PROJECT BLUE BOOK

PROJECT 10073 RECORD
1. DATE · TIME GI DUP 2. LOCATION
05/0135 EDT
5.Au2 69 06/05357 Ohio. Kentucky. West
3. SOURCE 10. CONCLUSION
Civilian Civilian Astro (METEOR)
1. 4. NUIMBER AJECTS
COMMENTS: Identified d as extremely bright meteor.
One (1) One (1)
5.LENGTH OF OBSERY 5. LENGTH OF OBSERV VATION 11. BRIEF SUMARY BRIEF SUMARY AND ANALYSIS ANO ANALYSIS
to 30 Seconds to 30 Seconds SEE CASE FILE.
6. TYPE OF OBSERVATION TYPE OF OBSERVATION
Eround-Visual round-Visual
7. COURSE
See Case .
3. PHOTOS
n Yos
No
9. PHYS DENCE
07 Yas
No
FORM
FTD SEP63 0-3R9 (TDE)
B
3

O . 0
MEMO FOR RECORD 19 Aug 69
SUBJECT: F Fireball Sighting, 5 Aug 69
1. On 5 Aug 60 lled TDPT (UFO) and gave the following
information:
Mr.
Curator of Astronomy
Museum of Natural History
Dayton, Ohio
Business Phone
Home Phone:
Mr. intacted by Smithsonian.
1
or. is a
Mr. number from Jack Jones of the Dayton
Daily News.
Mr. reported that Smithsonian had contacted a newspaper in
Indianapolis, Indiana. ana They had received several calls reporting sightings.
2. Lt Marano gave Mr. C) 2. listing of the names listing the names and and addresses addresses of of persons
reporting sightings to the FTD duty officer. the FTD duty officer.

O
AFR 80-17(C1)
JO. IE THERE WEME MORE THAN OHE PAENOMENON. WOW MANY WERE THEME? DRAYAPICTURETO SHOW MOW THEY WERE
ARRANGED. DID THIS ARRANGEMKNT CNANGE DURING THX SIGHTING?
11. COnDiTiOns(Check appropriate blocks.)
A. SXY B. WEATHER
DAY CUMULUS CLOUDS (LOW fluify) FOG OR MIST
TWILIGHT CIRRUS CLoUDS (High fleccy or Herring- HEAVY RAIN
NIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMSUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SHOW OR SLEET
COMPLETILY OVERCAST (Thuaderstorms) UNXNOWN
HAZE OR SMOG NONE OF THE ABOVE
C. IF TME SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT DID YOU NOTICE ABOUT THE STARS AND NOON?
(1) (1) STARS (2) MOON
NONE X X BRIGHT MOONLIGHT MOONLIGHT NO MOONLIGHT
A FEW MOCN WITH HALO MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL(New or quarter) PARTIAL (New Or quarter)
O. IF SIGHTING WAS IN DAYLIGHT, WAS O. IF SIGHTING WAS IN DAYLIGHT. WAS THE SUN VISIBLE? THE SUN VISIBLE? NO. NO. ES. WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD(NeW NOON)
IN BACX 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 SIGMTING, SUCH AS THE SUN. HEADLIGHTS OR
STREET LAMP, ETC. STAEST LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE. FOR STRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
1 5
40yds.
12. GIVE A BRIEF DESCRIPTION OF THE PHENOMENCN, INDICATING WHETHER IT APPEAREO OARX OR LIGHT, WHETHER IT
COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLID OR TRANSPARENT, WMETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SMAPE OR INDICATE IF IT
APPEARED AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIXE STARS. A LIGHT OR
OTMER OBJECT IN YOUR FIELO OF VIEW. .
was
like a quick moring point of light. It locked like a fireball.
PAGE 9 PAGES

NOSOM
O
AFR 80-17(C1)
1S. DRAW A PICTURE THAT WILL. SHOW THE SHAPE OF THE PHENOMENON. INCLUDT ANO LABEL ANY DETAILS THAT MIGHT
HAVE APPEARED AS WINGS OR PROTRUSIONS, AND INDICATE EAHAUST OR VAPON TRAILS. INDICATE BY AN ARROW THE
OIRECTION THE PHENOMENON WAS MOVING.
VOUT
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 ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
PHENOMENON WOULD HAVE BEEN COVEREO BY THE MATCH HEAD.
approx.5%
PAGE6 OF9PAGES

0 0
AFR 80-17(C1)
CA. HAVE YOU IVER BEEN THIS OR A GIN ENDMEN DEPOA 10 VE DATE AND
LOCATION.
23. WAS ANYONE WITH YOU AT THE TINE YOU SAN NO. IF *YES," DID THEY SEE IT TOO?
YES 0NO.
A. LIST TMEIR NAWES AND ADORESSES
Address cak.
Dayton, Oh
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME. FIRST NAME. MIDOLE NAME
ADORES3(SVeEt Citr State and Zip Code)
DAYTONOH10 45431
TELEPNONE(Area code and number) AGE
14 X MALE FEMALE
INDICATE ADDITIONALINFORMATION INCLUDI INDICATE ADDITIONALINFORMATION INCI OCCUPATION AND ANY EXPERIENCE WMICH MAY BE PERTINENT. CUPATION AND ANY EXPERIENCE WMICH MAY BE PERTINENT.
Junior Junior High High Student 5tudent
25. WHEN ANO TO WHOM 010 YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMEMCN?
Name libisn- Pterson AFB Dytene oar 5 Ang (.9
MONTH YEAR
ES. DATE YOU COMPLETED THIS QUESTIOMNAIRE.
DAY 8 MONTH SUG YEAR 9
PAGE B OF 9 PAGES

SIDE WINDOW OF VEHICLE THEODOLITE
NINDOWPANE JOTHER
A. DO YOU ORDINARILY WEAR GLASSES? D XNO 3. DO YOU USE READING GLASSES? YES YNO
18 WHA WAS YOUR IMPRESSION OF THE SPEED OF THE 19 WHAT WAS YOUR IMPRESSION OF THE OISTANCE OSTHE
PHENOMENONT GIVE ESTIMATE OF SPEED 4 PHENOMENONT GIVE ESTIMATE OF DISTANCE
2O. IN CRDER 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.
It locked like a blow torch The coors from the dject
and the wy the f of Comes from a point in a Blowtorch
simifar the object was more solid
wpre C
Then that of the from a blowtorch though. The
blowtorch has has fire being pinpointed object while whi the
blowtorch On On an opject
too wide to look like lcok be C
from the from object object spread over on area over too wide to
floutorch. floutorch.
21. DIO YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY? YES A NO. IF *YES.DESCRIBE.
A DID THE PHENOMENON DISTURS THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YES XNO.
IF *VES." DESCRIBE.
(
PAGE7OFSOAGES

0 O
AFR80-17(C1)
27. INFORMATION WHICH YOU FEEL IS PERTINENT BUT WHICH IS NOT ADEQUATELY COVERED IN THIS QUESTIONNAIRE. ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
PAGE 9 OF 9 PAGES
O

O O
AFR 80-17(C1)
SA. NOW IMAGINE 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 *B ON THE COMPASS TO INDICATE THE DIRECTION TO
THE PHENOMENON WHEN LAST SEEN.
N
NNW NN E
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.
27
PAGE2OF PAGES

0
AFR 80-17(C1)
SIGHTING O UNIDENTIFIED PMENCMENA QUESTIOMMAIRE BUDGET DUISAU MPPHOAM
NUMBEX 21-2200
THIS QUESTIONN RE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S AIR FORCE AS MUCH INFORMATION
AS POSSIBLE CONCERI IG THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO
ANSWER ALU QUESTIONS. THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSZS
USED IN CONNECTION WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT
PATTERSON AFB, CHIO 4S433, IAW AFR8O-I7. (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1. WHEN DIO YOU SEE THE PHENOMENON?
AD S YEAR. 69
DAY_ MONTH
2. WHAT TIME DID FIRST SIGHT THE PHENOMENON?
HOUR MINUTES 3.5_ A.M. P.M.
<
3 WHAT TIME DID Y ou LAST SIGHT T H E PH ENOMENON?
HOUR MINUTES 36 A.M. P.M.
4. TIME ZONE R DAYLIGHT SAVINGS
EASTERN CENTRAL MOUNTAIN PACIFIC COTHER
5. WHERE WERE YOU WHEN YOU SAW THE F 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 DIRECTI SOME RE GNIZABLE LANDMARK.
RNER OF US US 35 ANDGRANG AND GRAN HAb
AT CORNER AT
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 BON THE SAME CURVED LINE TO
SHOM HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90 S
L
1
1
1
1
1
1
1 15
1
OBSERVER
AF FORM 117
AUG 67

O
AFR 30-17(C1)
3. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (Check appropriate blocks.)
OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER 17 AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE C AS PILOT AS PASSENGER 1 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 5-10MPH
SOUTH WEST DIO 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.
YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDONS OR CONVERTIBLE TOP WERE UP OR DOWN.
Q LANE MACADNM DRIVER'S WINDD Up N D
AUto,
PASSENGER PASSENGER WINDOW DOWN. WINDOW DOWN.
HOW MUCH OTHER TRAFFIC WAS THERE?
NONG NONG THAT T CH RENEMGER REMEMGER
DID YOU NOTICE ANY AIRPLANES? YES ZNO. IF YES. DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME ZNO. IF *YES. DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND OF SIGHTING THE PHENOMENON AND WHERE THEY WERE IN THE SXY RELATIVE TO THE THEY WERE IN THE SXY RELATIVE TO THE POSITION OF THE PHENOMENON. POSITION OF THE PHENOMENON.
9. HOW LONG HOW LONG WAS THE WAS THE PH ENOMENON IN SIGHT? IN SIGHT?
LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE
VERY BRIEFLY FAIRLY CERTAIN JUST A GUESS
HON WAS TIME DETERMINEO?
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY?YES NO. IF *NO, INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES.
SINLE I WAS DRWING
010 NOT
OCCURRED ON
SEE THE 0 BT
ACTU ALLY
PAGE 3OF9 PAGES

0
AFR 80-17(C1)
ARRANOEO. DIO THIS ARNANGEMENT CHANGE DURING THE SIGHTING?
1
11. CONDITioNs (Check sppropriate 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 CLOUCS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
COWPLETILY OVERCAST (Thunderstorms) UNXNOWN
HAZE OR SWOG - NONE OF THE ABOVE
C. IF THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT C.IF SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT DID YOU NOTICE ABOUT 010 YOU NOTICE ABOUT THE STARS THE STARS AND MOOH?
(1) STARS STARS (2) MOON MOON
NOME NOME BRIGHT MOONLIGHT BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOWN UNKNOWN PARTIAL (New or quarter) PARTIAL (New or quarter)
. IF SIGHTING WAS IN OAYLIGHT, WAS THE D.IF SIGHTING WAS IN OAYLIGHT. WAS THE SUN VISIBLE? YES WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU IN FRONT OF YOU TO YOUR RIGHT OVERHEAD(Ne noon)
IN BACK OF YOU TO YOUR LEFT TO YOUR LEFT UNKNOWN UNXNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT OURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT OURING 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.
ONLY CLOSE (LUM
12. GIVE A DRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEAREO DARX OR LIGHT, WHETHER IT
REFLECTED LIGHT OR WAS SELF-LUMIMOUS ANO 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 F LIGHT. IMDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIXE STARS, A LIGHT OR
OTHER D OF VIEW.
I NATICED WASAARILLLANFLASNOF
THE 1ST THING THAT
THE SKY MORA
SUFRICIENT AFTER STOPPING
LIGHTNINS,A
THAN MBONLIENT ORBVEN
TRAIL IN THE
NORTH TO SOUTN
TRAVERSING FDM
EASTERN SKY
PAGE 4 OF 9 PAGES
412

O
AFR 80-17(C1)
DIRECTION THE PHENOMENON WAS MOVING.
,
RED/6OLO TRAIL IN EAST, HEAOING
NORTH To SoUTN.
. u
.
7
I6. 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 COVEREO 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 HEAO.
WERE THE CENTER OF A 360 CIRLLE
IFI
30t 3 t EASTERN
1T COVER
SKY.
PAGE 6 OF 9 PAGES

0 O
MEMO FOR RECORD 19 Aug 69
SUBJECT: Fireball Sighting, 5 Aug 69
Police Department and FAA and received the following information on
the 5 Aug 69 fireball sighting:
1. Police Department
a. No tings.
2. FAA
a. Controller working on the midnight shift saw the object.
His name, address ar lephone number are as follows:
Rt 1
Decatur, Indiana
Telephone Nr: Telephone Nr: F Preble, Indiana exchange Preble, Indiana exchange -
b. b. Had other Had other inquiries but inquiries but no no names and addresses. addresses.

