PROJECT BLUE BOOK

PROJECT 10073 RECORD
1. DATE · TIME GROUP 2. LOCATION
03/2322 EDT
3.Ang 69 04/0322z Dayton, Ohio
3. SOURCE 10. CONCLUSION
Civilian Probable Astro (METEOR)
1. NUMBER OBJECTS
Two (2)
5. LENGTH O LENGTH OF ION 11. BRIEF SUMMARY ANO ANALYSIS 11. BRI
Very short Observer sighted two (2) bright lights that looked like looked like
6. TYPE OF OBSERVATION fireworks. Lights traveled NW and were visible for a very
short time only.
Ground-Visual
7. COURSE COURSE Director
NL Maxwell AFB. ATTN: Archive Aerospace Stu
3. PHOTOS PHOTOS Maxwell AFB, Alaboma ATrN: Archives Eronch Aerospace Studies Inst RETUR
Yes RETURN TO: 169
X No
9. PHYSI ENCE
7 Yas
Mo
FORM
FTD SEP 63 0-3 whome aubbido
.
.
7

*
PROJECT 10073 RECORD
1. DATE · TIME GROUP 2. LOCATION
23/1915 EDT
23.Aug 69 23/2315Z Dayton, Ohio -
3. SOURCE 10. CONCLUSION
Civilian Civilian Probable Probable Balloon Balloon
4. NUMBER OF OBJECTS NUMBER OBJECTS
One (1). One(1)
5. LENGTH OF OBSI 5. LENGTH OF ATION TION 11. BRIEF SUMMARY AMD ANALYSIS 11.
25_minutes 25 minutes Observer noticed a white light overhead. At the time of noticed a white light overhead. At the time of P
6. TYPE OF OBSERVATION TYPE OF OBSERVATION his call to the duty officer he had to the duty officer been watching it been watching it for for
25 minutes.
Ground-Visual
7. COURSE COMMENTS: Observer has not returned AF Fm ll7 as of
1 Dec 69. However, the description, duration, and time
Overhead (twilight) seem to indicate the stimulus was probably
3. PHOTOS a weather balloon from Sulpher Grove.
7 Yos
7No
2. PH ENCE
7 Yes
N No
FORM
FTD SEP43 dome an
3 .

: 33.Cugl9
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOPEIGN TECHNOLOGY DIVISION (AF3C)
WRIGHT.PATTERSON AIR FORCE BASE. OHIO 43433
RIPLY TO 27 AU0 1969
ATTN OF TDPT (UFO)
SUBJECT UFO Obse
TO:
Dayton, Chio 45415
Reference your recent unidentified flying object sighting which
you reported to the Air Force. The information which we have
received is not sufficient for a scientific investigation. Request
you complete the attached AF Form ll7 and return it in the self- yea compi
addressed envelope. addressed envelope Thank yo Tha reporting your observation to rvation to
the Air Force. the Air ce.
HECTOR-QUINTANILLA. HECTORIQUINTANILLA. J}$ Jr Lt Colonel, USAF 1 Atch
Chief, Aerial Phenomena Office Office AF Form 117 w/envelope
Aerospace Technologies Division
Production Directorate

AS POSSIBLE CON CERNING THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO
ANSWER ALI QUESTIONS. THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES.
YOUR IAME WILLNOT IN CONNECTION WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT
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 FOR IDENTIFICATION.)
1. WHEN DID YOU I SEE THE PHENOMENON
DAY 23 MONTHAU'E YEAR69
2. WHAT E u IRST SIGHT THE PHENOMENON 7
HOUR T MINUTES5A.M. DP.M.
3. WHAT TIM E DID YOU LAST SIGHT THE PHENOMENON?
Not HOUR MINUTES. A.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 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 CTION FROM SOME RECOGNIZABLE LANDMARK.
WOLF Ro. MEADOWE
NOLFKD WEADOWDALE
6 IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN "A"ON THE CURVED LINE TO SHOW HOW HIGH THE
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
alo S0. erhed
90 SL-
1
1
1
1 30
1
1
1 15
1
-
OBSERVER
AF FORM 117
AUG 67

SA. NON |MAGINY YOU ARE ATTHE CENTER OF THE COMPASS ROSE. PLACE AN *A* ON THE COMPASS TO INDICATE THE
DIRECTION TO THE PHENOMENON WHEN FIRST SEEN. PLACE A "A* ON THE COMPASS TO INDICATE THE DIRECTION TO
THE PHENOMENON WMEN LASTSEEN. 11
orer-head Cc
nmevEnezeT N te w. to Shre
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 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
APPEARED TO BE STRAIGHT, CURVED OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE
THE LARGER SKETCH.
Z
PAGE2OF9 PAGES

a WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CheCK apprOPRiaTe bloCKS.)
X 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 17 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 ANYT IME WHIL E OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS 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 MU C H OTHER H A F FIC WAS THERE?
DIO YOU NOTICE ANY AIRPLANES? YES YES DESCRIBE WHEN N THEY WERE IN SIGHT RELATIVE TO THE TIME THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHERE THEY WEFE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
9. HOW LONG WAS THE WAS THE PH ENOMENON OMENON IN SIGHT? IN SIGHT?
LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE
FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? XYES NO. IF *NO, INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOM MENON. AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES.
PAGE 3 OF9 PAGES

