PROJECT BLUE BOOK

PROJECT 1J073 RECORD
2. LOCATION
DAYTON, OHtO
10. CONCLUSION
INSUFFICIENT DATA OR EVALUATION
NR OF DBJECTS R OF DBJECTS Fro Form l64 forwaraed to witness; nos recurned after tnirty
ons Will re-evaluate if received.
LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
40 mins Information called into Duty Officer is sketcy. Need
additional info. See Case file.
TYPE OF OSSERVATION TYPE OF OSSERVATION
grond visual
.OURSE
moving slowly
ACTOS
Yes
vic
9. PHYSICAL EVIDENCE
Yas
No
FORM
[D SEP 6° 0-329(TDE)Previous editiona of thin

Paga 6
30r Have you ever seen this, or a similar object before. If so give date or dates and location.
31. Was anyone sise with you at the time you saw the objact? (Circle One) Yes No
31.1 IF you onswered YES, did they see the object too? (Circle One) Yos No
31.2 Plecse list their names and addresses:
32.Please give the following information about yourself:
NAME
Lasi Name First Nama Middio Nomo Middlo Nomo
ADDRESS
Streat City City Zona Stato
TELEPHONENUMBER TELEPHONE NUMBER AGE SEX SEX
Indicate any additional information about yourself, including any special experience, which might be pertinent.
33. When and to whom did you report that you had seen the object?
Day Month Year

22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE? YESNO. 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?
YES □NO.
A. LIST THEIR NAMES AND ADDRESSES
YOU GOT THEMON PHONE ON THE NITE
H三 SIG4T/NO
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME.FIRST NAME.MIDDLENAME LAST NAME, FIRST NAME. MIDDLE NAME
45
ADDREss City, State and Zip Code) ADDRESS aeCity, State and Zip Code)
TELEPHONE(Area codennd number) TELEPHONE (Area code and number) AGE
MALE MALE FEMALE 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.
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
AIB FORCE SASE SASE DAY24 MONTH YEAR 1967 1967
NAME
26. DATE YOU COMPLETED THIS QUESTIONNAIRE. 26. DATE YOU COMPLETED THIS OUESTIONNAIRE.
DAY28 MONTH NOV YEAR 1962
PAGE 8 OF9PAGES

0
27. INFORMATION WHICH YOU FEEL IS PERTINENT BUT WHICH IS NOT ADEQUATELY COVERED IN THIS QUESTIONNAIRE, ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
ITWAS ZIOZAGING IN THE SKY
IN TH E SAY IT LOOKELIKE IT
WA GOING7OFAST.
PAGE 9OF 9

247ni67
HEADQUARTERS FOREIGNTECHNOLOGY DIVISION (AFSC) DEPARTMENT OF THE AIR FORCE
WRIGHT.PATTERSON AIR FORCE BASE. OHIO 45433
REPLY TO ATTN OF: TDPT/UFO
SUBJECT: UFO Observation, 24 November 1967 TCVSVEY
TO:
Dayton, Ohio. 45402
Your name has been given to the Aerial Phenomena Branch (Project
Blue Book) as being a witness to an unidentified flying object.
If you were a witness to an UFO sighting on 24 November 1967
would you please complete the attached AF Form l17 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. observation. Thank you for your assistance in this matter.
MES C. MANATT, Colonel, USAF 1 Atch
pirector of Production AF Form 117

BOB Nr 21-R258
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE
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 45433,IAW 80-17. (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?
DAYFRIDAYMONTHNOVYEARG7
2. WHAT TIME DID YOU FIRST SIGHT THE PHENOMENON?
HOUR 10: □ A.M. P.M.
3. WHAT TIME DID YOU LAST SIGHT THE PHENOMENON? 10:
HOUR MINUTES ]A.M. P.M. P.M.
4. TIME/ZONE DAYLIGHT SAVINGS STANDARD
EASTERN CENTRAL MOUNTAIN MOUNTAIN PACIFIC OTHER 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.
PATTERSONANDFIFTH PATTERSONANDFIFTH ABOUT4OFT.FROM ABOUT4OFT.FROM
THECORNEROF
PATTERSON
PATTERSONBWO PATTIR
PHoNe
BOOTH
FIFTH
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
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
B
90 -75
60
-45
15 15
OBSERVER OBSERVER
AF FOR M 7 FORM 117

GA. NOW 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 PHENOMEHON WHEN LAST SEEN.
NNW NNE
NW NE
WNW ENE
WSW WSW ESE
SW SE
SSW SSW SSE SSE
A
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
THELARGER SKETCH.
0B
AO
PAGE 2 OF 9 PAGES

8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (Check approprlate 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 □YES 口 NO
EXPLAIN WHETHER SUCH MOVEMENT EFFECTS 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 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?
LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE
BMINUTES 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
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP-
PEARANCES ON PREVIOUS SKETCHES.
PAGE 3 OF 9 PAGES

10. IF THERE WERE MORE THAN ONE PHENOMENON, HOW MANY WERE THERET DRAW A PICTURE TO SHOW HOW THEY WERE
ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
TWO VFO'S WESEEM THEY WEREABOUT
IS:NOTESAPART.THEFIRSTONENAS
11. CONDITIONS(Check appropriate blocks.)
A. SKY B. WEATHER
DAY CUMULUS CLOUDS (Low fluffy) FOG OR MIST
TWILIGHT TWILIGHT CIRRUs CLOUDS (High fleecy or Herring- CIRRUs CLOUDS (High fleecy or Herring- HEAVY RAIN HEAVY RAIN
NIGHT NIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR CLEAR NIMBUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNKNOWN UNKNOWN
HAZE OR SMOG NONE OF THE ABOVE 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 MOON
L NONE BRIGHT MOONLIGHT BRIGHT MOONLIGHT NO MOONLIGHT
AFEW MOON WITH HALO UNKNOWN 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
STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
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.
ITWASABRIGHTOBJECT.FTWAS
DROPPING SOMETHING THAT WAS
VERY BRIGHT IT LOOKED CIRE FIRE VERY BRIGHT IT LOOKED CIRE FIRE
PAGE 4 OF9PAGES

13. DID THE PHENOMENON YES NO UNKNOWN
MOVE IN A STRAIGHT LINE? V
STAND STILL AT ANYTIME! V
SUDDENLY SPEEO UP AND RUN AWAY?
BREAK UP IN PARTS ANO EXPLODE?
CHANGE COLOR
GIVE OFF SMOKE?
CHANGE BRIGHTNESS?
CHANGE SHAPET
FLASH OR FLICKERT
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?
ANDSAWIT.ITWASREALBIGHT AND SAWIT.ITWAS REALBIGHT
A. HOW DID IT FINALLY DISAPPEAR?
ITWENT FAROFF AND DISAPPEA-
ED DEHFND SOME CLOUDS
B. DID THE PHENOMENCN MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR SUILDING AT ANY TIMEY
IT DISAPPEREN IT DISAPPERED BEHIND BEHIND
SONECLOUDS SOME
CLOUDS
PAGE 5 OF 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.
ITWASDD
LIKEFIRENOTICEONM
FIRE FIRE
PHONE
BOOTH
16. WHAT WAS THE ANGULAR SIZEP 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 #OULD HAVE BEEN COVERED BY THE MATCH HEAD. BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
SIZEOFA SIZEOFA
DINE DINE
PAGE 6 OF 9 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 BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDDWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES NO B. DO YOU USE READING GLASSES?
18. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENONT GIVE ESTIMATE OF SPEED 2O M21/ PHENOMENONT GIVE ESTIMATE OF DISTANCEDMLL
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 CBJECTAND WHAT YOU SAW.
BOLOITWASLITUPLIKEA
LIgHTBoLD 215173043
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY?YESNO. IFYES,"DESCRIBE.
NO.
IF "YES," DESCRIBE. IF"YES."DESCRIBE.
PAGE 7OF 9 PAGES

Pope 7
34. Date you complated this questionnaire:
Day Month Yoar
35. Information which you feel pertinent and which is not adequately covered in the specific points of the
questionnaire or a narrative explanation of your sighting.

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 THE TIME YOU SAW THE PHENOMENON? YES NO. IF "YES," DID THEY SEE IT TOO?
YES □NO.
A. LIST THSIR NAMES AND ADDRESSES
YOUGOT THEM ON TH ON
THEN1gHTOFNOV24)1967
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME,FIRST NAME, MIDDLEN LAST NAME,FIRST NAME, MIDDLE NAME
ADDPE ADDPEC
10 10
rea code and number) area code and number) AGE AGE
15— V MALE FEMALE
DICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT. EADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON? 25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
NAMEATRFORVEFAOAYZU MONTH NOV YEAR.G7
26. DATE YOU COMPLETED THIS QUESTIONNAIRE. 28 20
DAY MONTH YEAR
PAGEBOF9PAGES

24720067
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT.PATTERSON AIR FORCE BASE. OHIO 45433
ATTN OF: R3PLY TO TDPT/UFO
UF0 Observation, 24 November 1967 NOV 87N
BUBJECT:
TO:
Dayton, Ohio 45402
Your name has been given to the Aerial Phenomena Branch (Project
Blue Book) as being a witness to an unidentified flying object. Blue Book) as being a witness to an unidentified flying object.
If you were a witness to an UFO sighting on 24 November 1967
would you please complete the attached AF Form ll7 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.
AMES C. MANATT, Colonel, USAF 1 Atch
Tirector of Production AF Form 117

24 ho067
8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (Check approprlate blocke.)
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 MOVINGT HOW FAST WERE YOU MOVING?
NORTH EAST
SOUTH WEST DID YOU STOP ANYTIME WHILE OBSERVING THE
PHENOMENON1
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST YES □NO
EXPLAIN WHETHER SUCH MOVEMENT EFFECTS YOUR SKETCHES IN ITEMS 5 AND 6. EXPLAIN WHETHER SUCH MOVEMENT EFFECTS 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 □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. N THE SKY REL ATIVE TO THE POSITION OE THE PHENOMENON
9. HOW LONG WAS THE PHENOMENON IN SIGHT?
LENGTHOFTIME CERTAIN OF TIME NOT VERY SURE
3Minlltes 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
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP-
PEARANCES ON PREVIOUS SKETCHES.
PAGE 3 OF 9 PAGES

10. IF THERE WERE MORE THAN ONE PHENOMEHON, HOW MANY WERE THEREP DRAW A PICTURE TO SHOW HOW THEY WERE
ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
TWO UFO'S WE SEEN THEY WERE A BOUT 1S
MinaTESA PART. THE FTRST OVE WAS,
90° 1VELE.
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 CLEAR NIMBUS CLOUDS (Rain) NIMBUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) (Thunderstorms) UNKNOWN
HAZE OR SMOG 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 STARS (2) MOON
NONE BRIGHT MOONLIGHT BRIGHT MOONLIGHT NO MOONLIGHT
AFEW MOON WITH HALO MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOWN UNKNOWN PARTIAL(New or quarter) PARTLAL (New or gvarter)
O. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? YES NO. IF "YES," WHERE WAS THE SUN AS YOU FACED
THE PHENOMENONI
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.
12. GIVE A SRIEF 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.
ITWAS
tHEFRE
PAGE 4 OF 9 PAGES

13. DID THE PHENOMENON YES NO UNKNOWN
MOVE IN A STRAIGHT LINE?
STAND STILL AT ANYTIME?
SUDDENLY SPEED UP AND RUN AWAY? 5
BREAK UP IN PARTS AND EXPLODET
CHANGE COLORT
GIVE OFF SMOKE
CHANGE BRIGHTNESS?
CHANGE SHAPE
FLASH OR FLICKERT
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBBLEI
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON? LOOKEDUPAN
EOFOIK
TOLP USABOUT TH. THEN NE LOOKEDUP
AND SAUIT.
ANDSTATT.TTUDGREALBRIGHT
A. HOW DID IT FINALLY DISAPPEAR?
BEHINDSONECloudS
B. DID THE PHENOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
APPEAR=DBEHTNPSONE PPEAR=D BE HIANPSONE
elouds. eouds,
PAGE 5 OF 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.
2h
0HO
500
1S. 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 ASLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
PHENOMENON WOULD HAVE BEEN COVERED SY THE MATCH HEAD. PHENOMENON WOULD HAVE BEEN COVERED SY THE MATCH HEAD.
ITWIABOUITTHESIZEOFAPINEWHERE ITTHESTZEOFAPIILE WHERE
HEWEX HEWX ST1DNg
PAGE 6 OF 9PAGES

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
WINDDWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YESNO B. DO YOU USE READING GLASSES? YESNO
18. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENON? GIVE ESTIMATE OF SPEEDA.P. 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 COMHON CBJECT 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.
7IOOKEDLIKEALIGHTBOLB
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY?YESNO. IF YES," DESCRIBE.
A. DID THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YES NO.
IF YES," DESCRIBE. IFYES,DESCRIBE.
PAGE 7 OF 9 PAGES

22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE? LOCATION. YES 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
YOUGOTTHEMONTKE ONEONTHE
HI0FNOV. D4, 1967
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LASTNAME
TELEPHONE(Area code and number) TELEPHONE (Area code and number) AGE
MALE FEMALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
25. WHEN AND TO WHO4 DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON? 25. WHEN AND TO WHC4 DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
NAME AIR=ORCEBASE A/R=RCEBASE DAY 67
MONTH YEAR
26. DATE YOU COMPLETED THIS QUESTIONNAIRE. 26. DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY MONTH. YEAR 17
PAGE 8 OF 9 PAGES

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 OF

BOB Nr 21-R258
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE
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 45433,IAW 80-17. (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?
DAYFRIDAY MONTH NOU YEAR6
2. WHAT TIME DID YOU FIRST SIGHT THE PHENOMENON?
HOUR MINUTES /□A.M. YP.M.
3. WHAT TIME DID YOU LAST SIGHT THE PHENOMENON?
HOUR 10. MINUTES3A.M. MINUTES 32□A.M. P.M. P.M.
4. TIME/ZONE DAYLIGHT SAVINGS DAYLIGHT SAVINGS STANDARD
EASTERN CENTRAL MOUNTAIN PACIFIC PACIFIC OTHER 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. HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
PATTERSON PA PATTERSONAA ABOOT40 AB00740
BLUD.
PHINE FIFTH
GOOTH
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 "B" ON THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90 75
690
30 30
15 15
OBSERVER OBSERVER
AF FORM 117
AUG 67

F10 (Y0. ET/UFO 1
WRIGHT-PATTERSOH AFB, OHIO 45433 POSTACE AID FEES PAID
UnITED STATES AIR FORCE
OFFICIAL BUSINESS
FTD (TDET/UFO)
Project Blue Book Project Blue Book
Wright-Patterson AFB, Ohio 45433
ETD

6A. NOW 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.
NNW NNE
NW NE
WNW ENE
WSW ESE
SW SE
SSW SSE
A
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 THELARGER SKETCH.
AO
B
PAGE 2 OF 9 PAGES

8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (Check approprlate Blocke.)
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 CIRECTION 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 口 NO
EXPLAIN WHETHER SUCH MOVEMENT EFFECTS 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. THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN.
HOW MUCH OTHER TRAFFIC WAS THERE? HOW MUCH OTHER TRAFFIC WAS THERE1
DID YOU NOTICE ANY AIRPLANES? YESNO. 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?
LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE
3MINUTES 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
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP-
PEARANCES ON PREVIOUS SKETCHES.
PAGE 3 OF 9 PAGES

10. 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?
TWO UFO'S WERE
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 PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG NONE OF THE ABOVE NONE OF THE ABOVE
C. IF THE SIGHTING WAS AT TWILIGHT OR NIGHT, WHAT DID YOU NOTICE ABOUT THE STARS AND MOON? 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)
O. 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
STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
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.
SOMFT
0
27120
PAGE 4 OF 9 PAGES

13. DID THE PHENOMENON YES NO UNKNOWN
MOVE IN A STRAIGHT LINE?
STAND STILL AT ANYTIME?
SUDDENLY SPEED UP AND RUN AWAY?
BREAK UP IN PARTS AND EXPLODE?
CHANGE COLOR!
GIVE OFF SMOKET
CHANGE BRIGHTNESS!
CHANGE SHAPET
FLASH OR FLICKERT V
DISAPPEARAND REAPPEAR?
SPIN LIKE A TOP!
MAKE A NOISE?
FLUTTER OR WOBBLE7
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON? 14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
A COUPIE OF DOR FREF NOS COOM ED OD H-0 1ORFREEDS
9010 05. PT 27. 721015.P 77.
0P13
SAW IT, IT WAC REALBRIGHT.
A. HOW DID IT FINALLY DISAPPEAR?
APPEARED
BEHEND SOMECLOUDS.
B. DID THE PHENDMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
YES SNO. IF YES, DESCRIBE.
BFHi—DSONC BEHIND SONC
ClouDs
PAGE 5 OF 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.
I7WASDROPp <=f
N0TIC0~.11
2IR
P/2
2004
16. WHAT WAS THE ANGULAR SIZET HOLD A MATCH AT ARM'S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET LAMP CR THE MOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MA "CH. NOW IF YOU HAD
PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD. BEEN ASLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
IT WAS ABOUT THE SILE OF A DIME IT WAS ABOOT THESILE OF A DIME
WHERE WE WERE STALD WHEREWEWERESTAD
PAGE 6 OF9 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 BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDDWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES NO B. DO YOU USE READING GLASSES? YESNO
1B. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENONT GIVE ESTIMATE OF SPEED2 PHENOMENONTGIVE ESTIMATE OF DISTANCELL
20. IN ORDER THAT WE MAY OSTAIN 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.
IT LOOKED LIllE A LIGHTBOLB ITLOOKED LITE A L,GHTBOLB
IT WAS LIT OP LIn= LigHiBuLB
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF.
ANIMALS OR MACHINERY IN THE VICINITY?YESNO. IFYES,DESCRIBE.
NO.
IF "YES," DESCRIBE. IF "YES,"DESCRIBE.
PAGE 7 OF 9 PAGES

22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON DEFORE? YES NO. IF YES," 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?
YES □NO.
A. LIST THEIR HAMES AND ADDRESSES
you TOTTHE PHEOTE
LigHT 0F N00 24, 1967
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LASTNAME,FIRST NAME,MIDDLE NAME LAST NAME,FIRST NAME,MIDDLE NAME
ADDREss (Street, City, State and Zin C
wytan/2,0Hi0 45402 —20Hi045400
TELEPHONE(Area code and number) TELEPHONE (Area code and number) AGE AGE
MALE 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 SIGHTED THIS PHENOMENON?
NAME ATR FORCE BASE DAY24 MONTH nov nov YEAR 67
NAME MONTH YEAR
25. DATE YOU COMPLETED THIS QUESTIONNAIRE. 25. DATE YOU COMPLETED THIS QUESTIONNAIRE. D0 47
DAY 28 MONTH YEAR 62
PAGE B OF 9PAGES

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

217in67
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PATTERSON AIR FORCE BASE. OHIO 45433
REPLY TO ATTN OP:
TDPT/UFO NOV 2 7 987
SUBJKCT: UFO Observation, 24 November 1967
TO:
Dayton, Ohio 45410 Dayton, Ohio 45410
Reference your recent unidentified flying object sighting which 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. Reguest
you complete the attached AF Form ll7 and return it in the self-
addressed envelope. Thank you for reporting your observation to
the Air Force.
MES C. MANATT, Colonel, USAF 1 Atch
irector of Production AF Form 117

BOB Nr 21-R258
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE
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 45433, IAW 8O-17. (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?
YEAR 1967
2. WHAT TIME DID YOU FIRST SIGHT THE PHENOMENON?
HOUR MINUTES 27□A.M. P.M.
3. WHAT TIME DID YOU LAST SIGHT THE PHENOMENON?
HOUR MINUTES □A.M. P.M.
4.TIME/ZONE 4. TIME/ZONE DAYLIGHT SAVINGS DAYLIGHT SAVINGS STANDARD STANDARD
EASTERN CENTRAL 口 MOUNTAIN PACIFIC PACIFIC OTHER
5. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY, GIVE THE NEAREST STREET ADDRESS AND INDICATE ON 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 A HAND ORAWN MAP WHERE YOUWERE 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.
white WAite
Tower Tower
Telephene
Beoth
S/x.+h
10t
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
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90 75
.09.
30 06
15 15
OBSERVER OBSERVER
AF FORM 117
AUG 67

FTD (TD. ET/UFO 7
WRIGHT-PATTERSON AFB, OHIO 45433 POSTAGE AND FEES PAID
OFFICIAL BUSINESS UNITED STATES AIR FORCE
FIRST
Dayton, Ohio 45406
FTD JUL 61 3 3 FD JUOLM1 FORM This ferm superasdes ATIC Ferm Nr. 383, dated Dec 60, which ia ebaolete. This ferm suparasdes ATIC Ferm Nr. 383, dated Dec 60, which is ebaolete.

