sighting on 4 June 1969 by
S forwarded for action.
2. Weather information for Scott during the applicable time
period was as follows:
a. Winds
Altitude Degrees Knots Knots
.
Surface 25 8
6,000 28 20
10,000 1 10
16,000 30
20,000 20,000 30
30,000 50 50
50,000 50,000 35 35
b. bo Ceiling: 10,000 broken Ceiling: 10.000,brot
c. Visibility: 7 miles
d. Amount of cloud cover: overcast
JOHN B. DODGE, Capt, USAF
Assistant Base Operations Officer

:
SIGHTING OF UNIDENTIFIED HENOMENA 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
ANSWER ALL OF UESTIONS THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES
CONNECTION WITH ANY OF YOUR STATEME TS OR CONCLUSIONS WITHOUT
YOUR PERMISSION. RETURN TO AIR FORCE BASE INVESTIGATOR FOR TO FTD (TDETR), WRIGHT-
PATTERSON AFB, OHIO 45433, IAN AFR 8O-17. (IF ADDITIONAL SHEETS ARE NEEI NARRATIVE OR SKETCHES
ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME EOR ID FICATION.
-
1 WHEN DID YOU SEE THE PHENOM AENON? TUN
MONTH -YEAR(.7
2. WH A TIM E DID SIG T H E PHENOMENON?
HOUR MINUTES -50A.M. DP.M.
3. WHAT TIM E DID L SIGH T E P EN OM ENON?
5 MINUTES 445 -50A.M. T.P.M.
HOUR
4. TIME/ZONE DAYLIGHT SAVINGS STANDARD
EASTERN CENTRAL MOUNTAIN PACIFIC OTHER
S. 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.
0
5 IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN AON 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 ASOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90 15
I 6
I
!
I
1
1
1 15
1
K
OBSERVER
AF$ FORM 117
AUG 67

THE PHENOMENON WHEN LAST SEEN.
N
NNW NNE
NW NE
WNW ENE
B
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 9ETWEEN A° AND "B. THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT D
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

3 WHERE WERE YOU WHEN YOU SAN THE PHENOMENON? (Check appropriate blocks.)
QUTOOORS IN BUSINESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER 0 AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE AS PILOT AS PASSENGER FLYING OVER CITY
OTHER FLYING OVER OPEN COUNTRY
CARPORT OTHER
A. IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWING:
WHAT DIRE CTION WERE HOW FAST YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHNEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS 5 AND6.
DESCRIBE TYPE OF VEHICLE YOU WEREIN AND TYPE OF ROA D. TERRAIN OR BODY OF WATER OU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW H O R FIC THERE? THERE?
DID YOU NOTICE ANY AIRPLANES? DID YOU NOTICE ANY AIRPLANES? YES NO. IF *YES. DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME NO. IF *YES,• DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON ANO AND WHERE WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
0
9. HOW LONG WAS THE PH ENOMENON IN SIGHT?
LENG TH OF TIME CERTAIN OF TIME NOT VERY SURE
5-10 SEC. FAIRLY CERTAIN JUST A GUESS
HOW DE TERMINED?
EstimAteD
WAS THE PH ENOMENON 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. INOICATE DISAP_
PEARANCES ON PREVIOUS SKETCHES.
PAGE 3OF 9 PAGES
0

H in sight. 2 no O
DRWG.
LAst 3 in sight
foc euly a sEloND
CRto.
11. CoNDiTioNs(Check appropriate blocks.)
A. SKY B. WEATHER
X DAY CUMULUS CLOuDS (LOW fluffy) 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 CUMULONIM9US 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 A90UT THE STARS AND MOON?
(1) (1) STARS STARS (2) (2) MOON MOON
NONE BRIGHT MOONLIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO MOON WITH HALO UNKNOWN
MANY MANY MOON HIDDEN BY CLOUDS MOON HIDDEN BY CLOUDS
UNKNOWN UNKNOWN PARTIAL (New or quarter) PARTIAL(New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS D. IF SIGHTING WASIN DAYLIGHT. WAS THE THE SUN SUN VISIBLE? YES NO. NO. IF IF YES. WHERE WAS THE SUN AS YOU FACED WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU IN FRONT OF YOU TO YOUR RIGHT OVERMEAD (Near noon) OVERMEAD(Near nOOn) O D
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 SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR
STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION. SPECIFY DISTANCE TO LIGHT SOURCE. STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
LA
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. DESCRIBE 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.
b ApE. Han
It WAS
ItWAS
PAGE 4 OF 9 PAGES

719
DIRECTION THE PHENOMENON WAS MOVING.
OBJECT BluE-SIIVEE
TOWArD V TAIL
WEST
. .
16. WHAT WAS THE ANGULAR SIZE? LAMP OR THE MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. NOW IF YOU HAD HOLO A MATCH AT ARM'S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET
BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
HALF(2)O - object
PAGE 6 OF 9 PAGES
0

