PROJECT BLUE BOOK

PROJECT 10073 RECORD
Y. DATE YIME GROU . LOCATION
19/0010 EDT
19 Aug 69 19/0410Z Near Fairbo
3. SOURCE 10. CONCLUSION
Civilian Astro (STARS/PLANETS)
4. MUMBER OF OBJECTS MUMAER BJECTS
Two 2) Two (2)
5. LENGTH OF OBSERVATION 5. LENGTH OF OBSERVATION 11. BRIEF S 11. BRI SUMARY AND ANALYSIS
About 1 1/2 hours Observers sighted two flashing lights in the SW. The sighted two flashing lights in the SW. The lights lights
6. TYPE OF OBSERVATICN 6. TYPE OF OBSERVATICN gradually got lower snd finally disappeared on the horizon gradually got lower snd finally disappeared on the horizon
after 1 1/2 hours. after l 1/2 hours.
Ground-Visual
7. COURSE ARKE
Rescending in SW
3. PHOTOS
7 Yes
X No
9. PHYSI DENCE
0 Yes
Mo
FORM
FTO 9EJ 0-3
the

AFR 80-17(C1)
17 DID YOU OBSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING? INCLUDE INFORMATION ON MODEL,
-TYPE, FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE OATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES NO B. DO YOU USE READING GLASSES? IYES INO
18. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENON? GIVE ESTIMATE OF SPEED 20-110 PHENOMENON?
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.
wes as
bot. had
no two sepuate ights
wes one one lange muss miss of inj
lange of
light. Light.
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATINGFROM THE PHENOMENON OR ANY EFFECT ON YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY? O YES ONO. IF YESDESCRIBE.
A. DID THE PHENOMENON DISTURB THE GROUND PHYSICAL EVIDENCE. D YES HNO.
IF *YES.*DESCRIBE.
PAGE 7 OF 9 PAGES

AFR 80-17(C1)
22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BE ORE? VYES DATE AND
LOCATION. leat Theve
gean
ws cl lell 2 back
hunt m
23/WAS ANYONE WITH YOU AT THE TIME YOU SAW THE PHENOMENON NO. IF YESDID THEY SEE IT TOO?
YES NO.
A. LIST THEIR NAMES AND ADDRESSES
24. GIVE THE FOLLOWING INI FORMATION ABOUT YOURSELF
LAST NAME. EIRST NA MIDDLE NAME
ADDREss (Street, City, State and Zip 6
ess Enon, Cfiq 45323
TELEPHONE (Area code and number) AGE
16 MALE FEMALE
INOICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT. INOICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND MAY aE PERTINENT.
no mntil 9
occupation occupation as of of
mive mive to Chicag Chicaga
25 WHEN AND TO WHOM DID YOU REPORTTHAT
NAME DAY_ 15 MONTH Cugert YEAR/96%
26. DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY2/
PAGE 8OF 9 PAGES

AFR 80-17(C1)
27. INFORNATION WMICH YOU FEEL IS PERTINENT BUT WHICH IS NOT ADEQUATELY COVEREO IN THIS QUESTIONNAIRE. ALTZRNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
It the obgec) Clached cane on but
at diffeunt intirel ehich B Tried.
an eve
>he atuia tries evere, 7hese are
187 T achual
s20. in
8 se. te used
5 ARC1. a
17. sect wrist watch to
Tie 8
PAGE 9 OF 9 PAGES

DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVIBION (AFSC)
WRIGHT.PATTERSON AIR FORCE BASE. OHIO 45433
REPLY TO 19 AUG 1969
ATTN OF TDPT (UFO)
SUAJECT UFO Observation, 19 Aug 69
TO:
Fairborn, Ohio 45324
Reference your recent unidentified flying object sighting which
you reported to the Air Force. The information which we have
received is not sufficient for a scientific investigation. Request
you complete the attached AF Form ll7 and return it in the self-
addressed envelope. Thank Thank reporting your observation to observation to
the Air Force.
HECTORQUT HECTOR-GUIN Lt Colonel, USAF 1 Atch
Chief, Aerial Chief, Aerial Phenomena Phenomena Office AF Form 117 w/envelope
Aerospace Technologies Division Aerospace Technologies Division
Production Directorate