6A. NOW 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
THEPHENOMENON WHEN LAST SEEN.
NNW NNE
NW NE
WNW ENE
WSW ESE
SW SE 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 ALINE 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.
OB
A0
PAGE 2 OF 9 PAGES

a. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (Check approprlate blocks.)
OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR AS DRIVER 口 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 DIPECTION 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 EFFEGTS 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 CONVERTIBLETOP WERE UP OR DOWN.
HOW MUCH OTHER TRAFFIC WAS THERE?
nery littli wery littli
DID YOU NOTICE ANYAIRPLANES? DID YOU NOTICE ANY AIRPLANES? YES NO. IF YES,"DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME YES NO. IF YES,"DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME
OF SIGHTING THE PHENOMENON AND WHEFE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON. 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?
LENGTH OF TIME 2 miputs CERTAIN OF TIME NOT VERY SURE
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
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES.
PAGE 3 OF 9

10. IF THERE WERE MORE THAN ONE PHENOMENON, HOW MANY WERE THEREP DRAW A PICTURE TO SHOW HOW THEY WERE
ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
seperate times
11. CONDITIONS(Check appropriate blocks.)
A. SKY 9. WEATHER
DAY CUMULUS CLOUDS(L.Ow uffy) FOG OR MIST
TWILIGHT CIRRUS CLOUDS (High fleecy or Herring- HEAVY RAIN
NIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMBUS CLOUDS (Rain) HAIL HAIL
PARTLY CLOUDY CUMULONIMBUSCLOUDS CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNKNOWN 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? C. IF THE SIGHTING WAS AT TWILIGHT OR NIGHT, WHAT DID YOU NOTICE ABOUT THE STARS AND MOON?
(1) (1) STARS (2) MOON
NONE 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 VISIBLET 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
STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
strstlisht 20' stre light 5'
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 OBJECTIN YOUR FIELD OFVIEW.
black might with no
bright fire + furry
Things dr im itand went
blew up
PAGE 4 OF 9 PAGES

13. DID THE PHENOMENON YES NO UNKNOWN
MOVE IN A STRAIGHT LINE?
STAND STILL AT ANYTIME?
SUDDENLY SPEED UP AND RUN AWAY?
BREAK UP IN PARTS AND EXPLODE!
CHANGE COLOR?
GIVE OFF SMOKE?
CHANGE BRIGHTNESS?
CHANGE SHAPET
FLASH OR FLICKER?
DISAPPEAR AND-REXPRBAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBBLE? FLUTTERORWOBBLEY
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
whe was standing talking on the standing king on the
lonner 4 one
it y we.
fill tim it.
A. HOW DID IT FINALLY DISAPPEAR?
It flished suddenly 4 disappeared.
B. DID THE PHEHOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
□YES NO. IF "YES," DESCRIBE. NO. IF "YES," DESCRIBE.
PAGE 5 OF 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.
tanee
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 MOCH. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE M"CH. 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. PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD.
xt
PAGE6 OF 9 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 BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDONOF VEHICLE THEODOLITE
WINDDWPANE OTHER
A. DO YOU ORDINAHILY WEAR GLASSES? YES NO B. DO YOU USE READING GLASSES? YES □NO
1B. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
PHENOMENONOIVE ESTIMATE OFSPEED 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.
Flare in fire. as see from side
tweth to create a creati
pails falling
2I. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF.
ANIMALS OR MACHINERY IN THE VICINITY?YESNO.IFYES,DESCRIBE.
A. DID THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. □YESNO.
IFYES,"DESCRIBE. IF YES," DESCRIBE.
PAGE7OF9PAGES

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 THE TIME YOU SAW THE PHENOMENON? YES NO. IF "YES," DID THEY SEE IT TOO?
YES □NO.
A. LIST THEIP NAMES AND ADDRESSES
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
AST NAMEEIRST NAME.MIDDLE NAME FIRST NAME.MIDDLE NAME
ADD City, State and Zi
45410
TELEPHONÉ (Area code and number) TELEPHONÉ(Area code and number) AGE
17 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.
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
ax eax aaay
Whiclt fatte 2 MONTH 1967 1967
NAME NAME DAY DAY YEAR YEAR
25. DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY MONTH YEAR
PAGE B OF 9PAGES

27. INFORMATION WHICH YOU FEEL IS PERTINENT BUT WHICH IS NOT ADEQUATELY COVERED IN THIS QUESTIONNAIRE, ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
2of us were, steneling on the conne of t6 th.t
and saw this very light ofjict and I said
it i probably an larplane uay up tohere the
ste tendf falling off sumsMay Runs hitting it Sut burning a its
sto tond falling off and we gelled forsother toys we knen and we yelled forsother
more farto fell off and then it seened to to come t se it and one to come t see it and i
edplode tie didntec it anymere edplode t ie didnte it anymere.
John Iordon wallad doprn the stuet tsaid
he, sow it to t we dicided to callictin.
l was telling the man on the phone
twhat we Dow when me saw it again
and this time all of us listed on the
ther page saw it at this time
and it did almost the some as the
other one but the second of the thiee other one but the second of the thice
plice that fell off very for downlefor pelices that fell off wery for down befor
It edploded
tivent oit as the fist did
PAGE 9OF 9 PAGES

24N0067
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT-PATTERSON AIR FORCE BASE. OHIO 45433
ATTN OF: REPLY TO TDPT/UFO
BUBJECT: UFO Observation ,24 Novenber 1967
TO:
Dayton, Ohio 45410
Your name has been given to the Aerial Phenomena Branch (Project
Blue Book) as being a witness to an unidentified flying object.
If you were a witness to an UFO sighting on 24 Noveaber 1967
would you please complete the attached AF Form ll7 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.
1 Atch
Qirector of Production AF Form 117

BOB Nr 21-R258
SIGHTING OF UNIDENTIFIED PHENOMENAQUESTIONNAIRE
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), WRICHT-
PATTERSON AFB, OHIO 45433, IAW 8O-17. (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_24 MONTHMOVEmbELYEAR.1967
2. WHAT TIME DID YOU FIRST SIGHT THE PHENOMENON?
HOUR MINUTES □A.M. □P.M.
3. WHAT TIME DID YOU LAST SIGHT THE PHENOMENON? 3.WHAT T:NE DID YOU LAST SIGHT THE PHENOMENONY
HOUR MINUTES □A.M. □A.M. □P.M.
4.TIME/ZONE 4.TIME/ZONE DAYLIGHT SAVINGS STANDARD
EASTERN EASTERN CENTRAL CENTRAL MOUNTAIN PACIFIC OTHER
5. WHERE WEPE 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 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.
202#08 202 #o8
Gauin Gaue
Bcoun 3t.
x
202 s
Bres
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 "Bº ON THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90 75
60
30 30
15 15
OBSERVER OBSERVER
AF FORM 117
AUG 67

UFO Repat
Famf7D 164 (Speccal)
220pril 1967
# 09:15-9:40 pm
3 EST
④ Kenyon P1 452406
2300 KEENAN , DATTON OHIO
EACH NIGHT FOR WEEK SEVERAL
S.0 n0
6, 6, nejart busht nejart buisht
7.
8.1-c may.
8.2 moon shmis - lepet . moon shmi —leelt .
9, a, hoyy
9 b. Day
10 Soled
11a Busht
12-b bighter thona alt
13 a m0
b n0 164
C no Loel 1
d No
C No
f no
S no
1 no

GA. NOW 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 WHENLAST SEEN.
NNW NNE
NW NE
WNW ENE
a
wSw WSW ESE ESE
SW SE
SSW SSE 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
THELARGER SKETCH.
日
AO
A B
PAGE 2 OF 9 PAGES

8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (Check approprlate blocke.)
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 OSSERVING THE
PHENOMENON?
NORTHEAST SOUTHEAST
NORTHWEST SOUTHWEST SOUTHWEST □YES YES □NO NO
EXPLAIN WHETHER SUCH MOVEMENT EFFECTS YOUR SKETCHES IN ITEMS 5 AND 6. EXPLAIN WHETHER SUCH MOVEMENT EFFECTS YOUR SKETCHES IN ITEMS 5 AND 6.
no
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 OTHER TRAFFIC WAS THERE? HOW MUCH OTHER TRAFFIC WAS THERE?
Veet littl
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?
LENGTHOFTIME CERTAIN OF TIME NOT VERY SURE
4 secnde FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
aressena
WAS THE PHENOMENON INSIGHT 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.
PAGE 3 OF 9 PAGES

10. 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
DAY CUMULUS CLOUDS (Low fluffy) FOG OR MIST
TWILIGHT TWILIGHT CIRRUS CLOUDS (High fleecy or Herring- CiRRUs CLoUDS (lligh fleecy or Herring- HEAVY RAIN HEAVY
NIGHT bone) bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMBUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS 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 NONE BRIGHT MOONLIGHT NO MOONLIGHT NO MOONLIGHT
AFEW AFEW MOON WITH HALO UNKNOWN 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 PHENOMENONT
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.
I tret lights Aahe sids ahaus 25ideet away
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.
It appeared lights and was self lunninon
in the diection of sighting. tit had somall tae of
fars an objects falling fromit i
PAGE 4 OF 9 PAGES

13. DID THE PHENOMENON YES NO UNKNOWN
MOVE IN A STRAIGHT LINE?
STAND STILL AT ANYTIME?
SUDDENLY SPEED UP AND RUN AWAY?
BREAK UP IN PARTS AND EXPLODE?
CHANGE COLOR?
GIVE OFF SMOKE?
CHANGE BRIGHTNESS?
CHANGE SHAPE
FLASH OR FLICKER?
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISET
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
The small ofjects that was falling aff of The small ofjects that was falling aff of
it.
A. HOW DID IT FINALLY DISAPPEAR?
B. DID THE PHENCMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIMET
YESNO.IFYES,DESCRIBE.
PAGE 5 OF 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.
08
1S. WHAT WAS THE ANGULAR SIZET 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 MA"CH. 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.
e
PAGE6 OF 9 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 BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDCH OF VEHICLE THEODOLITE
WINDDWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YESNO 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? GIVE ESTIMATE OF SPEED70
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 OEJECT AND WHAT YOU SAW.
fis firs
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY? YESNO. IF YES,DESCRIBE.
IF "YES." DESCRISE. IF"YES."DESCRISE.
PAGE 7 OF 9 PAGES

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 THE TIME YOU SAW THE PHENOMENON? YES NO. IF "YES," DID THEY SEE IT TOO?
YES NO.
A. LIST THEIR NAMES AND ADDRESSES
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME,FIRST NAME,MIDDLE NAME LAST NAME, FIRST NAME, MIDDLE NAME
ADDRESS (Strest, City, State and Zip Code) ADDREsS (Strest, City, State and Zip Code)
45410 45410
TELEPHONE (Area code and number) TELEPHONE (Area code and number) AGE
15 MALE MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
Going to choof Going to wchoof
and carpentry
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
DAY 24 MONTH NO-WL-ube DAY24 MONTH no YEAR 1967
NAME NAME
26. DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY 2.8 MONTHMuimlLu YEAR1762
PAGE 8 OF 9 PAGES

OD Report.
BOB Nr 21-R258
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE
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 45433, IAW 80-17. (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. 24 MONTH 2O5 YEAR67
2. WHAT TIME DID YOU FIRST SIGHT THE PHENOMENON?
HOUR 19 MINUTES 5.F.7□A.M. P.M.
3. WHAT TIME DID YOU LAST SIGHT THE PHENOMENON?
HOUR 10 MINUTES C□A.M. C□A.M. 图P.M. 图P.M.
4. TIME/ZONE 4.TIME/ZONE DAYLIGHT SAVINGS DAYLIGHT SAVINGS STANDARD STANDARD
EASTERN CENTRAL 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. HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
SAWTUC2IEHTI06S JAWTuC21ET1065
aytanlhio ayton olno
stiect, Dagton stucetDato
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
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90
88 A
45 A2
30 30
-15 15
OBSERVER OBSERVER
AF AUG 57 FORM 117

6A. NOW 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.
A1)A2
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.
AS ONDERSTOOD OUER PHONE BY STAFF DOTY OFFICER
AO
NORTH
WEST SooTeH
EAST
PAGE 2 OF 9 PAGES

8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (Check approprlate 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
PHENOMENONT
NORTHEAST SOUTHEAST
NORTHWEST NORTHWEST SOUTHWEST SOUTHWEST YES YES NO NO
EXPLAIN WHETHER SUCH MOVEMENT EFFECTS YOUR SKETCHES IN ITEMS 5 AND S.
DESCRIBE TYFE 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?
LENGTHOFTIME CERTAIN OF TIME NOT VERY SURE
15T -3buIA SND-2MIA DORATica i 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
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP-
PEARANCES ON PREVIOUS SKETCHES.
PAGE 3 OF 9 PAGES

no
is no
16 m0
17a none
b whit
18 75°Elevrion
19 rond
20 20
21 clomer tiem moon 21 clovr them moon
22 outors
93 6. residential
2.4
25 no. eyesonly
26 moved to right
∂7 75El
no motion, -drifled

1O. IF THERE WERE MORE THAN ONE PHENOMENON, HOW MANY WERE THEREP DRAW A PICTURE TO SHOW HOW THEY WERE
ARRANGED. DID THIS ARRANGEMENT CHANGE DURING THE SIGHTING?
TDO SICHTINES! BOTH WERE IDENTICAL
TRAUCLCD CLOSE TO SAME PATH
AT CLOSE TO SAIE ALTITODVE AN SPEED
BUT OBSERUSD MIDUTES APART
MANEUVERED OUER SAME"ZIG ZAG PATH"
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) bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMBUS CLOUDS (Rain) NIMBUS CLOUDS (Rain) HAIL
PARTLY CLOUDY 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) (1) STARS (2) (2) MOON
NONE BRIGHT MOONLIGHT NO MOONLIGHT
AFEW MOON WITH HALO UNKNOWN
HANY MANY HOONHUODENBYCLOUDS MOON HIODEN 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
STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
IST SICHTIRE: LIGHT FROLU BOOKSTORE DISPLAY WAS BEHIND VIEUWERS
AND STREET CIGHT WAS AGPOSS THE STREET
200. DO OTHER LIGHTING DOTE ERCEPT FOR BOILDINGS-"ITWAS DAPK"
12. GIVE A ERIEF 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.
THE tvo were self- illaminating like a tonch at
hight cnler was red and gellow fluttering
like a flance - brighituens and intemsily like aflance - brighituens and iuteasity
were fainly constant trougletonit pass up to
"buen out" and disappearanee - Did not lock "buen out" and disappearanee Did wot lock
litkee a star, plauct, moon on beaceuly bodg - litke a ster, plauet, moon on beaveuly body
at one tinme the Ist looked libe an aiiplane but at one timme the tst looked like an aimplane but
doubted often ob scrcing tor aohile if it was ove.
PAGE 4 OF 9 PAGES

13. DID THE PHENOMENON YES NO UNKNOWN
MOVE IN A STRAIGHT LINE? ZIG ZAG TATH (BOTH)
STAND STILL AT ANYTIME?
SUODENLY SPEED UP AND RUN AWAY? FAIRLY CORSTANT SPEED
BREAK UP IN PARTS AND EXPLODE?
CHANGE COLOR?
GIVE OFF SHOKE?
CHANGE BRIGHTNESS? COT BRCHT AT EUD OF SICHTING
CHANGE SHAPET 1 LAREER(ORBPICHTER)
FLASH OR FLICKERT
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBBLEI
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENONT
IOT: SAL PHENOMENON BY CHANCE WHILE WALKINE 15T: SACE PHENOMENON BU CHARCE WHILE UALKINE
HOME FROM MOUIE HOME FROM MOUIE
WHILE
R0D: SPOTTED OW 20D: SPOTTED od PHOWE WITH DOTY OFFICER AND PHODE WITH DOTY OFFICER AND
八
REPORTINE IST SIGHTING REPORTINE ISTSIGHTING
A. HOW DID IT FINALLY DISAPPEAR?
BOTH WENT OUT BEFORE REACHING HORIZON
LIGHT INTENSITY IWCREASED MAKING OBJECTS
APPEAR TO IOCREASE IWSIZE.
BOTH WERE SIMILAR
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.
CPEN FIELD OF VIEW OBJECTS IW FOCC CPEN FIELD OF VIEW OBJECTS IN FOC
UIEW ALL THE TiME. VIEW ALL THE TiME.
PAGE 5 OF 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.
OBDECTS WERE ROUND - SMALLER THAN
A DIME HELD AT ARMS LENGTH BOT NOT
MUCH WHEN R EAR OUERHEAD
BALL OF FLAME WITH PIECES FALLING
OFF WHILE INS FLIGHT.
BOTH WEREIDENTICAL. BOTH WERE IDENTICAL.
16. WHAT WAS THE ANGULAR SIZET 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 MACH. NOW IF YOU HAD
PHENOMENON WOULD HAVE BEEN COVERED BY THE MATCH HEAD. BEEN ASLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
SEE ABOVE ITEM 15 SEEASOUEITEM15
PAGE 6 OF 9 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 BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE OTHER PEん AIR SIGHTILG
A. DO YOU ORDINARILY WEAR GLASSES? B. DO YOU USE READING GLASSES? YESNO
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
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.
1ST IsT
obfict seenned highe above toon but sovewhend obfect seened highe above town but sovmewhend
around 2000+ fut arownd 2000+ fect - speed was just a
little faster thean that expected of a
fet but tlower tham a falling fter -
lheve be woted theact objests did wot "foill" like (heve be uoted theat objcsts did wot "foill" like
a aton accteor but rother tracled a flat
path across the sky) at firat be and the
itlhenis thought it was a plone but deat deouglet
left as the obyect caume closer and staited to
dhop balle of flame
200
Similgn heeling but, when thee pas appeared they
coilelated ct wiith the Ist SICUTING.
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF,
ANIMALS OR MACHINERY IN THE VICINITY? YESNO. IF "YES," DESCRIBE.
The pasiing ucitleer effected animals on
mmachinny, Neitheen of wbich were real
closeby but were present on ihe distanee uuueP
A. DID THE PHENOMENON DISTURS THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YES NO.
IF"YES,"DESCRIBE. IF "YES," DESCRIBE.
PAGE7 OF 9PAGES

