PROJECT BLUE BOOK

9
PROJECT ICO73 RECORD
THE GROUP LOCATION
2210 EDT
1Ju1614/0210Z Castlewood, Va.
3 SOURCE 10. CONCLUSION
Civilian Other (Psychological)
NUMBER OF OBJECTS
te (1) Te (1) .
LENGTH OF LENGTH ATION MION 11. BRIEF SUARY AND AMALYSIS 11. BRIEF SUMARY AND AMALYSIS
minute minute See Case
6. TYPE OF OBSERVATION
Ground-Visual
7. COURSE
Straignt up
3. PHOTO3 3. PHOTOS
n Yo.
5 No
9. PHYSICA DENCE
Ya
say
FTO 3EP43 0-329 weond
9
t.

SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIOMNAIRE BUDGET PUREAW APPROYL
NUNDER 21-R258
THS QUESTIONNAIRE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S AIR FORCE AS MUCH INFORMATION
AS POSSIBLE THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO
ANSWER AL THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES.
YOUR IN CONNECTION WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT
YOUR PERMISSIGN. RET RN TO AIR FORCE BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR), WRIGHT-
PATTERSON AFB, CHIO 4S433, IAN AFR BO-T7. (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 PHENOMENON?
NA47132 MONTHFULY YEAR/969
DA
2. WHAT TIME 0ID SIGH T E PHENOMENON?
HOURLO MINUTES.L2A.M. EJP.M
3. WHAT DI D YOU LAST SIGHT T E EN OMENON?
T HOUR/O MINUTESA.M. EP.M.
4. TIME/ZONE 17 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 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.
CARBO
VA
5T 5T
PAUL PAVL −→ −→
— VP. VP.
MT MT
6. IMAGINE 6 IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN *A ON THE CURVED LINE TO SHOW HOW HIGH THE 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 "B ON THE SAME CURVED LINE TO 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.
90
- L
1
1 45
1
1 30
1
1 /
1 15
1
V
OBSERVER
AF FORM 117
AUG 67

4T1 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. .
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 S* 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, CURVEO OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE
THE LARGER SKETCH.
OB
A
|
PAGE2OF9 PAGE
4

VLTA
ARRANGED. DID THIS ARRANGEMENT CHANGE DURINS THE SIGHTING?
*
11. CONDITIONS (Check appropriate blocks.)
A. SKY B. WEATHER
DAY CUMULUS CLOUDS (LOW fluffy) FOG OR MIST
TWILIGHT CIRRus CLouDs (lligh fleccy or Herring- HEAVY RAIN
L 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 MOON3
(1) STARS (2) MOON
NONE SOUTH SRIGHT MOONLIGHT NO MOONLIGHT
A FEW B.G P27 MOON WITH RALO MOON WITH HALO UNKNOWN
HANYT MOON HIDDEN BY CLOUDS MOON HIDDEN BY CLOUDS
UNKNOWN 0F PARTIAL (New or querter) PART A (New or quarter)
( D. IF SIGHTING WAS IN DAYLIGHT. WAS THE SUN VISIBLE? THE SUN VISIBLE? YES YES NO. LE IF " YES, 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 OVERHEAD (Near nOON) OVERHEAD (Nea nooN)
IN BACK OF YOU TO YOUR LEFT UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGMTING, SUCH AS THE SUN, HEADLIGHTS OR E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGNTING, 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.
NoNe 0
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
APPEARED AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OSJECTS, LIKE STARS, A LIGHT OR
OTHER ODJECT IN YOUR FIELD OF VIEW.
)
Round diee Llar
A MAN
4 NO
BUT CAN Fe
SONATH UN VSAGLE
A MerAL ObTecT WiT4
ompu
Aon n
PAGE 4 OF 9 PAGES

AVOIANIAIYANTTNE PAN
B. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CAeCk aPPIOPTInTe 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 AIRFIELO
IN AIRPLANE 0 AS PILOT CJ AS PASSENGER FLYING OVER CITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
A. IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWING:
WHAT DIRECTION WERE MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHZAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETNER SUCH MOVE'ENT 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 TRAF FIC WAS THERE?
DID YOU NOTICE ANY AIRPLANES? DID YOU NOTICE ANY AIRPLANES? YES YES ANO. NO. IF "YES," DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME IF "YES," DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHERE 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.
9. HOW LONG WAS THE PHENOMENON IN SIGHT?
LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE
FAIRLY CERTAIN JUST A GUESS
HOW WAS WAS TIME DETERMINED? DETERMINED?
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY Y? m YES FINO. IF *NO." INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRISE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES.
MOVEMENT SPACC QARTICAL TAKE OF THIS
WenStraiy +OR FLASHeL
THREC Times iN SPACE And STAYEd
G0iN9 UP
PERMANTLY
PAGEBOFOPAGE

FLASH OR FLICKERI 17 N4 AL
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE? Ti DANPy 23.MA 0nse
FLUTTER OR WOBSLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
Someriin
.
A. HOW DID IT FINALLY DISAPPEAR?
stright ap etrright ap
-
B. OID THE PHENCMENON MOVE BEHIND OR FRONT OF SOMETHING, LIKE A CLOU TREE, OR BUILDING AT ANY TIME?
YES NO. IF *YES,DESCRIBE.
.
∴
.
PAGE SOFS PAGES
-

17. OID YOU OBSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING? INCLUDE INFORMATION ON MODEL.
TYPE, FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VILWER
SUNGLASGES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES NO 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.
E
. .
O.
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY? YESNO. IF *YES, DESCRIBE.
5 om Com ANd EA
24 RAdAR BeiNg Comp
A. DID THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. IYES NO.
IF *YES." DESCRIBE.
WoULd HAVe TO ComFiRM. WITH DO.SAR
PHiSieel Evidene
iT HURT MY FLeSH
)
PAGE 7 OF 9 PAGES

2LU
< P7. INFORMATION WHICH YOU FEEL IS PERTINENT BUT WHICH IS NOT ADEQUATELY COVERED IN THIS QUESTIONNAIRL,
ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
-.
3.
1.
PAGE 9 OF9 PAGE!

C 2R. RAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON DEFORE? Clves NO. IF YES," GIVE DATL AND
LOCATION.
23. WAS ANYONE WITH YOU AT THE TIME YOU SAW THE PHENONENON? 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
ADDRE
TELEPHONE (Area code and number) AGE
MALE FEMaLE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPEFIENCE WHICH MAY DE PERTINENT.
.
(1
1
25. WHEN AND TO YHOM 0ID YOU REPORT THAT YOU HAD SIGNTED THIS PHENOMENON?
NAME DAY. MONTH YEAR
26. DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY. MONTH YEAR
PAGE O OF 9 PAGES