AFR 80-17(C1)
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDGET BUREAU APPROVM
NUMDER 21-R258
THIS QUESTIONNAIRE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S AIR FORCE AS MUCH INFORMATION
AS POSSIBLE CONCERNING THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO
ANSWER ALLA OF THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES
YOUR CONNECTION WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT
YOUR PERMISSION. RETU AIR FORCE BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR), WRIGHT-
PATTERSON AFB, OHIO 45433, TAW AFR B0-I7, (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO TH ORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1. WHEN DID YOU SE E THE N
2 WHA T TIM E DID ou SIGH THE PHENOMENON?
HOUR MINUTES LOWA.M. P.M.
3 WHAT TIME DID Y ou LAS 51 C H T F E NOMENON?
{ MINUTES 37A.M. CP.M.
HOUR
4. TIME ZONE DAYLIGHT SAVINGS 0 STANDARD
EASTERN CENTRAL PACIFIC OTHER
5 WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY GIVE THE NEAREST STREET ADDRESS AND INDICATE ON
HAND DRAWN MAP WHERE YOU WERE STANDING WITH REFERENCE TO THE ADDRESS. IF IN THE COUNTRY, IDENTIFY THE
WAY YOU WEREON ORNEARAND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
11
Fajrbory
A lout-be milks .A lout-le miles
Objet
O
6. IMAGINE YOU ARE AT THE POINT SHOWN IN IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN "A^ ON THE GURVED LINE TO SHOW HOW HIGH THE THE SKETCH. PLACE AN A ON THE GURVED LINE TO SHOW HOW HIGH THE
PHENOMENON WAS ASOVE 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.
This is
90 15
I 6 Approximate
1
1
1
1
1 -
1
1
1
V
OBSERVER
AF FORM 117
AUGOY

AFR 80-17(C1)
NOW IMAGINE YOU ARE AP THE CENTER OF THE COMPASS POSE. PL ACE AN A" ON THE COMPASS TO INOICATE THE
DIRECTION TO THE PHENOMENCN WHEN FIRST SEEN. PLACE A "D* ON THE COMPASS TO INDICATE THE DIRECTION TO
THE PHENOMENON WHEN LAST SEEN.
N
NNW NNE
NW NE
WNW ENE
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 PAGES

AFR 80-17(C1)
WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CARCk RPDMOPrINte SoCKS.)
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 C 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 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 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.
HOW MUCH HOW MUCH OTHER TRAFFIC WAS THERE? OTHER TRAFFIC WAS THERE?
DID YOU NOTICE ANY AIRPLANES? DID YOU NOTICE ANY AIRPLANES? YES NO. IF "YES." DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME NO. IF "YES." DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHERE OF SIGHTING THE PHENOMENON AND WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
9. HOW LONG WAS THE PHENOMENON PH M ENON IN SIGHT?
LENGTH LENGTI OF TIME CERTAIN OF TIME CERTAIN OF TIME NOT VERY SURE NOT VERY SURE
7mi utes FAIRLY FAIRI CERTAIN CERTAIN JUST A GUESS 5
HOW TIME DETERMINED?
a watch.
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 C DESCRIBE SUCH N MOVEMENT OR BEHAVIOR. INDICATE DISAR.
PEARANCES ON PREVIOUS SKETCHES.
The were 4 goed distanck away,and
they appeqred to move behind
treesfor
some other unknown
objret). 3
PAGE 3OF 9 PAGES

AFR 80-17(C1)
IO. IF THERE WERE MORE THAN ONE PHENOMENON, HOW MANY WERE THERE? DRAH A PICTURE TO SHOW HOW THEY WER:
ARRANGEO. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
2 were sighted
objects(x) ameung trees
i'st #
clearing
11. CONDITiONs (Check appropriate blocks.)
A. SKY 8. WEATHER jaht
DAY CUMULUS CLOUDS (LoW fluffy) FOO OR MIST
TWILIGHT CIRRUs CLouDS (High fleecy or Herring- HEAVY RAIN
NIGHT bone) LIGHT RAIN OR DRIZZLE
TCLEAR 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 A90UT 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 FRONTOFYOU TO YOUR RIGHT. OVERHEAD (Nea MOn)
IN BACK OF YOU TO YOUR LEFT UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEAOLIGHTS OR
STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE
Ab0r4 mile frum me iathe same aireffion of e objeet
andt) cod C ect
to the Lowok right of The lashed
wPnt of 4ht 24 50
L went out 8 onetime
toglow.
a dianot jee it again
PAGE 4 OF 9 PAGES