24N0267
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 THE TIME YOU SAW THE PHENOMENON? YES NO. IF "YES," DID THEY SEE IT TOO?
9YES □NO.
A. LIST THEIB NAMES AND ADDRESSES Densel
all of DaYTow
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST NAME, FIRST NAME
ADOREsS (Stzeci City. State and Zip Code) ADORESS (Stzeci City. State and Zip Code)
STREET DAYTOW,OHLO DAYTON,OHLO
TELEPHONE(Areg code and number) TELEPHONE (Areg code and number) AGE
17 17 C MALE FEMALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
STORENT AT STIGERS HIGH SCHEOL, DAYTON
also witucssed:
(16)
DO PHONE
Reparted to: FTD STAFF DUTY OFFICER
CARLP TOBEY,LT USAF CARL P TOBEY, LT USAF
ON PHONE 24 2OV 67 AT 10:06L (25/03002) ON PHONE 24 20067 AT10:064(25/03002)
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
NAME DAY DAY MONTH YEAR
26. DATE YOU COMPLETED THIS QUESTIONNAIRE. 25 DATE YOU COMPLFTED THIS OUESTIONNAIRE.
DAY. MONTH YEAR
PAGE 8 OF 9 PAGES

27. INFORMATION WHICH YOU FEEL IS PERTINENT BUT WHICH IS NOT ADEQUATELY COVERED IN THIS QUESTIONNAIRE, ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING. SIPARATE
Callen was questioned 3 or 4 tives during
the /2 hour conversation abont ccitain details.
Eucle time be gave the tame dunatiom for
eacle deparate digliting time - dincctian,
elevation and aymuth - location of sightings
type of objects (fireballs)  number of
witnesses he buew - ligliting conditions
aond sequence of events ond sequencee of events
Points he was hesetant om being pimned Points he was hesetant om being pinned
loun on were: exact dige
speed
altitude
distance froue ofserver
the did uot hesitate to provide upom regucit
the name and addiesses of hinself and witucises
who did not semain uear phone booth for donation
of interagation of callin.
Caller stated he called the wPAFB before me and
some ain Torce dran told bem that the ain Toice hoad dome Cer Torce dan told hem thal tee ain Toice had
seen the olyeet on RadsR but did not koow wrhatit seen the byeet on RabaR but did not koow wrhatit
was. ipan digging for the ingonnnation from hius was. ipon digging for the ingoummation from lhiw
friends he told this officer he called phone friends he told this officer he called phone
hemeben nemeben CPTebey CPTobey
It 1代
PAGE 9 OF 9 PAGES

PROJECT 1073 RECORD
TIME L.OJP 2. LOCATION
00
C. SONRGE 10. CONCLUSION
SATELICE (ECHO II)
4. NUMBER OF OBJECTS This is not a valid UF0 report as given in AFR 80-17, however,
2..e the sighting appears to be of Echo II was at 44.5 deg lat
LENOTH OF OESERVATION 11. BRIEF SUMMARY AND ANALYSIS 76 deg long at 0138Z traveling
towardE.
247 mins
S. TYPE OF OBSERVATION
The observer sighted a moving star-like objeet in the eastern The observer sighted a moving star-like objeet in the eastern
round visual Pourd visual sky. It was first seen in the east and last seen in SE
7. COURSE sky.
e so S3
8. PHOTOS
Yus Yus
No
PAYSICAL EVIDENCE PHYSICAL EVIDENCE

2 Ave 68
TDPT (UFO) 3 SEP 1966
TDPT(UFO) Lt Col Quintanilla/70916/mhs/31 Aug 68
UFO Observation, 2 August 1963
Dayton, Ohio 45432
Reference your unidentified flying object (UFO) sighting of 2 August
l963. At the approximate time of your sighting, the satellite ECHO II
was traveling on a southeast course and would have been visible from
the Dayton area for approximately four to five minutes in the eastern
sky. The satellite has a stellar magnitude of -l and as such, is
brighter than most stars.
CTOR GUINTANILLA, Jr, Lt Colonel, USAF SCTOR GUINTANILLA, Jr, Lt Colonel, USAF
Chief, Aerial Phenomena Ofrice Chief, Aerial Phenomena Office
P  (UIA(ALCY Aerospace Technologies Division
P (L Production Directorate

2ling 68
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT.PATTERSON AIR FORCE BASE. OHIO 45433
REPLY TO ATTN OF: TDPT (UFO)
7 AUG 1968
SUBJECT: UFO Ooservation
, 2 August 1968
TO:
Dayton, Ohio 45432
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- you compr
addressed envelope. Thank you for reporting your observation to addressed envelope. Thank you for reporting your observation to
the Air Force. the Air Force.
HECTOR QUINTANILLA, Jr, Lt Colonel, USAF HECTOR QUINTANILLA, Jr, Lt Colonel, USAF 1 Atch 1 Atch
Chief, Aerial Phenomena Office AF Form 1l7 w/envelope AF Form 1l7 w/envelope
Aerospace Technologies Division Aerospace Technologies Division
Production Directorate
,esRos 84°long 84love 40"lat. 40"lot
x obciser pos.
01342
01382 EchoII →SE 44,5" lat 76" log.
01422 •,
at apr7 0142 2 or 143 2 Echo II passed into
the corThs Shodow.

AFR 80-17(C1)
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE EUDGET BUREAU APPROVAL
NUMBER 21-R253
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 45433, 1AW AFR 8O-I7. (IF ADDITIONAL SHEETS ARE NEEDED FOR NARRATIVE OR SKETCHES
ATTACHSECURELY TO THIS FORM OR ANNOTATE WITH YOUR NAME FOR IDENTIFICATION.)
1. WHEN DID YOU SEE THE PHENOMENON? 2
DAY. MONTH YEAR
2. WHAT TIME DID YOU FIRST SIGHT THE PHENOMENON?
HOUR 9 MINUTES □ A.M. P.M.
3. WHAT TIME DID YOU LAST SIGHT THE PHENOMENON?
HOUR 9 MINUTES A.M. P.M.
4. TIMEZONE 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.
C.ty
84
2
40
wewerestawdig Here
DRIVE
WAY
RD
5. 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 HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90 75
一 50
1 45
一一
15
OBSERVER
AF FORM 117
AUC67

one dbjeit
30 Seperol neelz evey night
yea
mr. aa 2300 Keenonort
2
32.
02-50
sa-Mab sw-Mab
33 MM.
, Patn oher
35 Retred US N
10yors servics. Novisot

AFR 80-17(C1)
6A. NOW 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
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 B" WITH A LINE TO APPROXIMATE THE
MOVEMENT OF THE PHENOMENON BETWEEN A" AND "B". THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT 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
THELARGERSKETCH. THELARGER SKETCH.
B
A0
PAGE 2 OF 9 PAGES

AFR 80–17(C1)
a. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (Check apPropricte 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 WEREIN 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 口 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? DID YOU NOTICE ANY AIRPLANES? YES NO. IF YES," DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME 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.
24 J4 The The 576
it was it was South EAst Sorth EAst
E95T E957
9. HOW LONG WAS THE PHENOMENON IN SIGHT?
LENGTHOFTIME CERTAIN OF TIME NOT VERY SURE
FAIRLY CERTAIN JUST A GUESS
HON WAS TIME DETERMINED?
ecnwse we 77,e
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.
TREES
House
e KHOUSe
#<#>s
PAGE 3 OF 9 PAGES

AFR 80–17(C1)
IO. IF THERE WERE MORE THAN ONE PHEHOHENON. HOW MANY WERE THERE? ORAW A PICTURE TO SHOW HOW THEY WERE
ARRANGED. DID THIS ARRANGEMZNT CHANGE DURING THE SIGHTING?
11. CONDITIONS(Check appropriate blocka.)
A. SKY D. WEATHER
DAY y CUMULUS CLOUDS (Low fluffy) FOG OR HIST
TWILIGHT CIRaUs CLouDS (High fleecy or Herring- HEAVY RAIN
NIGHT bone) LIGHT RAIN CR DRIZZLE
CLEAR NIMBUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW CR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNKNOWN
HAZE OR SMOG HONE OF THE ABOVE
IF THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT DID YOU NOTICE ABOUT THE STARS AND MOON?
STARS (2) MOON
HONE BRIGHT MOONLIGHT NO MOONLIGHT
AFEW MOON WITH HALO UNKHOWN
MANY MOON HIDDEN BY CLOUDS
UNKNOWN PARTIAL (New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLET D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLET YES YES NO. IF "YES," WHERE WAS THE SUN AS YOU FACED 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 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.
6474igh+ w 45 A4 7he left Sise of us to the
BrCK ,2301+ 262 yarods away.
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 TRANSPAREN'T, WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT
APPEARFD AS A POINT OF LIGHT. INDICATE COMPARISONS WITH OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR
OTHER OBJECT IN YOUR FIELO OF VIEW.
To be Light.
it Ape4Re0 huminours, a its coor WaSV white
sclic, r edg esd weRe ShaRp
14 ,9s perit of lisht.
it Leck end 4ike 0 =74R
7~0 s-und.
PAGE 4 OF9 PAGES

AFR 80-17(C1)
13. DID THE PHENOMENON YES NO UNKHOWN
MOVE IN A STRAIGHT LINE?
STAHD STILL AT ANYTIME 1
SUDDENLY SPEED UP AND RUN AWAY? V
BREAK UPIH PARTS ANO EXPLODE? V
CHANGE COLOR V
GIVE OFF SWOKET
CHANGE BRIDETNESS?
CHANGE SHAPET
FLASH OR FLICKERT 1
DISAPPEAR AHD REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE √
FLUTTEA OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON? anna
3
he 1R Z3. 17
wAs wA5 S7AR hot tten Hhegen heamn
neve.
A. HOW DID IT FINALLY DISAPPEAR? A. HOW DIO IT FINALLY DISAPPEAR?
Ofit tinally Of it tivally Disappeand hemid the bemind the benizen. beNizen
B. DID THE PHENOWENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME!
YES NO.IFYES,"DESCRIBE. bolduh
it chsa peARed chsAprenRed trebined
Sove
PAGE5OF9PAGES

AFR 80-17(C1)
15. DRAW A PICTURE THAT WILL SHOW THE SHAPE OF THE PHENOMENON. INCLUDE AHD LABEL ANY DETAILS THAT MIGHT
HAVE APPEARED AS WINGS OR PROTRUSIONS, AND INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE
DIRECTION THEPHENOMENON WAS MOVING.
酒
6
15. 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 HOON. NOTE HOW MUCH OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. NOW IF YOU HAD
BEEN ABLE TO PEPFCRM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
PHENOMENON WOULDHAVE BEEN COVERED BY THE MATCH HEAD.
22 73212
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 APPLICABLE DATA.
EYEGLASSES Seme d ap wera CAMERAVIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINGONPANE OTHER
DO YOU CRDINARILY WEAR GLASSES? YES B. DO YOU USE READING GLASSES? NO
19. WHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OF THE
th4 PHENOMENON? GIVE ESTIMATE OF SPEEDS PHENOMENON? GIVE ESTIMATE OF DISTANCE
Zer NXO
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 OSJECT AND WHAT YOU SAW. i
if BRitht 87±4 woulal have been in that
Piace have Lceted Similan To it except
The CIFO WAS
been 1217 117 i its i11 its
place The only plaee The oNly diferences difekences would would hove heen) have heen)
There was
colaped Dights x
T poved moved faster foster
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? YES NO.IFYES.DESCRIBE.
A. DID THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. [YES NO.
IF"YES."DESCREE.
PAGE7OF9PAGES

AFR 80-17(C1)
22. HAVE VOU EVER SEEN THIS OR A SIMILAR PHENOMENON BZPORE? □YES MO. I? "YZS," GIVE DATE AND
LOCATION.
23. WAS ANYONE WITH YOU AT THE TINE YOU SAW THE PHEHOMENONY YES NO. IF "YES," DID THEY SEE IT TOO?
YEs □ NO.
A. LIST THEIR NAMZS AND ADDRESSHS
24. GIVE THE FOLLOWING INFORMATION ADOUT YOURSELF
LAST NAME. FIRST HAME, MIDDLE HAME
and Zip Code)
4543
AGE AGE
I6 MALE MALE FEMALE
INDICATL ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH NAY BE PERTINENT. SITIONAL THFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH NAY BE PERTINENT.
My6b y Kobbre
25: WHEN AHO TO WHOM OIS YOU REPORT THAT YOU HAO SIGHTEO THIS PHENOMEHON?
Llty
NAME DAY MONTH YEAR
26. DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY MONTH 1
YEAR
PAGE8OF9PAGES

AFR 80--17(C1)
27. INFORMATION WHICH YOU FEEL IS PERTINENT BUT WHICH IS NOT ADEQUATELY COVERED IN THIS QUESTIONNAIRE. ALTERHATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING.
We were
some thing 73.1 kooked Like a stak, it moved
SameTh Like Pone. it was Eesywev
sited x Then it went soulh exs/ clown
To the horizon.
AtFiRst WAEN sighted it
iT wAS Nat Moving.
PAGE 9 OF 9 PAGES

0H10
45430.
Dear Sei;
I a report is maole out of thes
will you please send me a copy
Thankyou

AFR 80-17(C1)
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDGET BUREAU APPROVAL
NUMBER 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, OHIO 45433, 1AW AFR80-T7. (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? —) AUG-
DAY MONTH
2. WHAT TIME DID YOU FIRST SIGHT THE PHENOMENON? 21
42 □A.M. P.M.
HOUR MINUTES
3 WHAT TIME DID YOU LAST SIGHT THE PHENOMENON? 46
HOUR 21 MINUTES □ A.M. P.M.
4. TIMEZONE DAYLIGHT SAVINGS STANDARD
区 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.
DAYTON, OHIO
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 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 HORIZON THEPHENOMENON WAS WHEN LAST SEEN. ~OW HOK HIGH AROVE THE HORIZON THE PHENOMENON WAS WHENL AST SEEN
90 75
60
45
15
OBSERVER
AF FORM 7
AUG67

PRL.EC
10A
dayvea, chae
J. CONCLUS.ON
LIS.SPZCIENP DAD.
Misstng data such as azimuth ane elevecaca ao eto r.
sighving, couses, ese. The obgee, mo, Lve sotn
observer did nos aecolese ana resurs
5.LENSTHOFJASERVATION 11. BRIEF SUMMARY AND ANALYSIS
Ne, depa Oosorver saw a brt ghr objeet vhat Was a Listlo
YP OF OSSERVATION vreet, Objees Lat up & whoto cours an Page wam
glane came nsar the objecvdisappeared, waen sas , p. glane came nsar the objecvdisappeared, Waen pas
Croura-Visual the ot geos recp peasst. the ot gees recg peassù.
7. COUNSE COUASE
Now wported Now copocted
PHOT.
12.Yes
No
9. PHYSICAL E. DENCE 9. PHYSICAL V DENCE
Yos
:cNo 0X No
FORM
FTD SEP 63 C-329 (TD2) Pre   f t rom / b .

