10. CONCLUSION ~ .. vilial! ~ toJIJ '-'BE R OF 08,; ECTS The witness thought it was an airplane. " t.:.NCTH OF OaSERVATION 11. BRIEF SUMMARY AND ANALYSIS l.O -15 Secoilda Obserrer sighted an object hat ~urned aidewaya. 6. i'f?~ OF OaSERVATION Groucd-Visua! 8. PtiOTOS 9. PHYSICAL EVIDENCE p,.vlou dl tlona o r t.."'Ja form may b uaed, that looked like a Napoleon shai)ed U.S. AIR FORCE TECHNICAL INFORMATION T i.i s questionnaire has been prepared so that you con give the U.S. A;r Force as much infor~o1; ~n os possible concern ing the unidentif ied aer io I phenomenon that you have observed. Pl~:!s~ try to answer os many questions os you possibly con. The information that you give will be us~d for research purposes. Your nom& wilt not be used in connection with any statements, cenclus ions, or publications without your permission. We request this p&rsonol information so that if it i s deemed necessary, we may contact you for further details. 1. When did you ~ee the obiect? 2. T ir.1e of day: Hour Mi nut~ s (Circle One): T ifTie Zone: ( C ;rcle One): (C;rcle One): -light Sov i ny b. ent!'al Standard d. Pacific _ 4. Where wer~ vou ~hen you saw tb_e object? tltv.lrlflLJ-1 itlt . tf'./L "ve_er/l;, _ .G&f#/UCov#T <!liLa. N~o:o9st l=lostol Address Cit~ or Town Stote or Co nty 5. how !ong wos ~:,ject in sight? (Tc ~:! Durat ion) Hours Minutes Seconds :::. Certain c. Not very sure 6. What was the c~ndit:on of the sky? o. B ri ght 7. IF you sew the object during DAYLIGHT, where was the SUN located as you looked at the object? (Circle Onei: a. In front of y ou b. In bock of you ~ to ~oorr! d. To your le ft c. Overhead f. Don't remember FTD or:r 62 164 Thle form uperuc1~ F'TO 16 ... jul f) I , ~hlch .. olnolete ti. IF you saw the object at NIGHT, wha t did y ou notice concNr1irtg the ~TAf<S c.md MOON? 8.1 STARS (Circle One): H.2 MOON ( Ctrclt One): o. None a. Bright moonlight b. A fe ' b. Dull rnoon I ight c. No moonlight -p itch dark d . Cc;-,'t remember d. Don't re member 9. Who t were t;,e weather conditims at the time you sow the object? ClOUDS (C:rc/e One): HEATHER (Circle One ): b. fog, mi st, or li ght r o i n o. Cle"r s\..y c. Scattere-d clouds c ~oc1Nate or hcovy rain C a .. Thick c-r neavy cloud,; e . Don't rcrn~rr.b~r 10. The o b ject appeared: (Circle One): So I id',, d. As o light ; ..... sp:1en t e. Don't rer.1ernber 11. If it op~eored as a light, was it brighter than the brigh test stars ? (Circle One): a. Brighter c. About the some d. Don't know 11.1 Compc brrghtness to som~ common object: 12. T he edges cf ~.,~ object were: o . Fuzzy or b lurred ~. Like a b .. i~ht srcr C:: Snar('lly o ut! ir.:i)' = Don't rememb~r 13. Did th e obje-:t. (Circle One f or e och question) a. Appecr t o stcnd still at any time? Don't know b. Sudden! r SP"' ~d up and rush away at a ny time? c. Brea k u p in!o parts or explode? Don't know d. Give off smo~e? Don't know e. Change bri~tness? f. Change sha~? g. Flash or flicker? h. Disappear ond reoppenr? Don't know CE?" It krlj);> Don't know Don't know lA. Dirf the obi c:t di!ODMCif whil~ you wert' wotching it? U so, how? (Circl-:-Jn~d: Don't Know. IF you onswttre YES, then tell what Don't Know. IF you onsw~red YES, then tell what 17. T~ll in o fpw word5 the following th ino~ about the object: 18. H w is}-~o know th, on~ulor six~. Hold a match stick at arm's l~n~th in line -.with o kr,awn obi..~tc:t and note how m.;ch of th e obi~et is covP.red bv the h~od nf the match. If you hod o~rform,.i this ~)(~rimftnt ot the t im'! cf the sightin~, ::o w much of th~ ,b!