FLASH OR FLICKERI
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON? T were Sleeping O and
Myofiend and
wre neticed bright light
very
A. HOW DID IT FINALLY A. HOW DID IT FINALLY DISAPPEAR? DISAPPEAR?
The J o ect Went C Weat On On andoft andoft Several Several
ines. ines After about After about an hour it did an bouf it did
p flosh flosh on ,s0 my frient frient andI 1ad
ho
decided than it WoS gone( watered ferit
to
butt didnt so we left.
9. DID THE PHENOMENON MOVE BEHIND OR IN FRONT NO. IF *YES. DESCRIBE.
obgects weres sightod Ina small
The
forest and then a Small cleuring inthe
rst Q f tr 3 n
PAGE 5 OF9 PAGES

AFR 80-17(C1)
IS. DRAW A PICTURE THAT WILL SHOW THE SHAPE OF THE PHENOMENON. INCLUDE AND LABEL ANY DETAILS THAT MIGHT HAVE APPEARED AS WINGS OR PROTRUSIONS, AND INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING. ifthe Ts
I um hot Syre cb)
fanded, but they did 9 pptar tobe.
Trees
→
V
Beluren
6,ccr-1000F
2nd 2nd
The obrect Theobreet appard appaod clearing object object
aS a bock as a block when appeared ad
b served threugh as 9
binoculrs. bright
1S. WHAT WAS THE ANGULAR SIZE? LAMP OR THE MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. NOW IF YOU HAD HOLD A MATCH AT ARM'S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET
PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD. SEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
I am 1 -ho md Tch
covered ly 116
weald be the match
1
PAGE6 OF9PAGES

MEMO FOR RECORD 21 Aug 69
SUBJECT: UFO Observation, 19 Aug 69
1. On 19 Aug 69, Mr. called TOPT (UFO) to report an
unidentified flying object. He gave the following information on
his observation:
Observers:
Fairborn, Ohio 45324 *
Mr
Enon, Ohio 45343
Date of Observation: 19 Aug 69
Time of Observation: 0010 hours
Location: Outside of Fairborn in hills.
Duration: 1 hour 27 minutes
Description: The two boys were camping out when they sighted
an object in the SW portion of the sky in a
small clearing. The object looked like a bright
light. The observers were approximately l0 miles
from the object. The object was first seen behind
trees. It moved upward from the trees to the right trees. It moved upward from the trees to the right
then back into the trees. The object turned white
then yellow then red. Gossman said the object
looked like a disc, but Foster said the objeet was
far away and just looked like a bright light to him.
The light was considerably brighter than the stars
and house lights in the area. There was no smoke from
the object. The object was solid and didn't seem to
be a neon sign. There was no breeze at the time of the
sighting, but there was slight breeze later. The
observers were looking at the object through binoculars.
Comments:
2. Mr stated that he had reported a sighting about a year ago.

AFR 80-I7(C1)
17. DID YOU OBSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING? INCLUDE INFORMATION ON MODEL.
TYPE, FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES S. DO YOU USE READING GLASSES? IYES NO
18. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19 WHAT WAS YOUR IMPRESSION OF THE DISTANCROF THE
PHENOMENON' GIVE ESTIMATE OF SPEED 2 PHENOMENON? G!VE ESTIMATE OF DISTANCE
MLi:e
2O IN OROER 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.
ect appeured aS
The Oe
S
lighted bock-shaped obsect.
brightly
S
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY? CYES IF DESCRIBE.
A. DID THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YES NO.
IF "YES, DESCRIBE.
+ fl
I did no
theobject Nos sighted
ared wher
C out C mi145 GWaY
was
PAGE OF 9 PAGES