O.' SIPHTING (1) 33/1732 JUN 69 (2) DAYLIGHI I (D) LOCATION OF
C5SLAVER, 30 MILES NW UF CHICAGGU LUOP (F) ORSERVER (1) GIVILIA
))
O = THE FOLLOVINS IS A REPORT
(4
MHISY OOCJRED AT 3 3D/175JL JUN 59. (A) DISCRIPIION (I) LONG TEAR-
0 ) IAIL
OROP SHAPE (2) SILVERLY-AQUA COLOR (3) ONE IN NUMBER (4)
JAS S TO 1D TIMES HEAD DIAMEIER (O) .NOSOUND (S) UNUSAL L FEATURES:
PIEOE FALLING UPWARDS FROM OBJECT (B) OBJEOT MOTICED ACCIDENTLY.
6 E VORISON (2)
(I) INITIAL ELEVATION APPROXIMATELY 30 DEGREAS ABOVE
• OEJECT TRAVELED STRAIGHI AND LEVEL FOF APPROXIMATELY Y 4D DEGREAS
O (3) OBJECT FADED OUT BEFORE II REACHED HORISUN (4) OBJECT WAS VISIBLE
FOR S TO 8 SECCONDS. (
OPTICAL AIDS WER USED. (D) TIME AND DATE OF SIGHTING (ID 3/1750L
JJN 69 (2) DAYLIGHT (E) LUCAIION UF OS 3 ES NW OF CHICAGO OF CHICAGO
O AGE 50 YEARS AGE 50 YEARS
LOOP (F) OBSERVER (1) CIVILIAN (2) LOOP (F) OB3ERVER (1) CIVILIAN (E) MR
(4) 7 S. 551 -4?94 (4) 7 S. 551 -4?94 $43;3, VILLE, ILL (O) MECHANICAL ENGINEER:
O O HAS ZACK HA3 ZACI In SpaCE In SpaCE H.(3)
USAF, CIW MAITIELANCE OFFICER, USAF, CEW
75) IM AADAR SQJADRON, ARLINGION AI ILL. OFFICE PHONE,
GP AJTOVON Doie.
11
O
. PAGE 3 RUWJTRAZ044 UNCLAS
OBJECI WAS PROBASLY A PIECE OF SPACE DEBRIS DISINIEGRATING
O UPON AE-ENTRY.
BT
3344
3

DISAPPEAR AND REAPPEAR? X
SPIN LIKE A TOP? X
MAKE A NOISE? $a
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
my next DOok neighboe.
.
A. HOW DID IT F A. HOW DID DISAPPEAR?
ito the west. Ovee the hoRizon. a
DISAPPEA Disappe
3. OID THE RHENOMENON MOVE BEHIND OR IN FRONT SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
YES DESCRIBE.
PAGE 5 OF 9 PAGES
.

17. DID YOU OBSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING? INCLUDE INFORMATION ON MODEL,
TYPE, FILTEP, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. OO YOU ORDINARILY WEAR GLASSES? YESNO 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 SPEEDMR ENCUS PHENOMENON? GIVE ESTIMATE OF DISTANCELALCLCS
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 NOTEO THE PHENOMENON.
WOULD BEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE
COMMON OBJECT AND WHAT YOU SAW.
1+ WESSAAPED AS
WISREI WAS.
. 0
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATIN 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 PHYSICAL EVIDENCE. YESNO
IF "YES DESCRIBE.
PAGE 70F 9 PAGES
0

YES TYES."GIVE DATE ANO
LOCATION.
23.WAS ANYONE WITH YOU AT THE TIME YOU SAW THE PHENOMENON? YES IF THEY SEE IT TOO?
YES 0 NO.
A. LIST THEIR NAMES AND ADDRESSES
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
AS
TELEPHONEAreO
MAL FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT. INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
stactboy stactboy
.
23. WHEN AND TO WHOM DID YOU REPORT THAT HADS SIGHTED THIS PHENOMENON?
:1 6- YEAR 69
NAME DAY_ MONTH
26. DATE YOU THIS QUESTIONNAIRE.
4/3 6 ,YEARL9
DAY MONTH
PAGE 8OF9PAGES

4
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS 1400 AIR BASE WING (MAC)
SCOTT AIR FORCE BASE, ILLINOIS 62225
REPLY TO AITN OF 1400(0B) 19 June 1969
SUBJEGT UFO Report
TO: FTD(TDPT(UFO)
Wright Patterson AFB, Ohio
Attached June 1969
2. Weather information for Scott the applicable time
period was as follows:
a. Winds
Altitude Degrees Knots
Surface 25 8
6,000 28 20
10,000 1 10
16,000 16,000 30
20,000 30 30
30,000 50
50,000 35
b. b. Ceiling: N Ceiling: None
c. Visibility: Visibility: Unlimited Unlimited
Amount of cloud cover: Slight
Codae
JOSN B. DODGE, CaPt, USAF 1 Atch
ASsistant Base Operations Officer AF Form 117
DOUUN

HOUR P.M.
TIME ZONE X DAYLIGHT SAVINGS STANDARD
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.
1- IN CAR- F
2 POSLTION
CAR CHANGEDTO
CE WHEN C=→ WHEN
LAST SIGHTED
0 PHENOMENA PHENOMENA
. I
6 IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN ON THE CURVED LINE TO SHOW HOW HIGH THE
PHENOMENON WAS ABOVE THE HORIZON, OR SKYLINE WHEN FIRST SEEN. PLACE A B°ON THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
5
1 H
1
1
.
I 30
1
1 /
1 / 15
1
1
V 1
OBSERVER
AF FORM 117
AUG 67

