P ~CjECT .v073 .~:=CORD 3. SOURCe 10. C~NCLUSION observer does not state how t he object disappeared or if ~u ust quit watching it. T".ae observers father was lis ted as a './ l c.};;~; One was sent a form 117 but did not retun1 it. The sightir.3 co~a i 4. NUMBER OF OBJECTS S. LENGTH OF OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS 6. TYPE OF OBSERVATION Ground-Visual 9. PHYSICAL EVIDENCE even a ~ot air ball oon The obaerTer sighted an light that was mixture of white and yellow light. "The object l ooked like a star o~ brighter. maybe a satellite but they don't have t ails. 'l'be object wa~ 1 firs~ seen at 30 deg elevation in NE and last seen at 3 0 deg eleYation in NE. --1-YLtl.t /~C l:t-Cd L..u....t.. CL/LL- U.S. AIR FORCE TECHNICAL. IHFORM.\TIOH This questionnaire has b.en prepared so that you con give the U. S. Air Force a s much formation as possible conceming the unidentified aerial phenorMnon that you hove observed. P lease try to answer as many questions os you possibly con. The information thot you give will be used for research p urposes, Your nome will oot be used in connection with any statements, conc:lusians, or publications without.y~ permiuion, We request this personal information so that if it is deemed necessary, we moy contact y041 for further details, When did you see the olaiect? 2. Time of c:Mry: (Circle One): (Circle One):r;.l Eastem V. Central c. Mountain d. Pacific when you saw the object? 5. How long was object in s ight? (Totel Owetlott) a. Certain b. Fairly certain (Circle One):~ Daylight Saving ~ Stondora 5.2 Was object in sight continuoualy? 6. What waa the condition of the alcy? 7, IF you sow the object during DAYLIGHT, where was the SUN located oa you loo~ed at the object? (Circle One): a. In front of you d. To your left b. In back of you e. Overhead c. To your r ig,t f. Don't remember Reproduced by Librar.y of Congresg Legislative R13ference ;:,ei"V'l.ce 8. IF you saw the ODiect at NIGHT, wnat did you notice eo-c~ming the 5 TARS and MOOr-t? STARS (Circle Ore): 8.2 MOO~ ( Ci rclfl! One): ~Bright lt"'oanlight Dull monn I i!:JhT No mot'nlight -pi tch do"k Don't r.eme...,ber c. Don't r~H~tember ~ 9. What were the wenther =onditions at th tirre you sow ~f" object? CLOUDS 'Circl O,r. J: ("i;) Clear sky- c. Scattrd cloud. d. Thiele or neovy cl.,uds WEATHF.~ ( C ircle OM,): b. FoiJ, ..,;:;t, or li~t roi n 10. The object aoaecl: fCirde One): b. T ronspg,ent @A~ a light " Don't reme"'b.r 11. If it oppared aa o ligh~, was i t brightet than tn btights !'ton? (C ircle One}: b. Dimm r c. About the sa~ d. Don't lcnow Com?Or gl .... ~ss to som-co......, .. oeject: (Circle One): a . Fuuy or blurred ~ L ;:_ ,. bright stor c. $i:gpply outline .. 13. D id the object: Appear to stand still t'lt nny t ime? b. Suddenly soaect up ond rush away at any time? c . Br!!'o:.C vo into o<tf'tS ~ ewolode, Change ~ght.,-ss? Change shope? Flash 01 fliclrer, h. Disapoeor or.d , .. o.,oeer? (Circle Q,. fDr each question) Don't !<now Don't kno-' Uo n f now Don't know Don't know Don't know Don't know Don't know i 14. Did the obJeCt disappear while you were watchin g it? If so, how? -;{ r (Circle One): I 16. Did the object mWe in f,._,t of SOttWtthing ot any time, porticulorly a clou4? (Circle One): Yes @ Don't Kr.ow. IF you answered YES, then tell I 19. Draw a ?icture tt1at will show the shape of the object objects. L~bel and include in your sketch any details j of th e object that you sow such os wings, protrusions, ete., and especially exhaust trails vapor trails Place on arrow beside the drawing to show the direction the object was mewing. I \ ~\S cou\d 'ho. \)e Q;eE' Y'-a tY"l L I G 20. Do you think you con estimate the speed of the object? (Cir.cle One) Yes IF you answered YES, then what speed would you estimate? --------- 21. Do you think you con estimate how for away from you th e obje c t wo s ? (Circle One ) IF you answered YES, then how for away would you say it was?