PROJECT BLUE BOOK

2. LOCATION
C04O2 Near Foster, Keat.cky
3. SOURCE 10. CONCLUSION
Jivilian Probably (AIRCRAFT WITH ADVERTISING SIGN)
4. NUMBER OF OBJECTS
COMMENTS: The description is consistent with that of an
One aircraft with an clectrical advertising sing.
S. LENGTH OFOBSERVATION 5. LENGTH OFOBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
Five minutes The observer sighted a series of red glowing lights thst
6. TYPE OF OBSERVATION TYPE OF OBSERVATION were in a fixed position. Some of the lights blinked on were in a fixed position. Some of the lights blinked on
and off in a rhythmical manner while the others blinked irre.
Ground-Visual larly. The observer at first thought that it was an
7. COURSE airplane that was going to crash but reasoned that there wer
too many lights for it to have been a plane.
SSE to ESE
8. PHOTOS
Yes Yes
XX No
9. PHYSICAL EVIDENCE
□ Yes
XNo
FORM
FTD SEP 63 0-329 (TDE)Previoue editions of thie form may be used.

MEMO FOR THE RECORD 24 June 1968
SUBJ: UFO OBSERVATIONS, 22 June 1968
Lt Marano:called Mr. with regards to his aerial advertising plane.
Mr. was flying in the area of Miamisburg, Franklin, West Carrollton
and Kettering on the night of 22 June 1968 and was over Franklin at approximately
10:30 pm on 22 June 1968. His plane was visible for approximately 15 miles
distance. He was advertising for of Miamisburg for their sentinel.
Mr. also said that his plane was in the area for the Mt Healthy sighting
that we had written about. He didn't know if his plane was in the area
f. the other sighting since he didn't know the exact location of it. We f the other sighting since he didn't know the exact location of it. We
told him it was about 20 miles up river from Cincinnati. He said that his
plane is visible for approximately fifteen miles in the distance and that
he had been operating as far east of Cincinnati as Mt Washington. Lt Marano
said that we would write him a short note listing some of the towns in the
area of the sigting.

TDPT (UFO) Lt Col Quintanilla/70916/mhs/12 Jun 68
UFO Cbservations, 13 Mar 68 & 2 Apr 68
Fort Mitchell, Kentucky 41017
1. The Aerial Phenomena Office is in receipt of an unidentified
flying object report from near Neville, Chio which occurred on
2 April 1968 at 2015 hours, local time.
2. The observer sighted an "object" that appeared as a series of
red glowing lights in a fixed position. Some of the lights went red glowing lights in a fixed position. Some of the lights went
off and on, in a regular rhythmical manner while several others went
off end on irregularly.
3. We also have another report from Mt. Healthy, Chio, which
CY occurred on 13 March 1963 at approximately 1915 hours, local time.
The deseription is given on the attached Xerox portion of his
report.
4. Request information on whether your electrical advertising sign
may have been the cause for this observation. Thank you for your
E4 assistance.
LOTOR QUINTANILLA, Jr, Lt Colonel, USAF 2 Atch
Chief, Aerial Phenomena Office 1. Description, 13 Mar 68
Aerospace Technologies Division 2. Envelope
Production Directorate

20pil.68
JUL 2 1968
TDPT (UFo) Lt Col Quintanilla/70916/sjc/1 July 1968
UFO Cbservation, 2 April 1968
Neville, Onio 45150
1. Reference your unidentified flying object (UFo) observation
of 2 April 1968.
2. We feel that you probably observed an aircraft with an electrical
aerial advertising sign attached to it. Barnes Aerial Advertising
operated a Cessna 172 in the Cincinnati and Dayton, Ohio and Lexington,
Kentucky areas. This plane operates at speeds of 50 to 60 mi/hr. and Kentucky areas. This plane operates at speeds of 50 to 60 mi/hr. and
when the sign is lighted, it can be seen as far as 15 miles away.
3. Past descriptions of this plane are very similar to the deseription
of your sighting. The attached material on electrical aerial adve tisers
may be of interest to you.
( I
(
ECTOR QUINTANILLA, Jr, Lt Colonel, USAF ECTOR QULNTANILLA, Jr, Lt Colonel, USAF 1 Atch
Chief, Aerial Phenomena Office Aerial Advertising Info
Aerospace Techonologies Division
Production Directorate

DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGYDIVISION (AFSC)
WRIGHT-PATTERSON AIR FORCE BASE. OHIO 45433
REPLY TO TDPT (UFO)
ATTN OF:
4-APR 1963-
SUBJECT: UFO Observation, 2 April 1968
Mrs
TO: Road
Neville, Ohio 45156
Your name has been given to the Aerial Phenomena Office (Project
Blue Book) as being a witness to an unidentified flying object.
If you were a witness to an UFo sighting on 2 April 1968
would you please complete the attached AF Form 117 and return it
in the envelope provided, If you were not a witness to this
sighting, would you please make a statement to this effect on the
attached form. The information which you provide will be used in
evaluating this observation. Thank you for your assistance in this
matter.
HÉCTOR QUINTANILLA, Jr, Major, USAF HÉCTOR QUINTANILLA, Jr, Major, USAF 1 Atch
Chief, Aerial Phenomena Office AF Form 117 w/envelope
Aerospace Technologies Division Aerospace Technologies Division
Production Directorate

MEMO FOR THE RECORD 3 Apr 68
Subj: UFO Observation, 2 Apr 68
called the Aerial Phenomena Office on 3 April 1968
to report her observation of 2 April.
Mrs
Neville-Penn School House Road
Neville, Ohio 45156
TIME: 2 Apr 68, 2015 local
DURATION: Three (3)minutes
COURSE: Hovering, then easterly
General comments: Mrs. e was in her car driving towards Neville.
They live in the River Hills (Near Ohio River) and the object appeared
to be hovering over the bottom hils near Foster, Kentucky. She was
approximately twelve miles from North Richmond, Ohio when she saw a
series of lights,estimated the altitude at 200 ft. At first the object
appeared to be hovering for one minute and then went in an easterly
direction, behind some hills for two minutes. The lights were red,
blinking and she couldn't tell what the objects were connected to.
The center area was not shiney or any thing like that. It reminded
her of the big dipper for it seemed like there were six lights in
what reminded her of the handle part. They were blinking on and off what raminded her of the handle part. They were blinking on and off
in a series. Then it had four bottom lights - randomly spaced and
they did not blink on and off in a series but just blinked.
Mrs.1 said she would complete and return an AF Form 117.

AFR 80-17(C1)
SIGHTING OF UNIDENTIFIED PHENCMENA QUESTIONNAIRE BUDGET BURZAU APPROVAL
NUMBER 21-3253
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 ALL OF THE QUESTIONS. THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES
YOUR NAME WILL NOT BE USED IN CONNECTION WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS WITHOUT
YOUR PERMISSIGN. RETURN TO AIR FORCE BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR), WRIGHT-
PATTERSON AFB, OHIO 45433, 1AW AFRB0-I7. (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?
aril2,1968 DAY. 2 MONTH 4 YEAR 48
2. WHAT TIME DID YOU FIRST SIGHT THE PHENOMENON?
HOUR 7 MINUTES H0□AM. P.N.
3. WHAT TIME DID YOU LAST SIGHT THE PHENOMENON? 7
HOUR MINUTES 4.5□A.M. P.M.
4. TIME ZONE DAYLIGHT SAVINGS STANDARD
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 ADORESS. IF IN THE COUNTRY, IDENTIFY THE
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
6. IMACINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN "A" ON THE CURVED LINE TO SHOW HOW HIGH THE
PHENOMENON WAS ABOVE THE HORIZON, OR SKYLINE. WHEN FIRST SEEN. PLACE A  B" ON THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZCN THE PHENOMENON WAS WHEN LAST SEEN.
The phenomenon was mot above the horiyon. It
was beliw the skyline 90
75
90 South
East 45
30
15
OBSERVER
North Wesy
AF FORM 117
AUG 67