DIRECTION TO THE PHENOMENON WHEN FIRST SEEN. PLACE A *B ON THE COMPASS TO INDICATE THE DIRECTION TO
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* ANO "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
THELARGER SKETCH.
PAGE2OF 9 PAGES

PHENOMENON WASAHEAD OF
11. CoNDITioNs (Check appropriate blocks.)
A. SKY 3. WEATHER
DAY CUMULUS CLOUDS (LOW fluY) FOG OR MIST
TWILIGHT CIRRUS CLouDS (High fleecy or Herring- HEAVY RAIN
NIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMBUS CLOUOS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG NONE OF THE ABOVE
C.IF THE SIGHTING WAS AT TWILIGH'T OR NIGHT. WHAT DID YOU NOTICE ABOUT 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 IF WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD(Near noOn)
IN BACK OF YOU X 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.
SIA
LOOKED
SHAPE SIDEUIEW OFWING
PAGE 4 OF 9 PAGES

3. WHERE WERE YOU WH EN SAW THE PHENOMENON? (ChsCk appropriate blockS.)
0 OUTDOORS IN BUSINESS SECTION OF CITY
IN GUILDING X IN RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE 0 AS PILOT AS PASSENGER FLYING OVER CITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
A. IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWING:
WHAT DIRE CTION WERE YOU MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST 25-30 MD1
SOUTH WEST DID YOU STOP ANYTIME WHILE BSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS IN ITEMS 5 AND 6.
NO
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD, TERRAIN OR BODY OF WATER TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE WERE UP OR
BUICk STATION AGON. RO ES
1965
HOW MUCH OTHER TRAFFIC WAS THERE? FIC WAS THERE?
DID YOU NOTICE ANY AIRPLANES? YES 2 NO. IF YES, DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE THE AND WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON. THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
D
9. HOW LONG HOW LONG WAS THE PHENOMENON IN SIGHT? PHENOMENON IN SIGHT? 3 SeC 3 SEC
LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE
3 SEC X FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
COUNTING ONE -
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? RYES  NO. IF *NO." INDICATE WHETHER THIS IS DUE TO YOUR ate
BEHAVIOR. INDICATE DISAP.
PEARANCESO ETCHES.
DISAP SARED AFTER ABOOT 3SEC.
AT "B"IN #7 SKETCH
r
0 PAGE 3OF 9 PAGES

15.
DIRECTION THE PHENOMENON WAS MOVING.
. 0
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.
60%
PAGE 6OF9 PAGES O

FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
BRIGHTNE CTS
:
0 0 A. HOW DID IT FINALLY DISAPPEAR? A. HOW DID IT FINALL SAPPEAR?
TUST TUST FADED OUT
8. DID THE PHENOMENON MOVE BEHIND OR IN FRONT SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
YES x NO. DESCRIBE.
PAGE 5OF 9 PAGES
0

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PTTJZYJV RUVJTRA3044 1071D4D-UUUU--RJVAADA.
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FA 755TH RADAR SQDN ARLINGION HIS AI ILL
TO RJNMFV TO RJNMFV A/ADO ENI AFE A/ADC ENI AFE COLS COLO
9 INFO RUCI3DA/34IH AIR DIVISION USIER INFO RUCI3DA/34TH AIR DIVISION CUSIER RAFS AFS S MICH MICH
RUVAADA/NRIGHT PAIIERSUN AFB FID CHIO RUVAADA/NRIGHT PAIIERSUN AFB FID CHIO
o RUEFHQA/CSAF WASH DC
RUEFHRA/ CSAF WASH DC
31 3T
0 UNCLAS 735M3E FOR 340IN: FTD (TDETR): CSAF (AFRDO): OSAF (3AF-OI)
O SUBJ: UFO REPORT.
' THE FOLLOWING IS UFO RE T OF A SIGHIING WHICY OCCURED ON 3D/177SL
0 JUY S A
0 (A)
COLOR (3) ONE IN NJMBER (4) DETAILS: LARGER IMAN BRIGHI SIAR (5)
TRAIL WAS 2 TO 3 TIMES LARGER THAN OBJECI (5) UOUSAL FEATURES:
PIECES FALLING FROM O3JECT (3) (1) CBJECI MOTICED ACCIDENTLY (2)
OBJECT OBSERVED FROM HORISUN 1O HURISON (3) CEJEOT JISAPPEARED
OVER PORISON (4) OBJICI APPEAMED 1D BE IN CRPI1. (5) OBJECI WAS
.
VISIBLE POK S TO 4 MINUTES. (O) MANNER OF U3SEAVATION (1) VISUAL
058IRVATION ONLY (2) NO OPIICAL AIDS USE). (D TIME AND DATE T OF
3

aettooin DORNTSIAI LOIOROOON9G
22 HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE? C YES NO. IF Y DATE AND
LOCATION
0
23. WAS ANYONE WITH JAT YOU SAW THE PHENOMENON? YES NO. IF "YES. DID THEY SEE IT TOO?
YES NO.
A. LIST THEIR NAMES AND ADDRESSES
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME, FIRST NAME, MIDDLE NAME
ADD:EAYWAY.
LLIN01S62203
TE-crONeare and num AGE
18 X MALE FEMALE
INDICATE ADDITIONAL IN ATOEC
ATLOFI
WASA
0 0
25. THIS PHENOMENON?
CIUILDGFENSE
NAME PERSONONDOTYATSCOTT DAY MONTH TONE YEAR 1969
26. DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY. 16 MONTH VUNS YEAR 1969
PAGE 8 OF9 PAGES 0

EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD SAFETK CLASS TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YESNO B. DO YOU USE READING GLASSES? YES XNO
18. WHAT WAS YOUR IMPRESSION OF THE SPEEO OF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENON? GIVE ESTIMATE OF SPEED 1500M Put PHENOMENON? GIVE ESTIMATE OF DISTANCE 42Mi
20. IN ORDER THAT WE MAY OSTAIN 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.
A TEN FOOT TEARDROP PLACED SIDEWAYS
WITH THE LARGE END FORWARD
le
SIMILARITIES D FFERENCES
SAME GSNERALSHAPE TOO FATMORE TOO ,MO
SIZE OFA TAPERED OFA TAPERED
/
APDEARANCELE APPEARANCECE.
• .
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR AN Y YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY? YES NO. IF YES.DESCRIBE.
A. DID THE PHENOMENON DISTURS THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YES X NO.
IF *YES, DESCRIBE.
8
0 PAGE 7OF 9 PAGES

0 THEY WERS SIGHTED.
LATERON SAME NIGHT TUNES)
TVNEWS SAID FAA
REPORTED.
THAT IHAUE BEEN
EXTRA INF JEAE OF EXPLANATION
130
2203
0 PAGE 9 OF 9 PAGES
MAC-3A/B, M 34-3841

IDPT (UFO) 18 JUL1969
Meteor Sighting of 5 Jun 69
Attached is a copy of another sighting of the 5 Jun 69 meteor.
This one is from Greenfield, Indians.
HECTOR QUINTANILLA, Jr, Lt Col, USAP 1 Atch
Chief, Aerial Phenomena Orfice AF Fn ll7 for URO
Aerospace Technologies Division Sighting of 5 Jun 69.
Production Directorate
3 e
9
A &e 5 IS
1

I
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AF3C)
WRIGHTPATTERSON AIR FORCE BASE. OHIO 43433
REPLY TO 16 JUN 1969
ATTN O: TDPT (UFO)
SUSJECT
TO:
Greenfield, Indiana 46140
Reference your recent unidentified flying object sighting which
The information which we have
received is not sufficient for a scientific investigation. Request
you complete the atta and ecU the self-
addressed envelope. addressed envelope Thank reporting your observation to your observation to
the Air Force. the Air rce.
26m48 2x
fr fo HECTOR GUINTANILLA, Jr, ,Lt Colonel, USAF 1 Atch
Chief, Aerial Phenomena Office AF Form 1l7 w/envelope
Aerospace Technologies Aerospace Technologies Division
Production Directorate

AFR'80-17(C1)
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDGET BUREAU APPROVAL
NUMBER 21-R258
ANSWER ALD OF TH QUESTIONS. THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES
YOUR BE USED IN CONNECTION WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT
PATTERSON AFB, OHIO 45433, IAW AFR 8O-I7. (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1 WHEN DI0 YOU SEE THE PHENOMENON?
5r4 MONTH JUNEYEAR176I
DAY.
2. WHAT TIME DID YOU FIRST SIGHT THE PHENOMENON?
HOUR MINUTES 50 [IA.M. P.M.
3. WHA TIME 0ID YOU LAST SIGH T H E PHENOMENON?
APPROX. HOUR MINUTES 51A.M. P.M.
4. TIME ZONE x DAYLIGHT SAVINGS STANDARD
EASTERN CENTRAL MOUNTAIN PACIFIC OTHER
5. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY. GIVE THE NEARESTS STREET ADDRESS AND INDICATE ON
A HAND DRAWN MAP WHERE YOU WERE STANDING WITH REFERENCE TO THE ADDRESS. IF IN THE COUNTRY, IDENTIFY THE
HIGHWA NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
WERE 2 8 8 F7 WESTO WEST FHOUSE HOUSE iN iN BACK YARD
shemgnya henINya
5. IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN *A ON THE CURVED LINE TO SHOW HON HIGH THE ARE SKETCHPL THE CURVED SH HOW HIGH THE
PHENOMENON WAS ABOVE THE HORIZON, OR SKYLINE. WHEN FIRST SEEN. PLACE A B° ON THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
A
90 17
L
1
1 B3
30
1
I
1 15
I
V
OBSERVER
AF FORM 117
AUG 67

"
-.
AFR 80-17(C1)
DIRECTION TO THE PHENOMENON WHEN FIRST SEEN. PLACE A "B ON THE COMPASS TO INDICATE THE DIRECTION TO
THE PHENOMENON WHEN LAST SEEN.
N
NNW NNE
NW NE
WNW ENE
A
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.
PAGE2OF9 F PAGES

AFR 80-17(C1)
WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (Chrok uopeupriate blurks.)
OUTDOORS IN BUSINESS SECTION OF CITY
IN 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
OTHER
A. IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWING:
WHAT DIRE CTION YOU MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES INO
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 MU HOW OTHER TRAFFIC FIC WAS THERE?
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 SKY RELATIVE TO THE POSITION OF THE PHENOMENON. THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
Twe Twe FIGHTERS FIgHTERS WERE SIGHTED EAST BOUNO EAST BOUNU FeigHT FeigHT PATN PATN SOUTH
OF U.S. NO OBJECT SIGHTED WES -w. "w. CLOSER THAN THAN
THE THE FIGHTERS FIGHTERS
9. HOW LONG HOW LONG WAS WAS THE THE PHENOMENON PH NO ON IN SIGHT?
LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE
30 SECONDS FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
OPINION OF OBSERVERS
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? YES NO. IF *NO.^ INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHE ENOMENON,AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAR.
PEARANCES ON PREVIOUS SKETCHES.
ORJECT DISAPEARED DUE TO TREES ON NEXT PROPERTY WEST
.
PAGE 30F9 PAGES