1O. IF THERE WERE MORE THAN ONE PHENOMENON, NOW MANY WERE THERE? DRAW A PICTURE TO SHOW HOW THEY WERE
ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
C7e olj
11. CONDITioNs(Check appropriate blocks.)
A. SKY 9. WEATHER
DAY CUMULUS CLOUDS (LOW fluffy) FOG OR MIST
X 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 x NONE OF THE ABOVE
C. IF THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT DID YOU NOTICE ABOUT THE STARS AND MOON?
(1) STARS STARS (2) (2) MOON MOON
NONE NONE BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL(New Or quarter) PARTIAL(New Or quarter)
D. IF SIGHTING WAS IN D. IF SIGHTING WAS IN DAYLIGHT, WAS DAYLIGHT. WAS THE SUN THE SUN VISIBLE? YES N N WHERE WAS THE SUN AS YOU FACED HERE WAS THE SUN AS YOU FACED
THE PHENOMENON? THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD (NEW noon) OVERHEAD (NeM 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 E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR OR
STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE. DISTANCE TO LIGHT SOURCE.
steeteigt shet c2 222 O ivE LA
12. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON. INDICATING Y 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 EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATEIF 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.
Silver- red on side (defint)
east
4
didat whien vieeved
inoveare in sige
thru binoeulevo.
PAGE 4OF9 PAGES

DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBBLE?
14.WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
wan nofesed octside.
A. HOW DID IT FINALLY DISAPPEAR?
not Not reported
8. DID THE PHENOMENON MOVE BEHIND OR IN FRONT SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
YES X NO. IF *YES," DESCRIBE.
PAGE 5 OF 9 PAGES

1S. DRAW A PICTURE THAT WILL SHOW THE SHAPE OF THE PHENOMENON. INCLUDE AND LABEL ANY DETAILS THAT MIGHT
HAVE APPEAREO AS WINGS OR PROTRUSIONS, AND INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING.
1(
Just ihite
O
-.
16. WHAT WAS THE ANGULAR SIZE? HOLD A MATCH AT ARM'S LENGTHIN 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.
N/A
PAGE 6OF9PAGES

17. DID YOU'OBSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING? INCLUDE INFORMATION ON MOOEL.
TYPE, FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
t WINOSHIELD 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 SPEED OF TH F 19. WHAT WAS YOUR IMPRESSION OF THE OISTANCE OF THE
PHENOMENON? GIVE ESTIMATE OF SPEED i 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.
.
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATI 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. NO
IF *YES."DESCRIBE.
PAGE 7 OF 9 PAGES

22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE? IF DATE AND
LOCATION.
23. WAS ANYONE WITH YOU AT THE TIME NO.1 IF *YES, DID THEY SEE IT TOO?
CYES NO.
LIST THEIR NAMES AND ADDRESSES
motler 3
aunt
Condin
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME, FIRST NAME, MIDDLE NAME
S (FArHER-EDUARD)
ADDREss (Strget City, State and Zip Code)
Barbarosa On
TELEPHONE(Area code and numbeD) AGE
15 X MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDIN INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT. CCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
SiAsharaft DAY23MONTH∠ YEARCS
NAME
26. DATE YOU COMPLETEO THIS QUESTIONNAIRE.
23 AUG DAY3 MONTH aiLe YEAR
PAGE B OF 9 PAGES

P 7
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AF3C)
WRIGHT ERSON AIR FORCE BASE. OHIO 4S433
REPLY TO 7 AUG 1969
ATTN OF: TDPT (UFO)
SUSJECT ation, 3 Aug 1969
TO: Misa
Dayton, Ohio 45406
Reference your recent unidentified flying object sighting which
you reported to the Air Force. The information which we have
received is not sufficient for a scientific investigation. Request
you complete the attached A you complece che a Form ll7 and return it in the self- 4Lipan in the selr-
addressed envelope. addressed envelope Thank reporting your observation to observation to
the Air Force. the Air Force
HECTOR Lt Colonel, USAF 1 Atch
Chief, Aerial Phenomena Office AF Form 117 w/envelope AF Form 117 w/envelope
Aerospace Technologies Aerospace Technologies Division
Production Directorate
1003819

V
PROJECT 10073 RECORD
DA HE 8R7930 EDT 2. LOCATION
16 24/2330Z Dayton, Ohio
3. SOURCE 10. CONCLUSION
Civ.li.s Balloon (Weather)
1. MUMBER OF OBJECTS Comments: Weather balloon released from Sulfur Grove at
One(1) 1900 hrs. Winds carried the balloon SW over Dayton.
5. LENGTH OF OBSE ATION 11. BRIEF SUWARY AMD ANALYSIS
50 minutes Observer sighted bright light in clear blue'sky. in clear blue'sky. With the
6. naked eye appeared to e thin and elongated but through thin and elongated but through
6. TYPE OF OBSERVATION TYPE OF OBSERVATION binoculars,it appeared binoculars, it appeared oval shaped. shaped. Light gradually
Ground-Visual Ground-Visual disappeared as darkness came on.
7. COURSE
See case. See case.
8. PHOTOS PHOTOS
n Yos
No
9. PHYSIC VIDENCE
0 Yes
No
FORM
FTD SEPS3 C-3A
.
o
:
:

TDPT (UPO) 1035P1969
UvO Sighting of 24 August 1969
Dayton, Chic 45403
Reference your UFO sighting of 24 August 1969 from Dayton, Ohio.
The stimulus for this sighting has been identified as a weather
balloon which was released from Sulpher Grove weather station at
7:OO p.m. EDr. The balloon was earried SW over the city of
Dayton and was easily visible to the naked eye. Thank you for
reportang your sighting to the Air Force.
MECTOR QUINTANIIDA, Jr, Lt Col, USAF
Chier, Aerial Phenomena Office
Aerospace Technologies Division
Production Directorate

4. TIME ZONE X DAYLIGHT SAVINGS ]STANDARD
CENTRAL O 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
HIGHNAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
RESIDENTIAL SECTION, EAST IATTON. Trod h
INTESEC THIRD STREET3 13 APPROX IMILES FROM AND
APREOX 153n20 APREOX 15R20 W.SW.
MI HOME 1S LOSATED ON THE EAST SIDE oF JERSEY is Tye oF JERSEY is Tie
FICS7 B.ock FIRST
6. IMAGINE 6. IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN YOU ARE AT THE POINT SHOWN IN THE SKETCH. PLACE AN "A ON THE CURVED LINE TO SHOW HOW HIGH THE ON THE CURV EO LINE TO SHOW HOW HIGH THE
PHENOMENON WAS ABOVE THE HORIZON. OR SKYLINE. WHEN FIRST SEEN. PLACE A PHENOMENONWAS AROVE THE HORLZON OR SKYLINE WHENEIRSTSEEN. 3°ON THE SAME CURVED LINE TO 3* ONTHESAME CURVEDLINETO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
(x)=poTeAxB
H19 T48 P921073N0N WA5 F10S7
8 5
1 -907 SEEN.
1
1
1 30
I
11
1 15
1
OBSERVER
AF FORM 117
AUG 47

AFR 80-I7(C1)
DIRECTION TO THE PHENOMENON WHEN FIRST SEEN. PLACE A B * ON THE COMPASS TO INDICATE THE DIRECTION TO
TUE PHENOMENCN WHEN LAST SEEN.
NNW NNE
NW NE
WNW ENE
wSW ESE
3RD S1nCE7
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.
PaWTs AzB. Na VISUAL LINE OF MOVEMENT S
NATEDIN THE 5O MINUTE TiME
B
PAGE 2 OF 9 PAGES

AFR 80-17(C1)
8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CheCK APDTOPRINtR blOCKS.)
CUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR D AS DRIVER T A5 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, COMPL ETE THE FOLLOWING:
WHAT DIRECTION WERE YOU MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST C 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 MU CH = R TRAFI FIC WAS THERE?
DID YOU NOTICE ANY AIRPLANES? 0 YES NO. IF YES," DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND AND WHERE THEY HEY WERE WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON. IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
3. 9. HOW LONG WAS THE PHENOMENON IN SIGHT? PHENO! MENON IN SIGHT?
LENGTH OF TIME LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE V ERY SURE
APPROX 50MIH 50M1H
X X FAIRLY CERTAIN FAIRLY ERTAIN JUST A GUESS JUST A GUESS
HOW WAS TIME SEEN
WAS THE PHENOMENON IN SIGHT CONTINUOUSL 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

033267. (NOTTO PHENOMENON).
11. CONDITI 101 NS (Check appropriate blocks.)
A. SKY 8. WEATHER
X DAY x CUMULUS CLOUDS (LOW fluffy) FOG OR MIST
X TWILIGHT CiRRus CLouDs (High fleecy or Herring- HEAVY RAIN
NIGHT bone) LIGHT RAIN OR DRIZZLE
x CLEAR NIMBUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMSUS 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 Y YOU NOTICE ABOUT THE STARS AND MOON?
(1) STAPS (2) MOON
X X NONE BRIGHT BRIGHT MOONLIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON MOON WITH HALO WITH HALO UNKNOWN UNKNOWN
MANY MOON HIDDEN MOON HIDDEN BY CLOUDS CLOUDS
X PARTIAL(NeW Or quarter) TL ISE. Te ISE.
UNKNOWN UNKNOWN
D. IF SIGHTING WAS IN DAYLIGHT, WAS D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? 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 OVERHEAD (New noOn) OVERHEAD(NeM noOn)
IN BACK OF YOU IN BACK OF YOU TO YOUR LEFT UNKNOWN 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.
NO OORCE OZCE OF 7 ANA
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 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.
(526 202AGAY14 7y2 B1N400-9R5 APPEALEA
To 26 BVAL 5i748E A 8017 E026 14E5 T2s 7e bac9 Hu3 ANDWS
S
2ONMAN VELY BRIGHT Line a LiG47 B1-2, I7 WAS DISFICINT
TOgWHETYAR
20415 951123177 7013-2 Bingcoa63
WIA NAnG6 618 ,A835C0 1 LE
AsA S1264 1 .
PAGE 4 OF 9 PAGES
CDUDN

Move H6
HAs 204 3750 DECAU5E 8 T42 MIG4 ALT17J0E
NARRD RYL HE NAARD RY HA WAARS G(OSSES 53 1 G97MY BINOC2LAIS W41-M W41-M s4owed SYOWeD
THE PYENOMENON AS DESARIBED IN PARAGROPH 12 PAGE4.
A. HOW DID IT FINALLY DISAPPEAR?
17 GRADU ALLY DISAPPEARED GIADUALLY DISAPPEARED A5 A5 DARKNES CaE CAE CoUD
NOT RE SEEN WITH NOT B SEEN WITH THE R BiNeCULAR
LOOKNG LOORNG I AT STACS AT STARS ha71 BINOCJ-ARS 1 NS7CE0 7HO0 N371-E0 7HE0
178 AN A025 Bor1 TRAVECED ACR
(G.awnY) AS THE NIG47FAIS63
B. DID THE YES PHENOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
MOT62481E 106 b10s GLO0Ds
1EL
PAGE S OFD PAGES

