I .\, .':.l ,SEP Or ~c..l:CTS I CONCL :c.,..; bri~ht rc\1 u:.~ntioned. ~t<:1ted th~t 3... Dote you completed thia questionnaire: I 35. Information which you feel pertinent and which is not adequately covered in the sp.cific pointa of the questionnoire ~ o norrative explanation of your sighting. DEPARTMENT OF THE AIR FORCE HEADQUA"TER5 FOREIGN TECHNOLOGY DIVISION ( AFSC) WPUGHT-PATTEfiUION AIR FO .. CE liAS. OHIO 4~433 UFO Observation, 6 November 1967 New Jersey 07027 Yo..1r name has been given to the Aerial Phenome na Branch (Project B:~: Book) as being a ~itness to a n unidentified flying object. I f you ,\ere a ~:i tness to an UFQ sit;hting on 6 November 1967 .,c..:.ld you plea~e complete the nttach<1 .f..F Form 117 and return it in the envelope proviaed. If you were not a .1itness t.c thi::; sighting, v:c. . .;.ld you please ma ke a s t a tement tc this effect on the attached form. Tt1e infonnation ,.;hich you provide will be used in e valuating this obaervation. Thank you for your assistance in this matter. AF' Forrn 117 DEPARTMENT OF THE AIR FORCE HKAOQUAATE,_S ~OAEICN TECHNOLOGY DIVISION ( AFSC J WftiGHT.PATTE .. SON AIR FORC BASE. OHIO 44!1433 UFO Observot1on 6 November 1967 Rev Jersey CTT(Yt!'( Yo name has been given to the Aerial Phenomena Branch (Project B:.ue Book) as being a. ~itncss to an unidentified flying object. If you '\:-ere a ,,:i tness to an UFO s ic;hting on 6 rtovember 1967 . .-vuld you please complete the attached AF Form 117 and return it in the envelope provided. If you ..rere not u vi tness tc this sighting, vculd you please mal~e a statement to this effect on the attached form. The infox1nation ,,hich you provide .'ill be used in evaluating this observation. Thank you for your assiGtance in this matter. C. MANATT, Colonel, USAF ector of Productio~ AF Form 117 U.S. AIR FORCE TECHNICAL IHFORMATIOH This questionnaire has been prepared so that you con give the U.S. Air Force as much information os 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 t~, research purposes. Your name will not be used in connection with any statements, cone 1~:. i ~n s, or publications without .your permission. We request thi a personal information so that if it i s deemed necessary, we may contact you for further detoi Is. 1. When did yov see the object? Hour Minute a Month Year (Circle One): or P.M 3. Time Zone: (~ ircle One): a. (Circle One): .a. Daylight Saving (~,.Y Standr~Jrd c. Mountain d. Pacific ..!. w:, w~re y~ when you sow the obiect? ~eoreat ?ostal Addret S. How lon-; was obj~ct in sight? (Total Duration) City or Town i' .._erta 1n c. Not very sure Stote or County ~ Feirly certain d. Just o guess ... ;:. . ,. 5.2 Wcs objs;~ ;n si~ht continuously? What was th, c ci~l~:"' of the sky? ci;)Bright 7. IF you saw the object during DAYLIGHT, where was tho SUN located as you looked at the obiec:t? (Circle One): a. ln f:-ont of you In bock of you e. To your right d. To your left e. Overh~od f. Don't renember FORM Reproduced by Libra~ of Coneress, Legislative Reference Service U OCT 62 164 Thle form upereedn PTD 1&4, Jul 61, whlc~ I ob"lte. . 8. IF you sow the ob,~ct at Nll~HT, what did you notice co-c~rning the 5TARS and MOOt-.? d. Den 't rei'""'" be' 8.2 MOO~ (Circlt! Ont!): (~Bright monnl ight b. Dull monnliaht e. No mo<'n I ight -pitch dark ~. Don't re.,ember 9. What Wf!'r~ t"'e wenfh~r :0":1 iti~n! at th tt tim~ yov sow ~-ob1ect'? CLOUDS ( C ,,.:ie Ou ): c. Scotte:- d. Thick v: : vy ~ l..,uds c. ,V,od~r,.,, .... ()r neovv rotn 10, The object o~oeor~d: ((;rdt" Om~): b. Trcnsoor~nr " Don't r~m~mber 11. I" i7 op~eored os a iign, wos i t bri~hter than the brightes t ~tors? (Circle One): o;: 2rightt-r c. About the sa-nr d. Don't know 11. 1 Comi')Ore orightn"'~S to, somlt common objec:~: ~ 12. The edg~s o~ t~e obita.: t went: (C irc!e Or~) : a . Fuzzy or blurrl!d ~. L ;:.c .. ,. briynt stor _,..-~7) S~c,.ply o utlined b. Sudd!