AFR 80-17(C1)
ARRANGEO. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
11. CoNDiTiOns (Check appropriate blocks.)
A. SKY B. WEATHER
DAY CUMULUS CLOUDS (LOW fluffy) 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 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)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? YES N WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD(Near noon) OVERHEAD (Near 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 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. STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
SUN
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. DESCRIBE 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 OBJECTIN YOL UR FIELD OF VIEW.
BRILLIANT BLUES GREENS ALMOST
LUMINOUS JHAPED LIKE A
COMET,ONLY
LINE DID NST
LOOSE LINE WAS VERY SHARP. WAS DEFINATELY
NOT A REPLECTION
PAGE 4 OF 9 PAGES

FLASH OR FLICKER?
DISAPPEAR AND REAPPEAR?
SPIN LIXE A TOP?
MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT DREW ATTENTION TO THE PHENOMENON?
NE Twe LOOKINg NT THEM THEOBIECT
APPEARED LOWER IN- CLASER THAN THE FIGNTERS.
A. HOW DID IT FINALLY A. HOW DID IT FIN Y DISAPPEAR? DISAPPEAR?
IT I7 DISAPEARED DUE TO FOLIAGE ON FOLIAGE ON TREES BLOCFING OURVISION TREES BLOCFINg OURVISION
8. DID THE PHENOMENON MOVE BEHIND OR IN FRONT SOMETHING, LIKE CLOUD, TREE, OR BUILDING AT ANY TIME?
YES
PAGE 5 OF 9 PAGES

DEPARTMENT OF THE AIR FORCE
HEADQUARTERS IAOO AIR BASE WING (MAC)
SCOTT AIR FORCE BASE, ILLINOIS 62?25
REPLY TO ATIN OF 1400 (0B) 17 June 1969
SUBJECT U70 Report
TO FTD(TDPT(UFO)
Wright Patterson
Attached AF Forms 117 on UFO sightings on 5 June 1969 by
are forwarded for
action.
2. Weather information for Scott during the applicable time
period was as follows:
a. Winds
Altitude Altitude Degrees Degrees Knots
Surface Surface 250 8 8
6,000 280 20
10,000 10 10
16,000 16,000 320 320 30
20,000 330 330 30 30
30,000 34 00 8 50
50,000 50,000 34 35
b. Ceiling: None ina: Non
e: Visibility: Unlimited
d. Amount of cloud cover: Slight
Codae
JOHN B. DODGE, Capt, USAF 2 Atch
Issistant ase Operations Officer a/s

0WNO4N
.
AFR 80-17(C1) .
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.
FACEOR DOTECS APPEARED
FA1l TO BE ALMOST METALLIC
→ DIRECTION OF MEVEMENT
VERY BRILLIANT DPDNOTAPPEAR TO BE ANY PROTRUSIONS
16. WHAT WAS THE ANGULAR SIZE? HOLO 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.
FACE BFOBJECT WUbD HAVE BEEN eOUERED RY M0 HEH
PAGE 6 OF 9 PAGES

AFR 80-17(C1)
INCLUDE INFORMATION MODEL,
TYPE, FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YESN 8. DO YOU USE READING GLASSES? YES NO
19 WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENON? GIVE ESTIMATE OF SPEED VERV FIST PHENOMENON? GIVE ESTIMATE OF DISTANCE
APPRQX3 20*25007
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 WH IERE YOU NOTED THE PHENOMENON.
WOULD SEAR SOME RESEMBLANCE TO WHAT YOU SAW DESCRIBE SIMILARITIES FERENCES BETWEEN THE
COMMON OBJECT AND WHAT YOU SAW.
ORJECT wAS SIMILAR TO ACOMET WITH THE EXCE
THIT IT DIDNT LOOSE ALTITUDE TAIL WAS INA STRAIGHT
LINE
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. DIC THE PHENOMENON DISTURB THE GROUND OR EAVE AN PHYSICAL EVIDENCE. YES NO.
IF *YES." DESCRIBE.
PAGE 7OF 9 PAGES

AFR 80-17(C1)
22 HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE? 0 YES DATE AND
LOCATION.
23. WAS ANYONE WITH YOU AT THE TIME YOU SAW PHENOMENON? X YES NO. IF "YES.°DID EY SEE IT TOO?
XYES NO.
A. LIST THEIR NAMES AND ADDRESSES
so NF1GLD IND
yus, FND
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME. FIRST NAME, MIDDLE NAME
ADDRESS (STES.
46140
TELEPHO
47 MALE X FEMALE
INDICATE ADUMIONAL INDICAre ADbITIONAE TION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
I AM A HOUSEWIFE HOUSEWIPE AN D My SON JUST JUsT
THE AND I 14 WPS
COMPLETED 4YRSRA AR CRAFT MECHANIC MECHANIC
AR CRAFT
AIRPAANES iN CENERAL AND HAVE
INTERESTED IN
THIS 15 THE THE FIRST
READ ABOUT Uf0's Of0's AND
I I HAVE HAYE SEEN. 1 AM
0 ANY SORT TITAT
VERy INTERESTED IN THIS 13 THE REASON
I CALLED TitE A1R BASE
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON? COLUMBUS INDIAUA
13AS6 OPERATION BaGe
NAME_ 7 4 KALARLIRFORCE DAY. 5 MONTH UUAE YEAR 1949
28. DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY__ 5 MONTHUY YEAR 1960
PAGE 8 OF 9 PAGES