CHANGE SHAPE?
FLASH OR FLICKER?
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISEY
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
A FLAS
a
A. HOW DID IT FINALLY DISAPPEAR? FINALI DISAPPEAR?
IT IT BURNED OUT RURNEO OUT
B. OID THE A CLOUD, TREE, OR BUILDING AT ANY TIME?
YES NO. IF *YES," DESCRIBE.
PACESOF9 PAGES

1 0 0
AFR 80-17(C1)
MODEL,
TYPE, FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINOSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE REARWINDO THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES NO B. DO YOU USE READING GLASSES? YES XNO
WHAT WAS YOUR IMPRESSION THE SPEED OF THE 19 WHAT WAS YOUR IMPRESSION OF THE DISTANCE
PHENOMENON'GIVE ESTIMATS OR 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 WOROS
A COMMON OBJECT OR OBJECTS WHICH, WHEN PLACEO IN THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENOMENON.
COMMON OBJECT AND WHAT YOU SAW.
Co LlY LAR
APPEARED - S TO BE AN
CARTA'S -
COMING THE
METOR
.
ATN
-
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.
HEARD A SONIC BODM 3-4 SECONDS
AFTER FLASH OF LIGHT.
A. OID THE PHENOMENON DISTURB THE LEAVE ANY PHYSICAL EVIDENCE. CIYES NO.
IF *YES,* DESCRIBE.
ONK
PAGE 7 OFGPAGES

0 0
AFR 80-17(C1)
HAVE YOU EVEM SEEN TMIS ORASIMILAN PHENONENCN BRPOAE? Y WO.I YES,GIVE DATE AND
LOCATION.
ONLY SMALLER IN NATURE. HAVC OB. OTHER
SMAULE R METEORITDS AN NUMERAUS OCEASJONS
YES NO.
A. LIST THEIR NANES AMD ADDRESSES
T/SGT VICTOR IN6ALL3
FoREIGN T tH OIVISION
TOPE
WOAFB
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LASTNAME. NAME MICDLENAME
ADDR City, Stnte and Zip Code)
FAIRBORN O10 45324
TELEPHOMELArea CODE aNd ANHET) AGE
25 2 MALE FEMALE
INDICATE ADOITIONAL INFORMATION INCLUDING OCCUPATION INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE VMICH MAY BE PERTINENT. AND ANY EXPERIENCE VHICH MAY BE PERTINENT.
NOTHING
BBEAOIT
25 WHEH AND TO THOM OID YOU REPORT THAT YOU HAD SIGHTEO THIS PHEMONENON?
Di REPORT
NAME DAY. MONTH YEAR
26 DATE YOU CONPLETED THIS QUESTIONNAIRE.
DAY. 1 MONTH YEAR
MRMU
PAGEOOF9PAGES

/ 0 0
AFR 8-17(C1)
27. INFORMATION WHICH YOU FEEL IS PERTINENT SUT WHICH IS NOT ADEQUATELY COVERED IN THIS QUESTIONNAIRE, ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
FROM THE DIRECTION O = TAE
TRAIL IN THE SKY, AND THE PROTIMITY
CALCULATEO BY HE FLASH/BOOM T1E
NAVE
LA6, THE BE BRK/K
IMPALTED INTHE
SOUTH F THERE.
AREA OR
a
-
PAGE9OF 9 PAGES

AFR 80-17(C1)
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONMAIRE BUDGET OURLAW MPPTOYM
NUMBER 31-2239
THIS QUESTIONNA RE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S AIR FORCE AS MUCH INFORMATION
AS POSSIBLE CONC ERNING THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO
ANSWER ALL OF QUESTIONS. THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES
YOUR NAME WILL BE USED IN CONNECTION WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT
H FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1. WH 2 DID YOU SEE PHENOMENON?
DAY_5$ MONTH 8 YEAR 6.9
2 WHAT TIM DIO F R SIGH T THE PHENOMSNON?
HOUR 1O'CLOCK MINUTES 1.5YA.M. P.M.
3. WHAT TIME DID Y ou LAST SIGHT THE PHEN OMENON?
HOUR1OCLOCK MINUTES 15 B5EA.M. 0 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 AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK. :
cloject Route# 122
Gratis, Olio
Grofis, OliO O
o
③
Reute 503 Reute 503
Gratis Car Gratis Cat
Gratis Jacksonbury Rd. Jacksonbury Rd.
6. IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN *A° ON TME CURVED LINE TO SHOW HOW HIGH THE
PHENOMENON WAS ABOVE THE HORIZON, OR SKYLINE. WHEN FIRST SEEN. PLACE A 3" ON THE SAME CURVEO LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90 157
1
1 45y
1
I
1
I
1 15
1
OBSERVER
AF FORM 117
G 07

AFR 80-17(CI)
DIRECTION TO THE PHSNOMENON WHEN FIRST SEEN. PLACE A *A* ON THE COVPASS TO INDICATE THE OIRECTION 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 SKETCH AS AN EXAMPLE OF HOW TO COMPLETE
THE LARGER SKETCH.
PAGE 2OF 9 PAGES

0 0
APR 30-17(C1)
OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR YAS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELO
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 10 Mph.
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS You SKETCHES IN ITEMS 5 AND6
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.
Country ountry Road 1961 Chey Car, Road, 196l Chey Car, Window Dows Window
HOW HOW MUCH
None
DID YOU DID YOU NOTICE ANY AIRPLANES? YES YES IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE OF SIGHTING THE PHENOMENON AND WHERE THEY WERE IN THE SKY RELATIVE TO THEY WERE IN THE SKY RELATIVE TO THE POSITICN OF THE PHENOMENON. THE POSITICN OF THE PHENOMENON.
9. HOW LONG WAS THE PHENOMENON IN SIGHT?
LENGTH TIME CERTAIN OF NOT VERY SURE
10 Seconls FAIRLY CERTAIN JUST A GUESS
HOW WAS T IME DETERMINED?
JUCSS
WAS THE PHENOMENON IN SIGHT CONTINI Y? YES NO. IF NO." INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOM ENC AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAR.
PEARANCES ON PREVIOUS SKETCHES.
PAGE 3OF 9 PAGES

0
AFR 80-17(C1)
APRAMGEO. DID THIS ARRANGIMINT CNANGE DURING TME SIGHTINGY
11. CONoITiONs(Check appropriale blocks.)
A. SKY B. WEATHER
OAY CUMULUS CLOUDS(LOW (luffy) FOG OR NIST
TWILIGHT Ciraus CLouDs (High fleecy or Herring- HEAVY RAIN
NIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIM9US CLOUDS (RaiN) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
CONPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SWOG NONE OF THE ABOVE
C. IF THE9 C. IF THE SIGHTING WAS AT TWILIGHT SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT OR NIGHT. WHAT DIO YOU NOTICE DIO YOU NOTICE ASOUT THE STARS THE STARS AND NOON?
(1) STARS (2) MOON
NOME BRIGHT NOONLIGHT MO MOONLIGHT
A FEW MOON WITH HALO UNXNOWN UNXNOWN
MANY MOON HIDDEN BY CLOUDS MOON HIDDEN BY CLOUDS
UNKNOWN UNKNOWN PARtiAL (New or quarter) PARIAL (New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN D. IF SIGHTING WAS IN DAYLIGHT. WAS THE SUH VISIBLE? YES HO. I5 HERE WAS THE SUN AS YOU FACED
THE PHZNOMEMON? THE PHZNOMEMON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD(NeW nooN) OVERHEAD(NeWr nOON)
IN BACK OF YOU IN BACK OF YOU TO YOUR LEFT UNXNOWN UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEAOLIGHTS OR E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEAOLIGHTS OR
STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY OISTANCZ TO LIGHT SOURCE.
12. GIVE A BRIEF DESCRIPTION OF THE PHENOMEMON, INOICATING WHETHER IT APPEAREO DARK OR LIGHT, WHETMER 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 INDICATE IF IT
APPEARED AS A POINT OF LIGHT. INOICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELO OF VIEW.
PAGE 4OF 9 PAGES

CoLovapor
-
Seconds Later white of Light Blve Flame
object appeared when first obserwedy
to have Blasted Very Luminous, Like the
away, Like ajet ELame from a Blou torch
nafterborner
W Q E
and this aAitPhane.
I6. 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 HEAO 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 HEAO.
Obiect
Match
PAGE 6OF9PAGES
183

CHANG SHAPE?
FLASH OR FLICKER?
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WEBBLE?
14.WHAT DREW YOUR ATTENTION TO THE F PHENOMENON?
The
area was Lighted Like Noon
on any day.
A. HOW DID IT FINALLY A. HOW DID IT FINALLY DISAPPEAR?
oeared into eared into
Space. Space.
B. DIO THE PHENOMENO MOVE BEHINO OR IN FRONT OF SOMETHING, IXE A CLOUD, TREE, OR BUILDING AT ANY TIME'
YES 2 NO. IF *YES." DESCRIBE.
PAGE 5 OF 9 PAGES
LoF

0
MEMO FOR RECORD 19 Aug 69
SUBJECT: Fireball Sighting, 5 Aug 69
It Marano called the Athens, Ohio Highway Patrol and City Police and
received the following information on the 5 Aug 69 fireball sighti ng:
1. Highway Patro1 (AC 614-593-6611)
a. Received calls from:
M
Telephone Nr:
and
Mr.
Lancaster, Ohio
. 2. City Police Department (AC City Police D Department (AC 614-593-6606) 614-593-6606)
a. No reports in the log. a. N No reports in the log.
a
WEA
UNA

0
AFR 80-17(C1)
17 O'O YOU OBSERVE THS PHENOMENCN THROUGH ANY OF THE FOLLOWIN INGLUDE INFORMATIC MODEL,
TYPE, FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEOOQLITE
AINDOWPANE OTHER
A. DO YOU ORDINARILY V WEAR GLASSES? YES NO B. DO YOU USE READING GLASSES? YES
18. WHAT WAS YOUR IMPRESSION OF THE SPEEO OF THE 19 WHAT WAS YOUR IMPRESSION OF THE DISTANCE QF THE
PHENOMENONT GIVE ESTIMATE OF SPEED SORC MALLI
20 IN CRDER THAT WE MAY OSTAIN AS CLEAR A PICTURE AS POSSIBLE OF WHAT YOU SAW. OESCRIBE 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 EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF
ANIMALS OR MACHINERY IN THE VICINITY? YES NO.IF YES," DESCRIBE.
When +he Blast ot Flanme first occured anose
similbur to CracKirg NOIse.
A. DID THE PHENOMENON DISTURB THE GROUND OR LEAVE PHYSICAL EVIDENCE. YES NO.
IF *YES,"DESCRIBE.
(
PAGE7OF9 PAGES

0
AFR S0-17(CI)
2 NAVT YOU EVER SEIN TH ASINILAR PHENOMEMON JIPOA X3 DATE AND
LOCATION.
23.WAS ANYONE WITN YOU AT THE TIME YOU SAW THE PHENOMENOHY YES NO. IF "YES* OID THEY SEE IT TOO:
YES
P. LIST THEIR NAMES AND ADOREBSES
JacKsombouyRd
GIVE THE FOLLOWING INFO RMATION ABOUT YOURSELF
AME
ADDHEss (Strrst, City, State and Zip Code)
ARlislE 15005
TELEPHONE AGE
2 MALE FEMALE
INDICATE ADDITIONALINFORMATION INCLUON INDICATE ADDITIONALINFORMATION INCLUOI CCUPA CCUPATION TION AND AND DAMY AMY EXPERIENCE WMICH MAY EXPERIENCE WMICH MAY BE PERTINENT. BE PERTINENT.
SHipping$ SHipping Receun Receun Cherkny monsanits Resenrch moNsaNto ResenRch
OpnitR OPrIER ontmiNtiow woRKER wORKER 147 147 MOWSANTO
AngRews A.F.B A.F.B
Spent Foun yeARs Spent Founy
25 WNEN AHD TO WHON 01D YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
MaMePAE3 DAY MONTH YEAR
8. DATE YOU COMPLETEO TMIS QUESTIONNAIRE.
DAY_ MONTH YEAR
PAGE B OF 9 PAGES

7 IH
whith light UM cento to a Mmoee on xe
outin edar
Then Them definally definally Has das a cnd shape atiget cond shape atiject fuch as fuck as
a tall frall pront the light,
PLRTONTN PAGEGOEDDATFE

Fsuth
FTD(TO- PT/UFO )
WRIGHT-PATTERSON AFB, GH.O 45433 POSTAGE AND-FEES PAID
UMITED STATES AIR FORCE OFFICIAL BUSINESS REAS X
Unclaimed Addrossen
Insutncoa No aich au FIRSE-CLASS
AN 3m No0
Mr
2
Carey, Ohio 43316
127

FTD(TD-PT/UFO )
WRIGHT-PATTERSON AFB, GH:O 45433 POSTAGE AND FEES PAID
UNITED STAYES AIR FORCE
OFFICIAL BUSINESS
FIRST CLASS
ro
WRITER
Unclaimed . Men REASON CHLCKED
Insufacl Adnessee ceng.
No suchontL Fairborn, Ohio 45324
Ne socs at a
bo eot ie sa) an ths envdlape
FTD FUL 383 FUL 383 FORA FOR Thie farm supureedos ATIC Fere Nr. S6S, dated Duc G0, which lo obsolste. Tala fara supureedos ATIC Forw Mr. S63, dated Dec G0, whicd io obsolste.
HET

Urdalmed.. REASOI
Coknonn.
FTL(TD-PT/UFO 45433 POSTAGE AND FEES PAID
WRIGHT-PATTERSONAFB, GH:O
UNITED STATES AIR FORCE
OFFICIAL BUSIMESS
FRST CLASS
PEAST Morehead,Kentuck 40351

Observatory as being of an extremely bright meteor called a fire-
ball. s The meteorite has not been recovered as of this date, and E
it appears that it completely burned upon cntry into the Earth's
atmosphere. Your report will be forwarded along with other reports
of this incident to the American Meteor Society. Thank you for your
interest and for reporting your sighting to the Air Force.
HECTOR QUINTANILLA, Jr, Lt ColOnel, USAF
Chief, Aerial Phenomena Office
Aerospace Technologies Division
Production Directorate
130

On MONDAY Aug.4.
a AM. My cousin
and I were aying
in bed and we Saw
abig blue ball with
a streak behind it
Cn o
1.21
CUER

44129

0 0
-Springfield (O.) DAILY NEWS
Tuesday, August 5, 1069
Meteorite'Causes
Stir In Much Of
Northeastern Ohio Northeastern Ohio
MASSILLON, O. -(AP)--An MASSILLON, O. -(AP)-- An
object believed to be a meteorite
caused a stir in much of north-
eastern Ohio early today, prompt-
ing numerous telephone calls to telephone calls to
authorities.
The Ohio Highway Patrol said The Ohio Highway Patrol said
the flaming bail passed over the the flaming ball passed over the
area on a northwest to south-
east course It was spotted here
and in Akron, Medina and numer-
ous other cities.. . . ous other cities.. ..
The object also was reported
over Central and East Centrali
Ohio skies. 2
An astronomer at an obser-
vatory. in Cleveland said the
object was a meteorite.
A Fairborn policeman and
Greene County deputy sheriff re-
ported sighting the "meteorite"
about 1:35 a.m. Tuesday. Noi
sightings were reported to Spring-
fieid police, the local State High-
way Patrol or Clark County
sheriff's office.
:

0 O
MEVO FOR RECORD 19 Aug 69
Mr. called TDPT (UFO) and gave Lt Marano the following information
on observers of the 5 Aug 69 fireball sighting:
1. The Xenia Daily Gazette stated that four (4) Greene County deputies
saw the firebal bout 0l40 hours.
a..
b.
c. Sgt. Charles Sibley
d. Patrolman Rehmune Farrenkoph,Jr.
2. Several rangers the Rocky Forks State Fark.
Rocky Forks State Park
Park Office
Rt #4
Hillsboro, Ohio 45133 Hillsboro, Ohio 45133
3. A fisherman in in Wayne National Forrest (North of Ironton)(Vasuvius National Forrest (North of Ironton)(Vasuvius
Lake)
a.
Xenia, Ohio 45385
b. Mrs.. Mrs heard a whistling noise as fireball went over.
4. 1 Mr.
Brownsville Ohio
Telephone
Interstate 23 and Route 35)
Dayton, Ohio
Telephone Nr:
(Works at I NCR but was in Canada at the time of the sighting.)
6. Mr.
Route 4
Wheelersburg, West Virginia 45694
7. Mrs.
Mount Carmel, Ohio
Telephone Dhio

DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PATTERSON AIR FORCE BASE. OHI0 43433
REPLY TO 28 AUG 1069
ATTN OF: TDPT (UFO)
SUBJECT: Fireball Sighting, 5 August 1969
TO:
M
Paris, Kentucky 40361
Your name has been given to the Aerial Phenomena Office as
having seen an extremely bright meteor, called a fireball,
in the early morning hours of 5 August If this is true,
we would like you to complete the attached AF Form 1l7 on your
sighting and return it to us in the enclosed self-addressed
envelope. Your report along with others will then be for-
warded to Dr. Charles Olivier who is the head of the American
Meteor Society. meceor Soclecy. Ine The data contained in these reports will oncdlned in chese reporos will L then Chen
be used to compute the trajectory of the fireball and the be used to compute the trajectory of the fireball and the
probable impact point of the meteorite. Thank you for your
cooperation.
Lt Colonel,USAF Lt Colonel,USAF 1 Atch
Chief,Aerial Phenomena henomena Office AF Form 117
Aerospace Technologies Division w/Self-Addressed w/Self-Addressed
Production Directorate Production Directorate Envelope

DAY_ 5 MONTH 8 YEAR 69
2. WHAT TIM D! Y ou F IRS T SI G T E PH 5 NOMENON?
HOUR_ MINUTES 30 1A.M. P.M.
3. WHAT TIM IE DID YOU L AST SIGHT T P H EN IOMENON?
HOUR MINUTES 32 A.M. P.M.
4. TIME ZONE C 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.
WAS ON U5 227 HEADING SOUTH
I I LIVE LIVE WHICHIS WHICHIS 12 12
To TO WHERE WHERE
FRoM PARIS PARIS 154 ON
MILES
2 FROM UHERE IFERE
STATIONROAD STATIONROAD ARE ARE WHAT
PHENO PHENO LON ON
SEEN THE
I
IT LUAS LWAS
ELER LER
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 CUPVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
15
1 6
1 'A
1
1
1
1 —- 15
/
1
K
OBSERVER
AF FORM A40 67 117

AFR S0-17(C1)
SA. NOW IMAGINE YOU ARE AT THE CENTER OF THE COMPASS RQSE. 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
AB
SW SE
A
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 SE STRAIGHT, CURVED OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE
THELARGER SKETCH.
PAGE 2 OF 9 PAGES

AFR 80-17(C1)
1O. IF THERE WERE MORE THAN ONE PHENOMENON, HOW MANY WERE THERE? DRAN A PICTURE TO SHOW HOW THEY WERE
ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
11. CONOiTiONs (Check appropriate blocks.)
A. SKY 8. 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 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 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
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.
i7 CHANGEP
AND
A ROCRET FIREING
BLA3E LIKE
A
WAS NE
IT 1
PAGE 9 PAGES

EAROSSRNTMYNTYY 024
AFR 80-17(C1)
WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (Check approprinte blorkv.)
OUTOOORS IN BUSINESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SECTION NOF CITY
IN CAR AS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE V
IN BOAT NEAR AIRFIELD
IN AIRPLANE AS PILOT AS PASSENGER FLYING OVER CITY
OTHER FLYING OVER OPEN ICOUNTRY
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 ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS 5 AND 6
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD, TERRAIN OR BODY OF WATER YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
1962 CHEVEROLET 2DB H p
WINDOW WAS DowM
HOW HOW MU c H O THER T TRAFFIC RAFFIC WAS WAS THERE?
NONE
DID YOU NOTICE ANY AIRPLANES? DID YOU NOTICE ANY AIRPLANES? YES A X NO. IF YES," DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHERE OF SIGHTING THE PHENOMENON AND WHERE A EY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
3. 9. HOW LONG WAS THE PHENOMENON PHENO MENON IN SIGHT?
LENGTH OF TIME LENGT MINUTE CERTAIN OF TIME CERTAIN OF TIME NOT VERY SURE NOT VERY SURE
FAIRLY CERTAIN - JUST A GUESS
HOW WAS TIME RMINED?
WAS THE PHENOMENON IN SIGHT CONTINUOUSL MYES NO. IF *NO.INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENONVAND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES.
NOTICED THE OUTSIDE
WHEN FIRST
LIGHTED up LERSBRIGH
WAS
WAS A .VERS
IF 1.T
as :
BLINDEP ME
LIGHT IT
BRIGHT
MYCAR
I STOP
WHEN
THATS
THE THING AT THE
SEEN
ANP
IN THE SKJ
OFME
LEFT
PAGE 3 OF 9 PAGES

MAKE A NOISE? FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON? FRON
WHEN THE EARTH iT
LIGHTED UP So
CAR ME. + CAME TOA STOP
BLINDER OUTMS
WHEN WHEN LO .
THATS THATS
WINDOW WINDOW AND
A. HOW DID IT A. HOW DID IT DISAPPEAR?
A STRAIGHT STRAIGHT LINE LINE
IN I N BLABE EAME OUT
AFTER AFTER A BLUE
of the BACK
. DID THE YES PHENOMENON MOVE BEHIND OR IN NO. IF "YES," DESCRIBE. FRONT SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
PAGE S OFD PAGES

in
c f fockud heogh Sile
lipin The
object obfect Pives Piees
Jarge Jarge an and Riel Riel Balls of of
falling fallinig if it
O 2em m i7 as ces Ateme
Feire it , t las Lope 4.
No a es fame
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATIN ANIMALS OR MACHINERY IN THE VICINITY? YES SK G FROM THE PHENOMENON NO. IF "YES."DESCRIBE. OR ANY EFFECT ON Y YOURSELF,
A. DID THE PHENOMENON DISTURB T IF "YES," DESCRIBE. YES NO.
UNKNOWN
it Duilit So to elck where
See See H
bad
at
PAGE 7OF 9 PAGES

*2*6700904*0
0 0 -
AFR 80-17(C1)
22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON LOCATION. GIVE DATE AND
23. WAS ANYONE WITH YES C NO. YOU AT THE TIME SAW THE PHENOMENON? DID THEY SEEIT TOO?
A. LIST THEIR NAMES AND ADDRESSES and be
me up Bout Dids
Siin Tigit
die tb 26 dS2 the
C ny Ca
24. LAST NAME. FIRST NAME. MIDDLE NAME GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
1
AbbREss (Street, City, State and Zip C PARIS K.Y 4-036/
TELEPHONE(Ared code and number) AGE 42 V MALE
Ne PHONE FEMALE
INDICATE ADDITIONAL INFORMATION INCL INDICATE ADDITIONAL INFORMATION INCLU OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
SIR SiR I WORKED AT AT A LOCAL DROG
IN IN PARIS PARIS K K4 FOR 2 SEARS FOR 2 SEARS
STORE STORE
WILSON WILSON DRUG 0O DRUG co, STOER ROCM AND
DELIUERS-I AM 5IAM OFF AT.THE AT.THE PRESENCE PRESENCE
DELIUER ; .
1 BECAUSE OF A SLIPED Dise
TIME ACCIDENT
WHICH I RECEVED IN A AUTO
: WORING FOR WILSON pruGed
WHILE
LIVE AT PARIS KS
I STATIONRD
ON THE BEEM
MIILES FROM PARIS HAVE
12
A RESIDENT HERE 2
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON? CAPE RENNEDY
NAMESLAEECENTERAT DAY MONTH YEAR
25. DATE YOU COMPLETED THIS QUESTIONNAIRE. MONTH RT YEAR/969
DAY/O
PAGE 8 OF 9 PAGES

O
AFR80-17(C1)
ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
SiR 227 SOOTH
WHILE TRAVELING ON US
HOME FROM UISTING FRIENA (
COMEING
AT ABOUT 130 AM THE 5 of
WHieH WOULP BE TUESDAYI
JUST BEFORE REACHING
BELEAVE SIDE ROAD WHiCH I
HomE AT A
OFF OF 227 JUST
7ORN TURN ON WAS WAS BLINDEP BLINDEP
TURNING TURNING I
BIFORE BLFORE MY PIETURE MY PICTORE TAREN TAREN
AS IF I HAD
CAME To TO A STOP AND LOOKED LOORED
I I w IN IN THE SRP THE SRS
FROM MY SIDE WIND WINDOW
LONE OBJECT T AS AS
wAS A VERY WiTH
LONG AS A HOUSE TRAJLOR
REP BALLS OF FIRE COMEINGFR
1T AND LOOKED LIKE PIECES
FALLING AWAY FROM it THE
BLA3e BEGUN TO TURN BLUE AND
T TOOK OFF IN A STRAIGHT LINE
DIONT SEE IT ANS MORE, I THool
HAD BETTER REPORT IT SO I WROiF
PAGE 9 OF 9 PAGES

0 0
MEMO FOR RECORD 19 Aug 69
SUBJECT: Fireball
about the 5 Aug 69 fireball
ne following information:
E Police - No reports.
1.
2. Ironton, Chio Highway Patrol - No reports.
3. Ashland, Kentucky City Police - No reports.

0 O
MEMO FOR RECORD 19 Aug 69
SUBJECT: Fireball
Lt Marano called Mr. (TDPE) and Sgt Ingalls (TDPE) and
received the following
Fairborn hio
a. Time and Date
(1) 5 Aug 69
b. Duration
1 to 1 1/2 second flash. Much brighter than lightning
(lit up entire sky). About 3 to 4 seconds later heard
sonic boom.
c. Location
At the corner of old route and
(About a mile and a half outside Dayton on the East
side.)
d. Trail
Colaish nad
trail had shimmering sparks in it (sort like fire-
works).
Ingalls.)
2. Sgt Ingalls (TDPE)
a. Sounded like aircraft breaking sound barrier about l0 miles
away only more subdued, i.e. not a sharp crack. Fireball leaving
trail About
3 1/2 Fireball continued on for about
5 seconds more and seemed lessen in luminescence and then
disappear.
3. Harris didn't hear as loud a thud as window
wis rolled

Department CA 93--3411)
1.
a. No complaints.
2. Wilmington, Ohio
a. No complaints.
3. Chillocothe, Ohio Police Department
a. Had several comolaints but didn't have names. Several officers
reportedly saw it. I Records clerk will have them write to the office of
they heard heard a sonic boom. a sonic boom. Also Also Suggesced Chae I Migne Ga suggested that I might call the Sheriff's
they
Department at AC 614-773-1185. Department
4. FAA on base
a. No reports.

0 0
MEMO FOR RECORD 19 Aug 69
SUBJECT: Fireball Sighting, 5 Aug 69
L. Mr. from the Dayton Planetarium called. I He has several
good estimates of azimuth and elevation which he determined from personal
interviews with the observers.
a.
1 first saw 120 deg 35 degrees elevation
(2) last saw 130 deg 28 degrees elevation
(3) heard sizzling sound
(4) duration - 30 seconds
o
(1) driving Grange Hall Road
(2) 0136 hours
(3) saw fireball about 20 degrees to the right of the moon and
20 to 30 degrees above horizon.
seconds after flash. Sighted fragment with red streaks
falling out.
c
(1) 0140 hours
(2) first observed 140 degrees elevation 25 degrees
(3) end point 150 degrees elevation 23 3 degrees
ad White g from oservatory
at 390 47' North latitude, 840 l2' West. Observer'
is 7 1/2 miles and 16 degrees azimuth from
d. (Best report)
first seen 110 degrees azimuth 27 degrees elevation
last seen 140 degrees azimuth 25 degrees elevation
3003 flat trajectory
Observer'sghome is 41/2 degrees from
observatory.
e. Mrs.
1) 0135 hours
(2) first seen 110 azimuth 13 degrees elevation
(3) last seen 140 azimuth degrees elevation
(4) Home is 9 miles at azimuth of from observatory.
2. Mr. felt that probable impact point was east of Cincinnati near
Ohio-Kentucky border. The Smithsonian had determined 1 that sighting was
north of Moorhead, Kentucky.

0 O
ME'NO FOR RECORD 19 Aug 69
SUBJECT: Fireball Sighting, 5 Aug 69
Lt Marano called Mr. nd received the following information
on the 5 Aug 69 fireball sighting:
Telephone Nr: 252-4362 T
a. Observer was at Taylorsville Dam when he heard a swishing
noise. (10 to 12 seconds) Looked up and saw fireball. (Sound was. like
a blow torch?) Will complete an AF Form Il7.
R.

0
MEMO FOR RECORD 19 Aug 69
SUBJECT: Fireball Sighting, 5 Aug 69
Mrs. and gave the following information
Observer: Mrs
Fairborn, Ohio
Time: Approximately hours
Direction: South to North
Description: Different colors.
Hummed with white contrail.

O
A copy y of the attached letter was sent to the following cbservers of the
5 AUB 69 fireball:
Mrs
Fairbori 45324 Kentucky 41056
Mr
Morehead, Kentuck
Mr
Carlisle, 45005 Morehe ucky 5
Mrs.
Kettering, Ohio 45429 Morehead, Kentucky 40351
Mr
Dayton, Ohio 45406 Dayton, Ohio 45406 Springfield, Springfield Ohio 45503
Mr. r Mr Mr
Dayton Dayton Ohio Ohio Wilmingto Wilming Ohio 45177
Mr Mr. Mr
Dayton, Ohio 45404 Dayto 45404 Carey, Ohio 43316 Carey, Ohio 43316
Dayton, Beavercreek, Ohio 45440
Mr
Dayton, ic Ohio 45431
Mr Mr
Dayton, Ohio 45432 Dayton Ohio 45408
Mr.1 •
Kettering, 45429 Dayton
M
Fairborn, Ohio Dayton, Ohlo 45431

0
MEMO FOR RECORD 19 Aug 69
SUBJECT: Fireball Sighting, 5 Aug 69
Mr and gave the following information
on the 5 Aug 69 fireball ting:
Observer: Mr
Kettering, Ohio
Base 55477
Time: eteLy hours
Description: A bright light awakened him. The object lit the sky
for 30 seconds or more. He was looking at the object
a 45 degree angle. The object appeared to be travelling
north to south.
.