AFR 80-17(C1)
SA. HOW IMAGIME YOU ARE AT THE CENTER OF THE COMPASS ROSZ. PLACE AN "A ON THE COMPASS TO IHDICATE THE
DIRECTION TO THE PHENOMZNON WHEN FINST SEEH. PLACE A "O" OH THE COMPASS TO INDICATE THE DIRECTION TO
THE PHENOMENONWHEH LASTSEEN.
NNW NNE
NW NE
WNW ENE
WSW ESE
SW SE
7
SSW SSE
7. IN THE SKETCH BELOW, PLACE AN "A" AT THE POSITION OF THE PHENOMENON WHEN FIRST SEEN, AND A "B" AT THE
POSITION OF THE PHENOMENON WHEN LAST SEEN. CONNECT THE A" AND S WITH A LINE TO APPROXIMATE THE POSITION OF THE PHENOMENON WHEN LAST SEEN. CONNECT THE A" ANO S WITH A LINE TO APPROXIMATE THE
MOVEMENT OF THE PHENOMENON BETWEEN A" AND "B". THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT
APPEARED TO SESTRAIGHT, CURVED OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE
THELARGERSKETCH. THELARGER SKETCH.
08
AO
A
PAGE2OF9PAGES

AFR 80–17(C1)
8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (Check approprinte blocks.)
OUTDOORS X IN BUSINESS SECTION OF CITY
IN BUILDING X IN RESIDENTIAL. SECTION OF CITY
X 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 35milis per hour 9 20miles
pen hem
X 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 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
Iwas driving a 1ge Y Plymouth, four door,and driving Awas driving a 19e Y Plymouth, four door,and driving
over a paved surfaceiroad, hen  stopped at a etop sign over a paved surfaceiroad, when  stopped at a etop sign
at ntiisecton 4 kte 52 & Ninlledenndl. lholld tar winiewdein at intersection  lte 52 & Nirllideundd. lroild tar windewdoin
HOW MUCH OTHER TRAFFICWAS THERE? HOW MUCH OTHER TRAFFIC/WAS THERE?
Narmal
DID YOU NOTICE ANY AIRPLANES? YES NO. IF "YES." DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME 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 OF THE PHENOMENON. OF SIGHTING THE PHENOMENON ANDWHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
I took notice that there were no airplanes. Irocled l took. notice that thure were no airpbanes. Irocled
by window donn and lould hear ne noise.!
also moticed, that there were no baats ox the river
S. HOW LONG WAS THE PHENOMENON IN SIGHT?
LENGTH OF TIME × CERTAIN OF TIME NOT VERY SURE
approumately 5 minutes FAIRLY CERTAIN JUST A GUESS
HON wAS TIME DeTERINeDI lanked at miy uatch, I lven apened by
Car dosr so lighturuld.aoonw soI coulcl see the Time.
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.
did stop my, ear on Route 52, on the East ind
os Nneville and watch this phenomenon for.
at liast 3 minutes , I had a very elear veew
of it in this positiore. Before A stopped, I viewed
it while diving on Nevelle Penn school Hoinse Lood.
East on Poute*52. The phenomenon was
hovering over the grouned approx 300 to 500
ft. above the earth.
PAGE 3OF 9 PAGES

AFR 80-17(C1)
IO. IF THERE WERE MORE THAN ONE PHENOMEHON, HOW HANY WERE THERE DRAW A PICTURE TO SHOW HOW THEY WERE
ARRANGED. DID THIS ARRANGEMENT CHANGS DURING THE SIGHTING] There vas, only one
pertains to the red lights going iff andl on.
c 0 0
00
0
c0
Soc fectacre
11. CONDITIONS(Check appropriate blocks.)
A. SKY B. WEATHER
DAY CUMULUS CLOUDS (Low fluffy) FOG OR MIST
TWILIGHT CIRPUs 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 (Thunderstorms) UNKNOWN
HAZE OR SMOG HONE OF THE ABOVE
C. IF THE SIGHTING WAS AT TWILIGHT OR NIGHT, WHAT DID YOU NOTICE ASOUT THE STARS AND MOON?
(1) STARS (2) (2) MOON
NONE NONE BRIGHT MOONLIGHT X NO MOONLIGHT
AFEW MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL(NeW or quarter) PARTIAL(New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? YES NO. IF YES, WHERE WAS THE SUN AS YOU FACED D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? YES NO. IF "YES." WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU IN FRONT OF YOU TO YOUR RIGHT OVERHEAD (Ner noon) OVERHEAD (Near noon)
IN BACK OF YOU TO YOURLEFT TO YOUR LEFT UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS 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.
It made its oun light. teoNo
12. GIVE A BPIEF DESCRIPTION OF THE PHENOMEHON, INDICATING WHETHER IT APPEARED DARK 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, WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT
APPEAREO AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR
OTHER OSJECT IN YOUR FIELD OF VIEW.
The pherominim appsared as a series if red glawing
(roind and shasp) lights m a fifed pasition; The
sart,of the chenomehon o as siich, went on in a
rhythhmical manner and ootregular as ts timeing. The
phrt of the phenomenon 0, as such, went ff and co0
on irregularly. The red lights wire bright red,
a shacle of red I eant descriae. The lights were
not the same shade as a street stop light, ars
PAGE 4 OF 9 PAGES

