PROJECT BLUE BOOK

PROJECT 10073 RECORD
L DAVE·TIME GROUP 2. LOCATION
1.2302
3. SOURCE 10. CONCLUSION
4. NUMBER OF CBJECTS POSSIBLE AIRCRAFT (HELICOPTER)
ONE
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
ABCUT 40 MINUTES The observer sighted a flickering light. Later it appeared
as two points of light with a somewhat reddish glow. The
6. TYPE OF OSSERVATION lights were seen for approximately 40 minutes in the
GROUND-VISUAL CROUA.D-VISUAL northern sky: nortnern sky:
7. COURSE COMMENTS: The witness was requested to complete a AF Form COMMENTS: The witness was requested to complete a AF Form
STATIONARY IN NNE 117 but has not done so as of 24 September 1968. There
3. PHOTOS is nothing in the report to indicate that the object could is nothing in the report to indicate that the object could
not have been a helicopter. not have been a helicopter.
Yea
XX No
9. PHYSICAL EVIDENCE
☐ Yos
3No
FORM
FTD SEP 63 0-329 (TDE) Previoua ditiona of this form may be uand. FTD SEP 63 0-329 (TDE) Previoua editiona of this form may be uand.
3

AFR 80-17(C1)
ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
PAGE 9 OF 9 PAGES

AFR80-17(C1)
BA. MOW INAGINE YOU ARE AT THE CENTER OF THE COMPASS ROSZ. PLACZ AN A" ON THE CCMPASS TO IMDICATE THE
DIRZCTION TO THE PHENOMENON WHEH PIRST SEEN. PLACE A "B ON THE COMPASS TO IHDICATE THE DIRECTION TO
THE PHENOMENON WHENLAST SZEN.
NNW NNE
NW NE
WNW ENE
WSW ESE
SW SE
SSW SSE
7. IN THE SKETCH BELOW, PLACE AN A AT THE POSITION OF THE PHENOMENON WHEN FIRST SEEN. AND A B" AT THE
POSITION OF THE PHENOMENON WHEN LAST SEEN. CONNECT THE "A" AND "B" WITH A LINE TO APPROXIMATE THE POSITION OF THE PHENOMENON WHEN LAST SEEN. CONNECT THE "A" AND B* WITH A LINE TO APPROXIMATE THE
MOVEMENT OF THE PHENOMENON BETWEEN A ANO "B". THAT IS, SCHEMATICALLY SHOW WHETHER THE HOVEMENT MOVEMENT OF THE PHENOMENON BETWEEN A AND B". THAT IS, SCHEMATICALLY SHOW WHETHER THE HOVEMENT
APPEARED TO BE STRAIGHT, CURVED OR ZIG.ZAG. REFER TO SMALLER BKETCH AS AN EXAMPLE OF HOW TO COMPLETE APPEARED TO BE STRAIGHT, CURVED OR ZIG.ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE
THELARGERSKETCH.
03
A0 AO
PAGE2OFDPAGES

AFR 80-17(C1)
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDOET BUBEAU APPBOVAL
NUMBE2 21-2233
THIS QUESTIONNAIRE HAS BEEN PREPARED SO THAT YOU CAN GIVE THE U.S AIR FORCE AS MUCH INFORMATION
AS POSSIBLE CONCERNING THE UNIDENTIFIED PHENOMENON THAT YOU HAVE OBSERVED. PLEASE TRY TO
ANSWER 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 PERMISSION. RETURN TO AIR FORCE BASE INVESTIGATOR FOR FORWARDING TO FTD (TDETR). WRIGHT.
PATTERSON AFB,OHIO 45A33,IAW AFRBO-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?
DAY MONTH Jucy YEAR
2. WHAT TIME DID YOU FIRST SIGHT THE PHENOMENON?
HOUR MINUTES A.M. P.M.
3. WHAT TIME DID YOU LAST SIGHT THE PHENOMENON
11 MINUTES A.M. P.M.
A.TIME ZONE HOAYLIGHTSAVINGS 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
VAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIPECTION FROM SOME RECOGNIZABLE LANDMARK
KETTERIN
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 B" ON THE SAME CURVED LINE TO 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 90 75 75
60
30
15
OBSEPVER
AF FORM 117
A

