PROJECT BLUE BOOK

PROJECY IOO'S RECORD
1 DATE TIME GROUP .LOCATION
03/2200 CDT
Jay 04/0300Z CAMBRIDRE CITY, INDIANA
3. SOURCE 19. CONCLUSION
Insufficient Data
Civilia Observer telephoned the Duty Officer to report signting a
1. MUMBeR OBJECTS UFO. A Form 1l7 was sent to the observer but has not jeen
returned as of 3 Jul 69. See 4 May 69 also for sighting by
iInsnown.. the observer.
5. LENGTH OF VATION 11. BRIEF SUMMARY AND AMALYSIS
30_minutes
6. TYPE OF OBSERVATICN
Ground-Visual
COURSE COURSE
Jinknown linknown
9. 9. PHOTOS
n Yes
XX No
9. 9. PHYSICA EVIDENCE VIDENCE AO
Y.s 0 Y.s
X Mo
FORM
FTD SEPA (YUE)
-
1
.
-
8
.
F

22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE? YES NO. IF YES.° GIVE DATE AND
LOCATION.
23. WAS ANYONE WITH YOU AT TIME YOU SAW THE PHEN HOMENON? YES 0 NO. IF "YES.* DID THEY SEE IT TOO?
YES NO.
A. LIST THEIR NAMES AND ADDRESSES
WIFE
24. GIVE THE FOL ATION ABOUT YOURSELF
AGE
23 MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
25. WHEN 25. WHEN AND TO WHOM WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
NAME DAY. MONTH MONTH YEAR
26. DATE 26.DATE YOU COMPLETED THIS THIS QUESTIONNAIRE.
DAY MONTH MONTH YEAR
PAGEBOF9 PAGES PAGES
al

Kutp Oficii B
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDGET BUREAU APPROYAL
NUMBER 21-R232
THIS QUESTIONNAIRE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S. AIR FORCE AS MUCH INFORMATION
AS POSSIBLE CONCERNING THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO
ANSWER ALD OUESTIONS. THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES
NNECTION WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT
YOUR PERMISSION. RETURN TO AIR FORCE BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR), WRIGHT-
PATTERSON AFB, OHIO 4S433, IAW AFRSO-[7. (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1. WHEN DID YOU SEE THE PHENOMENON?
Ld MONTH MAY YEAR 149
DAY
2. WHAT DID FIRST SIGHT THE PHENOMENON?
HOUR MINUTES A.M. P.M.
3. WHAT TIME DID Y ou LAST SIGHT THE PHENOMENON?
HOUR MINUTES- A.M. P.M.
1
4. TIME/ZONE DAYLIGHT SAVINGS STANDARD
EASTERN 0 EASTERN CENTRAL CENTRAL MOUNTAIN MOUNTAIN PACIFIC PACIFIC OTHER OTHER
5. WHERE WERE YOU WHEN YOU SAW THE WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY, GIVE THE NEAREST STREET ADDRESS ANO INDICATE ON 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 A HAND DRAWN MAPI 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 RECOGNIZASLE LANDMARK. HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
NDIANA DIANA
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 TRE HORIZON. OR SKYLINE. WHEN FIRST SEEN. PLACE A 3" ON THE SAME CURVED LINE TO
SHOW HOW NIGH AOVE THE HORIZON THE PHENOMENCN WAS WHEN LAST SEEN.
$20 SL-
1
I 45
1
I 30
1
1
1 1
1
1
OBSERVER
FORH 117
AUG 67

6A. NON IMAGINE YOU ARE AT THE CENTER OF THE COMPASS ROSE. PLACE AN "A* ON THE COMPASS TO INDICATE THE
DIRECTION TO THE PHENOMENON WHEN FIRST SEEN. PLACE A "B° ON THE COMPASS TO INDICATE THE DIRECTION TO
THE PHENOMENON WHEN LAST SEEN.
N
NNW NNE
NE
WNW ENE
WSW ESE
SW SE
SSW SSE
S
PAGE 2OF9PaGES
.