AFR 80-17(C1)
22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE? LOCATION. NO. GIVE OATE AND
23. WAS ANYONE WITH YOU AT XTYES NO. THE TIME YOU SAW PHEI SEE IT TOO?
A. LIST THEIR AND ADDRESSES mored tolAugust2h
i y friend
Elgin, Illiners. Zdonet Kow this 15
Enon, Ohio i9323 also
bu natcleary
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME. FIRST NAME, MIDDLE NAME
ADOREss (Street, City, State and Zip Code)
Fairborn Oh 4+532-4
TELEPHONE (Area code and number) AGE 15/2
MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT. INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
always made B's or O C etter Ioschool etter ioschoal /
the major maj or subj u b 3 C ( ↓ - 1. Onet Onet 7
re re Celred cerred a a C in Enslish-9 Sertncy. Bertncy.
I will I will enter enter 10th grade grade thi5 1964 this 1964- O
school year.1 My father works for r the
PENN -Central Rail rood-1
Iattend G reenon High School Also
I made a study on U.F.O's And won a
trophy for +h e schoolin a Science
Fair
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
NaMeWergh PatteonAirFerceBuse DAY19 MONTH 1 YEAR1964
E6. DATE YOU COMPLETED THIS QUESTIONNAIRE.
MONTH
PAGE 8 OF 9 PAGES

DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PATTERSON AIR FORCE BASE OHI0 43433
REPLY TO 19 AUG 1969
ATTN OF TDPT (UFO)
SUBJECT UFO ation, 19 Aug 69
TO:
Enon, Ohio 45343
Your name has been given to the Aerial Phcnomena Office (Project
Blue Bock) as being a witness to an unidentified flying object.
If you were a witness to an UF0 sighting on 19 August l969,
would you please complete the attached AF Form ll7 and return -- it
in the envelope in the envelope provided. provided. If f you were not a witness to this you were not a witness to this
sighting, would sighting, would you please make a stetement to this effect on the please make a stetement to this effect on the
attached form. attached form. The i The information which you provide will be used in information which you provide v will be used in
evaluating this observation. Thank you for your assistance in this
matter.
Lt Colonel, USAF 1 Atch
Chief, Aerial Chief, Aerial Phenomena Office AF Form 1l7 w/envelope AF Form 117 w/envelope
Aerospace Technologies Division Division
Production Directcrate

AFR 80-17(C1)
SIGNTINg OF UNIDENTIFIED QUESTIONNAIRE PUDGET MUREAU APPPOVAL
NUWBER 21-R233
THIS QUESTIONNAIRE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S. AIR FORCE AS MUCH INFORMATION
AS POSSIBLE CONCERNING THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO
ANSWER AL THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES
YOUR CONNECTION WITH ANY OE YOUR STATEMENTS OR CONCLUSIONS WITHOUT
O AIR FORCE BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR), WRIGH!T-
PATTERSON AFB, OHIO 45433, IAW AFR BO-17. (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO.THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
T
WHEN DID YOU SEE THE P HENO MENON 7
DAY-8 MONTH AUg YEAR 1969
2. WHAT M E DID YOU T 5 G H T P E NOMENON?
LP.M.
. WHAT DID YOU L AST SIGHT P H EN OMENON?
HOUR isarom MINUTES 37 15A.M. [P.M.
4.TIME ZONE DAYLIGHT SAVINGS STANDARD
EASTERN CENTRAL MOUNTAIN PACIFIC OTHER
5. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY GIVE THE NEAREST STREET ADDRESS AND INDICATE ON
A HAND DRAWN MAP WHERE YOU WERE STANDING WITH REFERENCE TO THE ADDRESS. IF IN THE COUNTRY. IDENTIFY THE
HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
1 K old Route
Pos.tion in Pos.tion in
which I \y mi/le 40
1y mil→
Spetted
object ↑ 7163
stine stine Rd. stine Rd.
Road C D..
6. IMAGINE IMAGINE YOU ARE AT YOU ARE AT THE THE POINT SHOWN POINT SHOWN IN THE SKETCH. PLACE AN A ON THE CURVED LINE TO IN THE SKETCH. PLACE AN A ON THE CURVED LINE TO SHOW HOW HIGH THE SHOW HOW HIGH THE
PHENOMENON WAS ASOVE 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
I
I
1
I 30
1
1 A
1 - m 15
1 13
K
OBSERVER
AF FORM 117

AFR 80-17(C1)
SA. NOW IMAGINE YOU ARE AT THE CENTER OF THE COMPASS ROSE. PLACE AN "A* ON THE COMPASS TO INDIGATE THE
DIRECTION TO THE PHENOMENON WHEN FIRST SEEN. PLACE A "B" ON THE COMPASS TO INOICATE THE DIRECTION TO
THE PHENOMENON WHEN LAST SEEN.
N
NNW NNE
NW NE
WNW ENE
wSW ESE
B
SW SE
A
SSW SSE
.
ill
PAGE 2 OF 9 PAGES