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 PROTPUSIONS, AND INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING. PHENOME3N A
APPII% HEIGHT
25 70 30 7A3u341A
FEEI AENG
SCE PARAR3P14 12 PAg
FOG 5HAPE
LItE oF Visron
FRSNT FRd NT E REAC
FACNG FACNG
WNW
C 117
CUSERANG
SIDE 1N Pa1d7
15. WHAT WAS THE ANGULAR SIZE? 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 ASLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
This ME740D SHECKIN5 WIT A MATOH NAS NST H9L94
CF AHEN PH2NO19NON SEE
ATA1S7 ARS LAS7 NHT THE STARS
27 572 MA72y 4E9D EA581818 7HE 5778 H002 1A5E
JECIERED IPITHAD Beel AGAINS7 THe PyENamE
PAGE 6 OF 9 PAGES

AFR 80-17(C1)
17. DID YOU GASERVE THE PHENOMENON THROUGH ANY 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? X YES II NO B. DO YOU USE READING GLASSES? YESNO
IB. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 3 19 WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE PHENOMENON? GIVE ESTIMATE OF DISTANCE JFE
PHENOMENON? GIVE ESTIMATE OF SPEED
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.
) HAVE LOOKE AT AIRPANES F.MNG AT HIGH ALTITIDE
ON CLEA DiY
Ty
COULD 2991 Bh BE EE VEKY CLEARLT
MY EXPLANATION EXPLANATION OF WA7 I'Sa WE 60051 AT TF OF WA7 I Sa W1 60OK AT IfF
PJRUAMANO A5DR0R13ED 0PAE4 PACAGRA8H 12 PARAGRAOH 1
1s Ty BEST! GAN KEPORT GAN KEPORT REF TO REF 7o SYARP O1 FZZY FEZY
ED4ES FDAES HONEVER, HONEVER, THE THE OBJEC7 SEFMEL OBJEC7 SEFMED S04 le AND AND VECY LECY
80547 83547 (DAEZLINE (DAEZLING L1947). L1947).
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY ANIMALS OR MACHINERY IN THE VICINITY? YES EFFECT YOURSELF.
NO. IF YES,DESCRIBE.
A. DID THE PHENOMENON DISTURB IF *YES."DESCRIBE. THE PHYSICAL EVIDENCE. YES NO.
L
PAGE 7OF9 PAGES

AFR 80-17(C1)
72. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE? ITYES NO. IF AND
LOCATION.
23. WAS ANYONE WITH AT TIME YOU SA THE PHENOMENON'YES !T TOO'
YES NO.
A. LIST THEIR NAMES AND ADORESSES
1pe HA-
TE Ah7FErN
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME, FIRST NAME. MI
ADDREss (Street, City, State and Zip Code)
TELEPHONE(Area code and number) AGE
3DE 7 MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
f  DE HA4ARPAES A-/440
PRE11917
CHEKER A 7 17
ENPENMENTA IGINEEL INAND MC Du72 Oyte1
19s-1940 6077N9 Toa- BITER 124021988 3
DERiNg NORD HAK No
KESTORED AIRPLANE NOWSN
DiSPtY Io GHINLON PARK 29170N 8410,1948-1949
FaR ~M702OA1IAN LASHINGD.
.
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
74
NAME DAY MONTH YEAR
26. DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY MONTH YEAR
PAGE 8 OF 9 PAGES

SIGHTING BUDGST BUREAU APPROVAL
NUM3ER 21-2233
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 QUESTIONS. THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES.
YOUR AME WILL NOT BE USED IN CONNECTION WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT
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 FOR IDENTIFICATION.)
1. WHEN DID YOU SEE THE PHENOMENON?
DAY03 MONTH DU YEAR6
2. WHAT TIME DID YOU FIRST SIGHT PHENOMENON?
HOUR AP.M.
. WHAT TIME DID Y SIGHT THE PHENOMENON?
HOUR MINUTES A.M. P.M.
4. TIME/ZONE STANDARD
ÉASTERN 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.
ASE
D42700, O110 D.T0, O1+10
/
/
FROM ROM FRONT PORCH
6. IMAGINE YOU ARE AT THE POINT S 6.IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH. PLACE AN SHOWN IN THE SKETCH. PLACE AN ·A" ON THE CURVED LINE TO SHOW HOW HIGH THE .A" ON THE CURVEO 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.
$90 157 A
1
|
1
1
|
1 15
OBSERVER
AF$ FORM 117
AUG 57

AFR 80-17(C1)
27. INFOPMATION WHICH YOU FEEL IS PERTINENT BUT WHICH IS NOT AOEQUATELY COVERED IN THIS QUESTIONNAIRE. ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
1
!HAVE LOOKED SY WARD SEVERA TMES THIS PAST WEEK
For THE PAS014I7Y
OF AGAIN CEEING OF AGNIN CEEING THE AFORE ThE AFORE MENTIONE MENTIONE HenoM on on PHENOMENON
B17 BS7 FA1CE TO FAICE T SEE SSA
/
PAGE 9 OF 9 PAGES