~ct uld ho . been cover~d by the match head? 19. Drew c !' : ,~ .... tJ. will show th~ shope of the object or objects. Lobel and includtt in your sketch any details of tl.,~ o':. ~:~ ~::t you sow such cs -ings, protrusions, etc., and especially exhaust trails or vapor trails. Place ~:--=~--="" = i::e the dra..,.i~; to show 1he direction the object was moving. 20. Do you thinlc you can estimate the sptted of the object? (Circle One) IF you ans~red YES, then wt,at speed would you estimate? llf!l}fl~r 21. Do you th init you can ttt.timate how far away from you the obiect was? (C ~rcle One) IF you answered YES, then how far away would you say it was? 22. Where were you located when you sow the obiect? (Circle On~): a. lnsid~ ~ building d. In an a irplone (type) 23. Were you (Circle One) a. In the business section of a city? b. In the residential section of a ity? .. ~In open countrysi~J,i{-;.t. < .1-o-,~.,;_ d. Near on airfield? ~ - e. Flying o~1er a city? f. Flying ov~r open country? 2.4. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following questions: 24.1 Whet direction were you moving? (Circle o,.,) a. Norft. c. East b. N ~rtheast d. South eo'' f. Southwest How t~st were you moving? ,tfff/lpY/O..ityt/1 miles per hour. 24.3 0 id you stop at any time while you wetre looking at the obiect? (Circle One) D id you ~hserve t1 e obiect through cr,y of the following? Eye;i=;s~s Binoculars f. Telescope W i nci sr. .! i: No g. Theodolite d. W:ndow ; lc1! C:: Northw~'Sb In ordar that you con give as clear a picture as possible of what you saw, d~scribe in your own words a common object or objK~l which, when placed up in the sky, would give the same appearance as the obiect which you saw 27. In the folio in; s\cetch, imagine tha t you me at th-, point shown. Place or "A on th4!f r:trv..t~ fin.1 ~o ~how how high the object was above the horizon (skylin~) when you lrst sow it, Plnc.e a ''B" on tht, some curved line to show how hi the object was above the horizon (skyline) when you lr1st saw it. Place on "A" on th-e co,npn~s when you fi r l t s~w it. Place a "B" on the compass where you los f sow tlu~ o bj,.c:t. 28. L)r~w c pict\.:.-~ that will show the moton that the obj~ct or obiects mode. Place on "A" o t the be~inning of the pc, , 'J u ~t th& end of the pot~, ond sho..., ony chong~s in direction during tht. course, 29. IF t:;ere W~5 1CR E THAN ONE obiect, tnen how mony were th~re? <--. t.f'tf,}.~ ]j,J_...;;[M) _ _!..X)oc;._ _ Draw o picn.:P'! ..::r ."'':>w they were crrc:"'g~d, onJ put on orrow to show the d ir ction that they were traveling. Hove you ever sottn thiJ, cr o 5tmilor obittct boforo. 31. Wa!'t anyone 1tl.se with you ot the time you sow the object? (Circ:ltJ One) 31.1 IF= ye\J c:nswered YES, did they s,, th" obiect too? ( Circla One) 31.2 Pfe:a I ist their names and address"s: 32. Pleo:;e give th~ following information ubc:>ut yours81f: _ _cj_g_J;r~L- IILJL. ~'I I ll'~L}(lj C} TE LE PH~'~c NUMBER lndico ory additional information oSout yolJrs'!lf, including any special e,(p~rionce, which might be pertine:nt. Wh~n and,.., whom did you report thot you hod !.:C(in the obidct? tfe;JutZ/c/ .f'/~--,1~Nu / /.-1 011y Month Year ;:; ---: 34. Date you completecl this questionnaire: 35. lnformatiOI" w'"-ien you feel pertinent and which is not adequately covered in the s~c~fic points of tht- questionno i:-!t ~r c narrative explanation of your sighting. MEMO FOR THE RECORD 3 November 1967 S~bj : UFO Sighting, 3 November 1967 regarding her unidsntified flying object ob- servation: ~entral State UOi~ersity UFO :-eport: time: 10:00 AM 3 November 1967 place: Over entrance to Central State Ubiver31ty Duration: 10-15 se~onds Object: looked like a Napoleonic hat turned sideways Flight Characteristics: At first hovering then quickly flew a~y Altitude: 6oo or 700 feet Sound: None Witnesses: Some cons~ruction men in a truck (When observer stopped 1:en they said t he object was an English plane. On further question- :-.