0 O
MEMO FOR RECORD 19 Aug 69
SUBJECT: F Fireball Sighting, 5 Aug 69
Mr. called information
on the 5 Aug 69
Observer:
Carlisle, Ohio 45005
Telephone Nr: 746-4796
Date: 5 Aug 69
Time: Approximately Ol30 hours
Duration: Few seconds
Description: The observer sighted an object (light) similar to a
heli-arc torch with a greenish cast. The light lit up the sky and traveled
at a tremendous at a tremendous speed speed parallel paral to the ground. ground It traveled It traveled in a westerly. in a westerly.
direction and a trail direction and a trail of some sort was visible for several of some was visible for several seconds after- after-
wards. wards. Observer was near Gratis at the tine. Observer was near Gratis the tine.
Comments: Told the observer Told the observer that the stimulus that the stimulus was was probably a
fireball and that fireball and that I would like him to complete an AF Form Form 117 so that 117 so that
I could give the report report to Dr. to Dr. Olivier.
a

MEMO FOR RECORD 19 Aug 69
SUBJECT: Fireball Sighting, 5 Aug 69
called TDPT (uro) and gave the following information
on the 5 Aug 6g fireball ng:
Observer:
Kettering, Ohio 45429
Date: 5 Aug 69
Time: 0122 hours
Description: Bright flash of light lit up the room. Mrs.
had her eyes closed and the flash was so bright opened them.
Comments: I told Mrs. C that the stimulus was probably a
fireball. She would like to have mmary of the incident if write one.
< -

ATTAChED AR UFO.os BatwGen
01:35 01:3 JE Reports WARE taken
AIC M.I.DAUIS - WAR Rom controller Dofy
2) LT. w.s. MuRphy- staff Doty officee.
All o f The R{posts K sighitings of the SAME
thiNG ',
2=p 50 to TOPIT /WAR Room
P Msh os Hsbal Mans
CONTROLLER CONTROLLER

7. ⇒
fasten. losked not
night.
Ma,302 Buo
3 eaond sighting of alfet wot as
Dyt0. mng a a hanight like anty Like benet. foband
vey y ling Vy iey leing more. mose. thaui haf fas hh ad high
as frit. OR113 OS 4
Ma Big white Ball coning af Ahm
will & bilue tail that trunel T
Pragton o. juut Befi gleen,
cne worL
juat suconds
Nu got B WE chit
tte. W. Onject

252-2194
GAnt Recket Blue : GRBEN KADAD South
ReD tail 8llouett HANGING theRe Afhez 0115550
(solid abjnct)
kEthaziNG
MR Flash BIUz GREEN hight (Blat tyPe)
WHITE S.te Nouth
followao By orange ted tal
Mpsuil ky
R Gold thew Blue grun
nowch nowcl Light IARGE. IARGE.
Mooched Moouhed by hy Nw.10 NW.1o $.$\ra2}$ $,1}$ Ne No sound. sound.
Miz →N. Tanil of Sacke
Bloe wkt aed tail lihe a wehat
StAtEl. ky. disepfened raped sped 3u
st acroas
1 Rte up dg ondng Blye
t smife NW-SC,

(both t tCot
Seamed god likee towi'll Laytine
Lit up Frederich-Kesstn Rd. Seen tSE ovr airfort
On On lile lile illuminated illuminated Amoke Amoke treah-like twah-libe
Cloud - Loled Cloud - loled lasted only lasted ouly
approx. 2:00AM 2:00AM
Scen while Scen while driving. Mo Moise
common facton - Back-lile advent, morig annd Deavin
sudden luminoua tail
NOLA2
Trail faded, apfrox 4 see.
Blwh-white, very brigt with other clrs
Object mot A2en t Nac groaund (tal eppanth
tn 0 endid in midai.)
Mord penallel to Dougon
135/136 AM

M. -Faiboni coloia-ball shaped
stream ofl liylt-varins laled 3-4 A2L.
apfrox. 1:45
Dayton ofjict atend.
Mn. white O fo afpox 1.45
3-4Mur.
Wyomg S+. 11 with earth
treveli
Roaver Creek

Lit up;mo gellay, whit
live, 11 with 20-630
Nighuay Daytor
.

0 0
euned paned al difed es ,
wit ste Bly
, bgh appioz 130 te
eoppecst V Fellow Ble E C
Geam I liphe fest appeand.
C.
Lohed Lshed the the lifiting lifeting
Lace Sreen Ball -loy tael - binged, s toN
I:36AM 1605 Loen Valle, Pile
E-jon
Fil-8 St t"at are be =
Invine Ove.

* O
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PATTERSON AIR FORCE BA3E. OHIO 43433
REPLY TO
ATTN OF: TDPT (UFO)
SUBJECT
TO:
Reference your UFO sighting of 5 Aug 1 1969. The stimulus for
this sighting has been identified as an extremely bright
meteor called a fireball. We would like you to complete the
attached AF Form ll7 on your sighting of the fireball and
return it to us in the enclosed self-addressed envelope.
Your report along with cthers will then be forwarded to Dr.
Charles Olivier who is the head of Charles Olivier who is the head of the American Meteor the American Meteor .
Society. Society. The data contained in these data contained in these reports will reports will then be then be
used to compute the tra,jectory of the fireball the trajectory of the fireball and and the the
probable impact impact point of the meteorite. point of the metecrite. Thank you you for your your
cooperation and for for reporting this incident to the Air Air Force.
HECTOR QUINTANILLA, Jr, HECTOR QUINTANILLA, Jr, Lt Col, USAF 1 Atch 1 Atch
Chief, Aerial Phenomena Office Office AF Form 117 w/envelope AF Form 117 w/envelope
Aerospace Technologies Division Technologies Division
Production Directorate

0
AFR 80-17(C1)
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDGET MUREAU APPROVAL
NUWBER 21-2259
THIS QUESTIONN RE 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 ALL CSTIONS. THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES
YOUR IN CONNECTION WITH ANY OF YOUR STATEMENTS OR CLUSIONS WITHOUT
YOUR PERMISSI TO AIR FORCE BASE INVESTIGATOR FOR FORWARDING TO TDETR). WRIGHT-
AW AFRAO-I7. (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO TH FORM OR ANNOTATE WTH YOUR NAME FOR IDENTIFICATION.)
1. WHEN DID YOU SEE T P HENOMENON? C
5
DAY_ MONTH YEAR
2. WHAT DID T SIGH PHENOMENON?
MINUTES 20) - A.M. P.M.
HOUR
3 W H A E DID YOU L AST SIGH T THE N OM ENON?
HOUR MINUTES 7 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 AODRESS. IF IN THE COUNTRY, IDENTIFY THE
HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
in M Cobunting CIRUECT CIRUECT
- -
8 DORMAY LAN DORMAY LAN
COUATY COUNTY LIA
R +
PATTERON RD
S.IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PCACE 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
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90 57
L
I
|
1
30f
1
1
1 15
1
V
OBSERVER
AF FORM 117
AL 67

2
0 O
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 SZEN.
:
NNW NNE
NW NE
WNW ENE
6
WSW ESE
SW SE
SSW SSE
coud
1/*7
7. IN THE SKETCH BELOW, PLACE AN A°AT THE POSITION OF THE PHENOMENON WHEN FIRST SEEN. AND A *B* AT THE
POSITICN OF THE PHENOMENON WHEN LAST SEEN. CONNECT THE *A* AND *B° WITH A LINE TO APPROXIMATE THE
MOVEMENT OF THE PHENOMENON BETWEEN A° AND S*. 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 2OF9 PAGES

O
AFR 90-17(CI)
AMRAWOED. DID YHIS ARRANGINRNT CHANGE DUNING THE SIGHTING!
!
t
11. CONDITioNs(Check appropriate blocks.)
A SXY a. WEATHER
DAY CUMULUS CLOUDS(LOW flulY) FOG OR MIST
TWILIGHT CIRRUs CLouDS (High fleecy or Herring- HEAVY RAIN
MIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMBUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUOS SNOW OR SLEET
COMPLETELY OVERCAST (Thuaderstorms) UNXNOWN
HAZE OR SMOG NONE OF THE ABOVE 4
C. IF THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT DID YOU C.IF THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT DID YOU NOTICE NOTICE ABOUT ABOUT THE STARS THE STARS AND MOON?
(1) STARS (2) MOON
NOME BRIGHT MOONLIGHT BRIGHT MOONLIGHT NO MOONLIGHT
AFEW MOON WITH HALO MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL (New or quarter)
O. IF SIGNTING WAS IN DAYLIGHT, WAS THE O. IF SIGMTING WAS IN DAYLIGHT. WAS THE SUN VISIBLE? YES NO. IF YES, WHERE WAS THE SUN AS YOU FACED "YES. WHERE WAS THE SUN AS YOU FACED
THE PHENOMEMON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD (NeD nOON) OVERHEAD (NeD nOOn)
IN BACX OF YOU TO YOUR LEFT UNXNOWN
E. SPECIEY THE NAJOR SOURCE OF ILLUMINATION PRESENT OURING THZ E. SPECIEY THS MAJOR SOURCE OF ILLUMINATION PRESENT OURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR SIGHTING, SUCH AS THE SUN. HEA DLIGHTS OR
STREIT LANP, ETC. FOR TERRESTRIAL ILLUMINATION. SPECIFY DISTANCE TO LIGHT SOURCE.
.
I2. GIVE A BRIEF DESCRIPTION OF THE PMENOMENON. INOICATING WHETHER IT APPEARED DARX OR LIGHT, WHETHER IT
REFLECTEO LIGHT OR WAS SELF-LUMINOUS AND WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLIO OR TRANSPAPENT, WHETMER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SMAPE OR INDICATE IF IT
APPEARED AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OSJECTS, LIXE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELO OF VIEW.
at it aDs contyue
Mat DeBiry
o Dapt
Dit up wth a ln
good Dt f Dightg
20a
at ita Deen Digt
Deding
JaL2
4U9%%9TAO
PAGE 4 OF9 PAGES

0 O
AFR 80-17(CI)
WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CAECA BPPrODTIGt bOCKS.)
OUTDOORS IN BUSINESS SECTION OF GITY
IN BUILDING INI RESIDENTIAL SECTION OF CITY
IN CAR M AS DRIVER - AS PASSENGER IN OPEN COUNTRYSIDE
*
IN BOAT NEAR AIRFIELO
IN AIRPLANE AS PILOT PASSENGER FLYING OVER CITY
n FLYING OVER OPEN COUNTRY
OTHER
OTHER
IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWING:
WHAT DIRECTION WERE YOU MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST 8 PU
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST MIYES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS AND 6.
DESCRIBE TYPE OF VEHICLE YOU WEREIN AND TYPE OF ROAD TERRAIN OR SODY OF WATER YOU TRA DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
tpp da
HOW MUCH MUCI H OTHER TRAF C W AS THERE? THERE!
13M2 2
DID YOU NOTICE ANY AIRPLANES? YES NO. IF YES. DESCRIBE WHEN THEY NO. IF YES.  DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME WERE IN SIGHT RELATIVE TO THE TIME
OF OF SIGHTING THE PHENOMENON AND WHERE SIGHTING THE PHENOMENON AND WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
-
9. HOW LONG WAS THE PHENO MENON IN SIGHT?
LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE
220 S Drrds
FAIRLY CERTAIN JUST A GUESS
5 T DETERMINED? 2diatd
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? YES NO. IF NO," INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON. AND DESCRIBE S SUCH MOVEMENT OR BEHAVIOR. INDICATE OISAD.
PEARANCES ON PREVIOUS SKETCHES.
L
PAGE3OF9 PAGES

FLASH OR FLICKER?
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
Dalege on sg
Doyegnt o Mye
A. HOW DID A. HOW IT FIN ALL DISAPPEAR? DISAPPEAR?
Joe
B. DID THE PHENOMENON MOVE SEHIND ORIN FRON AT ANY TIME?
0 YES NO. IF *YES," DESCRIBE.
PAGE 5 OF 9 PAGES

O O
AFRSO-17(C1)
HAVE APPEARED AS WINGS OR PROTRUSIONS. AND INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING.
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 ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
PHENOMENON WOULD HAVE BEEN COVEREO BY THE MATCH HEAD.
PAGE 6 OF9 PAGES

0 O
AFR 80-17(CI)
22. HAVX YOU CVEM JEEN THIB OR A SINI PORE? GIVE DATE AND
LOCATION.
2S. WAS ANYONE WITH YOU AT THE TIME YOU SAW THE PHEMOMENONY CYES HO. IT TOO?
TYEs NO.
A. LIST THEIR NAMIS AND ADDRESSES
i O
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST MAME. FIRST NAMS. MIDDLE NAME
ADDrEss (Steer, Ciy, State and Zip Code)
Dyd
TELEPNONEC TELEPHOME mber) AGE AGE
20 MALE FEMALE
INDICATE ADDITIONAL INFORNATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT. INDICATE ADDITIONALINFORNATION INCLUOING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
.
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTEO THIS PHENOMENON?
Fy J
NAME DAY MONTH YEAR
ZB. DATE YOU COMPLETEO THIS QUESTIONNAIRE.
DAY MONTH YEAR

.
0 O
AFR 80-I7(CI)
17. DIO 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
WINOSHIELO TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES M NO B. OO YOU USE READING GLASSES? IYeS CiNo
I8. WHAT WAS YOUR IMPRESSION OF THE SPEED QF THE WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE 7
PHENOMENON? GIVE ESTIMATE OF SPEED PHENOMENON? GIVE ESTIMATE OF DISTANCE
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 PESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND OIFFERENCES BETWEEN THE
COMMON OBJECT AND WHAT YOU SAW.
Fartenioa2y Dygt
4clounfik U
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. DID THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YES NO.
IF *YES.*DESCRIBE.
/
PAGE 7OF9 PAGES