: 24 lgl9
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AF3C)
WRIGHT PATTERSON AIR FORCE BASE. OHIO 43433
REPLY TO
ATTN OF TDPT (UFO) 27 A0G1359
SUBJECT: UFO Obs ation , 24 August 1969
TO:
Dayton, 45403
Reference your recent unidentified flying object sighting which
you reported to the Air Force. The information which we have
received is not sufficient for a scientific investigation. Request
you complete the attached A F Form ll7 and return it in the self-
addressed envelope. addressed envelope Thank y The reporting your observation to bse to
the Air Force. the Air Force.
HECTOR Jr$ Lt Colonel, USAF Lt Colonel, USAF 1 Atch
Chief,Aerial Chief, Aerial Phenomena Office Office AF Form 1l7 w/envelope AF Form ll7 w/envelope
Aerospace Technologies Aerospace Technologies Division
Production Directorate
.

7
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDOET BURSAU APPROYAL
NUMBER 21-2333
THIS QUESTIONNAI IRE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S. AIR FORCE AS MUCH INFORMATION
AS POSSIBLE CERNING THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO
ANSWER ALD OF QUESTIONS. THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES
CONCLUSIONS WITHOUT
PATTERSON AFB, OHIO 45433,IAW AFR 8O-[7. (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES
ATTACH SECUREL Te THis FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1. WHEN DID YOU SEE THE PHENOMENON?
DAY_ 24 MONTH ACGZ YEAR 69
2. WHAT DID YOU SIG H T HE PHENOMENON?
HOUR 2035 A.M. P.M.
MINUTES
3. WHAT DID ou LAS T SIGH PHENOMENON? ST7C
S(GHAMAT2660
HOUR MINUTES
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 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
HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
04Y ON
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 AME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
APPROX 10DEG FM
~
90 A
L VERTIC
I
1
I
1 3
|
1
1 15
|
V
OBSERVER
AF FORM 117
AJG 67

SA. HNOVIMAGINE YOU ARE AT THE CENTER OF THE COMPASS ROSE. PLACE AN *A  ON THE COMPASS TO INUICATE THY
DIRECTION TO THE PHENOMENON WHEN FIRST SEEN. PLACE A B* ON THE COMPASS TO INDICATE THE DIRECTION TO
THE PHENOMENON WHEN LAST SEEN.
N
4
NNW NNE
NW NE
WN'W 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
THELARGER SKETCH.
2
PAGE 2 OF 9 PAGES
.

WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CherK appropriate blorkS.)
OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING x IN RESIDENTIAL SECTION OF CITY
IN CAR 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, COMPL ETE THE FOLLOWING:
WHAT DIRECTION WERE HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP WHIL E OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS5 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 WINOOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW HOW MUCH MUCH OTHER o T H ER TRAFFIC WAS THERE? TRAF FIC WAS 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 AND OF SIGHTING THE PHENOMENON AND WHERE WHERE THEY WERE IN THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
9. HOW LONG WAS THE PHENOMENON PHENO MENON IN SIGHT?
LENGTH OF TIME LENGTH OF TIME CERTAIN CERTAIN OF TIME NOT VERY SURE NOT VERY SURE
30 MIN 2
* FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINEO?
. CLOCK
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? YES NO. iF NO, INOICATE 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.
L
PAGE 3OF 9 PAGES

TO. IF THERE WERE MORE THAN ONE PHENOMENON, HOW MANY WERE THERE? DRAW A PICTURE TO SHOM HOW THEY WERE
ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
Aglt bight
11. CONOiT!ONs (Check appropriate blocks.)
A. SKY B. WEATHER
DAY CUMULUS CLOUDS(LOW fluffy) X 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 NONE BRIGHT MOONLIGHT BRIGHTMOONLIGHT NO MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO MOON WITH HALO UNKNOWN
MANY MOON HIODEN BY CLOUDS MOON HIODEN BY CLOUDS
UNXNOWN PARTIAL (New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT. D. IF SIGHTING WAS IN DAYLIGHT, WAS WAS THE SUN VISIBLE? THE SUN VISIBLE? YES WHERE WAS THE WHERE WAS THE SUN SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU IN FRONT OF YOU . TO YOUR RIGHT OVERHEAD (NeWR 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 E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THES SUN, HEADLIGHTS OR
STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
STREET LIGHTS
12. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
IT WAS SOLIO OR TRANSPARENT, WHETHER EOGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INOICATE 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.
solil shap
PAGE 4 9 PAGES

SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
fust loocked
ug
A. HOW DID IT FINALLY DISAPPEAR? A.HOW DID IT DISAPPEAR?
leglet
g
atll M
B.OID THE PHENOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
YES NO. IF*YES."DESCRIBE.
hechind clouls
PAGE 5OF9 PAGES

IS.DRAW A PICTURE THAT WILL SHOW THE SHAPE OF THE PHENOMENON. INCLUDE AND LABEL ANY DETAILS THAT MISHT
H AVE APPEAREO AS WINGS OR PROTRUSIONS, AND INDICATE EAHAUST OR VAPOR TRAILS. INDICATE BY AN ARHON THE
DIRECTION THE PHENOMENON WAS MOVING.
C orelsbiepel,
15. WHAT WAS THE ANGULAR SIZE? HOLD A MATCH AT ARM'S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET
LALP 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.
PAGE 6 OF 9PAGES