AFR 80-17(C1)
a. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CherK appropriaTe BIArky.)
OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SECTION OF CITY
INCAR 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 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 NO. IF "YES," DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE -IME
OF SIGHTING THE PHENOMENON ANDWHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON
9. HOW LONG WAS THE PHENOMENON IN SIGHT?
LENGTH OF TIME LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE
abt 30 min 30 min X FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? YES NO. IF"NO." INDICATE WHETHER THIS IS DUE TO YOUR NO.IF"NO."INDICATE WHETHER THISIS DUETO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP. MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON,AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES.
PAGE3OF9PAGES

AFR 80-17(C1)
F THERE WZPE MORE THAN ONE PHEHONENON, HOY MANY DRAN A PICTURE TO SHOWNOW THEY WERE
ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
CONDITIONS /Check appropriaze blocks.)
SKY 3. WEATHER
DAY CUMULUS CLOUDS (LOW JLa/fy FOG OR MIST
TWILIGHT CiRRUs CLouDs (High fleecy or Herring- HEAVY RAIN
HIGHT bone) LIGHT RAIN OR DPIZZLE
CLEAR NIMBUS CLOUOS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOWOR 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 NO. IF YES," WHERE WAS THE SUN AS YOU FACED
THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD (Near noon) OVERREADYCHOOn
IN BACK OF YOU TO YOUR LEFT UNKNOWN UNKNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUH, HEADLIGHTS OR SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUH, HEADLIGHTS OR
STREET LAMP. ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE. STREET LAMP.ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
SECURITY SECURITY LIGHT
12. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
REFLECTEO LIGHT OR WAS SELF-LUMINOUS AND WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER
IT WAS SOLID OR TRANSPARENT, WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IFIT
APPEARED AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELD OF VIEW.
appharis the the
white white light
darge Lange
it
nayo
PAGE4OF9PAGES

AFR S0-17(C1)
13 DID THE PHENOMEHON YES HO UHKNOWN
HOVE IN A STRAIGHT LINE?
STAHD STILL AT AHYTIME!
SUDDENLY SPEEO UP AND RUN AWAY!
BREAK UPIN PARTS AND EXPLODE
CHANGE COLOR?
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?
STARGAZING
A.HOW DIDIT FINALLY DISAPPEAR? A.HOW DIDIT FINALLY DISAPPEAR?
hle
st still
(230 (23/0
B. DID THE PHENOMEHON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE. OR BUILDING AT ANY TIME! B. DID THE PHENOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE. OR BUILDING AT ANY TIME!
□YES YES NO. IF YES.DESCRIBE. NO. IF "YES." DESCRIBE.
PAGE5OF9PAGES

AFR80-17(C1)
IB. DRAW A PICTURE THAT WILL SHOW THE SHAPZ OF THE PHEHOMEHON. INCLUDB AHO LABEL ANY DETAILS THAT MIGHT
HAVE APPEARED AS WIHGS OR PROTRUSIONS, AND IHDICATE EXHAUST OR VAPOR TMAILS. INDICATE BY AN ARROW THE
DIRECTION THEPHENOMENON WAS MOVING.
IS. WHAT WAS THE ANGULAR SIZE7 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
PHENOHENON WOULD HAVE BEEN COVERED BY THEMATCH HEAD.
4
PAGE6OF9PAGES

AFR 80-17(C1)
17 DID YOU OBSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWINGT INCLUDE INFORMATION ON MODEL.
TYPE. FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE OATA.
EYEGLASSES CAMERAVIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES YES NO B. DO YOU USE READING CLASSES? YES
18 WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 12 WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
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 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 MACHINERYIN THE VICINITY ANIMALS OR MACHINERY IN THE VICINITY YES YES NO. IF "YES." DESCRIBE. NO. IF"YES.DESCRIBE.
A. DID THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YES XNO.
IF "YES." DESCRIBE.
PAGE 7 OF 9 PAGES

AFR 80-17(C1)
22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHEHOMENDN DRPORET NO. IFVZS.GIVE OATE AND
LOCATION
23. WAS ANYONE WITH YOU AT THE TIME YOU SAW THE PHEHOMENON? YES NO. IF "YES." DID THEY SEE IT TOO
YESNO.
A. LIST THEIR NAMES AND ADDRESSES
SAME
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST
TELEPHONET AGE
X MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
25 WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTEO THIS PHENOMENON
NAME DAY MONTH YEAR
28. DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY MONTH YEAR
PAGE8OF9PAGES