--------- 22. Where were you locot.O when you sow the object? 23. Were you. (Circle One) (Circle One): . o. In the business section of a c ity? GIn the residential s.ction of a city? c . In open countryside? a. Inside a building b. In a car. c. OutdOs d . Near an o irfie ld? In an oirplone (type) e. Flyin g over a city ? f. Flying over open country? 24. IF you were MOVING IN AN AUTOMOBILE or other vehicle ot th e t ime, 1hen complete tho following questions: 24.1 Whot direction were you moving? (Circle Or.e) b. Northeast d. Southeast f. Souihw.st h. Northwest 24.2 How fast w.,.. y04J moving? _,miles pot' hour. 24.3 Did yeN stCip or ony time while you ' loolcing at the obiect? (Circle One) 25. Did you ob""'e the obiect through owy of the following? Eyegloau ';' .. Binoculots Sun glosses c. Windsnt.ld Theodolite d. Window gloss 26. In order that you can give aa clear a picture as pouible of what you saw, describ. in your own words a common o b ject or objects which, when placed up in the -slcy, would giv4l the same op~oronc~ as thtt object which you sow In the following slcetc:h, imagine that you ore at the point shown. Place an "A" on the curved I ine to show how high the object was abOe the hori:zon (skyline) when you fir$t sow it. Place a "B" on the some curved l ine to show how h igh the object was above the hori:zon {skyline) when you lost saw it. Place an "A" on the compou when you first saw it. Place a "B" on the compass where you lost saw the object 28. Draw a picture that w i ll show the motion that the abject or objects mode. Place an "A" at the beginning of the path, a "B" at the end of the path, and $!,"'-.. .:.ny changes in direction during the course. 29. IF there was MORE THAN ONE object, the" how mony were thttte? (f ( )/ e Draw a picture of how they w., arronge.l, and put an onow to aho. the direction that they were traveling. Hove you ever seen this, or a similar object b.fore. If so give date or dates and location. 31. Was anyone else with you at the time you saw. the object? (Circle One) Yes 31.1 IF you answer.G YES, did they see t_he object too? (Circle Onet) 31.2 Please list their names and addresses: , information about yourself: Indicate any additional informotion about yours.lf, including ony spKial experience, which might be pertinent. Whe,?--and to whom did you report t hat you had ~e~n the object?. /;' J Coy Month ' Year ( 34. Oat you completed this queationnoire: Information which you f .. l pertinent and which is not adequately covered in the spe<:ific points of the questionnaire Of' o nOf'rative explanation of y~ s~hting I'IE,.LY TO TDPI' (UFO) DEPARTMENT OF THE AIR FO'RCE HI:AOQUARTERS FORE'ICiN T ECHNOLOGY DIVISION ( AF'SC) WRIGHT.PATTERSON A I R FORCE BAS E . OHIO 45433 UFO Observation 12 .January 1968 B:rownavUJ e, Your name has been given to the Aerial Phenomena Office (Project Blue Book) as being a witness to an unidentified flying object. If you were a witness to an UFO sighting on you please complete the attached AF Form l~;~a r~tUrn 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 C'.roR QUINTA.H!u.A., Jr, Major, USAF hief, Aerial Phenomena Office Aerospace Technologies Division Production Dir~ctorate AF Form 117 w/envelope