PROJECT 1Q073 RECORD 1. t\A TE 1 .ME GROUP 2. LOCATION 3. SOURC~ 10. CONCLUSION Ci.v'i li""- INSUFFICIENT DATA FOR EVAI.UATION 4. NUMBER OF OBJECn 5. LENGTH OF OBSERVATION 12 minutes 11. BRIEII SUMMARY AND ANALYSIS 6. TYPE OF OBSERVATION Ground Vis 8. PtiOTOS 9. PHYSICAL EVIDENCE ~ obaerver sighted a spherical ball +-hJ t was self-l "' and vas aiored red, yellov blue, green aDd pu:i-ple. coMMEI'l'S::: 'The case was not which -t.. i. 1 t waa to-late to submitted untU 29 Jan 68 at investigate the sighting. oue edlUoaa ol U\la laea .. ,. ... uee4. AFR R0-17(Cl) t1. 010 YOU OBSERVE THE PHENO,..I!NON THROUGH ANY OF THE F'Ol..l..OWING' INCLUD~ INFOAMATION ON MODEl., TYPE , (II"IL TEA, LENS PRESCRIPTION OR OTHER APPLICABLE DATA. CAMERA V IEW!:R EYEGLASSES SUNGLASSES BINOCULARS WINDSHIELD SIDE WINDOW OF VEHICLE THEODOLITE WINDOWPANE A . DO YOU ORDINARILY WEAR GLASSES? 0 YES t1i1 NO B . Ot) YOU USE READING GLASSES? 0 YES lt'fNO 11. WHAT WAS YOUR IMPRESSION OF THE SPEED AMHE \ PHENOMNON1 GIVE ESTIMATE OF SPttED ~ ~ ~'f4 19. WHAT WAS YOUR IMPRESSION OF THE DISTANCE 9F lHE PHENOMENON? GIVE ESTIMATE OF DISTANCE .,:Z .. ,_ . 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 OA OBJECTS WHICH, WHEN PLACED IN THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENOMENON, WOULD BEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMI~ARITIES ~NO DIFFERENCES BETWEltN THE COMMON OBJECT AND WHAT YOU SAW. :y lJV-\.-d~t' A 21. 010 Y O U N OTI C E A,NY ODOR, NOIS~. OR HEAT EMANATING FROM THE PHENOMENO N OR ANY EFFECT ON YOURSELF. ANIMALS o R MACHINERY 111t T~z "''=INtTY7 0 YES ~No. IF -ve:s. DESCRIBE. A. DID T~E PHENO M ENON DISTURB THE G ROUND OR LEAV E ANY PHYSIC A L E VIDEN C E . "Y!:S.~ DESCRIBE . [J YES 0NO. PAG E 7 OF 9 PAGES II. MAY .,OU avaR ..... TMII OR A ltMU..AR .. M.MOM.NON aai'OM? &.OCAT10N. 21. !,l& ANYON. WITH YOU AT TMa TIM. YOU SAW TH& PMIENOM2NOn .. o. U' yaa, GIYI OATR AND '-'NO. " Yit, DID THEY SEE IT TOOt OIVE THE I'OLL.OWING tN~O ATtON A80UT YOU.-HLf' lNDICAT~ ADDITIONAL INf'O .. MATION INCLUDING OCCUPATION AND ANY EXPE .. t~NCI WMICH MAY 81 PE .. TINENT. 25. WHEN AND TO WHOM DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENONENON? MONTH YEAR 26. DATE YOU COMPLETED THII QUESTIONNAIRE. PAG E 8 OF 9 P A GES lhot ''" cen p lhe U.S. AJr. Force en -.h Olriol piiiRilftiRDft thai 'fOU h~e ObiiNecl, lltesn I!F..,..,.=s-.lllf .,. ., p111.W, un..n. IRfotmotioft that you gi will t. n If w 11urp111 .. , .. r will 1101 t. 1ft cormection with any stotemenft, cOftdi~ or: p11lllia:.fa 11 wis .. your pumiteien-We r~qualt this pettonOf infounotion 10 l .. wtMtn ciW yo. 11 "-icl? (Circle Q,..h A.M. or (TofetDus jut' +;,r 7. IF you sow the object d u ring DA '1LIGHT, where wot the SUN located as you looked ot the object? (Circle One), d . To your left e. Overheod b . 