AFR 80-17(C1)
27. INFORMATION WHICH YOU FEEL IS PERTINENT BUT WHICH IS NOT ADEQUATELY COVEREO IN THIS QUESTIONNAIRE. ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
PAGE 9 OF 9 PAGES

AFR 80-17(C1)
SA. NUN IMAGINE YOU ARE ATTHE CENTEF 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
THEPHENOMENONWHENLAST SEEN.
NB
NNW NNE
NW NE
WNW ENE
W 8
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.
0B
A0 A0
B
PAGE 2 OF 9 PAGES

DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFBC)
WRIGHT PATTERSON AIR FORCE BASE OHIO 43433
REPLYTO 22 AUG 1983
ATTN O7 TDPT (UFO)
SUSJECT UFO Observation, 20 July 1963
TO:
Kettering, Ohio 45429
Your name has been given to the Aerial Phenomena Office (Project
Blue Book) as being e witness to an unidentified flying object.
If you were a witness to an UFO sighting on 20 July 1963
would you please complete the atteched AF Form ll7 and return it
in the envelope provided. If you were not a witness to this
sighting, woulc 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.
HECTOR QUINTANILLA, Jr, Lt Colonel, USAF HECTOR QUINTANILLA, Jr,Lt Colonel, USAF 1 Atch
Chief, Aerial Phenomena Office AF Form l17 w/envelope AF Form 117 w/envelope
Aerospace Technologies Division Aerospace Technologies Division
Production Directorate

DEPARTMENTOF THE AIR FORCE
HEADQUARTERS FOREIGNTECHNOLOGY DIVISION (AFSC)
WRIGHT.PATTERSON AIRFORCE BASE. OHIO43433
REPLY TO JUL 2 3 1968
ATTN OF TDPT (UFO)
SUBJECT UFO Observation, 20 July 1968
TO:
ctering, Ohio 45429
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 end return it in the self-
addressed envelope.Thank you for reporting your observation to
the Air Force.
JÉCTOR QUINTANILLA, Jr, Lt Colonel, USAF 1 Atch
Chief, Aerial Phenomena Office AF Form ll7 w/envelope
Aerospace Technologies Division
Production Directorate Production Directorate
117

AFR 80-17(C1)
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDGET DUREAU APPROVAL
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 ALD OF THE QUESTIONS. THE INFORMATION YOU GIVE WILL BE USED FOR RESEARCH PURPOSES
YOUR NAME WILI. 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, OHIO45433,1AW AFR80-I7. (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES
ATTACH SECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
SAtapds
1. WHEN DID YOU SEE THE PHENOMENON?
DAY 7-20-18 MONTH YEAR/968
2 WHAT TIME DID YOU FIRST SIGHT THE PHENOMENON? APPROX
HOUR/O MINUTES 30—4J[1A.M. P.M.
3. WHAT TIME DID YOU LAST SIGHT THE PHENOMENON? APPREx
HOUR 11 MINUTES □A.M. P.M.
4. TIME ZONE DAYLIGHT SAVINGS STANDARD
EASTERN CENTRAL MOUNTAIN PACIFIC OTHER
5. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY, GIVE THE NEAREST STREET ADDRESS AND INDICATE ON
A HAND DRAWN MAP WHERE YOU WERE STANDING WITH REFERENCE TO THE ADDRESS. IF IN THE COUNTRY, IDENTIFY THE
HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZASLE LANDMARK
An bach yord (sitting) of our resedice 924 tngerssl
Drive, Kettering, Ohio
6. IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN TA" ON THE CURVED LINE TO SHOW HOW HIGH THE 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 B"ON THE SAME CURVED LINE TO 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
60
45
15
OBSERVER
AF FORM 117
AG67