~ o:le admitted t hey didn't knov what the object was. Observer :J":,1 l try to find. O'lt their names. ) Witnesses car stopped. TDPT (UFO) DEPARTMENT OF THE AIR FORCE H!AOQUAftTER8 FO .. EH'",N TECHNOLOGY DIVIStON ( A~8C) WRIGHTPATT~RSON AIR FORCE BASE. OHIO 4!1433 Yc name has been given to the Aerial Phenomena Office (Project Bl~= Book) as being a witness to an unidentified flying object. If you tere a wi tneso to an UFO sighting on r; elilb.er 1, 1967 wou:d you please comp l ete the attached AF Form 117 ana return it in ~he envelope provided. If you were not a witness to this sighting, vould 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 lLH:Ec~R QUINTANIIJA, Jr, Major, USAF /2c:!.e ~, Aerial Phenooena Office Aer~space Technologies Division. Pr?cuction Ddrectorate AF Fo~ 117 v/envelope AFR 80-t7(Cl) SIGHT I MG OF U:i r DEMT IF l EO PtiE:~CMi .'\ QaEST I O'l:i !4 ~ nc Dl/{lt;,.-T INJ!AU n;e~O'YIL NVMBE if 21-llJ THIS QUF:~T!) !'\,.\ti~E HAS B E E N !'RE!'>ARED SO THAT YOU C P :\ GIVE TH!. U. ~ t.Tl~ l(H~CE AS MllCillNF O RMATJO:"J AS POS~lDL-;;. CONC ERNING TH&: llN I DI-:NTCF U: D PHt:No~n:NON THAT '!OfJ H,'\Vr. O DSET?VED. P LEASE TRY T O ANSWEP .~:.L Of" THI~ QlJF.~TlONS. THE JNFOl !MA1'lON YOU GIVE WlTJL hF. l...' :n i"OR ~!:SE.ArlCH PURPOJZS YOUR NA\ 11: '\lLt,. ~OT B E USEO 1~ CONNt:CTI O N WIT H .\NY OF YO U R S1'ATEME!~T:31 01~ CONCLUStON S WlTHOU1' YOUR PEQY:~s:d~. RETURN T O AlR FOHCEDJ\Sl.:: I~VESTlGATOR FOi~ F ORWt lUH:-o;G TO J.T D (TDETR), WRlGH"r . PATTE? :.O: .\FH,OH I 0 4 5 433 ,1.'\W AFR8 C'fl. ( I F AD!J I T/{),\'J..L SflEI~TS A R E .'\'l~:nr:n FeN? NARr~ATH"l~ OR SJ<RTCUF-; s A T T A :;;.; ::.: :, ~r:I. Y T O rillS For::.\ r 0.~ A N NOT A TF W1 Tf! "l'O(J/~ NAN IT F O U If) :N'J"IFTC A nn.\' . ) 11.':: 0 10 Y O U F IRST StG H l THE F"'HEN~t-'E"NO~P 3 WH o\T ~1M:: 010 YOU LAST SIGHT THE F'H{:.NOMENON 1 r::J .Jo\YLIGHT SAVINCS ( j ST~,IlO/\RO f . OTHf::R EAS7-::-"l l)<i CENTRA L IJ MOUUT;.I N l J P ACIFIC A.N O C ~\WN MAP \'IHE~E Y O U WERt: S TAtWING WIT H R EFERENCE T O T'IE A UORCS5 IF IN n1c '=OUN TRV, IIJENTI F"Y TH'i ~lGl.iWP'I Y O U WERE ON on NEAR AtlC TC1Y TO F I X A D I STANCE AND DlnECTION t R O M !.O~E. Rf:.r.OGNI 'ZAYL. LAt40 P-\Aqlo: . s,;o._ ._.0,._ -n ::;H ABOVE THC HOR!Z~N i h E PHEN O M E N O N WAS WH E N L A S T SE EN. PH ...,=:,:.~J WAS ABOVE THE HO~!t::>r.;, O R SKYLI N E . WHEN FIRST SEEN. PLAC F A u 0 11 TI-l~ SAMF. CURVED LINE TO 085Er<VE R MEMO FOR THE RECORD T line was busy. of Xenia Ohi Xenia , Oh sn't there but I talked to his wife. She said that he r told her about the incident and thought it was an airpland fltt'"LV TO DEPARTMENT OF THE AIR FORCE HI:ADQUARTIUtM FOREICN TECHNOLOGY DIVISION ( A,5C) W~IGHT-PATTASON AIH FORCE BASK. OHIO 41&!5433 '.rDPT (UFO) UFO O~servation !Jove~n"ber ~?f s-c;cs- Yo name has been given to the Aerial Phenomena Office (ProJect El Book) as being a vitneas to an unidentified flying obJect. If y .Ju Yere a 'Witness to an UFO sighting on 3 Novemb~r 1967 "'c~:..:i you please complete the attached AF Forrn 117 a.nd return it in e envelope provided. If you were not a witness to this sis~ting, would you please make a statement to this effect on the attached fo1~. The information which you provide will be used in eva~uating this observation. Tha nk you for your assistance in this ~C:'OR QUINTA.'tfiiJ.A, Jr, liajor ~hie~, Aerial Pheno er.a Office Ae~=space Technologies Division ~o ction Directorate AF Form 117 v/envelope ftiJI\.V TO DEPARTMENT OF THE AIR FOHCE HI:AOQUAATERS FO .. EIO N TF.CHNOLOGY DIVISION (AF~C) WRIQHT.PATTEASON AIH FORC E DASE . OHIO 4!