AFR 80-17(C1)
8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CAnA ePPTOPRIATR BIOCKS.)
OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING IN RESIOENTIAL SECTION OF CITY
IN CAR AS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE 0 AS PILOT AS PASSENGER FLYING OVER CITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
A. IF YOU WERE IN A VEHICLE. COMPLETE THE FOLLOWING:
WHAT DIRECTION WERE YOU HOW FAST 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.
no
DESCRISE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD, TERRAIN OR BODY OF WATER YOU TRAVERSED DURING 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. THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MUCH HOW MUCH OTHER O THER TRAFI TRAFFIC FIC WAS THERE?
DID YOU NOTICE ANY AIRPLANES? DID YOU NOTICE ANY AIRPLANES? YES NO. IF NO. IF YES." DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE OF SIGHTING THE PHENOMENON PHENOMENON AND WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON. THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
9. HOW LONG WAS THE PHENOMRNON IN SIGHT?
LENGTH OF TIME CERTAIN OF TIME NOT V ERY SURE
1 12:10 to 1:37 FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
Houst clock
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? YES V NO. IF NO INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES.
at sertain it moved belind
Times a
theer but
usudlly itapd
cople
A
the thes Mees
oven
/
1
PAGE 3OF 9 PAGES PAGE 3 OF 9 PAGES

AFR 80-17(C1)
1. IF THERE WERE MORE THAN ONE PHENOMENON, HOW MANY WERE THERE? DRAW A PICTURE TO SHOW HOW THEY WERE
ARRANGED. OID THIS ARRANGEMENT CHANGE DURING THE SIGHTINGT
4
11. COnDiTiONs(Check appropriate blocks.)
A. SKY B. WEATHER
DAY CUMULUS CLOUDS (LOW fluffy) FOG OR MIST
TWILIGHT CIRRUs CLouDs (High fleecy or Herring- HEAVY RAIN
NIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMSUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST COMPLETELY OVERCAST (Thunderstorms) (Thunderstorms) UNKNOWN UNKNOWN
HAZE OR SMOG HAZE OR SMOG NONE NONE OF THE ABOVE THE ABOVE
C. IF THE SIGHTING WAS SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT AT TWILIGHT OR NIGHT, WHAT DID YOU NOTICE ABOUT THE STARS AND MOON? AND MOON?
(1) STARS (2) MOON
NONE BRIGHT MOONLIGHT BRIGHT MOONLIGHT NO MOONLIGHT
AFEW MOON WITH HALO WITH HALO UNKNOWN
MANY MANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL (New or quarter)
D. IF SIGHTING D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? WAS IN DAYLIGHT, WAS THE SUN VISIBLE? 0 YES NO. IF "YES, WHERE WAS THE SUN AS YOU FACED "YES, * WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD (NeC 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.
2 closesed leght was
12. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
REFLECTED LIGHT OR WAS SELF-LUMINOUS AND WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLID OR TRANSPARENT, WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT
APPEARED AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEW.
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wes
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sell
uhite to so yellow, It loked bide
frm
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FLASH CHANGE OR SHAPE? FLICKER?
SPIN LIKE A TOP? DISAPPEAR AND REAPPEAR?
FLUTTER OR WOBBLE? MAKE A NOISE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON? "chinde of wath when
we were
I sew a bight hiht a to
highiter than momeer
cang II
A. HOW DID IT A. HOW OID IT FINALLY FIN DISAPPEAR? DISAPPEAR? without wthout it's hights it's hights
If ethe eathe Took Took
one or Laneled Laneed behind the betind the hilf hil
which spoted it - f
we font
3. DID XHE DYES PHENOMENON MOVE BEHIND OR O NO. IF *YES," DESCRIBE. IN FRONT OF AT ANY TIME?
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close to msp and nveit
them Cht ecilre for off) s0 rile movid
thy wule
aren A0 peep ein ege
them
PAGE 5 OF9 PAGES

AFR 80-17(C1)
15. DRAW A PICTURE THAT WILL SHOW THE SHAPE OF THE PHENOMENON. INCLUDE ANO LABEL ANY DETAILS THAT MIGHT HAVE APPEARED AS WINGS OR PROTRUSIONS, AND INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
OIRECTION THE PHENOMENON WAS MOVING.
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→-
y
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this one
laorled
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 MOCN. 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
7 O
the entire 5.20 of the matoh head
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