AFR 80-17(C1)
GA. 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 AB" ON THE COMPASS TO INDICATE THE DIRECTION TO
THEPHENOMENONWHENLAST SEEN.
NNW NNE
NW NE
WNW ENE
WSW ESE
SW SE
SSW SSE
IN THE SKETCH BELOW. PLACE AN "A" AT THE POSITION OF THE PHENOMENON WHEN FIRST SEEN. AND A "B" AT THE 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 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 APDEAREO TO BE STRAIGHT, CURVED OR ZIG-ZAG. REFER TO SMALLER SKETCH AS AN EXAMPLE OF HOW TO COMPLETE
THELARGERSKETCH.
0B
A0
PAGE2OF9PAGES

AFR 80–17(C1)
8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (Check appropriate blocks.)
X OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING IN RESIDENTIAL SECTION OF CITY
IN CAR 口 AS DRIVER □ AS PASSENGER xx 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? HOW MUCHOTHER TRAFFIC WAS THERE?
DID YOU NOTICE ANY AIRPLANES? YES NO. IF "YES," DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME 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?
LENGTH OF TIME LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE NOT VERY SURE
45 4to5
FAIRLY CERTAIN FAIRLYCERTAIN JUST A GUESS
HOW WAS TIME DETERMINED?
Approtimation
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.
PEARANCESON PREVIOUS SKETCHES.
PAGE3OF9PAGES

AFR 80-17(C1)
10. 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 only
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
λ
NIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMBUS CLOUDS (Rain) HAIL
X PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETELYOVERCAST (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? C. IF THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT DID YOU NOTICE ABOUT THE STARS AND MOON?
(1) STARS (2) MOON
NONE NONE X BRIGHT MOONLIGHT NO MOONLIGHT
AFEW MOON WITH HALO UNKNOWN
MANY MOON HIDDEN BY CLOUDS 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? THE PHENOMENON?
IN FRONT OF YOU TO YOUR RIGHT OVERHEAD (Near noon) 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.
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 OBJECTIN YOUR FIELDOF VIEW.
appiored like a star eleept larger and
bightr
PAGE 4 OF 9 PAGES

AFR 8-17(C1)
13. DID THE PHENOMENON YBS HO UNXHOHN
MOVE IN A STRAIGHT LINE?
STAND STILL AT ANYTIME?
SUDDENLY SPEED UP AND RUN AWAY
BREAK UP INPARTS AND EXPLODE?
CHANGE COLOR
GIVE OFF EMOKET
CHANGE BRIGHTNESS?
CHANGE SHAPE
FLASH OR FLICKER?
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OP WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
Amateur actronosmer. Out star gaying
A. HOW DID IT FINALLY DISAPPEAR? A. HOW DIDIT FINALLY DISAPPEAR?
ANint over ligen
B. DID THE PHENOUENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIMET
□YES NO.IFYES,DESCRIBE.
PAGX3OF9PAGE3

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 THEPHENOMENON 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 COVERED SY THE MATCH HEAD.
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 APPLICABLE DATA. ONE
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? YESNO
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
SAU
20. IN ORDER THAT WE MAY OBTAIN AS CLEAR A PIĆTURE AS POSSIBLE OF WHAT YOU SAW, DESCRIBE IN YOUR OWN WORDS
A COMMCN 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.
item 12
Kerence
2I. DID YOU NOTICE ANY OCOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF.
ANIMALS OR MACHINERYIN THE VICINITY? YES NO. IF "YES," DESCRIBE.
A. DID THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YES NO.
IF "YES," DESCPIBE.
PAGE7OF 9 PAGES

AFR 80–17(C1)
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 THE TIME YOU SAW THE PHENOMENON? YES NO. IF "YES, DID THEY SEE IT TOO?
YES □NO.
A. LIST THEIR NAMES AND ADDRESSES
ACE
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LASTNAAIE SDLE NAME
AODRESS(SteeX
DAYTON OHIO 45432
TELEPHONE(AreME AGE
16 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 SIGHTED THIS PHENOMENON?
NAME DAY MONTH YEAR
26. DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY MONTH YEAR
PAGE 8OF9PAGES

PROJECT 10073 RECORD
BATE.TIME CROUP 2. LOCATION
DAYECE CHTO
S. SOURCE 10. CONCLUSION
INSUFFICIENT DATA
4. NUMBER OF OBJECTS
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
TWO-THREE MINUTES The observer reported to the Duty Officer that she had
6. TYPE OF OBSERVATION 6. TYPE OF OBSERVATION observed a light, similar to the landing light of en observed a light, similar to the landing light of en
aircraft, that seemed to give off sparks.
GRCUND-VISUAL
7. COURSE
COMMENTS: An: AF Form 117 was sent to the observer but has COMMENTS: An: AF Form l17 was sent to the observer but has
STATIONARY not been returned within 30 days.
G. PHOTOS
You
vva No
9. PHYSICAL EVIDENCE 9. PHYSICAL EVIDENCE
□ Yos ☐ Yes
XX No
FORH
FTD SEP 60 0-329 (TDE) Provious odiuona of this form may be usad.

DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT.PATTERSON AIR FORCE BASE. OHIO 45433
REPLY TO TDPT (UFO) 7 AUG 1968
ATTN OF:
SUBJECT: UFO Cbservation ,3 August 1968
TO:
Deyton, Ohio 45406
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 you for reporting your observation to addressed envelope. Thank you for reporting your observation to
the Air Force.
HECTOR QUINTANILLA, Jr, Lt Colonel, USAF 1 Atch
Chief, Aerial Phenomena Office AF Form ll7 w/envelope AF Form 117 w/envelope
Aerospace Technologies Division
Production Directorate

AFR 80-17(C1)
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDGET BUREAU APPROVAL
NUMBER 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 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 45433, 1AW AFR B0-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 YEAR
2. WHAT TIME DID YOU FIRST SIGHT THE PHENOMENON?
HOUR MINUTES [|A.M. IP.M.
3. WHAT TIME DID YOU LAST SIGHT THE PHENOMENON?
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. IDENTIFY THE
HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FROM SOME RECOGNIZABLE LANDMARK.
6. IMAGINE YOU ARE AT THE POINT SHOWN IN THE SKETCH, PLACE AN A ON THE CURVED LINE TO SHOW HOW HIGH THE
PHENOVENON WAS ABOVE THE HORIZON. OR SKYLINE. WHEN FIRST SEEN. PLACE A B' ON THE SAME CURVED LINE TO PHENOVENON 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 75
60
A
15
OBSERVER
AF FORM 117
AUG67

Dayton, Ohio 45431
1 Atch 164

AFR 80-17(C1)
GA. NOW 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..
A—A
N
NNW NNE
NW NE
WNW ENE
WSW ESE
SW SE
SSW SSW SSE 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. THELARGERSKETCH.
bitls movement ittls movement
0B
A0
PAGE 2 OF 9 PAGES

AFR 80-17(C1)
8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (ChecA appropriate blocks.)
OUTDOORS 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 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 YNO. IF YES." DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME YNO. 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 AND WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON
9. 9. HOW LONG WAS THE PHENOMENON IN SIGHT?
LENGTHOFTIME LENGTHOF TIME CERTAIN OF TIME NOT VERY SURE
Q-3 Miinitio Q-3 Miiuitio
X FAIRLY CERTAIN JUST A GUESS
HOW WAS TIME DETERMINEG?
Approxismatin
WAS THE PHENOMENON IN SIGHT CONTINUOUSLY? YES NO. IF "NO," INDICATE WHETHER THIS IS DUE TO YOUR
MOVEMENT OR THE BEHAVIÔR OF THE PHENOMENON,AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP.
PEARANCES ON PREVIOUS SKETCHES.
PAGE 3 OF 9 PAGES

AFR 80-17(C1)
10. 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?
Onlyone
11. CONDITIONS(Check appropriate blocks.)
A. SKY B. WEATHER
DAY CUMULUS CLOUDs (Low fluffy) FOG OR MIST
TWILIGHT CIRRUS CLOUDS (IHigh 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) PARTIAL(New or quarter)
O. 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 (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.
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 OBJECTIN YOUR FIELD OF VIEW.
el luminos
solid Edges
Seneraliy
PAGE 4OF 9 PAGES

AFR 80-17(C1)
13. DID THE PHENOMENON YES NO UNKNOWN
MOVE IN A STRAIGHT LINE?
STAND STILL AT ANYTIME?
SUDDENLY SPEED UP AND RUN AWAY?
BREAK UP IN FARTS AND EXPLODE?
CHANGE COLORT X
GIVE OFF SMOKE?
CHANGE BRIGHTNESS?
2 CHANGE SHAPE?
FLASH OR FLICKER?
DISAPPEAR AND REAPPEAR? X
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTER OR WOBBLE?
14. WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
fust olserring.
A. HOW DID IT FINALLY DISAPPEAR?
Light fust disafpeord. hl
B. DID THE PHENOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING AT ANY TIME?
□YEs NO. IFYES.DESCRIEE.
PAGE 5OF9PAGES

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 DATA. 1o
EYEGLASSES CAMERAVIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDEWINDOWOF VEHICLE THEODOLITE
WINDOWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES NO B. DO YOU USE READING GLASSES? [□YES □NO
18. WHAT WASTOUR IMPRESSION OF THE SPEED OPTHE 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE OFATHE
PHENOMENONGIVE ESTIMATE OF SPEEDCIL
20. IN ORDER T-AT 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 CBJECT 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.
A. DID THE PHENOHENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. □YES
IF"YES."DESCRIBE.
PAGE7OF9PAGES

CS
AFR 80-17(C1)
22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE? YES NO. IF "YES," GIVE DATE AND
LOCATION.
NO. IF "YES. DID THEY SEE IT TOO?
YES □NO.
A. LIST THEIR NAMES AND ADDRESSES
MRS
MA AME AS BELON)
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LASTNA
DAYTON CHIO 45/OL
TELEPH AGE
43 MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT. INDICATE ADDITTONAL INFORMATION INCLUDING OCCUPATION AND ANY EXPERIENCE WHICH MAY BE PERTINENT.
25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON?
NAME DAY MONTH YEAR
26. DATE YOU COMPLETED THIS QUESTIONNAIRE.
DAY MONTH YEAR
PAGE 8OF 9PAGES

PROJECT T ECORD
1. TIME GROU 2. LOCATION
usrknown
3. SOURCE 10. CONCLUSION
Insufficient kte
1. NINBER OF OBJECTS
LENCTHCOSSERVATION 11. BRIEF SUMMARY ANO AHALYSIS
wAk..owm
TYPE OF OBSERVATION 3
Director
1n1 K243
7. COURSE
一 Maxwell AFB, Alabama ATTN: Atchives Branch Aetospace Studies Inst
RETURN TO:
8. PHOTO3
O
Yo
大 No
PHYSICAL EVIDEMCE PHYSICAL EVIDENCE
Ye. Yo.
.H。 Ho
FORM
[TD SEP 63 O-329 (TDE) . FTD SEP 63 0-329 (TDE)

Mayieg
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFBC)
WRIGHT-PATTERSON AIRFORCE BASE. OHIO 43433
REPLY TO ATTN OF: TDPT (UFO) 23 MAY 1969
SUBJECT: UFO Observation , May 1969
TO:
Layton, Ohio 45410
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 1l7 and returnit in the self- you complete the attached AF Form ll7 and return it in the self-
addressed envelope. Thank you for reporting your observation to
the Air Force.
HECTOR QUINTANILLA, Jr; Lt Colonel, USAF 1Atch
Chief, Aerial Phenomena Office AF Form 117 w/envelope AF Form117 w/envelope
Aerospace Technologies Division
Production Directorate
1003816

NOT Home TIC 9-1000 PM
O 0
From To From l% FENSTAD FENSTAD
SIGHTING

PROJECT 10073 RECORD
DATETIME GROUP 3. LOCATION
0325 EDT
Chic
3. SOURCE 10. CONCLUSION
Confusinr Report
1. HUMBER OF OBJECTS
LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
Summary: See Case Files Summary: See Case Files
6. TYPE OF OBSERVATION
Comments: The report is confusing.
Bo-Zisnal Bou-7isnal
7. COURSE
ConPasina CouPasins
8. PHOTOS
nYos
No 0 No
9. PHYSICAL EVIDENCE
n Yor
0 No
FOR~
FTD SEP 63 O-32(TDE) So pey te ed.
9

U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possible concerning the unidentified cerial phenomenon that you have observed.
Please try to answer as many questions as you possibly can. The information that you give will
be used for rasearch purposes. Your name will not be used in connection with any statements,
conclusions, or publications without your permission. We request this personal information so
that if it is daemed necessary, we may contact you for further details.
1. When did you see the object? 2. Time of day:  0530 6.230
Hour Minutes
6 (Circle One): A.M. or P.M.
Doy Month Year
3. Time Zone:
(Circle One): a. Eastern (Circle One): a. Daylight Saving
b. Central b. Standard b.Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
PPAEMENOR PEAE mENn
Neorest Postal Address City or Town State or County
5. How long was object in sight? (Total Duration) 2 Hours
Hours Minutes Seconds
o. Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was rime in sight determined?
5.2 Was object in sight continuously? No
6. What was the condition of the sky?
DAY DIREVN NIGHT
a. Bright
b. Cloudy
7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): a. In front of you d. To your left
b. In back of you e. Overhead
c. To your right f. Don't remember
FORM
FTD OCT 62 164 This form supersedes FTD 164, Jul 61, which is obsolete.

DEPARTMENT OF THE AIR FORCE
HEADQUARTERSFOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT PATTERSON AIR FORCE BASE. OHIO 45433
REPLY TO TDPT (UFO) 11 A0G1969
ATTN OF:
SUBJECT: UFO Observation, 5 Aug1969
TO: Mrs.
Dayton,Ohio45407
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- you complete the attaehed Ar Form Il7 ahd recurn It in the seir-
addressed envelope. Thank you for reporting your observation to
the Air Force.
HECTOR QUINTANILLA, Jr, Lt Colonel, USAF HECTOR-QUINTANILLA, Jr, Lt Colonel, USAF 1 Atch
Chief, Aerial Phenomena Office AF Form l17 w/envelope
Aerospace Technologies Division Aerospace Technologies Division
Production Directorate ProductionDirectorate

AFR 30-17(C1)
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDGETBURZAU APPSOYM
NUMBER 21-2230
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 PURPOSZS.
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 45433,IAW AFR80-T7. (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 lma5 MONTH 8 YEAR 1969
2. WHAT TIME DID YOU FIRST SIGHT THE PHENOMENON?
HOUR 3. Am □P.M.
3. WHAT TIME DID YOU LAST SIGHT THE PHENOMENON?
HOUR MINUTES 251mAM □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 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.
0422) 90.
m WindfaingBn Window facing
and Mandon It. and Mardon It. wasstand wasstan
Sthact
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 AB'ON THE SAME CURVED LINE TO
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
B
AO
90 75
60
一 45
一
_ —一
30
一
一 15
OBSERVER
AF FORM 117
20 47

AFR 80-17(C1)
SA. NOWIMAGINE 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.
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. ANO A "B" AT THE
POSITION OF THE PHENOMENON WHEN LAST SEEN. CONNECT THE "AP ANO B" WITH A LINE TO APPROXIMATE THE
MOVEMENT OF THE PHENOMENON BETWEEN A" AND "B".THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT 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
THELARGERSKETCH. THELARGERSKETCH.
08
PAGE2OF9PAGES

AFR 80-17(C1)
B WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (Check appropriaTe Blorks.)
OUTDOORS IN BUSINESS SECTION OF CITY
IN BUILDING  BA at IN RESIOENTIAL 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 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 TIME
OF SIGHTING THE PHENOMENON AND WHERE THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON.
3. HOW LONG WAS THE PHENOMENON IN SIGHT?
LENGTHOFTIME CERTAIN OF TIME NOT VERY SURE
Thriminuts FAIRLYCERTAIN JUST A GUESS
HOW WAS TIME DETERMINER? it loand
WAS THE PHENOMENONINISIGHT CONTINUOUSLY? DYES NO.IFNO.INDICAEUHETHER THISIS DUE TO YOUR
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT ORREHAWOR. INQICATE DISAP.
PEARANCES ONPREVIOUS SKETCHES.
O
B
90
175
ttuso
PAGE3OF9PAGES

AFR80-17(C1)
O.IFTHEAE WERE MORE THANONEPHENOMENOM. HOW MANY WERE THERE? DRAWAPICTURETO SHOW HOW THEY WERE
ARRANGED. DID THIS ARRANGZMENY CHANGE DURING THE SIGHTING
Dhe back
mowndtino
unight
11. CONDITIONS(Check appropriase blocks.)
A. SKY B. WEATHER
DAY CUMULUS CLOUDS (LoW fluffy) FOG OR MIST
TWILIGHT ClaRUs CLOUDs (High fleecy or Herring- HEAVY RAIN
HIGHT bone) LIGHT RAIN OR DRIZZLE
CLEAR NIMBUS CLOUDS (Rain) HAIL
PARTLY CLOUDY CUMULONIMBUS CLOUDS SNOW OR SLEET
COMPLETELY OVERCAST (Thunderstorms) UNXHOWN
HAZE OR SMOG NONE OF THE ABOVE
OR NIGHT. WHAT DID YOU HOTICE ABOUT li to
C. IF THE SIGHTING WAS AT TWILIGHT
(1) (1) STARS STARS (2) MOON MOON Brialettte. Briaettte
NONE NONE BRIGHT MOONLIGHT NO'MOONLIGHT 'NO'MOONLIGHT
A FEW MOON WITH HALO UNKNOWN
MANY MOON HIDOEN BY CLOUDS MOON HIOOEN BYCLOUDS
UNKNOWN PARTIAL (NeW or quarter) PARTIAL (New or quarter)
D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? YES NO. IF VES," 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 TO YOUR RIGHT OVERHEAO (Nem noon) OVERHEAO (NeN noon)
IN BACK OF YOU TO YOUR LEFT TO YOUR LEFT UNXNOWN UNXNOWN
E. SPECIFY THE MAJOR SOURCE OF ILLUMINATION PRESENT DURING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR 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.
In frount of my twuw it dark.
2. GIVE A BRIEF DESCRIPTION OF THE PHENOMENON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT
REFLECTED LIGHT OR WAS SELF-LUMINOUS ANO WHAT COLORS YOU HOTICED. 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.
6 St laed lie a shating
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
SUDDENLY SPEED UP AND RUN AWAY?
BREAK UP IN PARTS AND EXPLODE?
CHANGE COLORI L
GIVE OFF SMOKE!
CHANGE BRIGHTNESS? L.
CHANGE SHAPE? L.
FLASH OR FLICKER? y
DISAPPEAR AND REAPPEAR?
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTEROR WOBBLE?
14 WHAT DREW YOUR ATTENTION TO THE PHENOMENON?
at the battom
A. HOW DIO IT FINALLY DISAPPEAR? It disappianded
Bed and
oner the tap ou tuss. ouer the tap ou tus.
B. OID THE PHENOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIXE,A CLOUD. TREE, OR BUILDING AT ANY TIME?
GTES
ment
tthe
PAGESOF9PAGES

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.
doos
Situd
Va
11
Buhiht hight
a3
paBackand Backand
fowand ast
15. 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 COVEREO BY THE HEAD OF THEMATCH. NOW IF YOU HAD
PHENOMENON WOULD HAVE SEEN COVERED BY THE MATCH HEAD. BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIME OF THE SIGHTING, ESTIMATE WHAT FRACTION OF THE
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 APPLICABLE DATA.
EYEGLASSES CAMERA VIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
一 SIDE WINDOW OF VEHICLE THEODOLITE
WINDOWPANE then. OTHER
A. DO YOU ORDINARILY WE AR GLASSES? YES NO B. DO YOU USE READING GLASSES? YESNO
1B AHAT WAS YOUR IMPRESSION OF THE SPEED OF THE 19. WHAT WAS YOUR IMPPESSION OF THE DISTANCZOFITHE
PHENOMENON? GIVE ESTIMATE OF DISTANCELLLMY hmo
20. IN ORDER THAT WE MAY OBTAIN AS CLEAR A PICTURE AS POSSIBLE OF WHAT YOU SAW. DESCRIBE IN YOUR OWN WOPDS
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.
C
fron a Guit glancl yon woued soy
itopsone. Am aidploe
abone du Reacad. andithus Jle dilt was pratt
lulaw bulaw the objert. afjrf.adanplare and anplane
glave an hold spy
C
Tu shey.
wam arltlhe main stod uuth me fora
etise
do
X Cans moiin ac lr asa. ann denlmln,
PAGE 7OF 3 PAGES