8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CheCK aPPrODRiate 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 AS PASSENGER FLYING OVER CITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
A. IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWING:
WHAT DIRECTION WERE YOU MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST 0 YES NO
EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOUR SKETCHES IN ITEMS 5 AND 6.
DESCRIBE DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD, TERRAIN OR BODY OF TYPE OF VEHICLE YOU WEREIN AND TYPE OF ROAD, TERRAIN OR BODY OF WATER YOU TRAVERSED DURING YOU TRAVERSED DURING
THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP ORI DOWN.
HOW MUCH OTHER TRAFFIC WAS THERE?
DID YOU NOTICE NOTICE ANY AIRPLANES? ANY AIRPLANES? C1 C YES NO. IF YES," DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND AN O WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
3. NOW LONG WAS THE PHENOMENON IN SIGHT?
LENGTH OF TINE CERTAIN OF TIME NOT VERY SURE
STILLIN FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
WAS THE PHENOMENON IN SIGH CONTINUOUSLY? IYES NO. IF *NO, INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BENAVIOR OF RE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES
PAGE 3OF9 PAGES

TO. IF THERE WERE MORE THAN ONE PHENOMENON, HOW MANY WERE THERE? DRAW A PICTURE TO SHOW HOW THEY WERE
ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
ONE OBjECT
√
11. COnDITiONS(Check appropriate blocks.)
A. SKY B. WEATHER
DAY CUMULUS CLouDS (Low fluffy) FOG OR MIST
TWILIGHT CiRRUs CLouos (High fleecy or Herring- HEAVY RAIN
NIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMBUS CLOUDS (RaiA) NIMBUS CLOUDS(RaiA) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET SNOW YOR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG HAZE OR SMOG NONE OF NONE OF THE ABOVE THE ABOVE
C.IF THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT DID YOU NOTICE YOU NOTICE ABOUT THE STARS AND MOON? AND MOON?
(1) (1) STARS (2) MOON
NONE BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOWN UNKNOWN PARTIAL(New or quarter)
D. IF SIGHTING WAS IN DAVLIGHT, WAS THE SUN VISIBLE? YES 0 NO. IF "YES, * WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD (NeOr nOON)
IN BACK OF YOU TO YOURLEET 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.
STREET LAMP
12. GIVE A HRIEF DESCRIPTION OF THE PHEYOMPNCN, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
REFLECTEO LIGHT OR BAS SELF-LUMINOUS AND PHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLID OR TPANSPARENT, WNE T-ER EOGES WERE SHARP OR FUZZY. DESCPIBE THE SHAPE OR INDICATE IF IT
APPEARED AS A POINT DF LIGHT. INOICATE COMPARISONS WITH OTHER OBSERVEO OBJECTS, LIKE STARS, A LIGHT OR
OTHER OSJECT IN YOUR FIELO OF VIE".
LIKE LDOKWAAT A STAR ORA SATELLITE VEKY
HIGH. NOT VERY BRGHT,
PAGE4OFO PAGES

FLASH OR FLICKER?
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WO9BLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
WAS WA S LAYING ON PORCH LAYING AND JUST NOTED IT,
ON PORCH AND jOSTNOIED12,
A. HOW DID IT FINALLY DISAPPEAR?
LOsT SIGHTOFITAT ACERIAINPLACE
APPEARS
B. DID THE PHENOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
APPEARED TO BE GOINGBEHIND CLOUDS
PAGE S OF3 PAGES PAGE 5 9 PAGES

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.
SIZE SIZE SPARK SPARK
AND COMINGOUTOF COMINGOUTOF
BRN,HTNESS4OF BRNGETNESCAOE IT
AMEDIUM STAV AMEOIUMSTAV
16. WHAT WAS THE ANGULAR SIZE? HOLD A MATCH AT ARM'S LENGTH IN FRONT OF A KNOWN OSJECT, 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 WOULO HAVE BEEN COVERED BY THE MATCH HEAD. BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
(WOOODENPIATCP) COVERED
COMPLETELY
PAGE6OF9PAGES
T

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 D NO B. DO YOU USE READING GLASSES? KNO
18. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENON? GIVE ESTIMATE OF SPEED PHENOMENON? GIVE ESTIMATE OF DISTANCEL
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. DESCRISE SIMILARITIES AND DIFFERENCES BETWEEN THE
COMMON OBJECT AND WHAT YOU SAW.
MEOIUM BRILLIANCE STARO WITH SPARK
COMINGOFE
COMINGOFF
21. DID YOU NOTICE ANY CDOR NOISE, CR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF,
ANIMALS OR MACHINERYIN THZVICINITY? YES NO. IF *YES." DESCRIBE.
A. DID THE PHENOMENON DISTUR9 THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YES NO.
IF"YES,*DESCRIBE.
PAGE7OF9PAGES PAGE7OF9 PAGES
1