17 DID YOU OBSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING' INCLUOE INFORMATION ON MODEL,
TYPE, FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANS OTHER
A. DO YOU ORDINARILY WEAR GLASSES? 3. DO YOU USE READING GLASSES? YES TNO
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
A
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 OSJECT AND WHAT YOU SAW.
lilt huh
bo
-
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 X NO. IF *YES.°DESCRIBE.
A. DID THE PHENOMENON DISTUR3 THE GROUNDORLEAVE ANY PHYSICAL EVIDENCE. YES KNO.
IF *YES,* DESCRIBE.
PAGE7OF9PAGES

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 TIME SAW THE PH NOMENON? YES NO. IF YES,°DID THEY SEE IT TOO?
YES O NO.
A. LIST THEIR NAMES AND ADORESSES
WIFE,
+
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME MIODLE
ADDRESS (Strect City, State and Zip Code)
①HYTON
TELEPHONE(Areg code and number)
AGE 76
MALE FEMALE
INDICATE AODITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT. INDICATE AODITIONAL INFORMATION INCLUDING OCCUPATION AND EXPERIENCE WHICH MAY BE PERTINENT.
-Yt/avN-
25. WHEN AND TO WHOM DID YOU REPORT THAT HAD SIGHTED THIS PHENOMENCN?
NAME DAY MONTH YEAR
26 DATE YOU COMPL ETED THIS QUESTIONNAIRE.
DAY. MONTH YEAR
PAGE BOF 9 PAGES

SA. NOW IMAGINE YOU ARE ATTHE CENTER OF THE COMPASS ROSE. PLACE AN *A* ON THE COMPASS TO INDICATE THE
DIRECTION TO THZ PHENCMENON WHEN FIRST SEEN. PLACE A *G* ON THE COMPASS TO INOICATE THE DIRECTION TO
THE PHEMOMENON WMEN LAST SEEN.
4 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 SETWEEN "A* AND *3. 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.
8
1
PAGE 2 OF 9 PAGES

PROJECT IC073 RECORD
1. DATE  TIME GROUP 2. LOCATION
26/2120 EDT
126.Aug 69 27/0120z Dayton, Ohio
3. SOURCE 10. CONCLUSION
Civilian INSUFFICIENT DATA
4. HIMBER OF OBJECTS
One (1)
5. 11. BRIEF SUMARY AND AMALYSIS
5 minutes minutes
6. TYPE OF CASER VATION
C a roundVisual roundVisual
7 7. COURSE
Unknown Unkowm
3. PHOTOS
n Yos n Yos
No
9. PHYSICAL EVIDENCZ PHYSICAL EVIDENCE
n Yos n Yos
0 No 30 No
PORH
FTD SEP61 0-329
3

DEPARTMENT OF THE AIR FORCE
HEADQUARTEPS FOPEIGN TECHNOLOGY DIVISION (AFSC)
WRK FORCE BA53.0H10 45433
REPLY TO
ATTH O: TDPT (UFO)
UFO O vation, 26 Aug 1969 3 SEP 1969
SUDJICT
TO:
Dayton, Ohio 45459
Reference your recent unidentified flying object sighting which
you reported to the Air Force. The information which we have
received is not sufficient for a scientific investigation. Request
you complete the attached AF Form ll7 and return it in the self-
addressed envelope. Thank you reporting your obser vation to
the Air Force.
NILLA, JA, Lt Colonel, USAF 1 Atch
Chief,-Aerial Phenomena Office AF Form 1l7 w/envelope
Aerospace Aerospace Technologies Division
Production Directorate Production Directorate
:

SIGHTING OF UNIDENTIFIED QUESTIONNAIRE BUDGET BUREAU APPOVAL
M043X7 71.231
THIS QUESTIONNAIRE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S AIR FORCE AS MUCH INFORMATION
ANSWER IE INFORMATIO YOUL GIVE WIL RESEARCH PURPOSES
OFYOUR S CONCLUSIONS WITHOUT
YOUR PERMISSION. RI BASE: INVESTIGATOR FOR
PATTERSON AFB,OHIO 454 AFRAO-I7.(IF ADDITIONAL SHEETS ARE FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO THIS DRM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1. WHEN DID YOU SEE THE PHENOMENON?
DAY MONTH YEAR.
2 WHAT TIME DID F T HE NOMENON?
HOUR MINUTES A.M. P.M.
3.WHAT TIME DIO oU A S1 T D EN MENON ?
HOUR MINUTES A.M. P.M.
4TIME ZONE DAYLIGHT SAVINGS ME 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 DISTANCS AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
WASHIN3TON TOWNSA
6 (MAGINE YOU ARE AT THE POINT SHONN IN THE SKETCH, PLACE AN POINT SHONN IN THE SKETCH, PLACE AN A" ON THE CURVED LINE TO SHON HOW HIGH THE ·A" ON THE CURVED LINE TO SHON HOW HIGH THE
PHENOMENON WAS ASOVE THE HORIZON. OR SKYLINE. WHEN FIRST SEEN. PHENOMENON WAS ABOVE THE HORIZON. OR SKYLINE. WHEN FIRST SEEN. PLACE A 3* ON THE SAME CURVED LINE TO ON THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
$90 90
L
I 8
1 1
1 1
1 - 30
1
I
1 15
V
OBSERVER
AF FORA 117
.