AFR 80-17(C1)
B. HAYE YOU EVER SEEN THISOR A SIMILAR PMENOMENON MZFORE? LOCATION. □YE3 MO. IF YES," CIVE DATE AND
23. WAS ANYONE WITH YOU AT THE TIME YOU SAW THE PHENOMENON? YES □YES□HO.1 NO. IF "YES," DID THEY SEE AT TOO?
A. LIST TMEIR HAMESAND ADORESSES
dduss eashe.
Haylon 45407 Femaber
24. GIVE THE FOLLOWING INFORMATION ABOUT YOURSELF
LAST HAME. FIRST HAME.NIC
AODRESS(Sbeet Eisy Stave and Zop Gode) St. Daston
TELEPHON AGE 37 MALE FEMALE
INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION ANO AHY EXPERIENCE WHICH MAY BE PERTINENT. INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION ANO ANY EXPERIENCE WHICH MAY BE PERTINENT.
The caokied at
portusr portuor Jm stiady on Tm stinly one
diafochedj srsed diafochedj srsed Io to
Tmquuete to to catch ord catch ond
sobo and
Ordors. I lone out dosofort. Bonlig ardors. I lone out dosoGort. Bonli
Sanl
Hans wife lhrrther Oflight Childun afd
tre grodchd.
aut thir ibmily 80. li ffrihs —1
Expesenci as a Boh maid,
cloce
25 WHEN AND TO WHOM DID YOU REPORT THAT YOU HAO SISHTED THIS PHENOMENON?
E：NCn DAY_ to MONTH YEAR 69
GATE YOU COMPLETED THIS QUESTIOMNAIRE. 69
MONTH YEAR
PAGEBOF9PAGES

27. INFORMATION WHICH YOU FEEL IS PERTINENT BUT WHICH IS NOT ADEQUATELY COVERED IN THIS QUESTIONNAIRE. ALTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING. AFR 80-17(C1)
tle aded floshed as if a doar w Ligh and, and righer. The bright
togeather. The siler Cauid ham bein all
D wish that te coulid hane gaten Closu D wish that Ke corled hame gatten Closu as cilw. my phy as Silwew. my phapaical Seffict sa, that
loubid like maniou sulyict so  ceuef hae ntewed the affrt that so I coref hae newed the affit that
e breause D woned like to come in e eause D wsned Contect again, The CUnter whee The light.
their wes a Wark wry throw their. The Crossnd lwad ad and the dona shayed is assy
mon in resu sem th te gridig the ofjet. Thy ofjictimond from ruight to liftas
if it hens tued,
PAGE90F9PAGES

29 m9k 67
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT.PATTERSON AIR FORCE BASE. OHIO 43433
REPLY TO ATTN OF: TDET/UFO 6 March 1967
SUBJECT UFO Observation,29 March 1967
TO: Mrs
Greenmont Village
Kettering, Ohio 45429
Reference your unidentified observation. The information which
we have received is not sufficient for a scientific evaluation.
Request you complete the attached FTD Form 164 and return it in
the envelope provided, Thank you for reporting your observation
to the Air Force.
JAMES C. MANATT, ColOnel, USAF JAMES C. MANATT, Colonel, USAF 1 Atch
2000 Director of Technology and Subsystems FTD Form 164 w/envelope FTD Form 164 w/envelope
3711 761
TO11 PY

Page 2
8. IF you sow the object at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
Cb: A few b. Dull moonlight
c. Many c. No moonlight - pitch dork
d. Don't remember
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER(Circle One):
a. Clear sky a. Dry
b. Hazy b. Fog, mist, or light rain
@ Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One):
b. Solid (d. As a light
b. Tronsparent b. Tronsparent e. Don't remember
c. Vapor c. Vapor
11. If it appeared as a light, was it brighter than the brightest stars? (Circle One): 11. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
(a) Brighter Brighter c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
12. The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
Like a bright star
c. Sharnly outlined
d. Don't remember
13. Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes No Don't know
b. Suddenly speed up and rush away at any time? Yes No Don't know
c. Break up into parts or explode? Yes No Don't know
d. Give off smoke? Yes No Don't know
e. Change brighiness? Yes No Don't know
f. Change shape? Yes No Don't know
g. Flash or flicker? Yes No Don't know
h. Disappear and reappear? Yes No Don't know

MEMO FOR RECORD 11 Aug 69
SUBJECT: UFO Observation byMrs. ,5 Aug 1969
On 11 Aug 69, Mrs. called TDPT (UFO) to report a UFO Observation.
The following information was given to It Marano on the sighting:
Observer:Mr
4
Dayton, Ohio 45407
Date: 5 August 1969
Time: Between 0300 and 0400 hours
Duration: About 10 minutes (?)
Observer say a blue blinking light travel across the sky. When it
came closer, observer saw a red light that slid over and joined the blue
light. Could see a craft with an open door. (Confusing data).
An AF Form 117 was sent to observer for completion on 1l Aug 1969. An AF Form 117 was sent to observer for completion on 1l Aug 1969.

Page 3
14. Did the object disappeor while you were watching it? If so, how?
15. Did the object move bahind somnthing at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answarad YES, then tell whot
it meved behind:
16. Did the obiect meve in front of something at any time, particularly a cloud?
(Circle One): Yes No Don't Know, IF you answared YES, then tell what
in front of:
17. Tall in a few words the following things about the object: 17. Tell in a few words the following things about the object:
a. Sound
b. Color
18. We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how
much of the object is covered by the head of the match. If you had parformed this experiment at the time of the much of the object is covered by the head of the match. If you had parformed this experiment at the time of the
sighfing, how much of the obiect would have been covered by the match head?
19. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details
of the object that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails.
Placeon arrow beside the drawing to show the direction the object was moving.

Page 4
20. Do you think you can ostimate the speed of the objoct?
(Circle One) Yes No
IF you answerad YES, then what speed would you estimate?
21. Do you think you can estimate how far away from you the object was?
(Circle One) Yes No
IF you answerad YES, then how far away would you say it was?
22. Where were you located when you saw the object? 23. Were you (Circle One)
(Circle One):
o. In the business section of a city?
a. Inside a building b. In the residential section of a city?
b. In a car c. In open countryside?
c. Outdoors d. Near an airfield?
d. In an airplane (type) e. Flying over a city?
e. At seo f. Flying over open country?
f. Other g. Other
24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 24. IF you were MOVING IN AN AUTOMOBILEor other vehicle at the time, then complete the following questions:
24.1 What direction were you moving? (Circle One)
a. North c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast ware you moving? miles per hour. miles per hour.
24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yos No
25. Did you observe the objact through any of the following?
a. Eyeglasses Yes No e. Binoculars Yes No
b. Sun glasses Yes No f. Telescope Yos No
c. Windshield Yes No g. Theodolite Yes No
d. Window gloss Yes No h. Other
26. In ordar that you can give as clear a picture as possible of what you saw, describe in your own words a common
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw

Po0~5
27. In the following sketch, imagine that you are ot the point shown. Place or "A" on the curvad line to show how
high the object was above the horizon (skyline) when you first saw it. Place a "B" on the same curved line to
show how high the object was above the horizon (skyline) when you last saw it. Place an "A" on the compass
when you first saw it. Place a "B" on the compass where you last sow the object.
90° 75
60°
N
45 HW Na
30° W
-15° SW
3g
0 0°
28. Orow a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the
path, a "B" at the end of the path, and show any changes in direction during the course.
29. IF there was MORE THAN ONE object, then how many were there?
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling.

Pago 6
30. Have you aver seen this, or a similar objact before. If so give date or dates and location.
31. Was anyone else with you at the time you saw the objact? (Circle One) Yes No
31.1 IF you answered YES, did they see the object too? (Circle One) Yes No
31.2 Please list their names and addresses:
DAYTON 0H1O PPLEMANOL
32. Please give the following information about yourself:
NAME
Last Name First Nams Middlo Nome Middlo Nome
ADDRESS DAyTON DAYTON 0410
Street City Zono Stat
TELEPHONE NUMBER AGE SEX
Indicate any additional information about yourself, including any special experience, which might be pertinent.
33. When and to whom did you report that you had seen the object?
Day Month Year

ME-IO FOR THL RECORD
U00HT:241967 seei
Cbserver:
Deyton, Ohio
The object was a little higher than the trees and while
in a dark court in Page Manor the object lit up the whole
court. A plane took from the field and when it got near the
cbject, the ovject disappeared. When the lane pasted the cbject, the ovject disappeared. When the lane pasted the
object, the object reappeared. It.was observed 0730. Then
two stars approached and the object went up and disappeare d
from sight.
Action Taken:
Contact with ir. base operabions) revealed that base operabions) revealed that
several A/c were in ths area shortly after 0530. Two DC-6
tock off about 0530. He had received no sightings nor heard of
any.

PROJECT 100/S RECORD
BATETHMB CROUP 2. LOCATION
13/eagoz Dayton, Chio 2
S. SDURCE 10. CONCLUSION
21 ASTRO (Meteor)
4. NUMBER OF OBJECTS
1
S. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
3 seconds Object resembled a torch and was sharply outlined at the end.
4. TYPE OF OSSERVATION Observer stated object resembled the flame from a rochet on
blast-off. Object diseppeared behind a cloud.
Ground Visual
7. COURSE
NE - N
8. PHOTOS
Yes
No
9. PHYSICAL EVIDENCE
Yos
2No 2 No
FORM
FTD SP 63 0-329 (TDE) Previoua editione of thia form may b used. FTD S(P 63 0-329 (TDE) Previoua editione of thia form may bo used.

Catno (meters)
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVIBION (AFSC)
WRIGHT.PATTERSON AIR FORCE BASE. OHIO 45433
REPLY TO ATTN OF: TDET/UFO
SUBJECT UFO Observation, 12 June 1967
JUN 2 1 1967
TO:
Dayton, Ohio 45403
Reference your unidentified observation. The information which
we have received is not sufficient for a scientific evaluation.
Request you complete the attached FTD Form 164 and return 1t in
the envelope provided, Thank you for reporting your observation
to the Air Force.
Willis S huduem to of asa F Willis S luduem tt of asaF
JAMES C. MANATT, Colonel, USAF JAMES C. MANATT, Colonel, USAF 1 Atch 1 Atch
Director of Technology and Subsystems FTD Form 164 w/envelope

DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT.PATTIRSON AIR FORCE BABE. OHIO 45433
REPLY TO TDET/UFO
ATTN OF
SUBJECT UFO Observation, 12 June 1967
JUN21 1967
TO
Dayton, Ohio 45403
Reference your unidentified observation. The information which
we have received is not sufficient for a scientific evaluation.
Request you complete the attached FTD Form 164 and return it in
the envelope provided. Thank you for reporting your observation
to the Air Force.
JAMES C. MANATT, Colonel, USAF JAMES C. MANATT, Colonel, USAF 1 Atch
Director of Technology and Subsystems FTD Form 164 w/envelope FTD Form 164 w/envelope
ATFCVY
TDEE IOOIECY

U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possible concerning the unidentified aerial phenomenon that you have observed.
Please try to answer as many questions as you possibly can. The information that you give will
be used for rasearch purposes. Your name will not be used in connection with any stataments,
conclusions, or publications without your permission. We request this personal information so
that if it is deemed necessary, we may contact you for further details.
1. When did you see the object? 2. Time of day: 9 32
Hour Minutes
12 JuNE1967 (Circle One): A.M. or P.M.
Day Month Year
3. Time Zone:
(Circle One): a. Eastern (Circle One):  Daylight Saving (Circle One): Daylight Saving
Central b. Standard
C. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
LEAR Dayton Dayton OHiO OHiO
Nearest Postal Address City or Town City or Town State or County State or County
5. How long was object in sight? (Total Duration) 3
Hours Minutes Seconds
a. Certain c. Not very sure
b Fairly certain d. Just a guess
5.1 How was time in sight determined? By Counting 1001, 1002, 1003
5.2 Was object in sight continuously? Yes No
6. What was the condition of the sky?
DAY NIGHT
a. Bright Bright and spantly Clscudy cind thia
b. Cloudy b. Cloudy wees sething
7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): a. In front of you d. To your left
in back of you e. Overhead
c. To your right f. Don't remember
FORM
FTD OCT 62 164 This form supersedes FTD 164, Jul 61, which is obaolete.

TO:TDE1/010
UFO Cll
Mro Breenmont Villege:
Ketternig
① called by bolle at 2100 ber, 29 mar67, t observe
bject which he said stopped, mored, demied and
bughtened
D Ma I Mur swild she and frind observed and the soil she and frend observed and the
otseet standirg still  the night y wiis tower. obsect standerg still the night y wiio tower.
The objiet moved stwly t the siht, aroay from the The objiet moved sbewly t the miht, arsay from the
Tover. The towver is locatid west the obsorver Tover. The tover is located west'the obsever
3 The tyeet initially was 5 tomes ao bught The tyeet initially was 5 tomes ao bught
as a tuigrt stor and then dimed. The Nojet s
appeared t be slighitly smaller thom the radio towver
s/c warnivy lig'hts
4 The ot act was abserved't dim as an
aureropt passed t the lift  it. It appeared
t hove a bught centr witt a glow prerrounding t,
"like a lirty heodleght
3 The moon was mot trerved It
was a clear might. objut out f rght?at
2140.las

Page 2
8.1 STARS (Circle One): 8.2 MOON (Circle One):
Lusk
a. None a. Bright moonlight
b.A few b. Dull moonlight
c. Many c. No moonlight - pitch dark
d. Don't remamber d. Don't remember
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky Dry
b. Hazy b. Fog, mist, or light rain
Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One):
a. Solid As a light
b. Transparent e. Don't remember
c. Vapor
11. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
.Brighter Brighter c. About the same
b. Dimmer b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
A torch
12. The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other Part of the to object
b. Like a bright star wad sharpleyeutlived
c. Sharnly outlined at the end.
d. Don't remember
13. Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes No Don't know
b. Suddenly speed up and rush away at any time? Yes No Don't know
c. Break up into parts or explode? Yes No Don't know
d. Give off smoke? Yes No Don't know
e. Change brightness? Yes No Don't know
f. Change shape? Yes NO Don't know
g. Flash or flicker? Yes N Don't know
h. Disappear and reappear? Yes No Don't know

Page 3
lehind a Clored ansl etty disoppearl,
15. Did the object move behind something at any time, porticularly a cloud?
(Circle One): Ye No Don't Know. IF you answered YES, then tell what
it moved behind: a clecurd
16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answerad YES, then tell what
in front of:
17. Tell in a few words the following things about the object:
a. Soundmone
b. Color flamentsd ubite Gleue b. Color flasnentssl ubite lleue
18. We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how
much of the object is covered by the hand of the match. If you had performed this experiment at the time of the
19. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details
of the object that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails.
Place an arrow beside the drawing to show the direction the object was moving.
ENDOFOBJECT
兴 FLamERED
Blue
WHiTE

Page 4
20. Do you think you can estimate the speed of the object?
(Circle One) Yes No
IF you answered YES, then what speed would you estimate?
21. Do you think you can estimate how far away from you the object was?
(Circle One) Yes No
IF you answerad YES, then how far away would you say it was?
22. Where were you located when you saw the object? 23. Were you (Circle One)
(Circle One):
a. In the business section of a city?
a. Inside a building b In the residential section of a city?
b. In a car c. In open countryside?
€ Outdoors d. Near an airfield?
d. In an airplane (type) e. Flying over a city?
e. At sea f. Flying over open country?
f. Other t. Other g. Other g. Other
24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:
24.1 What direction were you moving? (Circle One)
a. North c. East e. South g. Wast
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? miles per hour.
24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yas No
25. Did you observe the object through any of the following?
a. Eyeglasses NO e. Binoculars Yes
b. Sun glasses Yes No f. Telescope N
c. Windshiald NO g. Theodolite Yes No
d. Window glass Yes 阿 h. Other no
26. In order that you can give as clear a picture as possible of what you saw, describe in your own words a common
object or abjects which, when placed up in the sky, would give the same appearance as the object which you saw
they blast eff beut mo bond.

Pag 5
27. In the following sketch, imagine that you are at the point shown. Place or "A" on the curved line to show how
high the object was above the horizon (skyline) when you first saw it. Place a "B" pn the same curvsd line to
show how high the object was above the horizon (skyline) when you last saw it. Place an A" on the compass
when you first saw it. Place a "B"on the compass where you last saw the object.
90° 75°
60°
N
45° Nw N
30°
E
-15° 3W
35
S
0° 0S
28. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the 28. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the
path, a "B" àt the end of the path, and show any changes in direction during the course.
29. IF there was MORE THAN ONE object, then how many were there? #N
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling.

Page 6
30. Have you ever saen this, or a similar object before. If so give date or dates and location.
no
31. Was anyone else with you at the time you saw the object? (Circle One) Yas No
31.1 IF you answered YES, did they see the object too? (Circle One) Yes No
31.2 Please list their names and addresses.
32. Please give the following information about yourself: 32. Please give the tollowing intormation about yourself:
NAME
Last Name First Name Middle Name
ADDRESS DAy+0N3 DAy+oN3 CHiO
Strest City Zone State
TELEPHONE NUK AGE /4 SEX MALE
indicate any additional information about yourself, including any special experience, which might be pertinent.
33. When and to whom did you report that you had seen the object?
12 JUNE1962 b
Doy Month Year

Page 7
34. Date you completed this questionnaire: 22 JuNE1967
Day Month Yoar
35. Information which you feel pertinent and which is not adequately covered in the spacific points of the
questionnaira or a narrative explanation of your sighting.

U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possible concerning the unidentified aerial phenomenon that you have observed.
Please try to answer as many questions as you possibly can. The information that you give will
be used for research purposes. Your name will not be used in connection with any statements,
conclusions, or publications without your permission. We request this personal information so
that if it is deemed necessary, we may contact you for further details.
1. When did you see the object? 2. Time of day: 2130
Hour Minutes
12 JUNE 1967 (Circle One): A.M. or P.M.
Day Month Year
3. Time Zone:
(Circle One): a. (Eastern (Circle One): @. Daylight Saving
b. Central b. Central b. Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
Dayton (East) OHIO OHIO
Nearest Postal Address City or Town State or County
5. How long was obiect in sight? (Total Duration) 3
Hours Minutes Seconds
Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determined? estimate
5.2 Was object in sight continuously? Yes No
6. What was the condition of the sky?
DAY NIGHT
Bright a. Bright
b. Cloudy
7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): a. In front of you d. To your left
(b) In back of you e. Overhead
c. To your right f. Don't remember
FORM
FTD OCT 62 164 This form supersedes FTD 164, Jul 61, which is obsolete.