SIGHTING OF UNIDENTIFIED PHEMOMENA QUESTIONNAIRE BUDGET BUREAU APPROYAL
NUWBER 21-2138
AS POSSIBLE CON ERNING THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO
ANSWER ALL JESTIONS. THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES
YOUR CONNECTION WITH ANY OF YOUR STATEME
YOURPERMISSION. AIR FORCE BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR), WRIGHT-
PATTERSON AFB, OHIO 4S433, IAW 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 DID YOU SEE T HE PHEN IOMENON?
DAY02 MONTH TCNE YEAR 1S6 9
2. WH AT T DID F 51 G H E PHENOMENON 7
HOUR 1900 MINUTES A.M. ETF.M.
3. WHAT T IM E DID L AST SIGHT THE PH IEN OMENON?
HOUR 1900 MINUTESD1 A.M. DB.M.
4. TIME/ZONE 7 DAYLIGHT SAVINGS STANDARD
CENTRAL MOUNTAIN PACIFIC OTHER
5. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY, GIVE THE NEAREST S 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.
BACK VARD BACK YAPD OF HiME OF HiME
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.
90 17
L
1
1
1
1
1
1
-- 15
1
1
1
1
K
OBSEPVER
AF FORM 117
AJG 67

-
SA. NOW INAGINE 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.
N
1.
NNW NNE
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
APPEARED TO BE STRAIGHT, CURVEO OR ZIG-ZAG. REFER TC SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE
THE LARGER SKETCH.
PAGE 2 OF 9 PAGES

IO. IF THERE WERE MORE THAN ONE PHENOMENON, HOW MANY WERE THERE? DRAW A PICTURE TO SHOW HOW THEY WERE
ARRANGED. DIO THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
HO
11. COnDiTiONs (Check appropriate blocks.)
A. SKY B. WEATHER
DAY CUMULUS CLOUDS (LoW fluffy) FOG OR MIST
TWILIGHT CIRRus CLouDs (High fleecy or Herring- HEAVY RAIN
NIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMSUS CLOUDS (Rain) HAIL
PARTLY CLOUOY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG NONE OF THE ABOVE
C.IF THE THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT DID YOU YOU NOTICE ABOUT NOTICE ABOUT THE STARS AND MOON? AND MOON?
(1) STARS (2) MOON MOON
NONE NONE BRIGHT BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO UNKNOWN UNKNOWN
MANY MANY MOON HIDDEN BY CLOUDS MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL(New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? D. IF SIGHTING WAS IN DAYLIGHT. WAS THE SUN VISIBLE? YES N WHERE WAS THE SUN AS YOU FACED WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON? THE PHENOMENON?
IN FRONT OF YOU IN FRONT OF YOU TO YOUR RIGHT YOUR RIGHT OVERHEAD(Nea noON) OVERHEAD(Near nOON)
IN BACK OF YOU TO YOUR LEFT 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 OISTANCE TO LIGHT SOURCE.
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. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLIO OR TRANSPARENT, WHETHER EDGES 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.
PAGE 4 OF 9 PAGES

8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CheCK GPPrOPriaTe blOCKS.)
OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR 0 AS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELO
IN AIRPLANE AS PILOT PASSENGER FLYING OVER CITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
A. IF YOU WERE IN VEHICLE, COMPLETE THE FOLLOWING:
WHAT DIRECTION WERE HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES (SXNO
EXPLAIN WHETHERS SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS 5 AND 6
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD FERRAIN OR BODY OF WATER YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MU CH O TH E R T RAF FIC WAS THERE?
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 SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
Dest to wed
Moving
9. HOW LONG WAS THE IN SIGHT?
NOT VERY SURE
LESS A MINUTE FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
GUESS
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? m YES V 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.
Doed bolea ts
PAGE 3OF9 PAGES

IS. 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 ARRCW THE
DIRECTION THE PHENOMENON WAS MOVING.
15. WHAT WAS THE ANGULAR SIZE? HOLO 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.
PAGE5 9 PAGES

SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
walekg acerapt
.
A. HOW DID IT FINALLY A. HOW DID IT DISAPPEAR?
wed oul
weid aul faeg
B. DID THE PHENOMENON MOVE BEHIND OR IN FRONT SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
YES NO. IF *YES." DESCRIBE.
roved beled trees
/
PAGE 5 OF 9 PAGES