NUMBER 21-R233
AS POSSIBLE CONCERNING THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO
ANSWER ALI UESTIONS. THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES
YOUR USED IN CONNECTION WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT
PATTERSON AFB, OHIO 45433, IAW AFR BO-[7. (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO T FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
L. WHEN DID YOU SEE THE PHENOMENON?
DAY_ 4 MONTH 8YEAR/269
2 WHAT T IM E DID YOU FIRST SIGHT THE PHENOMENON?
HOUR MINUTES 3.5A.M. CP.M.
3 WHAT IME DID YOU L AS T SIGH P HENOMENON?
HOUR MINUTES 35  A.M. P.M.
4. TIME ZONE DAYLIGHT SAVINGS STANDARD
Y 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 DISTAN MSOME RECOGNI LANDMARK.
IWAJ ON 4.5.25 -.~.
CJON
woO wo0 DRIVE DRIVE
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 3*ON THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90
L
1
MOON
|
I I
1
1
1 15
/
1
1,
OBSERVER
AF FORM 117

-
AFR 80-17(C1)
5
THE PHENOMENON WHEN LAST SEEN.
N
NNW NNE
NW NE
WNW ENE
WSW ESE
SW SE
SSW SSE
A.B.
7. IN THE SKETCH BELON, 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 PAGES

Copies of the attached letter were sent to the following observersdof
the 5 August l969 fireball:
ayton 45403
Mr
Dayton, Ohio 45403
Xenia 45385
Dayton, Ohio 45429
Dayton, Chio 45432
Wheelersburg, Wheelersburg. West West Virginia 45694 Virginia 45694
Xenia, Ohio 45385
wint 28 Gng9
Paris, Kentucky 40361

AFR 80-17(C1)
8 WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (E.HPRA MIDPODTINT blOCKN.)
CUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SECTION OF GITY
IN CAR 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 45 M.Pt
L SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENGMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES MNO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS S AND 6.
NONB
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD. TERRAIN OR SODY WATER YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
1968 CHEV.SJA.4AFON. WINDOaDUN
HOW MUCH OTHER TRAFFIC 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 CF THE PHENOMENON.
9. HOW LONG WAS THE PHENOMENON SIGHT?
LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE
ESTIMATE 2SECONDS FAIRLY CERTAIN JUST A GUESS
LONg. THE METEOR
MCON, THE,FLAME WAS TWIOE OS WUIDE RSTHE
MOCN  PECHAPS ZO OR MRE TINES LONGERTH
KIOTH.
PAGE 3OF 9 PAGES

0
AFR 80-17(C1)
TO. IF THERE WERE MORE THAN ONE PHENOMENON, HOW MANY WERE THERE? DRAN A PICTURE TO SHOW HOW THEY WERE
ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTINGT
.
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 NIMauS CLOuDS (Rein) 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 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
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING S THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR
STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
SMOKE COULD BEEN
AN IN STANT
INCREASEDIN SI2E $f BURNOUT
CE
↓
SMAKE
↑
211
MAELY )5 FRaM
PATH ASCENDING NT APPROXID
PAGE 4 O 9 PAGES

BREAKU UP IN PARTS AND EXPLODE"
CHANGE COLOR? K
GIVE OFF SMOKE?
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?
Tμ1E MUN
A. HOW DID A. HOW DID IT DISAPPEAR?
OUT OUsT /
BURNED
YES NO. IF YES,* DESCRIBE.
PAGE S OF 9 PAGES
32010

AFR 80-17(C1)
15. DRAN 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.
OMOON
L
BRIGHT
GREEN AMBER FLAME GREEN$ AMBER FLAME
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 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.
FLAME TUISE NS WIDE AS MOON
BY
PAGE 6 OF 9 PAGES

O O
AFR 80-17((1)
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? D YES TNO B. DO YOU USE READING GLASSES? YESINO
I8. WHAT WAS YOUR IMPRESSION OF THE SPEED OFTHE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENON? GIVE ESTIMATE OF SPEED 7
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.
AGOSTELENE
TORUN. TORUH.
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. DIO THE PHENOMENON DISTURS THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. D YES NO.
IF *YES,*DESCRIBE.
PACE 7 OF 9 PAGES

AFR S0-I7(CI)
22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON "GIVE DATE AND
LOCATION.
THIS
23. WAS ANYONE WITH YOU AT YOU SAW THE YES THEY SEE IT TOO?
YES NO.
A. LIST THEIR NAMES AND ADDRESSES
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME, FIRST E NAME
ADDREss (Street, City, State and Zip C
AVE DAYTONOH1045429
TELEPHONE (Area code and number) AGE
54 JT MALE MALE FEMALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING INDICATE ADDITIONAL INFORMATION INCLUDINC AND ANY EXPERIENCE WHICH MAY BE PERTINENT. EXPERIENCE WHICH MAY BE PERTINENT.
STU MA
1
M45E4K OF AATUDAL HISTORY DAYTN
25. WHEN AND TO WHOM OU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
6 8
NAME DAY MONTH YEAR
26. DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY 2 MONTH 3 YEAR 4
PAGE 8 OF 9 PAGES

AFR 80-17(C1)
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE PUDGET BUREAU APPROVAL
NUWBER 21-R253
AS POSSIBLE CONC CERNING THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO
ANSWER ALL OI THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES
YOUR NAME N CONNECTION WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT
YOUR PERMISSICN. O AIR FORCE BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR). WRIGHT-
PATTERSON AFB, OHIO 45433, IAW AFR 8O-17, (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES
FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1. WHEN DID YOU SE E THE PHENOMENON?
DAY5 YEAR/969
MONTH
2 WHAT TIME DID T SIGH T TH E PHEI NOMENON?
Eprs7-1:30
HOUR MINUTES E+X.M. CP.M.
3. WHAT TIME DID YOU L AST SIGH T HE PHEN OMENON lydmatter n,t0 20
HOURtin MINUTES A.M. CIP.M.
4. TIME ZONE LDAYLIGHT SAVINGS STANDARD
EASTERN ICENTRAL PACIFIC COtheR
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.
N
w w
250 2508 E
E
S S
6. IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH. PLACE AN "A ON THE CURVED LINE TO SHOW HOW HIGH THE 6. IMAGINE YOU ARE AT 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 U - M EISST SEEN 3ON THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
:
90 15
1
1
1
30
1
1
1 5
OBSERVER
AF FORM 117
AUS 67

1..
AFR 80-17(C1)
GA. NOW INAGINE YOU ARE AT THE CENTER OF THE COMPASS POSE. 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.
NNW NNE
NW NE
WNW ENE
WSW
SW SE
sSW SSE
IN THE SKETCH BELOW, PLACE AN *A°AT THE POSITION OF THE PHENOMENON WHEN FIRST SEEN. AND A G* 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.
/
PAGE 2 OF 9 PAGES

0
AFR 80-17(C1)
WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CAnCk apPrOpriAte MlockS.)
OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILOING IN RESIDENTIAL SECTION OF CITY
IN CAR 0 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 HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DI0 YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS 5 AND 6.
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD. TERRAIN OR BODY OF WATER YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MUCH OTHER TRAFFIC WAS THERE?
DID YOU NOTICE ANY AIRPLANES? YES D NO. IF YES," DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON ANDT WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
9. HOW LONG WAS THE P H ENOMENON IN SIGHT?
LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE
the
fit
dy tike
PAGE3 OF9 PAGES

AFR 80-17(C1)
ARRANGED. DID THIS ARRANGEMENT CHANGE OURING 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
L NIGHT bone) LIGHT RAIN OR DRIZZLE
L 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 MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL (New or quarter)
D. IF SIGNTING WAS IN DAYLIGHT, WAS T D. IF SIGNTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? THE SUN VISIBLE? YES WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD(New 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 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.
Iwilt trm Ohaeo
12. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
APPEARED AS A POINT OF LIGHT. INOICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEW.
S
4
feg esqe.
PAGE 4 OF 9 PAGES

morning August 1969.
we would like e you to complete the attached AF Form 1l7 on your
sighting and return it to us in the enclosed self-addressed
envelope. Your report along with others will then be for-
warded to Dr. Charles Olivier who is the head warded to or. Cn larles : nead of of the American the American
Meteor Society, Meteor Society, The data contained in these reports will The data contained in these reports will then then
be used to be used to compute the trajectory of the fireball and the fireball and the
probable impact poin probable impact point meteorite. teorite. Thank you for your Thank you for your
cooperation.
HECTOR HECTOR QUINTANILLA, Jr, Lt ColOnel, USAF QUINTANILLA, Jr, Lt Colonel, USAF 1 Atch
Chief, Aerial Phenomena Office AF Form 117 AF Form 117
Aerospace Technologies Division w/Self-Addressed
Production Directorate Production. Envelope Envelone

DISAPPEAR ANO REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
u
Briget.
A. HOW DID IT FINALLY DISAPPEAR? A. HOW DID DISAPPEAR?
I Shae f t I Shape f t
B. DID THE FRONT OF SOMETHING, A CLOUD TREE, OR BUILDING AT ANY TIME?
0 YES NO. IF *YES," DESCRIBE.
PAGE 5OF9 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 PROTRUSIONS, AND INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING.
N
W
E
.
.
1
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.
PAGE6OF9 PAGES
223wvaa222na

AFR 80-17(C1)
I7. DIO YOU OBSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING INCLUDE INFORMATION N OEL
TYPE. FILTER, LENG PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINOSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES ILHO B DO YOU USE READING GLASSES? YES NO
18 WHAT WAS YOUR IMPRESSION 19 WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENGMENON? GUVE ESIIMATE OF SPEED PHENOMENON? GIVE ESTIMATE OF DISTANCE
A
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 RESEMSLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE
COMMON OBJECT AND WHAT YOU SAW.
Ther Date
the sux,only much omalles
on pane
a tail bie
fe
nfme
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATINGFROM 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. YES NO.
IF *VES." DESCRIBE.
PAGE 7OF 9 PAGES

0
AFR 8017(CI)
22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENC 9EFORE! lYeS
LOCATION.
23. WAS ANYONE WITH YOU AT THE TIME YOU SAW THE PHENOMENON? YES NO. IF "YES, * DID THEY SEE IT TOO?
YES NO.
LIST THEIR NAMES AND ADDRESSES
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME. FIRST NAME, MIDDLE NAME
ADDREss (Street, City, State and Zip Code)
DR. XENiA Ohi0 45385
TELEPHONE(Area code and number). AGE
25 MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT. BE PERTINENT.
Souce pujfe houe puje
25. WHEN AND TO REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
69
MONTH YEAR
26. DATE YOU COMPLETEO THIS QUESTIONNAIRE.
DAY. MONTH/7
PAGE 8 OF9 PAGES

AFR 80-17(C1)
SIGHTING OF UNIDENTIFIED PHENCMEMA QUESTIONNAIRE BUDGET SURIAU AP?NOY.H
NUMB27 21-2200
THIS QUESTIONN, IRE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S. AIR FORCE AS MUCH INFORMATION
AS POSSIBLE NING THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED PLEASE TRY TO
ANSWER ALL THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES
YOUR IN CONNECTION WITH ANY OF YOUR STATEMENTS OR NCLUSIONS WITHOUT
YOUR PERMISSIGN. RETURN TO 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 A FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1. WHEN DID YOU SEE THE PHENOMENON
DAY. 5 MONTH Aug YEAR 69
2. WHAT TIME DID T S1 G H T E PHEI NOMENON?
HOUR_ C 36YA.M. P.M.
MINUTES
3. WHAT TIM DID YOU L AST G T E P H 5 N ENON?
HOUR O 36 A.M. P.M.
MINUTES
4. TIME ZONE 0 DA LIGHT SAVINGS C 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.
Grange
10seet 105ee4 SRem. SROM.
Hall APpROK AppReK
Intensection
DAytON-Xenia Red DAytoN-Xenia Rd
6. IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN A ON THE CURVED LINE TO SHOW HOW HIGH THE THE POINT SHOWN IN SKETCH, PLACE AN 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 CURVEO LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90 175
L
1 6
|
1
1
38
1
1
1 - 15
I
1
OBSERVER
AF FORM 117
AUG 67

1. O
AFR S0-17(CL)
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 WNEN FIRST SEEN. PLACE A *B" ON THE COMPASS TO INOICATE THE DIRECTION TO
THE PHENOWENON WHEN LAST SEEN.
5
NNW NNE
NW 8 NE
WNW ENE
WSW ESE
SW SE
SSW SSE
et
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
THELARGER SKETCH.
I
PAGE 2 OF 9 PAGES

0 0
AFR 80-17(C1)
8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (ChCCK GPPrOPRIST blOCKS.)
OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING L 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 DIRECTION WERE YOU MOVING" HOW FAST WERE YOU MOVING?
NORTH EAST STOPPED upon Sighting
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST LYES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS 5 AND S.
No
DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD, TERRAIN OR BODY OF WATER YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDONS OR CONVERTIBLE TOP WERE UP OR DOWN.
69 Corvetle window down, sphaLt road.
HO HOW MUCH MU CH o O T H ER R TRAFFIC WAS THERE? TRAFFIC WAS THERE?
I None
DID YOU NOTICE ANY AIRPLANES? DID YOU NOTICE ANY AIRPLANES? YES ENO. 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 OF SIGHTING THE PHENOMENON AND PHENOMENON AND WHSPE WHEPE 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. HOWLONG HOW LONG WAS THE PHENOMENON IN SIGHT? P Y N IN SIGHT?
LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE
10 seconds plus L FAIRLY CERTAIN JUST GUESS
HOW WAS TIME DETERMINED?
wRist watch and care chock
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? DYES NO. IF *NO, INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVICR. INOICATE DISAR.
PEARANCES ON PREVIOUS SKETCHES.
IT was Sore apeRox. 10 seconds
in view
PAGE 3OF 9 PAGES
38