AFR 80-17(C1)
1O IF THERE WERE MORE THAN CNE PHENOMENON. HOW MANY WERE THERE? DRAW A PICTURE TO SHOW HOW THEY WERE
ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE MIGHTING
the owr
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 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 NO MOONLIGHT
AFEW 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 NO. IF "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 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.
Sittiry Sittiry-
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 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
OTHEP OBJECT IN YOUR FIELD OF VIEW. OTHER OBJECT IN YOUR FIELD OF VIEW.
Appeard light- sy lumirsn (flictreryat timsa) Oppeaed light- sy lumises (flictresyat timea)
solid ( fuzzy at timen-sharpat othra) solid ( fizzy at tismer sharpat othss)
with somewhit of reddish glow : besthrcthy it's
OWN.
PAGE4OF9PAGES

AFR 80-17(C1)
8 WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (CAecA PPHPrIate LUnAS)
OUTDOORS ON BACR LAUN IN BUSINESS SECTION OF CITY
IN BUILDING X IN RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER AS PASSENGER IN OPEN COUNTRYSIDE
IN BOAT NEAR AIRFIELD
IN AIRPLANE AS PILOT AS PASSENGER FLYING OVER CITY
OTHER FLYING OVER OPEN COUNTRY
OTHER
A. IF YOU WERE IN A VEHICLE,COMPLETE THE FOLLOWING:
WHAT DIRECTION WERE YOU MOVING? HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH No Uehi CsTQ 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 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 NO. IF "YES," DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON
9. HOW LONG WAS THE PHENOMENON IN SIGHT? HOW LONG WAS THE PHENOMENON IN SIGHT?
LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE
appRot 40 min appRot 40 Min FAIRLYCERTAIN FAIRLY CERTAIN
X JUST A GUESS
HOW WAS TIME DETERMINED?
Estirmated - es Mitehey, lsct wes invode Estirnated - es Kitehe,sct was invode
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? YES NO. IF NO.INDICATE WHETHER THIS IS DUE TO YOUR NO. IFNO.INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENONTAND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP.
PEARANCES ONPREVIOUS SKETCHES. PEARANCES ON PREVIOUS SKETCHES.
PAGE3OF9PAGES

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 E/HAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
DIRECTION THE PHENOMENON WAS MOVING.
Moved BRiskly Toward
Looked L
W
RediNCoLOR.
MeAsFLAsTSAwiT
S S
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 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 THEMATCH HEAD. PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD.
PAGE6OF9PAGES

AFR 80-17(C1)
13 DID THE PHENOMENON YES NO UNKNOWN
MOVE IN A STRAIGHT LINE?
STAND STILL AT ANYTIME? X
SUDDEHLY SPEED UP AND RUN AWAY?
BREAK UP IN PARTS AND EXPLODE? x
CHANGE COLOR?
GIVE OFF SMOKE? 2
CHANGE BRIGHTNESS?
CHANGE SHAPE
FLASH OR FLICKER? x
DISAPPEAR AND REAPPEAR? x
SPIN LIKE A TOP? X
MAKE A NOISE? —
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
Sooting ialo sty and asteed the unusillrese
of this object
A. HOW DIDIT FINALLY DISAPPEAR?
When feish making call to rpot Th otjit
there war like a large match head and a small there war like a large match head and a small
had been complited ant report msde otjeit has had been compltes and report msde otjeit had
disappa disappia
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.
PAGE SOFSPAGES
2

AFR 80–17(C1)
22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE? YES NO. IFYES,GIVE DATE AND
LOCATION
23. WAS ANYONE WITH YOU AT THE TIME YOU SAW THE PHENOMENON? YES NO. IF "YES." DID THEY SEE IT TOO?
XYES NO.
A. LIST THEIR NAMES ANDAD Keltering 0
Mr
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
IOPHRENAME
Ohio 45429.
AGE
50 MALE 1 FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
I am a hameonaker.
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
amel0 right Pattison a7B DAY20 1698
MONTH YEAR
26. DATE YOWCOMPLETED THIS QUESTIONNAIRE.
DAYZ MONTH YEAR1698
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AFR 80-17(C1)
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 GLASSEST NO B. DO 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? SIVE ESTIMATE OFAPEED PHENOVENON? GIVE ESTIMATE OF DISTANCE
NoT
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.
do not fasp qualfisd
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF. 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 □YES
A. DID THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YES ZNO.
IF"YES,"DESCRIBE.
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