SA. HON UNGINE YOU ARE AT THE CENTER OF THE COMPASS ROSE. PLACZ AN WA* ON THE COUPASS TO INDICATE THE
DIRECTIOH TO THZ PHENOWENON WHEN FIRST SEEN. PLACE A *B* ON THE COMPASS TO INDICATE THE DIPECTION TO
THE PHENOMENON WHEN LASTSEEN.
\r}$
NNW NNE
NE
WNW ENE
WSW ESE
Sw SE
SSW SSE
$
7. IN THS SXETCH 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 *3* WITH A LINE TO APPROXIMATE THE
MOVEMENT OF THE PHENOMENON SETWEEN *A* AND "B. THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT
APPEAREO TO SE STRAIGHT, CURVED OR ZIG-ZAG. REFER TO SMALLER SXETCH AS AN EXAMPLE OF HOW TO COMPLETE
THE LARGER SKETCM.
PAGE 2 OF 9 PAGES

.
3. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (Check Spmpriate Sleck)
OUTOOORS 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 D 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 MOVINGY
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 DURING
THE SIGHTING. STATE WHETHER WINDONS OR CONVERTIBLE TOP WERE UP DOWN.
HON MUCH 5 R T A FIC 'W AS THERET
DIO 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
9. HOW LONG HOW LONG WAS THE PHENOMENON PH ENOMENON IN SIGHT SIGHT
LENGTH OF TIME CERTAIN OF TIM: CERTAIN OF TIM! NOT VERY SURE VERY SURE
5MINU T ES 5MINU TE FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED? DETERMINED
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? YES NO. IF *NO IF NO INDICAT INDICAT WHETHER THIS IS DUE TO YOUR WHETHER THIS IS OUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON. AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. OR BEHAVIOR. INDICATE INDICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES.
PAGE3OF9PACES

ARRANGEO. DID THIS ARRANGEMENT CHANGE QURING THE SIGHTING?
CONDITIONS (Check appropriate blocks.)
11. WEATHER
A. SKY 8. FOG OR MIST
CUMULUS CLOUOS(LOW flully)
DAY HEAVY RAIN
TWILIGHT CIRaUS CLouDS (High fleecy or Herring- OR DRIZZLE
bone) LIGHT RAIN
NIGHT HAIL
CLEAR NIMBUS CLOUOS (Rain)
CUMULONIMSUS CLOUOS SNOW OR SLEET
PARTLY CLOUDY (Thunderstorms) UNKNOWN
COMPLETELY OVERCAST NONE OF THE A9OVE
HAZE OR SMOG
OR NIGHT, WHAT DID YOU NOTICE ABOUT THE STARS AND MOON?
C.IF THE SIGHTING WAS AT TWILIGHT
STARS (2) MOON
(1) NO MOONLIGHT
NONE BRIGHT MOONLIGHT
MOON WITH HALO UNKNOWN
AFEW
MANY MOON HIDDEN BY CLOUDS
PARTIAL (New or quarter)
UNKNOWN WHERE WAS THE SUN AS YOU FACED
O. IF SIGHTING WAS IN DAYLIGHT. WAS THE SUN VISIBLET n YES NO
THE PHENOMENON?
TO YOUR RIGHT OVERHEAD(Ne nOON) OVERHEAD(NeONOON)
IN FRONT OF YOU IN FRONT OF YOU UNKNOWN
IN BACK IN BACK OF YOU OF YOU TO YOUR LEFT
ILLUMINATION PRESENT PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR DURING THE SIGHTING, SUCH AS THE SUN. HEADLIGHTS OR
E. SPECIFY E. SPECIFY THE MAJOR SOURCE OF MAJOR SOURCE OF ILLUMINATION ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE. FOR TERRESTRIAL
DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
12. GIVE A BRIEF GIVE A BRIEFE DESCRIPTION OF THE DESCRIBE YOUR IMPRESSION OF WHETHER
REFLECTED LIGHT OR WAS SELF-LUMINOUS AND WHAT COLORS YOU NOTICEO.
IT WAS SOLID OR TRANSPARENT, WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT
APPEAREO AS A POINT OF LIGHT. INOICATE COMPARISONS WITH OT MER OSSERVED OBJECTS, LIXE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEW.
PAGE 4 OF 9 PAGES

14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
BY CHANCE
A. HOW OID IT FINALLY DISAPPEAR!
OUT OF SIGHT
OUT OF SIGH
B. DID THE PHENOMENON MOVE BEHIND PHENOMENON MOVE BEHIND OR IN ORIN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
0 YES NO. IF YES.' ES. DESCRIBE.
PAGESOF9 PAGES
.

22. HAVE YOU EVER SEEN HIS OR A SIMILAR PMENGMENON BEFORE? CYES INO. IF *YES,"GIVE DATE AND
LOCATION.
23. WAS ANYONE WITH YOU AT TH TIME THE A YES S NO. IF DID SEE IT TOOT
YES 0 NO.
A. LIST THEIR NAMES AND ADDRESSES
WIFE
24. GIVE THE FOLLOWING IN FORMATION ABOUT YOURSELF
ASTNAME  EIRST NAME. MJDDLE NAME
ADDRESS(Street, City, State and Zip Code)
DAYTO 59
TELEPHONE(Area code and numbEr) AGE
60 MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
25 WHEN AND TO WHOM DIO YOU REPORT THAT YOU HAD SIGHTED THIS PH ENOMENON?
NAME DAY. MONTH YEAR
26 DATE a O E TED THIS QUESTIONNAIRE.
DAY. MONTH YEAR
PAGE 8 OF9PAGES