AFR 80–17(C1)
13. DID THE PHENOMENON YES NO UNKNOWN
MOVE IN A STRAIGHT LINE?
STAND STILL AT ANYTIME? x
SUDDENLY SPEED UP AND RUN AWAY?
BREAK UPIN PARTS AND EXPLODE?
CHANGE COLORT
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? 14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
The bright sed liglits in the air where I brkeo The bright sed lighits in the air where I breer
no siek lights belonged, I could't hilp from no cuck lights belonged, I could't lelp from
noticing them Ithought at first an laiy notiing them Ithought at first an lair
plane was gring to crash wto the plane was gring to crash wito the
Village of Foster, lut I soon reasoned Village of Foster, lut I soon reasoned
that there were too many liglits for it to
he a plone I also noted that I could
heavnonoeoe.
in an Easterly and dounwardly pisition or
direction, belhind a small hill. It stord
statiinary for approsimately four
move behind this hill.
B. DID THE PHENOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
YES NO. IF YES," DESCRIBE.
It mived very slowly behind a shill.
PAGE 5 OF 9 PAGES

AFR 80-17(C1)
13. 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.
sky
SOUTH
River Hills
HILL
TTH
cheno2zenon
LAST 0 0 C
C 0 C 0 WEST
Monil bihide this monit lihidethi C C
Hiee wiee 0
Village
OF
Foster Kentucky Foster Kentucky
OHIO RIUER
tee.my Noopeed
Route=3.2 Caubev3 mand NEVILLE Route#52.
Reonevilll Ponn
16. WHAT WAS THE ANSULAR SIZE? HOLD A MATCH AT ARM'S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET LAMP OR THE HOON. 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.
Veny litthe, perhaps one light.
PAGE6OF9PAGES

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 APPLICABLEDATA.
EYEGLASSES CAMERAVIEWER
SUNGLASSES BINOCULARS
X WINDSHIELD TELESCOPE
X SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE x orneale t my head aut of st. side windou
A. DO YOU CRDINARILY WEAR GLASSES? YESNO B. DO YOU USE READING GLASSES?
1B. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENONGIVE ESTIMATE OF SPEEDLL 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 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.
particular nrtice if its shape and
I could not see wkat the lights were I could not see wkat the lights were
attwehed to , or conneeted wilh, all I
bauld see was the lights, The swver bauld see was the lights, The siver
hulls acted as a baek-drop, It was hills acted as a baek-drop, It was
1
mar did Isee any smoke ar any
thing else, escepts the red liglhts
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 TNO. IF "YES,DESCRIBE.
IFYES," DESCRIBE.
is farast know, no, I didit go over to
Postir, Ky, and view the area hehind the
hill where the phenomenon disappeand.
C
PAGE 7 OF 9 PAGES

AFR 80-17(C1)
22. HAVI YOU EVER SEEN THIS OR A SIMILAR PHENOMEMON BEFORZ? YES LOCATION. NO. IF °YES," GIVE DATE AND
23. WAS ANYONE WITH YOU AT THE TIME YOU SAW THE PHENOMENON? YES NO. IF YES," DID THEY SEE IT TOO?
□YES □NO.
A. LIST THEIR NAMES AND ADDRESSES a young high school stnior,
s if ltopa, thio, saw this
She lives 9 miles East of Paster, Rentucky.
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME, FIRST HAME, MIDDLE
ADDRESS (Street, Cy. S p Code)
Oivilli- Senn Sekool Nous La)
TELEPHONE(A
36 MALE X FEMALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
Jam presently a legal seeretany and
work for my hisland whe is an
attomey with attormef with offius at offius at
Street, Batavia, bhio-phine Steet, Batavia, bhio-phone
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENONENON?
Alent. ot the lis Prce -Maytonl thio 4
NAME DAY MONTH. YEAR 608
26. DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY. MONTH YEAR C.S
PACE 8OF 9PAGES