'Tribo-of you c. To yow right f . Don't remember Tbla 101 ua aupenedn P"tD I M, Julll. whlc:h Is obaolete . State or COUftty b. Fog. l'fMt, or light rain c. Scatte: ed clouds c. Moderate or heavy rain d. Thick or heavy clouds 10. The a .. ject appeared a (Cirde Otte)t- a. SoiW d. As a light b. Trani,IJint 11. If it appeared a1 a light, w It Abeut the lOMe Dout't lutctw 11.1 CaMp brevhtw eo ..... ca"""on ollictt 12. The 1dg11 of the object werea. (Circle Otte): a. Fuuy or blu111 .. 13. Did the object: o . Appar to stand ~till ot ofty titne? ... b. Suddemy sp11d up and ruth away at ClftY time? c. Break up into parts Of' plode? d . Give oH smoke? e . Change brightness? f. Change shape? g . Flash or flicker? h. Disappear and reappear? (Circle One for each qu"tion) Don't know Don't lcnow Don't know Don't know Don' t know Don't know Don't know OffiCial U.S. Air: Fo Old tho olai1Ctditllfllr wttte.you .. ue W.khf,..lt? If so, how? IIMI, pae ticulort, - 16. Dfd the '*f1Ct ntDOitt fl'ont of IOiftOihing atony time, paeticulorfy a cloud? (Circle OM}T - Don't know. If you amw~rd Yr$, th.., teU who'' J7 J T elf ;"' o t.w wo"' the followine . :.'" .: obi ~ COftfiO by the head of tho -lP w.ow fhe.lhcpe oE the obiecr Or obicb. Labal oncl in.lu d1 itt fOUl' skatc.:t. ony detail. ol the objet~ 1Gt'YG~1CIIIII,.._Idt,_. wir.,.. ptotrulions, ~ especially uha~ or UpOr "aile. Pfoce-em CKu~w baide the drtJwiny UFO. form c0i1tlnued a. In the bwin 11~ of o cityt tn op1n countf)'tide?'" ~-"'or on ow field? dw' bt-cm oirpiCMe (type) _e ... fl)'inl over city?' f. Flying~-opn counlrt? a .. Noeth ,,,.. wtrileJ~ laolci"9 ot Itt lilt ct? : ft . . Nor lh welt b-Sun gla1111 ~ Windsftield f. Te~ucop.- <JhadaliW ftt CHdarthat yov~an giw-at.cl8cit'".'cr pictu,. al possible of what you saw, describe in-your owtt word a common obfed' or ab- jecb which, when placed up itt sky, would gi8the appearance os the ob;.ct _wl,idt you sow. Official U.S. Air Fo In the followift9 shtch,.lmotine that 10" ore ot.lh point shown. PIOC'e an "A" on the cvrved line to lhow how hieh tho object was olMI the (lk,llne) when ,.. lint it. Place--o "I" on the "' CVtYeCt line to show how high the obid woa olMave the herin {tkylfte) wft1n ,_ loll . lt. Place. an "A" en the compou wh~ yov Rnl sow it. "ac o '"'" on the co - pOll when 'D" ,_, II W the ollfect. 21. Draw a picture thut will show the motion thut the objed or objects mode. Place an "A" at th beginning of the path, o "8" at the '"* of the petit, and show .,, chaft9 1ft direction during the course. 2P~ If thec 1 was ~ ntAN ONI GA,ject, ihen h.,.. .rMIAY weue tiltltt&l,.:e.lll _ O.aw.cr pictvN of how they ,..,. at ranged, arttl ....... It 11\iW te shew tf;a dla:lioa .. I they tfoveliftl.