0
AFR 80-17(C1)
L NLOIOLLTILNONLILLILNL
TO. IF THERE WERE MORE THAN ONY PNEHOMENON, MOW MANY WENE TNERZY DRAW A PICTUPE TO SHOW HOW THEY WERE
ARNAHGXO. CID TMIS ARRANGZMRNT CHANGE DURING THZ SIGHTING?
-1
X
11. CONDITIONs(Check appropriate blockx.)
A. SKY B. WZATHER
DAY CUMULUS CLOUCS(LOW RUfY) FOG OR MIST
TWILIGHT CIRRUS CLOuDS (High flecCy or Herring- HEAVY RAIN
WIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMBUS CLOUOS(RaiN) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SHOWOR SLEET
COMPLETELY OVERCAST (Thuaderstorms) UNKNOWN
HAZE CRCSHO SLight NONE OF THE ABOVE
IF THES SIGHTING WAS AT TWILIGHT OR NIGHT, WHAT OID YOU NOTICE ABOUT THE STARS AND NOON?
(1) STARS (2) MOON
NONE V BRIGHT MOONLIGHT NO MOONLIGHT
AFEW MOON WITH HALO UNKNOWN
MANY MOON HDOZ GLOUDS
UNKNOWN PARTIAL(New or quarter) 3d quanter
D. IF SIGHTING WAS IN DAYLIGHT. WAS THE SUN VISIBLE? YES NO. WHERE WAS THE SUN AS YOU FACED
THE PMENOMEMONT
IN FRONT OF YOU TO YOUR RIGHT OVERMEAD(NeMnOON)
IIN BACK OF YOU TO YOUR LEFT UNXNOWN
E. SPECIFY TME MAJOR SOURCE OF ILLUMIMATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR
STREET LANP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
Mand 4.1 cbiot
nuclens. Nuclens
was Light yellow, 7 Trea,Ling nean blaish white witk perhaps
some Reddish Trige at Timies.
PAGE 4 OF 9 PAGES

.
0 -, Q
AFR 30-17(C1)
13. DIO TE PHENOMENON YES NO UNKNOWN
MOVE IN A STRAIGHT LINE?
STAHD STILL AT ANYTIME?
SUDOENLY SPEED UP AND RUN AWAY?
BRZAX UP IN PARTS ANO EXPLODE?
CHAMGE COLOR?
GIVEOFF SNOKE?
CHANGE BRIGHTNESS?
CHANGE SHAPE?
FLASH OR PEICKER!
DISAPPEAR
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBSLE?
14. WHAT OREW YOUR ATTENTION TO THE PHEMOMENON?
as we YuRned the CoRneR object lit up The sky.
A. HOW DIO IT FINALLY DISAPPEAR? A. HOW DIO IT FINALLY DISAPPEAR?
IT IT To Lose Lose brightness as itmade itmade a shight G shight
appeaRs appears
A 0
aRC,
B. DID THE PHENOMENON MOVE BEHIND ORIN SOMETHING, LIKE DING
YES NO.IF *YES. DESCRIBE.
AT SIRST 14 appeared 40 be very nearhy as high
onthe honizon as The moon thex as its YRajectoRy
Simally Saded out at The 5 o'chock
PAGESOF9 PAGES

O 0
AFR 80-17(C1)
I3. CMAW APICTURE THAT WILL SHON THE SHAPZ OF THE PHENOMENON. INCLUDE AND LABEL ANY OETAILS THAT MIGHT HAVE APPEARED AS WINGS OR PROTRUSIONS, AND INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING.
5
Moon
t
a C O
<
o
sec
Point at which
sonic brom was
heard
AStoR "exphosion" Reached max, dispersion totak
viewing trime of nuclens was appRox 5-6 seconds.
TRAling TRaling debnis exte-nded debnis extended Roanwaved Thronghot observa ton
Son a distance equal to appreox. 6.7 Times 6-7 Timcs the dimoter the diamoter
of objict.
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 OSJECT 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.
My Sist held a aRms Length would dave Bho Med ooi
object
PAGEGOF 9 PAGES

in the early morning hours of 5 August 1969. If this is true,
we would like you to complete the attached AF Form ll7 on your
sighting and return it to us in the enelosed self-eddressed
envelope. Your report along with others will then be for-
warded to Dr. Charles Olivier who is the head of the American
Meteor Society. The data contained in these reports will then The data contained in these reports will then
be used to compute the trajectory of the fireball and the be used to compute the trajectory of the fireball and the
probable impact point of the meteorite. Thank you for your
cooperation. coopert n.
HECTORQUINTANILLA,Jr Lt Colonel,USAF 1 Atch 1 Atch
Chief,Aerial Chief,Aerial Phenomena Phenomena Office AF Form 117 AF Form 1l7
Aerospace Technologies Division w/Self-Addressed
Production Directorate Envelope

G - 0
AFR 80-17(C1)
17
TYPE, FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYECLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINGSHIELO TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES [7NO 9. DO YOU USE READING GLASSES? YES0
19. WHAT WAS YOUR IMPRESSION OF THE OISTANCE OF THE,
PHENOMENON? GIVE ESTIMATE OF SPEED 260mph PHENOMENON? GIVE ESTIMATE OF DISTANCE. 5
A COMMON OBJECT OR OBJECTS WHICH, WHEN PLACED IN THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENOMENON.
WOULD BEAR SOME RESEMSLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE
COMMON OSJECT AND WHAT YOU SAW.
Looked Like a miniatuno san speodining along
Object
comet-Like traiL.
with a
-
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 DNO. IF YES," DESCRIBE.
Sound similan to
Sonic boom
Sighten unden going
jet
Srom Roure w.tness.
7-8 mile
A. DID THE PHENOMENON DISTURB THE GROUND LEAVE ANY PHYSICAL EVIDENCE. YES ENO.
IF *YES, * DESCRIBE.
4
PAGE7OF9 PAGES

LOCATION.. was a meteonite inmyoprnion.
Object I have seen othen
bu never cLose exough to detecfsound.
23. WAS ANYONE WITH YOU AT THE TIME YOU SAW THE PHENOMENON' EYES 0 NO. IF DID THEY SEEIT 1001
DrYes ONO.
A. LIST THEIA NAMES AND ADDRESSES
W-PAFB,OMO
24. GIVE THE FOLLOWING INFORMATION ASOUT YOURSELF
LAST NAME, FIRST MAME MDOLENAME
ADDrEss (Street, City, State and Zip Code)
Ha FTD Box 11095 CMR5, W-PAFB, OHiO 45433
TELEPHONE(Area code and rumber) AGE
39 MALE MALE FEMALE PEMALE
INDICATE ADDITIONAL INFORMATION INCLUDIN INDICATE ADOITIONAL INFORMATION INCLUDING AND EXPERIENCE WNICH MAY BE PERTINENT. EXPERI ENCE WHICH MAY BE PERTINENT.
I have served served 21 yea 21.yea 2 2 The The USAF USAF and and
WORK WORK as as an internogaton/Lingust. intennoga on/Lingust.
. RSOT
DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
NAMe De HoSer OAY 6 MONTH dug YEAR 69
26. DATE VOU CONPLETEO TMIS QUESTIONNAIRE.
DAY/4 MONTH Aug
PAGE 8 OF 9 PAGES

0
AFR 80-17(C1)
27. INFCRMATION WHICH YOU FEEL IS PERTINENT BUT WHICH IS NOT ADEQUATELY COVERED IN THIS QUESTIONNAIRE, 2ayNvswmes
ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
ALL infor mation nature
E entries.
1s inchuded in The
B
PAGE9OF9 PAGES

- O
4
AFR S0-17(C1)
THE PHEMOMENON WHEN LAST SEEN.
o
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 20 9 PAGES

i e  ,Cut
: 0
AFR 80-17(CI)
SIGNTING OF UNIDENTIFIED QUESTIONNAIRE BUDGET BUREAU AP?OYML
NUMBER 21-2253
THIS QUESTIO: NAIRE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S. AIR FORCE AS MUCH INFORMATION
ANSWER AL UESTIONS, THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES
YOUR IN CONNECTION WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT
PATTERSON AFB, OHIO 4S433, IAW AFR 3O-[7. (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO THI IS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1. WHEN DID YOU SEE THE PHENOMENON? Tn
5 8 YEAR9
DAY_ MONTH
2. WH AT TIME DID U FIRST H T E PH NOMENON?
HOUR MINUTES 30 KA.M. P.M.
3. WHAT TIME DID ou L A5 T H E PH N OMENON?
HOUR MINUTES 30' 8A.M. P.M.
4. TIME ZONE DAYLIGHT SAVINGS STANDARD
EASTERN 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
HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
OZiAs+LewisBergReAr OziAstLew.sBerg RA Jord AN Ro
84 Jord AN ROAD.
4 i
Fmil
N
AD
025 154
6.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 3ON THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90
L
1
1
1 30
1
!
1 15.00
1 15
1
OBSERVER
PORM 117
UG67

0
AFR 80-17(C1)
a.
OUTOOORS IN SUSINESS 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 AS PILOT AS PASSENGER FLYING OVER CITY
OTHER FLYING SOVER 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 20MPM
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST BIYES 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.
Arivng 67. GTO on Poug Couatry roaj
1
with are lsindows ae w
HOW MUCH OTHER TRAFFIC WAS THERE? HOW MUCH OTHER TRAE FIC WAS THERE?
none one
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 WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
MEOT
9. 9. HOW LONG HOW LONG WAS W AS THE T H E PHENOMENON IN SIGHT? PHENOMENON IN SIGHT?
LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE
3 L FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINEO?
tu fest, got ont ot my Cor
WAS THE PHENCMENON IN SIGHT CONTINUOUSLY? -EYES 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 OF9 PAGES
6e "1

AFR 80-17(CI)
ECLNOIRIRNILUL
MO. IF THERE MIRE MORS THAN ONS PHENOMENOM. MON MANY WERE THERE? DRAN A PICTURE TO SHON HOW WERE
ARRANGEO. OID THIS ARRANGZMENT CMANGE DUNING TNZ SIGHTING?
i1. CONDITIONs(CAeck appropria:e blocks.)
A. SRY a. WEATHER
DAY CUMULUS CLOUDS(LOW fluffy) FOG OR MIST
TWILIGHT CIRRUS CLOUDS (High fleecy or Herring- HEAVY RAIN
MIGHT 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
G.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
AFEW MOON WITH HALO UNKNOWN
MANY NOON HIODEN BY CLOUDS
UNKNOWN PARTIAL(New or quarter)
O. IF SIGHTING WAS IN DAYLIGHT. WAS THE SUN VISIBLE? YES NO. IF WHERE WAS THE SUN AS YOU FACED
THE PMENONENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD(New noon)
IN BACK OF YOU TO YOUR LEFT UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUWINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR
STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
4
.2 appanl. be unfair hap and
was st
Girand is
that the
PAGE 4 OF 9 PAGES

DISAPPEAR FLASH OR FLICKER? AND REAPPEAR?
SPIN LIKE A TOP? MAKE A NOISE?
FLUTTER OR WOBBLE? 14. WHAT OREW YOUR ATTENTION TO THE PHENOMENON?
The sudden Chonge fom Kight to light
then apprand the nil light object
which largere befare owt uny
ligew
A. HOW DID IT DISAPPEAR?
ater i had farmus Completery it statl
stanud, the midde firt hen the tip lait the f
B. DIO THE YES PHENOMENON MOVE SEHIND ORIN FRONT OF NO. IF *YES." DESCRIBE. SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
PAGESOF9 PAGES

AFR 80-17(C1)
DIRECTION THE PHENOMENON WAS NOVING. I
I 15
fuitin 2
page 5 Quetion 27 which
my additionse
giving a harnatine irolonatin 7 the
sighting. Lighting
16. WMAT 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
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
PAGESOF9PAGES

0
a
AFR 80-17(C1)
17 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 B. DO YOU USE READING GLASSES? D NO
I8 WHAT WAS YOUR IMPRESSION OF THE SPEED T 19 WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENONT GIVE ESTIMATE OF SPEED PHENOMENONT GIVE ESTIMATE OF DISTANCE m
20. 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.
WOULO BEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE
COMMON OBJECT AND WHAT YOU SAW.
, !
a side D ww a racket shape
5+ in
t the
xxcpt in back there
lere no
viscible viscible fiva fiva
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING SROM THE PHENOMENCN OR ANY EFFECT OURSELF.
ANIMALS OR MACHINERY IN THE VICINITY? YES ZNO IF ES,° DESCRIBE.
DID THE PHENOMENON OISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. LIYES
IF*YES.DESCRIBE.
PAGE 7 OF 9 PAGES

Flying Objects.
Neither the Kennedy Space Center nor any other agency of the National Aero-
nautics and Space Administration is responsible for scientific or investigative nautics and Space Administration is responsible for scientific or investigative
suggest you direct your inquiry to: suggest you ou direct your inquiry to:
Foreign Technology Division(TDET)
Wright-Patterson Air F Wright-Patter rce Base, Ohio 45433
Sincerely Sincerely yours,
I
Harold E. Mehrens
Educational Programs Branch
P.S. I am returning your letter so you wont have to write eall that over
again.
I
042

0 O
.s-
AFR 80-17(C1)
22 MAVX TOU KVZR SEIN THIS OR A SIMILAR PMEMOMENON NEPORX? VE DATE AND
LOCATION.
23. WAS ANYONE WITH YOU AT THE TIME YOU SAW THE PHEMOMENON? YES,* DID THEY SEE IT TOO?
AYES CJNO. Mul
A. LIST TMEIR NAMES AND.
Dome
24. GIVE THE RMATION ASOUT YOURSELF
LAST NAME, MIDDLE NAME
ADDRESS( (Sueet, Cisr. State and Zip Code)
ge Het. Najt
O rea code and numbe AGE
44 MALE FEMALE
INOICATE ADDITIONAL INFORMATION INCLUCING OCCUPATION AND ANY EXPEMIENCE WHICH MAY BE PERTINENT.
Ty Son repites this sighting 0
Cnter $ Right pattiren Qil Fare Base but
Io Gie a mae mrlete Lillng
afthe father to
WHEN AN TO WHOM 0ID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON
5 69
NAME CAY. MONTH YEAR
S. DATE YOU MPL T HIS oU S N NAIRE
MONTH YEAR
A00
PACE B OF 9 PAGES

7 Ew
the aljut gru fe maw Gright
rin with yelhw glii which
Jae shape like thit the inked putis 1
reprnte"Gleen
Yellow
2) Yellow
=
ellow
→ Yellow
objet in m. 2) had stayes in some loentin lintill
Jull farmes then it lugine mone t the rig
C straight ,
4 f Cauae bring i Cher Chor To 2 lig
Chode thode als alDs ite bright wee ite bight wew lig
Loae wae Lising Lisring Making Making te ite
hope harder to handir to De,1 Ael appard
pale 1 in theer lnie
gruin om Clar, tuning A white They
hiserieand This phose rembles extant traile
betely gteer Objt() w
atie& nd
7 WhiTe did mal
the nhgt e In
V Neother OW i
shie last ohase was Or Crea
axte-e, Cutor luhite Jp Paitir taa
PONOLL jint ay
then the ton Vou the
fat Lied