NO.IF *YES,GIVE DATE AND
LOCATION.
3MAY1969AND Decon Nov1967
SAME LOCATIONL EAST OUT OF INDANAPOLIS
23. WAS ANYONE WITH YOU AT THE TIME YOU SAW THE PHENOMENON? EIYES NO. IF "YES," DID THEY SEE IT TOO?
YES NO.
A. LIST THEIR NAMES AND ADD
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
ADDN ADD
AMBRDiE CITY.TOiAN RuDiE CiTY. ToaNa 47.3
TELEPHION AGE
22 MALE FEMALE
INDICATYE ABGITOMAL INPORMATION INDICATE ADBITIONAL INPORMATION GCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT. CUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
h hi RIDGE MORIDGE CITY
25. 25. WHEN AND TO WHOM DIO YOU REPORT THAT YOU HAD YOU HAD SIGHTED THIS PHENOMENON?
No OFHERS
NAME DAY DAY. MONTH YEAR YEAR
26. DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY DAY MONTH YEAR YEAR
PAGEB OF 9PAGES PAGI AGES

3Maylf
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PATTERSON FORCE BASE. OHIO 43433
REPLY TO 14 MAY 1969
ATTN OF: TDPT (UFO)
SUBJECT: ervation, 3 a May 1969
TO:
amoridge City adiana 47327
Reference your recent unidentified flying object sighting which Reference your recent uni ea iiyins ooJeoe
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. addressed envelope. Thank reporting your observation to your obser vation to
the Air Force.
KECTOR QUINTANILLA, Jr, Lt ColOnel, USAF KECTOR QUINTANILLA, Jr, Lt ColOnel, USAF 1 Atch
Chief, Aerial Phenomena Office AF Form 117 w/envelope
Aerospace Technologies I Division
Production Directorate
1

BUDGET BUREAU APPROVAL
SIGHTING OF UNIDENTIFIEO PHENOMENA QUESTIONNAIRE NUMBER 21-R239
HAS BEEN PREPARED SO THAT YOU CAN GIVE THE US AIR FORCE AS MUCH INFORMATION
THIS QUESTIONNA UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO RESEARCH PURPOSES
AS POSSIBLE HE INFORMATION YOU GIVE WILL BE USED FOR CONCLUSIONS WITHOUT
ANSWER NECTION WITH ANY OF YOUR STATEMENTS
YOUR
PATTERSON AFB, OHIO 45433, IAW AFR BO-I7. (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES YOUR PERMISSIGN. RETURN
ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
DID YOU SEE THE PHENOMENON? MAY YEAR 1969
1. WHEN DAY_3 MONTH
2. WHAT DID YOU FIRST SIGH T E PHENOMENON? A.M. M.
HOUR MINUTES
WHAT TIME DID YOU L AST SIGHT THE PHENOMENON? 0 A.M. P.M.
HOUR MINUTES
DAYLIGHT SAVINGS STANDARD
4. TIME/ZONE 4.TIME MOUNTAIN PACIFIC PACIFIC OTHER
EASTERN CENTRAL
WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY. GIVE THE NEAREST STREET ADDRESS AND INDICATE ON
5. 5. A HAND DRAWN MAP WHERE YOU WERE STANDING WITH REFERENCE TO THE ADDRESS. IF IN THE COUNTRY, IDENTIFY THE A HAND DRAWN MAP WHERE YOU WERE STANDING WITH REFERENCE TO THE ADDRESS. IF IN THE COUNTRY, IDENTIFY THS
HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK. HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZASLE LANDMARK.
Yonbrdze Zonbude Ond Ond
TO SHOW HOW HIGH THE
6. IMAGINE YOU ARE AT THE PCINT SHO*N IN THE SXETCH, PLACE AN *A ON THE CURVED LINE 3* ON THE SAME CURVED LINE TO
PHENONENON WAS ABOVE THE MOP ZON. OR SKYLINE. WHEN FIRST SEEN. PLACE A
SHOW MOW HIGH AHOVE THE P ORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90
|
1
1 30
1
I
1 - 15 15
V V
OBSERVER OBSERVER
AF FORH 117
AUG 67