Page.2
8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON? c
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
b. A few b. Dull moonlight
c. Many c. No moonlight - pitch dark
d. Don't remember
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a. Clear sky a. Dry
b. Hazy b. Fog, mist, or light rain
Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One):
a. Solid d) As a light d As a light
b. Transparent e. Don't remember
c. Vapor c. Vapor
11. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter c. About the same
b. Dimmer d. Don't know d. Don't know
11.1 Compare brightness to some common object:
Streak brighter than lighter held in front of face
12. The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
b. Like a bright star
C. Sharply outlined
d. Don't remember
13. Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes No Don't know
b. Suddenly speed up and rush away at any time? Yes No Don't know
c. Break up into parts or explode? Yes No Don't know
d. Give off smoke? Yes No Don't know
e. Change brightness? Yes No Don't know
f. Change shape? Yes No Don't know
g. Flash or flicker? Yes No Don't know
h. Disappear and reappear? Yes No Don't know

Page 3
14. Did the object disappear while you were watching it? If so, how?
Behind Cloud
t
15. Did the object move behind something at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answered YES, then tell what
it moved behind:Behincl Clood
16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answered YES, then tell what
in front of:
17. Tell in a few words the following things about the object:
a. Sound None
b. Color b. Color Red Yellow like fhme Recl Yellow like fhime
18. We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how
much of the object is covered by the head of the match. If you had performed this experiment at the time of the
sighting, how much of the object would have been covered by the match head?
19. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details
of the object that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails.
Place an arrow beside the drawing to show the direction the object was moving.

Page 4
20. Do you think you can estimate the speed of the object?
(Circle One) Yes No
IF you answered YES, then what speed would you estimate?
21. Do you think you can estimate how far away from you the object was?
(Circle One) Yes No
22. Where were you located when you saw the object? 23. Were you (Circle One)
(Circle One):
a. In the business section of a city?
a. Inside a building b. In the residential section of a city?
b. In a car c. In open countryside?
C.Outdoors d. Near an airfield?
d. In an airplane (type) e. Flying over a city?
e. At sea f. Flying over open country?
f. Other g. Other
24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:
24.1 What direction were you moving? (Circle One)
a. North a. North c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? miles per hour.
24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No
25. Did you observe the object through any of the following?
a. Eyeglasses Yes No e. Binoculars Yes No
b. Sun glasses Yes No f. Telescope No
c. Windshield Yes No g. Theodolite No
d. Window glass Yes (No h. Other
26. In order that you can give as clear a picture as possible of what you saw, describe in your own words a common
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw
shooting star
meteor

PROJECT 10073 RECORD
. DAE TIME GROUP 2. LOCATION
23/02152 Dayton, Ohto (1 winees,
10. CONCLUSION
Jivitaan INSUEFICIENT DATA FOR EVALUATICY
1. NUBER OF OBJECTS
One Form 164 nent ayd returned "no much aldess."
LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
Not Reported Cheerver stated she saw the of ject each night for severel
4. TYPE OF OBSERVATION weeks. Real bright white, brighter then a star. Öbserver
stated object driffed, but d'roction not given.
round Visual
7. COURSE 7. COURSE
None R-popt-d
6.PHOTOS A. PHOTOS
11 Yas 11 Yas
X 110 x 110
9. PHYSICAL EVIDENCE
11 Y 11 Y9.
X No
FORM
L TD SEP 53 0-329 (TDE) Pravious dittona of thte form mey be uand.

Page 5
27. In the following sketch, imagine that you are at the point shown. Place an "A" on the curved line to show how
high the object was above the horizon (skyline) when you first saw it. Place a "B" on the same curved line to
show how high the object was above the horizon (skyline) when you last saw it. Place an "A" on the compass
when you first saw it. Place a "B" on the compass where you last saw the object.
90° 75°
60°
N
45° NW NE
30°
15° SW
5 S
0°
28. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the
path, a "B" at the end of the path, and show any changes in direction during the course.
stroightline stroightline toward earth
29. IF there was MORE THAN ONE object, then how many were there?
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling.

Page 6
30. Have you ever seen this, or a similar object before. If so give date or dates and location.
31. Was anyone else with you at the time you saw the object? (Circle One) Yes No
31.1 IF you answered YES, did they see the object too?(Circle One) Yes No
31.2 Please list their names and addresses:
Dayton
32. Please give the following information about yourself:
NAME
Last Name First Name Middle Name
ADDRESS
Street Street City City Zone State
TELEPHONE NUMBE TELEPHONE NUMBEE AGE__14_ AGE_14 SEX Male SEX Male
Indicate any additional information about yourself, including any special experience, which might be pertinent.
33. When and to whom did you report that you had seen the object? LtT.J. Valore
Day Month Year

Page 7
34. Date you completed this questionnaire:
Day Month Year
35. Information which you feel pertinent and which is not adequately covered in the specific points of the
questionnaire or a narrative explanation of your sighting.

PNOJECT 100/3 RECORD
I. DATA. TIME GROUP 2. LOCATION
12
3. SONRCE 10. CONCLUSION
SATELLITE (Echo 1)
4. NUMBER OF OBJECTS
Echo I was passing over Dayton at tine of sighti..
1
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
10 minutes Objeet appeared as a star moving. Observed objces for ap
6. TYPE OF OBSERVATION imately l0 miuntes. Appeared as a star, but brighter, si
zagged and passed, also changed directions. Observer die
Cround Visual not explain how object diappeared. Form l64 sens to he
7. COURSE filled out ou observer for additional information.
Sou,th - Southeast
8. PHOTOS
Yeu You
No
9. PHYSICAL EVIDENCE
Yos
No KNo
FORM
FTD SCP 63 0-329 (TDE) Previoua editiona of thia form may be uaed. FTD SCP 63 0-329 (TDE) Previoua editione of thie form may be uaed.

Sultlite (Echo I) ower
8Ew 4ON
at 06is2
MEMO FOR THE RECORD 12 June 1967
Subj: UFO Observation, 12 Jun, O200 hours
Mrs Dayton, Ohio 45416 called
the UFO section on 12 June 1967. They had been up at approximately
o200 hours when she looked up in the sky and saw what appeared
to be a star moving. Observed object for approximately ten
minutes, moving north to southeast. Looked like a star, but
brighter. zig-zagged and paused, also changed direction fpom
south to southeasterly. She thought that maybe it was a satellite
except that it changed directly slightly and zig-zagged. Explained d zig-zagged. Explained
to her that satellites give the appearance of a slight change in
direction and that zig-zagging was also common in satellite observations
due to the atmosphere. Told her I would send her some FTD Forms 164 due to the atmosphere. Told her I would send her some FTD Forms 164
for her and the other witnesses to complete so that we could check
thoroughly. She would like a reply as to whether a satellite was
their at that time.
Echo I
aver
0615

PROJECT .00/3 RECORD
I. DATE . IME GROUP 2. LOCATION
30 Cnio
3. sounce 10. CONCLUSION
SATELIPE (Ecl.o goet
4. NUMBER OF OBJECTS
Beho If was over New igland or a S hoadir
sig.ors.
5.LENGTH OF OBSERVATION S. LENGTH OF OBSERVATICN 11. BRIEF SUMMARY AND ANALYSIS
4 23 4 i23 Observer stated oo eet was a sikeish wiise lit t, A Observer stated oo,edt was a cikeish wiiso lit t,
. TYPE OF OASERVATION .. TYPE OF OBSERVATION evening ster. Ceserver seaved while salklag co so evening star. Coserver seaved while salklag co so
ver on the phone, she stated her husband ooser o ver on the phone, she stated her husband soser o
Grond Vie al (EX) Gromd Vie al (EX) at 2329 EDst. cujese was raported as some tapo as ireo at 2329 EDst. Cujese was paported as some tapo as treo
7. COURSE observer, the deseripsion was the same as tha ir s
SE also.
9. PHOTOS
Yos
No
9. PHYSICAL EVIDENCE
n You
No
FORM
TD SEP 63 0-329 (TDE) Provious editions of thie lorm may be used.
9

Saerite
chech satellite
Edi It owr Th
Km
U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possible concerning the unidentified aerial phenomanon that you have observed.
Please try to answer as many quastions as you possibly can. The information that you give will
be used for research purposes. Your name will not be used in connection with any statements,
conclusions, or publications without your permission. We request this personal information so
that if it is deemed necessary, we may contact you for further details.
1. When did you see the object? 2. Time of day: 00
Hour Minutes
30J 6 (Circle One): A.M. P.M.
Day Month Year
3. Time Zone:
(Circle One):a. Eastern (Circle One):. Daylight Saving (Circle One): a. Daylight Saving
b. Central b. Standard b. Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
DAytar
Netrest Postal Address City or Town State or County
5. How long was object int sight? (Total Duration) 0 4 00
Hours Minutes Seconds
a. Certain C. Not very sure
b. Fairly certain Just a gyess
5.1 How was time in sight determined? Estimate
5.2 Was object in sight continuously? Yes No
6. What was the condition of the sky?
DAY NIGHT
a. Bright aBright
b. Cloudy b. Cloudy
7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): a. In front of you d. To your left
b. In back of you e. Overhead
c. To your right f. Don't remember
FTD FORM
OCT 62 164 This form supersedes F TD 154, Jul 61, which is obsolete.

Pngn 2
8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2MOON (Circle One):
a. None a. Bright moonlight
b. A few b. Dull moonlight
Many @ No moonlight - pitch dark
d. Don't remember d. Don't remember
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER(Circle One):
Clear sky Dry
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One):
a. Solid As a light
b. Transparent b. Transparent e. Don't remember
c. Vapor c. Vapor
11. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
Brighter Brighter c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
12. The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
b.Like a bright star
c. Sharnly outlined
d. Don't remember
13. Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes D Don't know
b. Suddenly speed up and rush away at any time? Yes Don't know
c. Break up into parts or explode? Yes Don't know
d. Give off smoke? Yes Don't know
e. Change brightness? Yes NO Don't know
f. Change shape? Yes (No Don't know
g. Flash or flicker? Yes N Don't know
h. Disappear and reappear? Yes No Don't know

Poge 3
14. Did the object disapooar while you were watching it? If so, how? les;Over the
hovizon
15. Did the object move behind somathing at any time, porticularly a cloud?
(Circle One): Yes No Don't Know. IF you answarad YES, then tell what
it moved behind:
16. Did the object move in front of something at any time, porticularly a cloud?
(Circle One): Yes No Don't Know. IF you answared YES, then tell what
in front of:
17. Tell in a few words the following things about the object:
a. SoundN a. Sound Nowe
b. Color Bright Blueish White b. color Brig ht Blueish /hite
18. We wish to know the angular size. Hold a match stick at arm's length in line with a known objact and note how 18. We wish to know the angular size. Hold a match stick at arm's length in line with a known objact and note how
much of the obiect is covered by the head of the match. If you had performed this experiment at the time of the much of the object is covered by the head of the match. If you had performed this experiment at the time of the
sighting, how much of the object would have been covered by the match head? sighting, how much of the object would have been covered by the match head?
19. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details
of the object that you sow such as wings, protrusions, etc., and especially exhaust trails or vapor trails.
Place an arrow beside the drawing to show the direction the object was moving.
Rou~d

Pace 4
20. Do you think you can estimate the speed of the objact?
(Circle One) Yes No
IF you answered YES, then what speed would you estimate?
21. Do you think you can eatimate how for away from you the object was?
(Circle One) Yes No ? Quite a distorce.
IF you answered YES, then how far away would you soy it was?
22. Where were you located when you saw the object? 23. Were you (Circle One)
(Circle One):
a. In the business section of a city?
a. Inside a building b. In the residential section of a city?
b. In a car c. In open countryside?
Outdoors d. Near an oirfiald?
d. In an airplane (type) e. Flying over a city?
e. At sea f. Flying over open country?
f. Other g. Other g. Other
24. IF you ware MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:
24.1 What direction were you moving? (Cirele One) 24.1 What direction were you moving? (Circle One)
a, North c. East e. South g. West
b. Northeast d. Southeast f. Southwest f. Southwest h. Northwest
24.2 How fast were you moving? miles per hour.
24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No
25. Did you observe the object through any of the following?
a. Eyeglasses Yes No e. Binoculars Yes No
b. Sun glasses f. Telescope Yes No
c. Windshield g. Theodolite Yes No
d. Window glass Yes No h. Other
26. In order that you can give as clear a picture as possible of what you saw, dascribe in your own words a common
object or objacts which, when placed up in the sky, would give the same appearance as the object which you saw
Dont know

ESNSURRICIENT DATA FOR EUALUNTION
NOSUCH ADDREES
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION(AFBC)
WRIGHT.PATTERSON AIR FORCE BASE. OHIO 45433
REPLY TO ATTN OF: TDET/UFO 26 April 1967
SUBJECT 22 Apr 67
UFO Observation, 22 Apr 67
Dagton Ohia
TO
Dayton, Ohio 45406
Reference your unidentified observation. The information which
we have received is not sufficient for a scientific evaluation.
Reguest you complete the attached FTD Form 164 and return it in
the envelope provided. Thank you for reporting your observation
to the Air Force.
1 Atch
Rreetor of Technology ena Subsystems tor of Technology end Subsystems FTD Form 164 w/envelope

Po5
27. In the following sketch, imagine that you are at the point shown. Place or "A" on the curvad line to show how
high the object was above the horizon (skyline) when you first saw it. Place a "B" on the same curved line to
show how high the object was above the horizon (skyline) when you last saw it. Place an "A" on the compass
when you first saw it. Place a "B" on the compass where you last sow the object.
90° 75
60°
2
45° NW NS
30
15° SW
3W sS
S
0
28. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the 28. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the
path, a "B" at the end of the path, and show any changes in direction during the course.
29. IF there was MORE THAN ONE object, then how many were there? 0voohio0t
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling.

Poga 6
30. Have you aver seen this, or a similar object bafore. If so give date or dates and location.
Yos, lAst S0pt 1966 Nt Abont 2205 EsT
31. Was anyone else with you at the time you saw the objoct? (Circle One) Yos No
31.1 IF you answerod YES, did they see the object too? (Circle One) Yes No
31.2 Please list their names and addresses:
Husburd
DAytoN,Ohio
32. Please give the following information about yourself:
NAME
ast Name First Name Middle Name Middle Name
ADDRESS DaAlton45414dhio to45414hi0
Streat City City Zone State State
TELEPHONE NUMBER AGE SEX FEMAle
Indicate any additional information about yourself, including any special experience, which might be pertinent.
33. When and to whom did you report that you had seen the object?
30 Juno 1962
Day Month Year
mon

Page 7
34. Date you complated this questionnaire: 30 JUN 1967
Day Month Year
35. Information which you feel pertinent and which is not adequately covered in the specific points of the
F questionnaire or a narrative explanation of your sighting.
W hile talking to thes persan an
the telephone, she repaited a
seconit seng htng by kes heshand
cwas creparted as same type cwas crepaited as same lype
one. one.
Tmaja Sosn

PROJECT U/S RECORD
DALL.THE CROUP 2. LCCATION 1
04163504 Duymen, Onie 3
SOLDCE 10. CONCLUSION
Possisle (AIRCRAFT)
4. NUMBER OF OBJECTS
No dasa presentea so indicate objeet could cst lave bor No dasa presentel so indicate object could lot lave
2 aireraft.
LENGTH OF OBSERVATION LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
.UOS Objeet was similur to a flouresent lighet Bright White col Object was similar to a flouresent lighet Bright White col
6. TYPE OF OBSERVATION The two objeets stayed together for a while und wien sapak.- The two objeets stayed together for a while und wten supat.-
ted and then loss ccatact wish one of then ted and then lost ccasact wish one of then
Grena Visual Crea Visual
7. COURSE
ES3 E53.
6. PHOTOS
. Yes
10 No
9. PHYSICAL EVIDENCE
Y.
1à No
FORM
TD SP 63 0-329 (TDE) Provioue editions of this foa may be used.
3

Alc (possidle)
U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possible concerning the unidentified aerial phenomenon that you have observed.
Please try to answer as many quastions as you possibly can. The information that you give will
be used for research purposes. Your name will not be used in connection with any statements,
conclusions, or publications without your permission. We request this parsonal information so
that if it is deemed necessary, we may contact you for further details.
55 20CAL
1. When did you see the object? 2. Time of day:23 DAyten
Hour Minutes
IJuLY1967 (Circle One): A.M. or P.M.
Day Month Year
3. Time Zone:
(Circle One): @. Eastern (Circle One):a. Daylight Saving (Circle One):a.Daylight Saving
b. Central b. Standard
c. Mountain
d. Pacific
e. Other
4. Where vere you when you saw the object? 4. Where vere you when you eaw the object?
DAYTON DAYTON OH1O4543 0410 4543
earest P City or Town State or County
5. How long was object in sight? (Total Duration) 00 05 00
Hours Minutes Seconds
Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determined?
5.2 Was object in sight continuously? YesL No
6. What was the condition of the sky?
DAY NIGHT NIGHT
a. Bright a.Bright CLEAR
b. Cloudy
7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): a. In front of you d. To your left
b. In back of you e. Overhead
c. To your right f. Don't remember
FORM

Pnge ?
8. IF you saw the object of NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle Onc):
a. None a. Bright moonlight
b. A few b. Dull moonlight
Many c. No moonlight - pitch dark
d. Don't remember d.Don't remember
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER (Circle One):
a, Clear sky Dry
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d.·Snow
e. Don't remember e. Don't remember
10. The object appeared: (Circle One):
a a, Solid d. As a light
b. Transparent e. Don't remember
c. Vapor
11. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter c. About the same c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
LIGHT IS SiMILAR
FLOURSCENT
12. The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
b. Like a bright star them
Sharply outlined
d. Don't remember
13. Did the object: (Circle One for each question)
a.  Appear to stand still at any time? Yes No Don't know
b. Suddenly speed up and rush away at any time? Yes No Don't know
c. Break up into parts or explode? Yes No Don't know
d. Give off smoke? Yes NO Don't know
e. Change brightness? Yes No Don't know
f. Change shape? Yes No Don't know
g. Flash or flicker? Yes No Don't know
h. Disappear and reappear? Yes No Don't know

Page 3
14. Did the object disappear while you were watching it? If so, how? No
1
15. Did the obiect move bahind samethina at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answered YES, then tell what
it moved behind:
16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answered YES, then tell what
in front of:
17. Tell in a few words the following things about the object: 17. Tell in a few words the following things about the object:
a. Sound a. Sound NO SOUND NOSOUND
b. Color BRIGHT-WHITE
18. We wish to know the angular size. Hold a match stick at arm's length in line with a known obiect and note how
much of the obiact is covered by the head of the match. If you had performed this experiment at the time of the
sighting, how much of the object would have been covered by the match head? ALLWOULD
BE COVERED
19. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details
of the object that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails.
Place an arrow beside the drawing to show the direction the object was moving.
Just RounD