0 0
.
AFR 80-17(C1)
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDGET BUREAU APROY
NUM3E2 31-R230
THIS QUESTIONNA RE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S. AIR FORCE AS MUCH INFORMATION
AS POSSIBLE CON CERNING THE UNIDENTIFIED PHENOMENON THAT YOU HAVE CBSERVED. PLEASE TRY TO
ANSWER ALL UESTIONS. THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES
YOUR ISED IN CONNECTION WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT
YOUR PERMISSION. RETURN I TO AIR FORCE BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR), WRIGHT-
PATTERSON AFB, OHIO 4SA33, IAW AFR 8O-I7. (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1. WHEN DID YOU SEE THE PHENOMENON?
DAY_ 5 MONTH 8YEAR 69
2. WHAT TIME DID Y FIRST SIG H T HE PHENOMENON?
HOUR MINUTES 45 TA.M. P.M.
3 WHAT TIM IE DIO Y LAST SIGHT E p HENOMENON?
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, IOENTIFY THE
HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZASLE LANDMARX.
W W US. US. R+ 60 6.0 E E
Mokeheed, Kentucky me
0.7uil 0.7hilx
V
x AXA Freternity Hous Freternity hoose
Standing ner
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 THS HORIZON, OR SKYLINE WHEN FIRST SEEN. PLACE A ON THE SAME CURVED LINE TO
SHON HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
Object was 90
L 17
at Approx. 450 I was
1
facing Eest and abject 1
frem South to North!
moued
1
I
1
1 15
1
!
OBSERVER
AF$ FORM 117
106 67

0 O
: .
AFR 80-17(C1)
DIRECTION TO THE PHENOMENON WHEN FIRST SEEN. PLACE A "B* ON THE COMPASS TO INDICATE THE DIRECTION TO
TME PNENOMENON WHEN LAST SEEN.
Direction of
Trovel
NNW NNE
B2
WNW ENE
WSW ESE
SH 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 3 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.
8
PAGE 2 OF 9 PAGES

0 0
AFR 80-17(C1)
3. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CAeCK aRDTOPRIATE blOCKS.)
OUTOOORS IN BUSINESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR 0 AS ORIVER C7 AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIROLANE AS PILOT AS PASSENGER FLYING OVER CITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
A. IF YOU WERE IN A VEHICLE. COMP LETETHE FOLLOWING:
WHAT DIRE CTION WERE YOU MOVING? HOW FAST W ERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS S AND 6.
DESCRIBE TYPE OF VEHICLE YOU WEREIN AND TVPE OF ROAD. TERRAIN OR SODY OF WATER YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIALE TOP WEPE UP OR DOWN.
HOW MU HOW MU CH C H OTHER TRAFFIC TRA 11 FIC WAS W AS THERE?
DIO YOU NOTICE ANY AIRPLANES? DID YOU NOTICE ANY AIRPLANES? YES 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 OF SIGHTING THE PHENOMENON AND WHERE THEY WERE IN THE SKY RELATIVE TO THE TH EY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENCMENON.
9. 9. HOW LONG HOW LONG WASTHE WAS THE PHENOMENON IN SIGHT? PHENOMENON IN SIGHT?
LENGTH OF TIME CERTAIN OFT TIME NOT VERY SURE
No more then I second V FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
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.
yo
PAGE 3 OF 9 PAGES

O
AFR S0-17(C1)
UN N LOUA
J IF THERE WZRE MORETHAN ONE PNENOMENON, HOW MANY WERE THEREY ORAR A PICTURE TO SHOWHOW THEY WERE
ARRANGEO. DID THIS ARRANGGMINT CHANGS DURING THE SIGHTING?
4
11. CONDiTiONs(Gheek appropriate blocks.)
A. SKY 3. WEATHER
DAY CUMULUS CLOUDS(LOW fluffY) FOG OR MIST
TWILIGHT CIRRUS CLouDS (High fleecy or Herring HEAVY RAIN
WIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMSUS CLOUCS (Rain) HAIL
PARTLY CLOUOY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST (Tàunderssorms) + UNKNONN
MAZE OP SMOG NONE OF THE ABOVE
C. IF THE SIGHTING WAS AT TWILIGHT OR NIGHT, WHAT DID YOU NOTICE ASOUT THE STARS AND MOON?
(1) STARS (2) MOON
NONE BRIGHT MOONLIGHT NO MOONLIGHT
AFEW MOON WITH HALO UNKNOWN
NAMY MOON HIODEN BY CLOUDS
UNKNOWN PARTIAL(Naw or quarter)
O. 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? THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERMEAD (NeD noON) OVERMEAD (NeD noOn)
TIN BACK OF YOU TO YOUR LEFT UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT OURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR E. SPECIFY TNE MAJOR SOURCE OF ILLUMINATION PRESENT OURING THE SIGHTING. SUCH AS THE SUN, HEADLIGHTS OR
STAEET LAMP, ETC. STREET LAMP, ETC. FOR TERRESTAIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE. FOR TERAE LUMINATION.SPE CIFY DISTANCE TO LIGHT SOURCE.
Cljset gave Fe own light.
:
12. GIVE A DRIEF 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, WMETHZR EOGES WERE SHARP OR FUIZY. DESCRIBE THE SHAPE OR INOICATE IF IT
APPEARED AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OSSERVEO OSJECTS, LIKE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEW.
Pheaomenon oppeered as a streak ot light moving of
fantestic Speed from Sooth to North, without soond. It 9 9eened to
giv. off its light the front of the streok having
2 v.iry smell bright white lighting; this wAs followed by a
lenghly section of Biok lisht and by greed 1 lisht(
cannot remember the order, whither Blve precerded green
or vie versa These two Colors mede uP the majority of
the lougth of the streak. The tole of the streal
was
yellowish-ordnge in edor. The phenomenon seemed it woold
sxplode bot did n04
PAGE 4 OF 9 PAGES

SUDDENLY SPEED UP AND RUN AWAY?
BREAK UP IN PARTS AND EXPLODE?
CHANCE COLOR? Cansisteci ot white B1oe Gri=nDrenge-yollo
GIVE OFF SMOKSY
CHANGE BRIGHTNESS?
CHANGE SHAPE?
FLASH OR C LICXER?
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
A Plash of lisht in the sky.
A. HOW DIO IT A.HOW DIO IT FINALLY DISAPPEAR?
3. 0I0 THE MOVE BEHIND OR IN IKE CLOUO. TREE, OR BUILDING AT ANY TIME?
0 YES NO. IF "YES,"DESCRIBE.
cYanmaGlo
PAGE S OF9 PAGES

O
AFR 80-17(C1)
HAVE APPEARED AS WINGS OR PROTRUSIONS, AND INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE DIRECTION THE PHENOMENON WAS MOVING.
North Gouth
Blvk Green Ye1locue~s
Hills Hills
H.ll
was focins East in Porkeing L=F efOAXA Fret.
1/2 miles of noreheed,Ky. Hovse
SE
16. WHAT WAS THE ANGULAR SIZE? HOLD A MATCH AT ARM'S LENGTH IN FRONT OF A KNONN 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.
PAGE 6 OF 9 PAGES

0 O
AFR 80-17(C1)
TYPE, FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES SINOCULARS
WINDSHIELO TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES 3. DO YOU USE READING GLASSES? ANO
18 WHAT WAS YOUR IMPRESSION OF THE SPEEO OF THE 13 WHAT WAS YOUR IMPRESSION OF THE DISTANCE OE THE
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.
WOULO BEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE
COMMON OSJECT AND WHAT YOU SAW.
Somewhat like 2 rocket but Mock fester.
Similor to ster or mettor but without
and object wes molti.colored,clso
en arch
tremendous Spred.
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON VOURSELF.
ANIMALS OR MACHINERY IN THE VICINITY? YES NO. IF DESCRIBE.
A. DID THE PHENOMENON DISTURB THE R LEAVE ANY PHYSICAL EVIDENCE. CIYES KNO.
IF *YES,"OESCRIBE.
(
PAGE TOF9PAGES

O 0
AFR 80-17(C1)
22. HAVE TOU EVIN SEKN THIS ORA SIWILAR PNENOMENON SEPOMC?
LOCATION.
23. WAS ANYONE WITH YOU AT THE TIME YOU SAN THE PHENOMENON? YES 0 NO. IF YES.DID THEY SEE IT TOO
DYES NO. 4
A. LIST TMEIR NAMES AND ADDRESSES deahev Rowen County High Schor Mokckeed ky
(LAMDA Chi Alphelokehed Stete enive-sity
(XA (LombR chi Alphe) moekeed, Ky.
24. GIVE THEF FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME. FIRST NAME, MIDDLE NAME
ADorEss (Sereet, City, State and Zip Code)
Ed gemokt Roed Moysville Kentucky 41056
NE (Area code and number) AGE
(606) 23 MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WMICH MAY BE PERTINENT. INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WMICH MAY BE PERTINENT.
I om oM senion at Monekeed MORekeed Stote Stote University University
Majoring in in and Political Political
Science Science
25. WHEN AND TO WHOM OIO YOU REPORT THATYOU HAD SIGHTED THIS PHENOMENON?
NAME lvisht Pitterson AFB 5 S 69
DAY MONTH YEAR
26. DATE YOU CONPLETED THIS QUESTIONNAIRE.
DAY 11 MONTH YEAR 69
no 4
PAGE B OF 9 PAGES

J Riticing Home
Trianls
Just Bepore Yot Home while sild
S High wty 227. a dilry
Briget C ame an: Ct the
chale hire J il1 0
ram
tranling Caz it Bliidi
ei Kan Cny C 02
Bee thing d Cod
CCD couLe Aroylo The
teined Gen Rul Blise
torch Te lheg
Cep Like C
C 1 the ith
M6ng alsud

0 0
AFR SO-17(C1)
GA. HON IMAGINE YOU ARE AT THE CENTIR OF THE COMPASS ROSE. PLACE AN A° ON THE COMPASS TO INDICATE THE
DIRECTION TO THE PHENOMENON WMEN FIRST SEEN. PLACE A B° ON THE COMPASS TO INDICATE THE DIRECTION TO
THE PHENOMENON WHEN LAST SEEN.
UN
NNW NNE
NW NE
WNW ENE
WSW ESE
SW SE
SSW SSE
x
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

. A
0
AFR 80-17(CI)
SIGHTING OF UNIDENTIFIEO QUESTIONMAIRE BUDGET INXIAU APPTOYAL
NUMBER 21-2258
ANSWER ALU OF OUESTIONS. THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES,
(TDETR), WRIGHT-
PATTERSON AFB, OHIO 45433, IAW AFR 8O-I7. (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATIV VE OR SKETCHES
ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1. WHEN DID YOU SEE THE PHENOMENON?
DAY 5 MONTHQUgUS YEAR 1969
2 WHAT TIME DID YOU FIRST SIGHT PHENOMENON?
HOUR MINUTES AM. P.M.
3. WHAT TIME DID YOU AST SIGHT T PHENOMENON?
HOUR. MINUTES36-372M 0 P.M.
4 TIME ZONE DAYLIGHT SAVINGS STANDARD
C]CENTRAL MOUNTAIN PACIFIC OTHER
5 WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY, GIVE THE NEAREST STREET ADDRESS AND INDICATE ONI
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.
S S
E 22
House w W
sayy seyiy
Tenn Tenin
Siean Siehr
6 IMAGINE YOU ARE AT THE 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.
90 157
L
8
1
1 2
1
1
-
1 15
!
1
V 1
OBSERVER
AF FORM 117
4JG 67

0 O
AFR S0-17(CI)
WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (ChECK apPrOpRILTe bloCKS.)
QUTDOORS IN BUSINESS SECTION OF CITY
IN SUILDING 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
V Was11 nouse & then ran outsde 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 ANYTIME WHILE OBSERVING THE
PHENOMENON? +
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS AND 5.
DESCRIBE TYPE OF VEHICLE YOU WEREIN AND TYPE OF ROAD, TERRAIN OR BODY OF WATER YOU TRAVERSED DURING
THES SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MUCH OTHER TRAFFIC WAS THERE?
DID YOU NOTICE ANY AIRPLANES? C7YES - 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.
n
9. HOW LONG WAS THE ENOMENON IN SIGHT?
that Dd d int ed
biq Slash was
went olt th
5t heakwas
Do fle
firbul
ALNINRSUTIR
PAGE JOF9 PAGES

0
AFR -17(C1)
ARRANOED. DID THIS ARNAN NT CHANGE DUNING THE SIGHTING!
Strat
Light that felowed floeh,
11. CONDiTIONS(Check appropriate Slocks.)
A. SKY 9. WEATHER
DAY CUMULUS CLOUDS(LOW FluIfy) FOG OR MIST
TWILIGHT CiRaus CLoubs (High fleecy or Herring- HEAVY RAIN
NIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMBUS CLOUOS (Rain) HAIL
PARTLY CLOUDY CUMULOMINBUS CLOUOS SNOW OR SLEET
COMPLETILY OVEPCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG NONE OF THE ABOVE
C. IF THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT IF THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT DID YOU NOTICE ABOUT THE STARS AND MOON? 010 YOU NOTICE ABOUT THE STARS AND MOON?
(T) 1) STARS STARS (2) MOON
NONE NONE BRIGHT MOONLIGHT MOONLIGHT NO MOONLIGHT
AFEW MOON MOON WITH HALO UNXNOWN
ANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL (New Or quarter) PARTIAL (New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT. WAS D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? YES NO. NO. IF YES, WHERE WAS THE SUN AS YOU FACED "YES WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON? THE PMENOMENON?
INFRONTOFYOU IN FRONTOFYOU TO YOUR RIGHT OVERHEAD(NeW nOON) OVERHEAD (NeW nooN)
IN BACK OF YOU IN BACK OF YOU TO YOUR LEFT UNKNONN
E. SPECIFY E SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS TME SUN, HEADLIGHTS OR THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS TME SUN, HEADLIGHTS OR
STRZET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE. STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
2. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARX OR LIGHT, WHETHER IT
REFLECTED LIGHT OR WAS SELF-LUMINOUS ANO WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLID OR TRANSPARENT, WWETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SMAPE OR INOICATE IF IT
APPEANEO AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE.STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEW.
Jhe flach was obant even with M, Bunt
Eat. aler the
Color Deme
al ha aftia Hock
alant Wo Lllin,
The lia up
did Morthua bilt but
PAGE 4 OF 9 PAGES