>nlv s:;'!~ ... ., .J=' and rush owe-, ot any time? c. Breolc uc-... t::> .::-ts -,r exolcd e ' f. Chang~ s:-:J~? h. Oisop:>eor or.d r'""o~pecr? (Circle Q,e for eoch q uestion) Don't know Don't know Don't know DCI,'t know Don't know , N) Ytts Don't know Don't know Don't know 14. Did the ob1ect di !opoeor while you w~re watching it? If so, how? 15. Did the ob:ecr ~ove behind som~thing at any time, particularly a cloud? ( ; No ) Don't Know. IF you answered YES, then tell whot . (Ci'c~t~ Q.~l: it moved c-e~ ind: 16. Did the obje.:t move in front of something ot any time, particularly a cloud? (C ire le Gn~ ): Don't Know. IF you onswered YES, then tell what t T e II in o few words the following things cbout the object: 18. We w i sh to k~ow the angular size. Hold a match stick ot orms length in line with o known objecT and note how : :h of the ob1ect is covered by the head of the match. If you had performed this experiment at the t ime of the sigh-:-~.;, he ... much of the object wou id hove been covered by the match head? i 19. Dra~ o p;ct-'e thot will show the sn:Jpe of the object or objects. Lobel and include fn your sketch any details j of th e o~:ect t y ou saw such as w ings, protrusions, etc., and esp&cially exhaust trails or vapor trails. Place Oil =r~o:-""' '::esid~ th~ drawin~ t o s ;,ow the direction tho object was moving. l i 2(), Do you think you can estimate the speed of the object? (Circle One} IF you answered YES, then what speed would you estimate? ------- 21. Do you think you con estimate how far away from you the obiect was? (C irde One) ' Yes .. No IF you answer~d YES, then how far away would you soy it was? .---:..--------/' 22. Where were 'fOU located when you saw the object? (C ire le On~): a. Ins ide o building b. In a cor '-...~ Outdo or s d. In an oirp:one (type) 23. Were you (Circle One) a. In the business section of a city? b. In the residential section of o city? c. In open countryside? d. Near an oirfio ld? e. Flying over a city? f. Flying over open country? 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle at the time, then complete the following qu tions: 24.1 What d irection were you moving? (Circ:lo Or:e) a. North c. East e. South b. Northeast d. Southeast f. Southwest h. Northwest 24.2 How f::5t were you moving? miles per hour. 24.3 Did you stop at any time while you were looking ot the obiect? (Circ!l! One) 25. D id yov obser .. e th~ obiect through any of the following? a. Eye;lossei -e.) Binoculars . Sun slcss~s f. Tel~scope Theodolite Yes No 26. In order the~ ;:oo.. .:en give Oi clear o ~ictura as possible of what you saw, describe in your own words o common object or obj:,: wnich, when placoci up in the sky, would give the some appearance as the obiect which you aaw. 31. Was anyone else with you at the time yt"u SO'# til~ object? ( Circl.! Or~c) 31.1 IF y:>v ~;1swerod YES, did they S U-' ~ho <>b ject ~o'-1'? {(irclo (>r;.) ) 32. Please giv~ t h e following information ~boJt Y"ur .. r,lf: Tc LE PHOr_;:: NUMBER 33. When and t o \ r ; :~-d:d you report tha i you hcd :;~!>n ~h~ objec.:t? 27. In the following slcetch, imagine that you ore at the point ahown, Place an "A" on the curved I ine to show how high the ob;ect woa obcwe the horizon (alcyline) when you l;rst aow it. Place o "8" on the aame curved line to show how high the obiect waa above the horizon (skyline) when you last saw it. Place on .. A" on the compaas when you /irs t sow it. Place o "B,. on the compoaa where you lost sow the obiect. Draw a pic:ture that will show the motion that the obiect or obiects mode. Place an "A" at the beginning of the porh, o ' B" at the end of the path, ond s!e~J" .:any changes in direction during the course. IF ther~ wa.s MORE THAN ONE objett, then how many were there? ,...J ~ ; I ''l J. !' .. , ~ ... ~ Orow a pictwr~ of how they were orron;ed, and put an arrow to show the direction that they were traveling