Page 4
20. Do you think you can estimate the speed of the object?
(Circle One) Yes No
IF you answared YES, then what speed would you astimate?
21. Do you think you can estimate how far away from you the object was?
(Circle One) Yes No
IF you answered YES, then how far away would you say it was?
22. Where were you located when you saw the object? 23. Were you (Circle One)
(Circle One):
a. In the business section of a city?
a. Inside a building b. In the residential section of a city?
b. In a car c. In open countryside? " mile frn wPA= / mile fion wPAF
Outdoors d. Near an airfield? Near an airfield?
d. In an airplane (type) e. Flying over a city?
e. At sea f. Flying over open country?
f. Other g. Other g. Other
24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:
24.1 What direction were you moving? (Circle One)
a. North c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? miles per hour.
24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No
25. Did you observe the object through any of the following?
a. Eyeglasses Yes No e. Binoculars Yes
b. Sun glasses Yes No f. Telescope No
c. Windshield Yes g. Theodolite Yes No
d. Window glass Yes No h. Other
26. In order that you can give as clear a picture as possible of what you saw, describe in your own words a common
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw
STAR STAR

Pago5
27. In the following sketch, imagine that you are at the point shown. Place on "A" on the curved line to show how
high the object was above the horizon (skyline) when you first saw it. Place a "B"on the same curved line to
show how high the objact was above the horizon (skyline) when you last saw it. Place an "A" on the compass
whan you first saw it. Place a "B" on the compass where you last saw the object.
00 75°
60°
45° NW NE
30
-15° .15° 3W
S
0
28. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the
path, a "B" at the end of the path, and show any changes in direction during the course.
A
29. IF there was MORE THAN ONE object, then how many were there? 2
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling.
The 2objub stoyed
lost track f the one

Paga6
30. Have you ever seen this, or a similar object beforo. If so giva date or dates and location.
No
Ae
31. Was anyone else with-you at the time you saw the objact? (Circle One) 1o3 No
31.1 iF you answered YES, did they see the object too? (Circla One) Yes No
31.2 Please list their names and addras
FTHER
32. Please give the following information about yourself:
NAME
Last Name First Name Middla Name
DAYTON OH1O 45431
ADDRESS
Street City Zone State
TELEPHONE NUMBI AGE 17 SEX MALE
Indicate any additional information about yourself, including any special experience, which might be pertinent.
NONE
33. When and to whom did you report that you had seen the object? 33. When and to whom did you report that you had seen the object?
2 2 21≤6 TULY 1961
Day Month Year

U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possible concerning the unidentified aerial phenomenon that you have observed.
Pleose try to answer as many questions as you possibly can. The information that you give will
be used for rasearch purposes. Your name will not be used in connection with any statements,
conclusions, or publications without your permission. We request this personal information so
that if it is deemed necessary, we may contact you for further details.
1. When did you see the object? 2. Time of day:
Hour Minutes
(Circle One): A.M.or P.M.
Doy Month Year
3. Time Zone: 3. Time Zone:
(Circle One): a. Eastern (Circle One): a. Daylight Saving
b. Central b. Standard b. Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
Nearest Postal Address City or Town State or County
5. How long was object in sight? (Toral Duration)
Hours Minutes Seconds
o. Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determined?
5.2 Was object in sight continuously? Yes No
6. What was the condition of the sky?
DAY NIGHT
o. Bright a. Bright
b. Cloudy
7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): a. In front of you d. To your left
b. In back of you e. Overhead
c. To your right f. Don't remember
FORM
FTD OCT 62 164 This form muperaedes FTD 164, Jul 61, which is obsolete.

Page 7
34. Date you complsted this questionnaire: 2 JuLy -267
Day Month Year
35. Information which you feel pertinent and which is not adequately covered in the specific points of the
questionnaire or a narrative explanation of your sighting.
256-3/95
256-3/95

PROJECT 10073 RECORD
ME CROUP 2. LOCATION
SOUECE SOUECE 10. CONCLUSION
Vy pol. Vypol.
1. NOPBER OF OSJECTS
1 1
LENGTH OF OSSERVATION 11. BRIEF SUMMARY AND ANALYSIS 11. BRIEF SUMMARY AND ANALYSIS
1 nour, 3) mir- nes 1 not, 30 min-nes Object agpeared Object ajseared
TYPE OF ORSERVATION changedoa
ed oft ene cn
Ground Visnal peared, objee. In a diff vens lpeaslon.
7. COURSE
5. PHOTOS
Yes
No
9. PHYSICAL EVIDENCE
Yas
No
FORM
TD SEP o3 0-329 (TDE) Previoue editions of this form may b) used.

tiTro/VErus/
DEPARTMENTOF THE AIR FORCE
HEADQUARTERS FOREIGN TZCHNOLOGY DIVISION (AFBC)
WRIGHT.PATTERSON AIR FORCE BASE.OHIO 45433
REPLY TO ATTN OF TDET/UFO
1 8 JUL 1007
SUBJECT UFO Observation
TO
Dayton, Ohio
Reference your unidentified observation. The information which Reference your unidentified observation. The information which
we have received is not sufficient for a scientific evaluation.
Request you complete the attached FTD Form l64 and return it in
the envelope provided. Thank you for reporting your observetion
to the Air Force.
JAMES C. MANATT, ColOnel, USAF JAMES C. MANATT, Colonel, USAF 1 Atch
Director of Technology and Subsystems Subsystems FTD Form 164 w/envelope

MEMO FOR THE RECORD: 3 July 67
Received call from a Mrs. St.,Dayton,
Chio. She call to report a round circle of white light that
was seen in her neighborhood. The white light was seen
for overoone hour. She was informed that a form would be
sent for her completion. She agreed to complete the form
and return information on her sighting.

DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT.PATTARBON AIR FORCE BASE OHIO 45433
REPLY TO ATTN OF TDET/UFO
1 3 JUL 1967
SUBJECT UFO Observation
TO Mrs.
Street
Dayton, Ohio
Reference your unidentified observation. The information which
we have received is not sufficient for a scientific evaluation.
Request you complete the attached FTD Form 164 and return it in Request you complete the attached FTD Form 164 and return it in
the envelope provided. Thank you for reporting your observation
to the Air Force.
Quntalla mai Quintaillamai
JAMES C. MANATT, ColOneI, USAF JAMES C. MANATT,COlOneL, USAF 1 Atch
Director of Technology and Subsystems FTD Form 164 w/envelope

U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prepared so that you can give the U.S. Air Force as much
information as possible concerning the unidentified aerial phenomenon that you have observed.
Please try to answer as many questions as you possibly can. The information that you give will
be used for research purposes. Your name will not be used in connection with any statements,
conclusions, or publications without your permission. We request this personal information so
that if it is deemed necessary, we may contact you for further details.
1. When did you see the object? 2. Time of day: 10 15
Hour Minutes
2 7 1967. 1967. (Circle One): A.M. or P.M. P.M.
Doy Doy Month Year
3. Time Zone: 3. Time Zone:
(Circle One): a. Eastern (Circle One): /a. Daylight Saviny (Circle One): a. Daylight Saving
b. Central b. Central b. Standard
c. Mountain
d. Pacific dPacific
e. Other
4. Where were you when you saw the object?
3+ Drayton ohio
Nearest Postal Address Cityor Town State or County
anol,on 30
5. How long was object in sight? (Total Duration)
Hours Minutes Seconds
a.Certain c. Not very sure
b. Fairly certain d. Just a guess
5.1 How was time in sight determined? By a Clock
5.2 Was object in sight continuously? Yes No
6. What was the condition of the sky? 6. What was the condition of the sky?
DAY NIGHT NIGHT
a. Bright
b. Cloudy b. Cloudy
7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object? 7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): A In front of you d. To your left
3 back of you e. Overhead
To your right f. Don't remember
FORM
FTD OCT 62 164 Thia form aupersedes F T7) 164. ru! 61. which is obsolete.

Pnge 2
8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
b. A fey b. Dull moonlight
c. Many c. No moonlight - pitch dark
d. Don't remamber d. Don't remember
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER(Circle One):
a. Clear sky a. Dry
b. Hazy b. Hazy b. Fog, mist, or light rain b. Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One): 10. The object appeared: (Circle One):
a. Solid d. As a light
b. Transparent e. Don't remember
c. Vapor
11. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
Brighter c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
Noth at
12. The edges of the object were:
(Circle One): a.Fuzzy or blurred e. Other
b. Like a bright star
c. Sharply outlined
d. Don't remember
13. Did the object: 13. Did the object: (Circle One for each question)
a. Appear to stand still at any time? a. Appear to stand still at any time? Yes Yes No Don't know
b. Suddenly speed up and rush away at any time? Yes No Don't know
c. Break up into parts or exolode? c. Break up into parts or explode? Yes No No Don't know Don't know
d. Give offsmoke? Yes No Don't know
e. Change brightness? Yes Yes No Don't know
f. Change shape? Yes No No Don't know Don't know
g. Flash or flicker? Yes No No Don't know
h. Disappear and reappear? h. Disanpear gnd reanpear? Yes Nas No No Don't know Don't know

Poge 3
14. Did the object disapoeor while you wore watching it? If so, how?
o7ft on fir 1hrt 30rm
time it wras dfferent licitiin
15. Did the obiect move behind something at any time, particulorly a cloud?
(Circle One): Yes No Don't Know. IF you answered YES, then tell what
it moved behind:
16. Did the obiect move in front of something at any time, particularly a cloud? ló. Did the obiect move in front of something at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answered YES, then tell what
in front of:
17. Tell in a few words the following things about the object:
a. Sound to Lar avay to sear
b. color brigh't white at fist thene chengedts sillil-yellre
18. We wish to know the angular size. Hold a match stick at arm's length in line with a known obiect and note how
much of the obiect is covered by the head of the match. If you had performed this exoeriment at the time of the
sighting, how much of the obiect would have been covered by the match head?
19. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details
of the object that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails.
Place an arrow beside the drawing to show the direction the object was moving.
0 -Frn- —dAy

Page 4
20. Do you think you can estimate the spaed of the object?
(Circle Ona) Yes No
IF you answared YES, then what speed would you estimate?
21. Do you think you can estimate how far away from you the objact was?
(Circle One) Yes No
IF you answered YES, then how far away would you say it was?
22. Where were you located when you saw the object? 23. Were you (Circle One)
(Circle One):
a. In the business section of a city?
a. Inside a building a. Inside a building b. In the residential section of a city? b. In the residential section of a city?
b. In a car c. In open countryside?
c.Outdoors d. Near an airfield?
d. In an airplane (type) e. Flying over a city?
e. At sea f. Flying over open country?
f. Other g. Other g. Other
24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:
24.1 What direction were you moving? (Circle One)
o. North c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? miles per hour.
24.3 Did you stop at any time while you were looking at the object?
(Circle One) Yes No
25. Did you obsarve the object through any of the following?
c. Eyeglasses Yes No e. Binoculars Yes
b. Sun glasses Yes f. Telescope Yes No
c. Windshield Yes g. Theodolite No
d. Window glass Yes No h. Other
26. In order that you can give as clear a picture as possible of what you saw, describe in your own words a common
object or objects which, when placed up in the sky, would give the same appearance as the object which you saw object or objects which, when placed up in the sky, would give the same appearance as the object which you saw

Pago5
27. In the following sketch, imagine that you are at the point shown. Place or "A" on the curved line to show how
high the object was above the horizon (skyline) when you first saw it. Place a "B" on the same curved line to
show how high the objact was above the horizon (skyline) when you losf saw it. Place on "A" on the compass
when you first saw it. Place a "B" on the compass where you last saw the object.
90° 75°
60°
45° N票
30
15° 15° 3W 3v
3
S
0°
28. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the
path, a "B" àt the end of the path, and show any changes in direction during ths course.
29. IF there was MORE THAN ONE object, then how many were there?
Draw a picture of how they were arranged, and put an arrow to show the direction that they were traveling.

Pagn 2
8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
a. None a. Bright moonlight
b. A few b. Dull moonlight
c. Many c. No moonlight - pitch dark
d. Don't remember
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): WEATHER(Circle One):
a. Clear sky a. Dry
b. Hazy b. Fog, mist, or light rain
c. Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow
e. Don't remember
10. The object appeared: (Circle One):
a. Solid d. As a light
b. Transparent e. Don't remember e. Don't remember
c. Vapor
11. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a. Brighter c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
12. The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
b. Like a bright star
c. Sharply outlined
d. Don't remember
13. Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes No Don't know
b. Suddenly speed up and rush away at any time? Yes No Don't know
c. Break up into parts or explode? Yes No Don't know
d. Give off smoke? Yes No Don't know
e. Change brightness? Yes No Don't know
f. Change shape? Yes No Don't know
g. Flash or flicker? Yes No Don't know
h. Disappear and reappear? Yes No Don't know

Page 6
30. Have you ever saen this, or a similar object before. If so give date or dales and location.
NO
31. Was anyone else with you at the time you saw the objact? (Circle One) Yos No
31.1 IF you answered YES, did they see the object too? (Circle One) Yes No
31.2 Please list their names and addresses:
maum mmouo
Mrs.
Mr+Mrs Mi+Mrs
32. Please give the following information about yourself:
NAME
LastName First Name Middle Name
ADDRES Dayton 8
/City Zone State
TELEPHONE NUMB AGE39s SEX FEMale
Indicate any additional information about yourself, including any special exparience, which might be pertinent.
33. When and to whom did you report that you had seen the object?
-7 N July 1967 10/2 ToThe Police
Doy Montly Year

Page 7
34. Date you completed this questionnaire: —14 7 1962.
Day Month Year
35. Information which you feel pertinent and which is not adequately covered in the specific points of the
questionnaire or a narrative explanation of your sighting.

A
PROJECT 10073 RECORD
2. LOCATION
DAYPON, OHIO DAYTON, OHIO
10. CONCLUSION
Civilis Possicle: Astro (STAR/PLANET) Possicie: Astro (STAR/PLANET)
4. NUMBER OF OBJECTS
1
5. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
30 minutes Observer was nding in a car with a friend and the friend's
mother wn he saw a bright white light in the sky. The Obs-
6. TYPE OF OBSERVATION erver said the object was like a light bulb and that he did
Ground Visual not hear any noise.
COMMENTS: Observer reported originally that object was ble
7. COURSE red and white. In question 27 the object is shown to have dis
Unknown appeared at two different elevations. No course is given for
the object. A ll7 was sent to ooservers f iend but not re-
8. PHOTOS turned. It is also interesting that friends mother is not
Yes listed as a witness although she was driving toe car.
X No
9. PHYSICAL EVIDENCE
□ Yos
X No
FORM
FTD SEP 63 0-329 (TDE) Previous editions of this form may be used.

27.02.67
Dending
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC) DEPARTMENT OF THE AIR FORCE
WRIGHT.PATTERSON AIR FORCE BASE. OHIO 45433
ATTN OP: RZPLY TO TDPT/UFO
BUBJECT: UFO Observation, 2 November 1967 07V201267
TO:
1ayton,0h1045427 Dayton, 0n1o 45427
Your name has been given to the Aerial Phenomena Branch (Project
Blue Book) as being a witness to an unidentified flying object. Blue Book) as being a witness to an unidentified flying object.
If you were a witness to an UFO sighting on 2 November 1967
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,
The information which you provide will be used in eval 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.
irector of Production 1 Atch
AF Form 117

272067
TDET7UFO
NOV 7 1967
UFO Observation, 2 November 1967
ong 0a1o 45427
Reference your unidentified observation. The infonmation which
we have received is not sufficient for a scientific investigation.
Request you complete the attached FTD Form 164 and return it with
the enveloge provided. Thank you for reporting your observation to the the envelope provided. Thank you for reporting your observation to the
Air Force.
AMES C. MANATT, Colonel, USAF 1 Atch
Director of Technology and Subsystems Director of Technology and Subsystems FTD Form 164 w/envelope
Sedwita/7

MEMO FOR THE RECORD 6 November 1967
Subject: UFo Observation, 2 November 1967
ter Street, Dayton, Ohio 45427 called regarding
an observation he made. He was with his friend and his friends mother,
driving down the street when he saw something, blue, red and white
moving very slowly. It scared nd his friend'half-to-death" then
they saw it again later, they saw it four times altogether. Came from
the north very slowly. Asked if his friends would fill out a form, if his friends would fill out a form,
he said yes they would, three forms will be sent to he said yes they would, three formswill be sent one for
friend and his friend's mother.

U.S. AIR FORCE TECHNICAL INFORMATION
This questionnaire has been prepared so that you can give the U.S. Air Force as much
informction as possible concerning the unidentified aerial phenomanon that you have observed.
Please try to answer as many questions as you possibly can. The information that you give will
be used for research purposes. Your name will not be used in connection with any statements,
cenclusions, or publications without your permission. We request this personal information so
that if it is deemed necessary, we may contact you for further details.
1. When did you see the object? 2. Time of day: 2. Time of day: 6 15
Hour Hour Minutes
(Circle One): (Circle One): A.M. A.M.or or P.M.
Doy Month Year
3. Time Zone:
(Circle One): ( a. Eastern (Circle One): a. Eastern (Circle One): a. Daylight Saving
b. Centra! b.Standard
c. Mountain
d. Pacific
e. Other
4. Where were you when you saw the object?
@his
Nearest Postal Address City or Town State or County
5. How long was object in sight? (Tetal Duration) 30
Hours Minutes Saconds
c. Certain c. Not very sure
(b.Fairly certain d. Just a guess
5.1 How was time in sight determined? Bythebe
5.2 Was object in sight continuously? Yes Yes No No.
6. What was the condition of the sky?
DAY NIGHT
a. Bright a. Bright
b. Cloudy b.Cloudy
7. IF you saw the object during DAYLIGHT, where was the SUN located as you looked at the object?
(Circle One): a. in front of you d. To your left
b. In back of you e. Overhead
c. To your right f. Don't remember
FORM
FTD OCT 62 164 This form superaedes FTD 164. Jul 61, which is obsolete.

Poge 2
8. IF you saw the object at NIGHT, what did you notice concerning the STARS and MOON?
8.1 STARS (Circle One): 8.2 MOON (Circle One):
d None a. Bright moonlight
b. A few b. Dull moonlight
c. Many C C. No moonlight - pitch dark
d. Don't remember d. Don't remember
9. What were the weather conditions at the time you saw the object?
CLOUDS (Circle One): CLOUDS (Circle One): WEATHER(Circle One):
a. Clear sky a. Dry
b. Hazy b. Fog, mist, or light rain
Scattered clouds c. Moderate or heavy rain
d. Thick or heavy clouds d. Snow d. Snow
e. Don't remember e. Don't remember
10. The object appeared: (Circle One): 10. The object appeared: (Circle One):
a. Solid d. )As a light
b. Transparent e. Don't remember
c. Vapor
11. If it appeared as a light, was it brighter than the brightest stars? (Circle One):
a.Brighter c. About the same
b. Dimmer d. Don't know
11.1 Compare brightness to some common object:
Shothalt
12. The edges of the object were:
(Circle One): a. Fuzzy or blurred e. Other
b. Like a bright star
Sharply outlined c. Sharply outlined
d. Don't remember
13. Did the object: (Circle One for each question)
a. Appear to stand still at any time? Yes Yes No Don't know
b. Suddenly speed up and rush away at any time? Yes No Don't know
c. Break up into parts or explode? Yes No No Don't know
d. Give off smoke?. Yes No No Don't know
e. Change brightness? e. Change brightness? Yes Yes No No Don't know
f. Change shape? Yes No Don't know
g. Flash or flicker? Yes No Don't know
h. Disappear and reappear? Yes No Don't know

Poge 3
14. Did the object disappear while you ware watching it? If so, how?
4 rintderlel
,3
15. Did the object move bahind somathing at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answared YES, then tell what
it moved bohind:
16. Did the object move in front of something at any time, particularly a cloud? 16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes Yes No Don't Know. IF you answered YES, then tell what
in front of:
17. Tall in a few words the following things about the object:
0. Sound7
b. Color
18. We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how
much of the object is covered by the head of the match. If you had performed this experiment at the time of the
sighting, how much of the object would have been covered by the match head?
goit a tiny bit
19. Draw a picture that will show the shape of the object or objects. Label and include in your sketch any details
of the object that you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails.
Place an arrow beside the drawing to show the direction the object was moving.