FLASH OR FLICKER?
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
A. HOW DID IT FINALLY DISAPPEAR? A. HOW DID IT FINALLY DISAPPEAR?
jistateted gingant  bft aolet geta liftawlite
It
stream
t
3. DID THE PHENOMENON MOVE SEHIND OR IN FRONT OF SOMETHING. LIKE A CLOUD, TREE, OR BUILDING AT ANY TIMET
YES NO. IF *YES, DESCRIBE.
LCHLUOIIOLUU
PaGE SOF 9 PaGE

0
AFR S0-17(C1)
HAVE APPEARED AS WINGS OR PROTRUSIONS, AND INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
OIRECTION THE PHENOMENON WAS MOVING.
U
W
fo
/
N
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 MAD
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 9 PAGES
97

Bright
Theine,
ednt eselnt ant, the steak at, the stheak deph S tordde
aby $atented gingent fiat
che csie
hen hen he lerein he lirein
mmmymm
beet gnd meekll. cehte
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF. ANIMALS CR MACHINERY IN THE VICINITY? YES NO. IF YES," DESCRISE.
A. DID THE PHENOMENON DISTURB THE GROUND IF YES,* DESCRIBE. OR LEAVE ANY PHYSICAL EVIDENCE. DYES EHNO.
PAGE 7OF9 PAGES
99

O
AFR 80-17(C1)
MAVE YOU IVEN NO. I? YES," GIVE OATE AND
LOGATION.
a
23. WAS ANYONE WITH YOU AT THE TIME SAH PHENOMENON? YES NO. IF 'YES," DID THEY SEE IT TOO?
OYES ENO.
A. LIST TMEIR HAMES AMD ADDRESSES J
B C
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME MAME, MIDOLE NAME
ADOpess (Streer, Cisy, State and Zig Code
DanytoN 4548
TELEPHONEMAaaadandAumb AGE
35 MALE FEMALE
NDICATE ADDITIONALINFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WMICH MAY BE PERTINENT. INDICATE ADDITIONALINFORMATION INCLUDING OCCUPATION ANO ANY EXPERIENCE WMICH MAY BE PERTINENT.
.
a o a
25. WHEN ANO TO DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
:
NAME DAY MONTH YEAR
2S. DATE YOU CONPLETEO THIS OUESTIONNAIRE.
2 DAY MONTH YEAR
PAGEBOF9PAGES

O
AFR S0-17(C1)
Sighting Of UNIDENTIEIED ESTIONNAIRE QUDGET NUTIAU N
NUMBXR 21.2238
ANSWER ALD OF ESTIONS. THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES
YOUR NAME WIL N CONNECTION WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT
YOUR PERMISSION. RETURN 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 SE E PHENOMENON?
DAY MONTH YEAR
2. WHAT E DID u T H PHENOMENON?
HOUR MINUTES A.M. P.M.
3 WHAT TIM E DID U L AS T SIGH THE PHE ENOMENON?
HOUR MINUTES A.M. P.M.
4. TIME, ZONE V DAYLIGHT SAVINGS C7 STANDARD
EASTERN CENTRAL 0 MOUNTAIN PACIFIC CJOTHER
5 WHERE WERE VOU 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 TME
HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
822 ALVERNA CAGTOM CA1o
..r .m
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 ASOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90 15
L
1
1
1
1 30
1
1
1 15
1
OBSERVER
AF FORM 117
AUG67
90

1. O
AFR 80-17(C1)
DIRECTION TO THE PHENOMENON WHEN FIRST SEEN. PLACE A *B* ON THE COMPASS TO INDICATE THE DIRECTION TO
TME PHENOMENON WMEN LAST SEEN.
N
NNW NNE
NW NE
WNW ENE
WSW ESE
SW SE
sSW SSE
7 IN THE SKETCH BELOW, PLACE AN A°AT THE POSITION OF THE PHENOMENON WHEN FIRST SEEN, AND A B°AT THE
POSITION OF THE PHENOMENON WHEN LAST SEEN. CONNECT THE "A* AND *B* WITH A LINE TO APPROXIMATE THE
MOVEMENT OF THE PHENOMENON BETWEEN *A AND B. THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT
APPEARED TO BE STRAIGHT, CURVED OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE
THE LARGER SKETCH.
2
PAGE2OF 9 PAGES

dCTs
22 wlte cne ting
0 the Brthidd Jot
Cn his it wt) the Biughdet
Jeight tbo
ithnesit Jord t
J Sc ly Ce tod Ecer Riads This
C Helpone
0 Yod it's
oni P C

0
O
AFR 80-17(C1)
IF THERE WERE WORE THAN ONE PMINOMENOM, MOW MANY WERE THERE' DRAW A PICTURE TO ZHOY HOW THEY WERE
AMRANGXD. DID THIS ARRANGXMENT CMANGE DURING THE SIGHTINGY
11. CONDITIONS(Ch=ck appropriate blocks.)
A. SKY 3. WEATHER
DAY CUNULUS CLOUDS(LOW flUf/Y) 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) UNXNOWN
HAZE OR SMOG NONE OF THE ABOVE
C.1B C.IF THE SIGHTING WAS AT TWILIGHT OR NIGHT, WHAT 0ID YOU NOTICE ABOUT THE STARS AND MOON? YOU MOTICE ABOUT THE STARS AND MOOM?
(1) (1) STARS (2) MOON
MOME MOME BRIGHT MOONLIGHT 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)
O. IF SIGHTING WAS IN DAYLIGHT. WAS THE IF SIGHTING WAS IN DAYLIGNT. WAS THE SUN VISIBLE? SUN VISIBLE? 17 YES YES NO. IF *YES,° WHERE WAS THE SUN AS YOU FACED S.° WHERE WAS THE SUN AS YOU FACED
THE PHENOMENCN?
IN FRONT OF YOU TO YOUR RIGHT QVERHEAD(New noon) QVERHEAD(NenoOn)
iN BACK OF YOU BACK OF YOU TO YOUR LEFT UNXNONN
E. SPECIFY TME MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS E. SPKCIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR
STREET LANP, ETC. STRAZTLAHP STC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE. EORTEDS PESTPLALULLUMIMATION SPECIEYDISTAHCS TOLIGHTSOURCE
C
12. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INOICATING WHETHER IT APPEAREO DARX OR LIGHT, WHETHER IT
REFLECTED LIGHT OR WAS SELF-LUMIMOUS ANO WMAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WMETHER
IT WAS SOLID OR TRANSPARENT, WMETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT
APPEARED AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIXE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEW.
stcakay higit ligit. Cauld lepre ben
N
PAGE 4 OF 9 PAGES

O
AFR 80-17(CI)
WHERE WERE YOU WHEN YOU SAW TME PHENOMENONL (CHERK : uppropriate 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 AIRFIELD
IN AIRPLANE AS PILOT 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 MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIMS WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES ONO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS 5 ANO 5.
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 HOW MUCH ER R RAE FIC W AS THERE?
DID YOU 010 YOU NOTICE ANY AIRPLANES? 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 OF SIGHTING SIGHTING THE PHENOMENON THE PHENOMENON AND WHERE AND WHERE HEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON. WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENCMENON.
9. HOW LONG HOW L ONG WAS WAS THE TH E PHENOMENON PHENOM ENON IN SIGHT?
LENGTH OF TIME LENGTHOE TIME CERTAIN OF TIME NOT VERY SURE
3to FAIRLY CERTAIN JUST GUESS
HOW WAS TIME DETERMINEO?
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY! YES 1 NO. IF NO INDICATE WHETHER THIS IS OUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHEHOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INOICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES.
PAGE 3OF 9 PAGES

DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBBLE?
14 WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
Wenid  T64 MyF00uT YAr W5 5is50
ThE S8A0D5A0 The ThE 584 800540 The 570E9K O02152
C
A. HOW DID A. HOW DID IT DISAPPEAR?
Leemee Leemee tobume tobue Ot
B. DID THE MOVE BEHIND OR IN FRONT SOMETHING, LIKE A CLOUD, TREE, OR BUILDING ANY TIME?
YES NO. IF *YES." DESCRIBE.
PAGE 5 9 PAGES

0
AFR 80-17(C1)
MAVE APPEARED AS WINGS OR PROTRUSIONS, AND INOICATE EXHAUST OR VAPON TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING.
-
E
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 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.
the 1
m
PAGE6 OF 9 PAGES

0 0
AFR 80-17(C1)
22. HAVY YOU IVER SEUN TMIS OR A SIMILAR PMEHOMEHON BEFCAE? E DATE AND
LOCATION.
23. WAS ANYONE WITN YOU AT THE TIME YOU SAW THE PHENOMENON? CYES SEEIT TOO?
CYES 0NO.
A. LIST THEIR NAMES AND ADDRESSES
24. GIVE THE FOLLOWING INFORMATION ASOUT YOURSELF
LAST NAME EIRST NAME, MIDDLE NAME
AuDress (Soeet, Cisy, State and Zip Code)
24 4010
TELEPHONE(Ared CODe and numbEr) AGE
Laond land Lond lnd MALE FEMALE FEMALE
INDICATE ADDITIONAL INFORNATION INCLUDING OCCUPATION AND ANY EXPERIENCE WMICH MAY BE PERTINENT. INDICATE AODITIONALINFORMATION INCLUDING OCCUPATION AND AMY EXPERIENCE WMICH MAY BE PERTINENT.
EM21275D 07 3PAFB O610 EM21075D272 WPAFEE O6io
FWWCiALBVAOEP AOAD5 FWW02iALMANAOER A0AD5 SPO 5PO
;
23. WHEN AND TO WHOM DIO YOL REPORT THAT YOU HAO SIGHTED THIS PHENOMENON?
NAME DAY MONTH. YEAR
2S. DATE YOU CONPLETEO THIS QUESTIONNAIRE.
DAY. MONTH_ YEAR
PagE 8 OF 9 PaGES

0 0
AFR 80-17(C1)
INCLUDE INFORMATION ON MODEL,
TYPE, FILTER. LENS PRESCRIPTION OR OTHER APPLICASLE DATA.
EYEGLASSES 20 CAMERA VIEWER
SUNGLASSES BINOCULARS
WINOSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? BYES NO 3. DO YOU USE READING GLASSES? YESNO
18 WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 13 WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE,
PHENOMENON? GIVE ESTIMATE OF SPEED 20 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 ANO DIFFERENCES BETWEEN THE
COMMON OSJECT AND WHAT YOU SAW.
A fiiotallstreakri
(
Ciise 2r Li2 Log ard wtde
C CC
Skr g than feet Iaid nat Jaidaat
2ogto.ermg Henk to&n
etalglti 2 727
dilsteea.
C
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING/FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF.
ANIMALS OR MACHINERY IN THE VICINITY? O YES NO. IF *YES,DESCRIBE.
PSSMEN
A. DID THE PHENOMENON DISTURB THE GROUND OR PHYSICAL EVIDENGE. YES NO.
IF*YES," DESCRIBE.
PAGE 7 OF 9 PAGES

0 0
AFR 80-17(C1)
WLXLLNANONULNLUNT
ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
7
207 f2r2ee
C 2A
.
C
iusitis toliglet thenl mnet fe
.
PAGE9 OF9 PAGES

1.
AFR 80-17(C1)
GA. NON IMAGINE YOU ARE AT THE CENTER OF THE COMPASS ROSE. PLACE AN *A  OH THE COMPASS TO INDICATE THE
DIRECTION TO THE PHENOMENON WNEN 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 *AAND *B• WITH A LINE TO APPROXIMATE THE
MOVEMENT OF THE PHENOMENON BETWEEN *A* AND *B°. THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT
APPEAREO TO BE STRAIGHT, CURVED OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE
THE LARGER SKETCH.
Y 2
PAGE 2 OF 9 PAGES
122

. O . O
1
AFR 80-17(C1)
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDGST BUREAU APPMOYA
NUMBE2 21-2333
THIS QUESTIONNA RE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S AIR FORCE AS MUCH INFORMATION
AS POSSIBLE CON ERNING THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO
ANSWER ALU DUESTIONS. THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES.
YOUR D IN CONNECTION WITH ANY OF YOUR STATEMENTS OR C LUSIONS WITHOUT
(TDETR), WRICHT.
PATTERSON AFB, OHIO 45433, IAW AFR8O-I7. (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATTVE OR SKETCHES
ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION)
1. WHEN DID YOU SEE IOMENON?
DAY5 MONTHAUS YEAR. 1469
2. WHAT TIME 01D SIGH T H E P
HOUR MINUTES. 30XA.M. P.M.
3. WHAT TIME Y U L AS T SIGHT THE EN OMENON?
HOUR MINUTES 305XA.M. P.M.
4. TIME/ZONE C DAYLIGHT SAVINGS STANDARD
EASTERN 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. IOENTIFY THE
HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
C
HALSEY Dr.
1127 1127
ya00M X
WOM
6 IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN "A ON THE CURVEO LINE TO SHOM 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 t e
I
m
1
I
1 15
1
1
OBSERVER
AF FORM 117
AUG 67

0
AFR S0-1T(CI)
3. WHERE WERE YOU WHEN YOU SAW THE PMENOMENON? (ChCCK aPPTODTIALS bOCKS.)
OUTDOORS IN BUSINESS SECTIOM OF CITY
IN BUILDING V IN RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER 0 AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE AS PILOT 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 YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIM E WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST CYES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS SKETCHES IN ITEMS5 AND 5.
DESCRIBE TYPE OF VEHICLE YOU WEREIN AND TYPE OF ROAD T ERRAIN OR BODY OF WATER YOU RA ERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MUCH MU CH OTHER TRAFFIC TRAF FIC WAS THERE?
DID YOU NOTICE ANY AIRPLANES? YES
OF SIGHTING THE PHENOMENON AND WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
9. HOW LONG WAS THE PH ENO MENON IN NIN SIGHT? SIGHT?
LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE
Appros. 30'seconds FAIRLY CERTAIN JUST A GUESS
HO DETERMINED?
Guessed at it.
WAS THE NO. IF NO"INDICATE WHETHER THISIS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INOICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES.
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