GA. HOW 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 PHEMOMENON WNEN LAST SEEN.
N
NNW NNE
NW NE
WN'W ENE
WSW ISE
SW SE
SSW SSE
PaGE 2 OF9 PaGES

8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CheCK aPPTOPRiate bLOCKS.)
OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER D AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE AS PILOT AS PASSENGER FLYING OVER CITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
A. IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLO WING:
WHAT DIRECTION 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. THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MUCH OTHER TRAFFIC WAS THERE?
NO NO 12
DID YOU NOTICE ANY AIRPLANES? DID YOU NOTICE ANY AIRPLANES? YeS ClYeS AO. IF YES," DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME IF YES." DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHERE 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 WAS THE PHENOMENON IN SIGHT?
LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE
30m1N FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? TYES CNO. 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
-
PAGE3 OH9 PaGES

1O. IF THERE WERE MORE THAN ONE PHENOMENON, HOW MANY WERE THERE? DRAW A PICTURE TO SHOW HOW THEY WERE
ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
11. CONDiTiONs(Check appropriate blocks.)
A. SKY B. WEATHER
DAX CUMULUS CLOUDS (LOW flulfy) FOG OR MIST
TWILIGHT CIRRUS CLOUDS (High fleecy or Herring- HEAVY RAIN
NIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR CLEAR NIMBUS CLOUDS (Rain) HAIL HAIL
PARTLY PARTLY CLOUDY CLOUDY CUMULONIMBUS CUMULONIMBUS CLOUDS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG NONE OF THE ABOVE THE ABOVE
C.IF THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT DID THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT DID YOU NOTICE YOU NOTICE ABOUT STARS AND MOON? STARS AND MOON?
(1) STARS (2) MOON
NONE NONE BRIGHT MOONLIGHT NO MOONLIGHT
A FEW MOON WITH HALO MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS MOON HIODEN BY CLOUDS
UNKNOWN PARTIAL(NeW Or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLET YES NO. .IF "YES,* WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU TO YOUR PIGHT 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.
E
stred
I2. GIVE A SRIEF DESCRIPTION OF THE PHEHOMNNON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
REFLECTEO LIGHT OR WAS SELF-LUMINOUS ANO WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLID OR TRAMSPARENT, WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT
APPEAREO AS A POINT OF LIGHT. INDICATE COHPARISONS WITH OTHER OBSERVEO OBJECTS, LIKE STARS, A LIGHT OR
OTHER OBJECTIN YCUR FIELD OF VIEV.
L
PAGE4OF9PAGES
L

DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTEROR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
dance dane
By By
I
A. HOW DID IT FINALLY DISAPPEAR?
B. DID THE PHEMOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
YES NO. IF *YES." DESCRIBE.
PAGESOFAPAGES PaGE SOF& PageS

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 EAHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING.
O
16. WHAT WAS THE ANGULAR SIZE? HOLD A MAT CH 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.
PAGE 6OF A PAGES

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 BINOGULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? NO B. YOU USE READING GLASSES? YES NO
18. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENON? GIVE ESTIMATE OF SPEED PHENOMENON? GIVE ESTIMATE OF DISTANCE
2O. IN ORDER THAT WE MAY OBTAIN AS CLEAR A PICTURE AS POSSIBLE OF WHAT YOU SAW, DESCRIBE IN YOUR OWN WORDS
A COMMON OBJECT OR OBJECTS WHICH, WHEN PLACED IN THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENOMENON.
WOULD BEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE
COMMON OBJECT AND WHAT YOU SAW.
21. DID YOU NOTICE ANY ODON. SO-SE DR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF.
ANIMALS OR MACHINERY IN TH VICINITYT YES LNO. IF *YES,"DESCRIBE.
A. DID THE PHENOMENON A. DID THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. IYES YES DNO. NO.
IF YES." DESCRIBE. IF"YES.* DESCRIBE.
PAGE 7 OF 9 PaGES
.