I7. DID YOU OBSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING? INCLUDE INFORMATION ON MODEL.
TYOE, FILTER, LENS PRESCRIPTION OR OTHER APPLICASLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES B. DO YOU USE READING GLASSES? NO
18. WHAT WAS YOUR IMPRESSION OF THE SPEE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENON? GIVE ESTIMATE OF SPEED 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 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 OBJECT AND WHAT YOU SAW.
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 PHENOMENON DISTURB THE OR LEAVE ANY PHYSICAL EVIDENCE. YES XN0.
IF *YES,* DESCRIBE.
PAGE 7OF 9 PAGES

O )A
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDGET BURSAU APPROVAL
NUMBER 21 R238
THIS QUESTIONNAIRE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S. AIR FORCE AS MUCH INFORMATION
AS POSSIBLE CONCERNING THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO
ANSWER ALU OF THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES.
YOUR N CONNECTION WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT
YOUR PERMISSIGN. RETUR AIR FORCE BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR), WRIGHT-
PATTERSON AFB, OHIO 45433, IAW 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 DID YOU SEE THE PHENO MENON?
DAY_5 MONTH TOmE YEAR 19607
2. WHAT IM DID YOU FIRST T H E HENOMENON?
HOUR 1750 MINUTES A.M. P.M.
3.WHAT TIME DID YOU LAST SIGH T T H IE PHENOMENON 1
HOUR MINUTES A.M. P.M.
4. TIME/ZONE D DAYLIGHT SAVINGS D] STANDARD
EASTERN CENTRAL MOUNTAIN PACIFIC OTHER
5. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY, GIVE THE NEAREST S 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.
/
0
5. 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 3ON THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90 12
L
1
!
1 30
1
T-
1 15
1
OBSERVER
AF FORM 117
4UG 67

22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORET YES NO. IF YES, 'GIVE DATE AND
LOCATION.
2.3. WAS ANYONE WITH YOU AT THE TIME YOU SAW THE PHENOMENON 0 NO. IF *YES,° DID THEY SEE IT TOO?
YES NO.
A. LIST THEIR NAMES AND ADDRESSES
24. GIVE THE FOLLOWING IN F O RMATION ABOUT YOURSELF
MIDDLE NAME
FLD 110 46120
TELEP mmber
MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT. INDICATE ADDITIONAL INFORMATION INCL AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
25. WHEN AND TO WHOM DID YOU REPORT THAT HAD SIGHTED THIS PHENOMENON?
NAME DAY MONTH YEAR
26. DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY MONTH. YEAR
PAGE 8 9PAGES

DEPARTMENT OF THE AIR FORCE
HEAOQUARTERS 14OO AIR BASE WING (MAC)
SCOYT AIR FORCE BASE, ILLINOIS 62225
REPLY TO ATTN OF 1400(0B) 30 July 1969
SUBJECT UFO Report
FTD(TDPT(UFO)
Wright Patterson AFB, Ohio
1. Attached AF Form 117 on a UFO sighting
forwarded appropriate action.
2. Weather information for Scott AFB during the applicable time
a. Winds
Altitude Degrees Knots
Surface 25 8 .
6,000 28 28 20 20
10,000 1 10 10
16,000 30 30
20,000 30
30,000 50
50,000 35
b. b. Ceiling: N Ceiling: None
c. Visibility: Unlimited
d. Amount of cloud cover: Slight
JOAN B. DODGE, Capt, USAF 1 Atch
Assistant Base Operations Officer AF Form 117

1. WHEN DID
DAY_ MONTH: JL/ YEAR/96.9
WH AT DID YOU FIRST S1 G H T E PHENOMENON?
HOUR5 MINUTES5OA.M. DP.M.
3. WHAT E DI D Y oU L AS T SIGHT H E P N IOM ENON?
HOUR 15 MINUTES 22A.M. XP.M.
4. TIME ZONE C DAYLIGHT SAVINGS STANDARD
EASTERN 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.
F→N
√ / 7
EN
0 0 (
-0
6 IMAGINE OU ARE AT THE POINT SHOWN IN THE SKETCH, ARS POINT SHOWN IN THE SKETCH CE AN E A A ON THE TH F CURVED LINE TO RVED LINE TO
PHENOMENON WAS ABOVE THE HORIZON, OR SKYLINE WHE FIRST SEEN. PLACE A B"ON THE SAME CURVED LINE
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90 15
L
1 8
1
!
I
-- -- 15
OBSERVER
0 AF FORM 117
AUG 67

SA. NOW IMAGINE YOU ARE AT THE CENTER OF THE COMPASS ROSE. PLACE AN A*ON THE COMPASS TO INOICATE THE
DIRECTION TO THE PHENOMENON WHEN FIRST SEEN. PLACE A *B* ON THE COMPASS TO INDICATE THE DIRECTION TO
THE PHENOMENON WHEN LAST SEEN.
N
NNW NNE
NW NE
WNW A ENE
B
wSW ESE
SW SE
SSW SSE
7. IN THS SKETCH BELOW. PLACE AN A* AT THE POSITION OF THE PHENOMENON WHEN FIRST SEEN, AND A B* AT THE
POSITION OF THE PHENOMENON WMEN LAST SEEN. CONNECT THE *A* AND *3° WITH A LINE TO APPROXIMATE THE O
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