17 DID VOU QISERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING? INCLUDE INFORMATION ON MODEL,
TYPE, FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES SINOCULARS
WINDSHIELD TELESCOPE
SIDE WINCOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES NO B. DO YOU USE READING GLASSES? YES NO
t8 WHAT WAS YOUR IMPRESSION OF THE SPEEDDE THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENON? GIVE ESTIMATE OF SPEED PHENOMENONY 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 OSJECT OR OBJECTS WHICH, WHEN PLACED IN THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENOMENON
WOULD BEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITJES AND DIFFERENCES BETWEEN THE
COMMON OBJECT AND WHAT YOU SAW.
H
PALLON
21. DID YOU NOTICE ANY 21. DID YOUN NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF. THE PHENOMENON OR ANY EFFECT ON YOURSELF,
ANIMALS OR MACHINERY ANIMALS OR MACHINERY I IN THE VICINITY? VICINITY? 0 YES NO IF YES. DESCRIBE.
A. DID THE PHENOMENON DISTURB THE GROUND OR EAVE PHYSICAL EVIDENCE. YES ErNO.
IF *YES. DESCRIBE.
/
PAGE 7OF9 PAGES
•

9 WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CheCk sPpropriate blockS.)
OUTOOORS IN BUSINESS SECTION OF GITY
IN BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER D 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 WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIM IE WHIL E OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS S AND 6.
DESCRI9E 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?
DIO YOU DI0 YOU NOTICE ANY AIRPLANES? NOTICE ANY AIRPLANES? C YES KNO. TXNO. IF YES" DESCRIBE WHEN YES," DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON OF SIGHTING THE PHENOMENON AND WHERE WHERE THEY WERE THEY WERE IN IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
9. HOW LONG WAS THE PHENOMENON IN IN SIGHT?
LENGTHOF TIME LENGTH OF TIME CERTAIN OF TIME NOT VEPY SURE NOT VEPY SURE
VERY E2Y SHOLT TIN'E SHOLT TINE FAIRLY CERTAIN FAIRLY CERTAIN JUST A GUESS
HOM WAS TIME DETERMINEO?
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? 7 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 3OF 9 PAGES
3

1O. IF THERE WERE MORE THAN ONE PHENOMENON, HOW MANY WERE THERE? DRAW A PIGTURE TO SHOW HOW THEY WERE
ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
bict
11. CONDITiONs (Check appropriate blocks.)
A. SKY B. WEATHER
DAY CUMULUS CLOUDS(LOW fluffy) FOG OR MIST
TWILIGHT HEAVY RAIN
HIGHT 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 OID YOU NOTICE ABOUT THE STARS AND MOON?
(1) STARS (2) MOON
NONE BRIGHT BRIGHT MOONLIGHT MOONLIGHT NO MOONLIGHT
AFEW MOON WITH HALO 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. D. IF SIGHTING WAS IN DAYLIGHT, WAS WAS THE SUN VISIBLE? THE SUN VISIBLE? YES WHERE WAS THE WHERE WAS THE SUN SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD (NeW nOOn) OVERHEAD (NEW nOON)
IN BACX OF YOU TO YOUR LEFT UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THES E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR 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.
STRLET L16H7
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 OBSERVEO OBJECTS, LIKE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEW.
2 Brigst lights follny
PAGE 4 OF 9 PAGES

MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
1 2
A. HOW DID IT FINALLY DISAPPEAR? A. HOW DID IT FINALLY DISAPPEAR?
doit went away. away.
B.OID THE PHENO ON MOVE BEHIND OR IN FRON SOMETHING, LIKE A CLOUO, TREE, OR BUILDING AT ANY TIME?
YES 0 NO. DESCRIBE.
PAGESOF9PAGES

I7. OID YOU OBSERVE THE PHENOMENON THROUGH ANY 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 N B. DO YOU USE F READING GLASSES? YESNO
18. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENON? GIVE ESTIMATE OF SPEEO GIVE ESTIMATE OF DISTANCE
20. IN ORDER THAT WE MAY OBTAIN AS CLEAR A PICTURE AS POSSIBLE OF WHAT YOU SAW, DESCRISE IN YOUR OWN WORDS
A COMMON OSJECT 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.
Fireuoha
.
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY? YES Ewo. IF *YES,"DESCRIBE.
A. DID THE PHENOMENON DISTUR9 THE GRO PHYSICAL YES NO.
IF *YES," DESCRIBE.
PAGE 7 OF 9 PAGES

22. HAVE YOU EVER SEEN TMIS OR A SIMILAR PHENOMENON SEFORE? YES ENO. IF *YES,"GIVE DATE AND
LOCATION.
23. WAS ANYONE WITH YOU AT THE TIME YOU SAW THE PHENOMENON? YES IF THEY SEEIT TOO?
YES NO.
A. LIST THEIR NAMES AND ADDRESSES
24. GIVE THE FOLLOWING IN FORMATION ASOUT YOURSELF
LAST NAME, FIRST NAME. MIDDLE NAME
ADDRESs (Street, City, State and Zip Code)
DArTon, Oni0 45406
TELEPHONE(Ared code and number AGE
MALE FEMALE
INDICATELIOUITIONAL INFORMATION INCLUDING Occu ATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
NAME DAY MONTH YEAR
25. DATE YOU COMPI THIS QUESTIONNAIRE.
DAY. MONTH YEAR
PAGE 8 OF 9 PAGES
.