Poge 4
20. Do you think you can estimate the speed of the objact?
(Circle One) Yes No
IF you onswered YES, then what speed would you estimate?
21. Do you think you can estimate how far away from you the object was?
(Circle One) Yes No
IF you answered YES, then how far away would you say it was?
22. Where were you located when you saw the abject? 22. Where were you located when you saw the object? 23. Were you (Circle One)
(Circle One): (Circle One):
a. In the business section of a city?
a. Inside a building b. In the residential section of a city?
b.In a car b. In a car c.In open countryside? c. In open countryside?
c. Outdoors d. Near an oirfield? d. Near an airfield?
d. In an airplane (type) e. Flying over a city?
e. At sea e. At sea f. Flying over open country?
f. Other a. Other g. Other
24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:
24.1 What direction were you moving? (Cirele One)
a. North c. East e. South g. West
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? 35 miles per hour.
24.3 Did you stop at any time while you ware looking at the object?
(Circle One) Yos No
25. Did you observe the object through any of the following?
o. Eyeglasses Yes No e. Binoculors Yes No
b. Sun glesses f. Telescope Yes No
c. Windshield c. Windshield Yes No g. Theodolite Yes No
d. Window glass d. Window glass Yes No No h. Other h. Other
26. In order that you can give as clear a picture as possible of what you saw, doscribe in your own words a common
objact or objects which, when placed up in the sky, would give the same appearance as the object which you saw
a biD a bid buet. buet.

Poge 3
14. Did the object disappear while you were watching it? If so, how?
15. Did the sbiect move bahind something at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answared YES, then tell what
it moved behind:
16. Did the object move in front of something at any time, particularly a cloud?
(Circle One): Yes No Don't Know. IF you answered YES, then tell what
in front of:
17. Tell in a few words the following things about the object:
a. Sound
b. Color
18. We wish to know the angular size. Hold a match stick at arm's length in line with a known object and note how
much of the object is covered by the head of the match. If you had performed this experiment at the time of the
sighting, how much of the object would have been covered by the match head?
19. Draw a picturs that will show the shope of the object or objects. Label and include in your sketch any details
of the object thet you saw such as wings, protrusions, etc., and especially exhaust trails or vapor trails.
Place an arrow beside the drawing to show the direction the object was moving.

Page 5
27. In the following sketch, imagine that you are at the point shown. Place or "A" on the curved line to show how
high the object was above the horizon (skyline) when you first saw it. Place o "B" on the same curved line to
show how high the object was above the horizon (skyline) when you last saw it. Place an "A" on the compass
when you first saw it. Place a "B" on the compass where you last saw the object.
90° 75°
60°
45 Na
30°
E
15° -15° 3 3W
9 SE
S
28. Draw a picture that will show the motion that the object or objects made. Place an "A" at the beginning of the
path, a "B" at the end of the path, and show any changes in direction during the course.
B
29. IF there was MORE THAN ONE object, then how many were there?
Drow a picture of how they were arranged, and put an arrow to show the direction that they were traveling.

Page 6
30. Have you ever seen this, or a similar object before. if so give date or dates and location.
no
31. Was anyone else with you at the time you saw the objact? (Circla One) Yes No
31.1 iF you answared YES, did thay see the object too? (Circle One) Yos No
31.2 Pleose list their names and addresses:
32. Please give the following information about yourself:
NAME
Last Name First Name Middl Noma
ADDRE 27
Straet City Zona Stcha
TELEPHONE NUMBER AGE // SEx Male
Indicate any additional information about yourself, including any special experisnce, which might be pertinent.
33. When and to whom did you report that you had seen the object? Wren
1967
Day Month Year

Page 7
34. Date you complated this questionnaire: Novemlie8 1967
Day Month Yeor
35. Information which you feel pertinent and which is not adequately covered in the specific points of the
questionnoire or a narrative explanation of your sighting.

PROJECT 10073 RECORD
2. LOCAT ON
-5/0745- Jayton, Onio
10 CONCLUSION
Probable Astro (STARS/PLANETS)
OBJECTS
dt de
5.LENGTH OF OBSERVATION 5.LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS
i Hour 1 Hour Observer sighted a light or bright star. Observed  rom C2
6. TYPE OF OBSERVATION till 0345 when he quit watching. A Form 117 was sent to
observer but it was not returned.
Grouna-Visual
7. COURSE
Staticnery
8. PHOTOS
Yes
XIXNo
9. PHYSICAL EVIDENCE
Yes
XXNo
FORM
FTD SEP 63 0-329 (TDE) Previous editiona of thia form may be used.

Aoi61
15
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT.PATTERSON AIR FORCE BASE. OHIO45433
REPLY TO ATTN OF:
TDPT/UFO
NOV 21 1967
BUBJECT: UFO Observation,.15 Nov 67
TO:
Dayton, Ohio 45406
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 you for reporting your observation to addressed envelope. Thank you for reporting your observation to
the Air Force. the Air Force.
AMES C. MANATT, Colonel, USAF 1 Atch 1 Atch
Director of Production AF Form 117

MEMO FOR THE RECORD 15 NOV 67
Subject: UFO Sighting, 15 Nov 67
Dayton, Ohio
15 Nov 67
2:45 till 3:45 AM (quit watching) light or bright star.
Jupitor Stellar magnitude - 1.6 Stellar magnitude -1.6

() PRC.ECY :00/3RECORD
2.-OCATION
sayton, Chio
3. 10. CONCLUSION
Very Probabie (HCT AIn BALLOON)
NUMPER OF OBJECTS The deseription is like those given for hot air balloons, A
similar sighting occurred in Dayton the night before (2) Ncv 37,
See Susmary Both sightings appear to be of garmet bag. hot air balloons.
ENGTH OF OSSERVATION 11. BRIEF SUMMARY AND ANALYSIS
2-13 Minutes Observers sighted a large bright object that droppea scmelain
6. TYPE OF OBSERVATION like fire. It then dissappeared. One observer described it
as, "it was a round object with very bright fire ana fuzz as, "it was a round object witn Very bright Tire and Tuzzy
Ground-Visual(ASSUMED) Ground-Visual(ASSUMED edges. Things dropped from it and went out." Wiile tne edges. Things dropped from it and went out." Wiile tne
7. COURSE observers were on the phone talking to the Duty Offiier they observers were on the phone talking to the Duty Offiier they
sighted another object that acted the same as the first one.
Conflicting Coaflicting
8. PHOTOS
Yes Yes
XXNo XXN。
9. PHYSICAL EVIDENCE
Yes
XOXNo XOXNo
FORU
FTD SE a: -32y TDE) Previoue editons of this form may be used.

dury 2470067
it. co. smitn Nayton,Ohio
Request wind direction and velocity:surface
and 6000 feet, 10 pm, EST, Dayton, Ohio 24 November 1967.
TDPT
-3745-296

DEPARTMENT OF THE AIR FORCE
HO, USAF ENVIRONMENTAL TECHNICAL APPLICATIONS CENTER (MAC)
BLDG 159 NAVY YARD ANNEX, WASHINGTON, DC 20333
REPLYTO ATTNOFI ETAC/EAD (#5957D/SSgt Dunham)
JAN 10 1968
SUBJECT. Request for Weather Data
FTD(TDPTR-4)
Wright-Patterson AFB, Ohio 45433
1. Requested weather data required to complete evaluations of
reported UFO sightings are attached. Extraction or evaluation
of required weather data were adequate for all sightings except
as follows:
a. Fargo, North Dakota, 25 Feb 67, surface observations for
1900, 2000 and 2100L were not available.
b. Dayton, Chio, 23 Nov 67, 2200L data not available on winds
aloft; 24 Nov 67, 0700L data were used.
2. Data sources were ETAC surface and upper air history files
and Asheville, N. C. data files.
FOR THE COMMANDER FOR THE COMMANDER
dhmdiMcah JhndiMcal
JOHN T. McCABE, Lt Colonel, USAF 2 Atch
Chief, Environmental Applications Div. ChiofPrrironmantal Arnlieations nix 1. 4 Wind Data Sheets 1. 4 Wind Data Sheete
2. 2 Surface Observation Sheets

1
PROJECT 5957D - UFO DATA
SOUNDING 4 3 LOGATION: Dayton, Ohio DATE:
HEIGHT PRESSURE TEMP DIRECTION SPREU
epa Ft mb °C
23 Nov 67
SFC(21L) 190 4
SFC(22L) 170 4
6,000 (0700L Data, 24 Noy 67) 270 17
10,000 (0700L Data, 24 Not 67) 250 36
16,000 (0700L Data, 24 Nov 67) 260 49
20,000 (0700L Data, 24 Nov 67) 260 51
24 Nov 67 24 Nov 67 20
SFC(22L) 290 290 3
6,000 230 230 15
22 Oct 67
SFC(18L) SFC(18L) 140 6 6
SFC(19L) 120 4
6,000 140 3
10,000 300 5
16,000 280 6
20,000 270 15
REMARKS:
DATA SOURCE: ETAC Data Files
SSgt Dunham
ATCH 1, PG-3

Pape 4
20. Do you think you con estimate, tha spoed of the objoct?
(Circle One) Yes No
IF you answered YES, then what speed would you estimate?
21. Do you think you can estimate how for away from you the object was?
(Circla One) Yos No
IF youanswered YES, then how far away would you say it was?
22. Where were you located when you saw the object? 23. Were you (Circle One)
(Circle One):
a. In the business section of a city?
a. Inside a building b. In the residential section of a city?
b. In a cor c. In opan countryside?
c. Outdoors d. Near an airfield?
d. In an airplane (typa) e. Flying ovar a city?
e. At sea f. Flying over apen country? f. Flying over open country?
f. Other f. Other g. Other g. Other
24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions:
24.1 What direction were you moving? (Circle One)
a. North c. East e. South g. Wast
b. Northeast d. Southeast f. Southwest h. Northwest
24.2 How fast were you moving? _miles per hour. miles per hour.
24.3 Did you stop at any time while you ware looking at the object?
(Circle One) Yes No
25. Did you observe the object through any of the following?
a, Eyeglosses Yes No e. Binoculars Yes No
b. Sun glasses Yes No f. Telescope Yes No
c. Windshield Yes g. Theodolite Yos No
d. Window gloss Yes No h. Other
26. In order thot you can give as clear a picture as possible of what you saw, describe in your own words a common
object or objects which, when placed up in the sky, would give the some appearance as the object which you saw

1 2 41.710. 167
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT.PATTERSON AIR FORCE BASE. OHIO 45433
REPLY TO ATTN OF: TDPT/UFO
SUBJECT: UFO Observation, 24 November 1967 NOV 2 7 1957
TO:
Dayton, Ohio 45404
Your name has been given to the Aerial Phenomena Branch (Project
Blue Book) as being a witness to an unidentified flying object.
If you were a witness to an UF0 sighting on 24 November 1967
would you please complete the attached AF Form ll7 and return it
in the envelope provided. If you were not a witness to this sighting, 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 The information which you provide will be used in evaluating this
observation. Thank you for your assistance in this matter. observation. Thank you for your assistance in this matter.
AMES C. MANATT, Colonel, USAF AMES C. MANATT, Colonel, USAF 1 Atch 1 Atch
Sirector of Production irector of Production AF Form 117

2.420067
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION (AFSC)
WRIGHT.PATTERSONAIR FORCE BASE. OHIO 45433
ATTN OF: R2PLY TO TDPT/UFO
UFO Observation, 24 November 1967 NOV 2 7 1967
BUBJECT:
TO:
Dayton, Ohio 45402
Your name has been given to the Aerial Phenomena Branch (Project
Blue Book) as being a witness to an unidentified flying object.
If you were a witness to an UFO sighting on 24 November 1967
would you please complete the attached AF Form ll7 and return it
in the envelope provided. If you were not a vitness to this sighting, in the envelope provided. If you were not a vwitness 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.
MES C. MANATT, Colonel, USAF AMES C. MANATT, Colonel, USAF 1 Atch 1 Atch
Pirector of Production AF Form 117

21A67
DEPARTMENT OF THE AIR FORCE
HEADQUARTERS FOREIGN TECHNOLOGY DIVISION(AFSC)
WRIGHT.PATTERSON AIR FORCE BASE. OHIO 45433
RAPLY TO TDPT/UFO
ATTN OF:
BUBJECT: UFO Observation, 24 Novgmber 1967
TO:
Dayton, Ohio 45402
Your name has been given to the Aerial Phenomena Branch (Project
Blue Book) as being a witness to an unidentified flying object.
If you were a witness to an UFo sighting on 24 November 1967
would you please complete the attached AF Form ll7 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. 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.
MES C. MANATT, Colonel, USAF MES C. MANATT, Colonel, USAF 1 Atch
irector of Production Airector of Production AF Forn 117 AF Form 117

BOB Nr 21-R258
SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE
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 45433, IAW 80-17. (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 PHENOMENONT
DAYERLDAY MONTH NOV YEAR_1967
2. WHATTIME OID YOU FIRST SIGHT THE PHENOMENON?
HOUR MINUTES/OA.M. P.M.
3. WHAT TIME DID YOU LAST SIGHT THE PHENOMENON?
HOUR. 10. 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 ADORESS. IF IN THE COUNTRY, IDENTIFY THE
HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTION FRON SOME RECOGNIZABLE LANDMARK.
ONTHE CORNEROF STHAND PATTERSON STANDING ONTHE CORNEROF STH AND PATTERSON STANDING
ABOUT3SFT.FROM WHITETOWEA WE WERE ABOUT3SFT. FROM WHITE TOWER WE WERE
BYAPH0NE00TH BYA PHONEBOOTH
PHINE BLVA
B007 WHITE WHITE
四 TOWER
5TH 5Tit
S7. ST.
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
SHOW HOW HIGH ABOVE THE HORIZON THE PHENOMENON WAS WHEN LAST SEEN.
90 7-5
69
15
OBSERVER
AF AUG 67 FORM 117

GA. NOW 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
THEPHENOMENON WHEN LAST SEEN.
N
NNW NNE
NW NE
WNW ENE
2
WSW ESE
A
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
THELARGER SKETCH.
8
A0
PAGE2 OF9PAGES

8. WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? (Check approprlate 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 YES 口 NO
EXPLAIN WHETHER SUCH MOVEMENT EFFECTS 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 TIME 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?
LENGTH OF TIME CERTAIN OF TIME NOT VERY SURE
4MIN 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
MOVEMENT OR THE BEHAVIOR OF THE PHENOMENON, AND DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP-
PEARANCES ON PREVIOUS SKETCHES.
PAGE 3 OF 9 PAGES

10. 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?
HEYWERE
ABOUT
FIRSTONE
WASSEEN ON CORNEOF
SIXTH ST. ABOUT A 9O° ANGLE FROM US
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 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
STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE. STREET LAMP, ETC. FOR TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE.
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.
ITWAS A BRIGHTOBJECTITWAC DROPINO
LARGEOBJECTS WHICHLOIKEPLIKEFIRE
PAGE4OF 9 PAGES

13. DID THE PHENOMENON YES NO UNKNOWN
MOVE IN A STRAIGHT LINE?
STAND STILLAT ANYTIME?
SUDDENLY SPEED UP AND RUN AWAY?
BREAK UP IN PARTS AND EXPLODE?
CHANGE COLORT
GIVE OFF SMOKE?
CHANGE BRIGHTNESSI
CHANGE SHAPE
FLASH OR FLICKERI
DISAPPEAR AND REAPPEAR? 1
SPIN LIKE A TOP?
MAKE A NOISE?
FLUTTEROR WOBBLEI
14. WHAT CREW YOUR ATTENTION TO THE PHENOMENON?
SOME OF MY FRIEND'S LOOKED UPANP SEEN
IT AND TOLD US TOLOOK WE LOO K ED
A. HOW DID IT FINALLY DISAPPEAR?
IT WENT FA R OF AND DIS APPEARED INTO IT WENT FAR OF AND DIS APEARED INTO
COME CLOUDS FAR OFF ME CLOUDS FAR OFF
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.
YES IT DIS APPEARED BEHIND SOMECLOUD
PAGE 5 OF9 PAGES

14
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.
ITWASDROPOHUGEPECIECOF
FIRE NOTICE ON MAR
THEFREWIVEDDAOP#BOUT
SOL TO BOO FT. A ND DASA PEAR
15
FFIRE
PAONE
15. WHAT WAS THE ANGULAR SIZEI 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
IT WAS ARIUT THE SIZE OE A DIME
WHERE WE WERE STANDING
PAGE6OF9PAGES

17. DID YOU OBSERVE THE PHENOMENON THROUGH ANY OF THE FOLLOWING? INCLUDE INFORMATION ON MODEL,
TYPE, FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE DATA.
EYEGLASSES CAMERAVIEWER
SUNGLASSES BINOCULARS
WINDSHIELD TELESCOPE
SIDE WINDOW OF VEHICLE THEODOLITE
WINDDWPANE OTHER
A. DO YOU ORDINARILY WEAR GLASSES? YES B. DO YOU USE READING GLASSES? NO
18. WHAT WAS YOUP IMPRESSION OF THE SPEED O5 THE ALF
PHENOMEHON? 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 CBJECT 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.
ITLOOKEP LIAE ALIGHTBULB
ITWASEIT UPLIAE A LIGTBILB ITWASEIT UPLIAEALIGTBILB
21. DID YOU NOTICE ANY ODOR, NOISE, OR HEAT EMANATING FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF.
ANIMALS OR MACHINERY IN THE VICINITY? YESNO. IF YES," DESCRIBE.
A. DID THE PHEHOHENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YES NO. A. DID THE PHEHOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. YES NO.
IF"YES,"DESCRIBE.
PAGE7OF 9PAGES