O
-
8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CheCk appropriate blockS.)
0 OUTOOORS IN BUSINESS SECTION OF CITY
IN BUILOING IN RESIDENTIAL SECTION OF CITY
IN CAR 0 AS DRIVER O AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE 0 AS PILOT PASSENGER FLYING OVER CITY
OTHER FLYING OVER OPEN COUNTRY
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 ANY
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS 5 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 OOWN.
HOW MUCH o TH FIC WAS
DID YOU NOTICE ANY AIRPLANES? YES NO. IF YES. DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE NON ANO WHEPE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
Cisend dipflene
150 MklCloed
ulding Se e Y
N alcts. ene
Xabee
9. HOW LONG WAS THE PH ENO M ENON IN SIGHT?
LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE
buiding brvcied
taanil the
inthe
PAGE3OF9PAGES
0

ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING7
C
adbed
11. CONDITIONS(CheCk appropriate blocks.)
A. SKY B. WEATHER
DAY CUMULUS CLOUDS(LOW fluffy) F 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 CUMULONIMGUS 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 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? CYES N WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON? to my ledt
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD (Near 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.
Sun
lisf ditin
mat lile a pirtoflight..
Ocbpie
hvre
Dimeld
PAGE 4 OF 9 PAGES 0

abjietia law inthe Losig
that it cought the edge
0 A. HOW DID IT FINALLY DISAPPEAR?
seHing ceiae.
The hulding
rfiid ie befine U dact
PAGE 50F9 PAGES

AA
5. 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
OIRECTION THE PHENOMENON WAS MOVING.
Oprin
vexy shigh
apontrad
We Ee
X
• :
16. WHAT WAS THE ANGULAR SIZS? LAMP OR THE MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. HOLD A MATCH AT ARM'S LENGTH IN FRONT OF A KNOWN OBJECT. SUCH AS A STREET NOW IF YOU HAD
PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD. BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
3 eae oleet
4 2
heen owired by Xhe match thad.
PAGE6OF 9 PAGES

0 Ason
inon
dks tele miteirthan than Gmes eaneXh éaneXh
ahnd
21. DID YOU NOTICE ANY ODDR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY? YES
A. DID THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YES NO.
IF *YES,* DESCRIBE.
0 PAGE 7OF 9 E PAGES

24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LASTNAMEEIRS
ADDRESS(S)
3074
TELEPHONE(Area COUE AGE
26 MALE FEMALE
INDICATE INDICATE OITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT. ONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
Hive spint men Live spint me evenerigalrveng enerigs abrreng
anndidio
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON se methe hilithr
- A
NAME DAY MONTH YEAR 19/9 Lell
26. DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAYL5 MONTH YEAR LIlsL
PAGESOF 9 PAGES 0

1
.
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
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 SXETCH AS AN EXAMPLE OF HOW TO COMPLETE
THE LARGER SKETCH.
PAGE OF9 PAGES

.
WHERE WERE YOU WHEN SAW THE PHENOMeNoN? (Check appropriate blocks.)
OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER 0 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 DIRECTION WERE YOU MOVING? HOW FAST MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP AN T IME WHILE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHERS SUCH MOVEMENT AFFECTS SKETCHES IN ITEMS 5 AND 5
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD. TERRAIN OR BODY OF WATER DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MUCH MU C H OTH O 5 R T RAFFIC A F FIC WAS W AS THERE?
.
DID YOU DID YOU NOTICE ANY AIRPLANES? YES 0 NO. IF YES. * DESCRISE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHERE AND WHERE THEY THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PMENOMENON. WERE THE SKY RELATIVE TO THE POSITION OF THE PMENOMENON.
3. HOW LONG HOW LONG WAS WAS THE THE PHENO MENON ON IN SIGHT? IN SIGHT?
LENGTH OF CERTAIN TIME NOT VERY SURE
FAIRLY CERTAIN JUST A GUESS
HO 5 T E DE RMINED?
WAS THE PHENOMENON IN SIGHT CONTINUOUSL Y? YES NO. IF *NO." INDICATE WHETHER THIS IS OUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON. AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES.
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.
1O. IF THERE WERE MORE THAN ONE PHENOMENON, HOW MANY WERE THERE? DRAW A PICTURE TO SHOW HON THEY WERE
ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING'
0
O
DMnod
O LIENT
11. CONDITioNs (Check approprinte blocks.)
A. SKY B. WEATHER
DAY V CUMULUS CLOUDS (LOW fluffY) 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 THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT D1D YOU NOTICE ABOUT STARS AND MOON?
(1) STARS (2) MOON
NONE NONE BRIGHT BRIGHT MOONLIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON MOON WITH HALO WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS MOON HIDDEN BY CLOUDS
UNKNOWN UNKNOWN PARTIAL (New Or quarter) PARTIAL(New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT. D. IF SIGHTING WAS IN DAYLIGHT. WAS WAS THE SUN VISIBLE? SUN VISIBLE? YES NO. NO. IF YES. WHERE WAS THE SUN AS YOU FACED YES.. WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT TO YOUR RIGHT OVERHEAD (NeW nOON) 0
IN BACK F YOU IN BACK F YOU TO YOUR LEFT TO YOURLEFT UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT C DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR
STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE. STREET LAMP. ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
SUN LITE SWN
.
12. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
REFLECTEO LIGHT OR WAS SELF-LUMINOUS AND WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLID OR TRANSPARENT, WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT
APPEAREO AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBIECTS, LIKE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEW.
ROUNS SALL APAANC
WiF TLAL O4 muA ONL TAIL THAT TED
Tie I SHw
Twe TOESIHER
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