PriOJECT 10073 RECORD 2. LOCATION Blaacheeter, Ohio 10. CONCLUSION INSUJTICIENT DATA J'OR EV.AJlJJ. TIQN 4. NUMBER OF OBJECn A l'oraa 117 vaa een\ to \be obaerver bu.t baa DOt beu ret\U'Ded 5. LENGTH Of OISIRVATIOM 11. BRII .. SUMMARY AND ANALYSIS 6. TYPE Ofl OBSERVATION SeeD 1D NV 9. PHYSICAL EVtD!NCI The obaen"er ....... eel the :rl'D Dut7 ott1cer to repon that be 14eA,1t1ecl brlp\ lipt. TDPT (UFO) DEPARTMENT OF THE AU' ,.OftCE HAOQUAfiiT ... S FOfiiiiiON TIICHNOLOGY DIVISION C Af'!tC) WfiiiGHT.PATTERSON Alfll r:OfiiCII 8ASK. OHIO .,.33 UFO Observation , 4 September 1968 Mor1ov, Obio 45152 Reference your recent unidentified flying object s ighting which you reported to the Air Force. The information which we have received is not sufficient for a scientific investigation. Request complete the attached AF Form 117 and return it in the self- addressed envelope. Thank you for reporting your observation to the Air Force. USAF 1 Atch 'f;HECTOR ~ctUINTANII.I.A L t Colonel, dChief, Aerial Phenomena Office AF Form 117 w/envelope Aerospace Technologies Division Production Directorat e SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIOMMAIRE BUDGF.T nuF.AU APP,OVAL THIS QUlO:STlONNAlRE liAS OEEN Pl~EPAReO SO TIIAT YOU CAN GIV(o; THF. U. S. AI~ FORCE AS MUCfl INFOHMATION AS POSSIIJLE CONCERNING THE UNIDENTIFIED PHF.NOMENON THAT YOU HAVE onst-: RVI":O. PLr:ASF. TRY TO ANSWER 1\LU OF THE QUESTIONS. THE INFORMATION YOU GIVE WILL IJE USEil FOR HF.SEARCII PURPOSI<;S YOUR NAME \\1LI,. NOT BE USED IN CONNECTION WlTH ANY Or YOUR STATEMfo:NTS OR CONCLUSIONS WITIIOU1' YOUR PERI\11SSidN. RETURN TO AIR FORCE DASE INVESTIGATOR FOR FORWARDING TO FTD (TDF.TR), WRlGIIT- PATTERSON AFB,OHI045433, lAW AF"R80-f7. (IF ADDITIONAl. SHEF.TS ARF. NI!EDF.D FOR NARRATIVP. OR SKI-:TCHF.S ATTACH SF.CURF.LY TO THIS F ORM OR ANNOTATE WITH YOUU NAMF. FOR IDF.NTIFICAT/ON. ) 1. WHEN DID YOU SEE THE PHENOMENON' 2 . WH "T TIME DID YOU FIRST SIGHT THE PHENOMENON? ~ ..,. 3 . WHAT TIME DID YOU LAST SIGHT THE PHENOMENON? /_ J/ r-' 4 . TIME'ZONE ~AYLIGHT SAVINGS QSTANOARD (5ktAsTERN MOUNTAIN rJ PACIFIC [J OTHER 5 . WHERE WERE YOU WHEN YOU SAW THE PHENOMENON? IF IN CITY. GIVE THE NEAREST STREET ADDRESS AND INDICATE ON A HAND DqAWN MAP WHERE YOU WERE STANDING WITH REFERENCE TO THE ADDRESS. IF IN THE '.:OUNTRY, IDENTIFY THE HIGHWAY YOU WERE ON OR NEAR AND TRY TO FIX A DISTANCE AND DIRECTIO N FRO M SOME RECOGNIZABLE LANDMARK. B LA,l/C tte-s TEI2/ tJ ll.~ o 6 . IMAGIII.IF.: YOU ARE AT THE ?OI"fl 5~01t"'' i N TrE: SKETCH. "LAC E AN -A ON THE CURVED LINE TO SHOW HOW HIGH THE PHEN OMENOP.I WAS ABOVE THE H':)~f!Z0'14. O R SKYLINE . W~EN FIRST SEEN. PLACE A !3'" ON THE SAM E CURVED LINE TO SHOW H O W HIG H ABOVE THE HO~::ON THE PHENOMENON WAS WHEN LAST SEEN. OBSERVER ..., . NvW IM~GIN E YOIJ AR! AT THE C!:~ TEA 0 F 'f H E COMFI A liS ROSE . F'L ~C E A N A ON T H E COMPASS TO IN DIC ATE THE DIRECTION TO THE PHENOMENON WHEN ,_.lAST SEEN. Pl.AC E A e ON THE COMPASS TO INOIC~TE THE DIA!:CTION TO THE PHENO M ENON WHEN LAST SEEN. 7 . IN THE SKET C H 8 EL0W, PLAC E AN A AT THE P OSI T I O N O F THE PHENOME N O N WHEN FIRST S E E N , ~NO A e AT THE POSITIO N OF Hie P H ENOMENON WHEN LAST SEE N . CONNECT THE A AND e WITH A LINE TO APPROXIMATE THE MOVEMENT OF THE PHENOMENON BETWEEN A AN:J "a. THAT I S , SCHEMATICALLY SHOW WHETHER THE MOVEMENT APPEARED T O B~ s rRAIGHT, C l iRVE O O R ZIG-ZA G . P E FER T O SMALLER SKETC H A S AN EX~MPLE OF HOW T O C OMPLETE THE LARGER SKET CH. P A G E 2 OF 9 PAGES WHERE WERI!: YOU WHEN YOU SAW THE PHENOMENON? ( r: Itt d e ""'""" rin t r hlflt: lc .~. J OUTDOORS IN BUSINESS SECTION OF CITY IN BUILDING IN RESIDENTIAL SECTION OF CITY ~AS DRIVER 0 AS PASSENGER IN OPEN COUNTRYSIDE NEAR AIRFIELD IN AIRPLANE 0 AS PILOT -AS PASSENGER FLYING OVER CITY FLYING OVER OPEN COUNTRY IF YOU WERE IN A VEHICL.E. COMPLETE THE FOLLOWING: WHAT OIRECTION WERE YOU MOVING" HOW FAST WERE YOU MOVING7 DID YOU STOP ANYTIME WHILE OBSERVING THE PHENOMENON? EXPLAIN WHETHER SUCH MOVEMENT AFFECTS YOU .. SKETCHES IN ITEMS SAND 6 . DESCRIBE TYPE OF VEHICLE YOU WERE IN AND TYPE OF ROAD. TERRAIN OR BODY OF WATER YOU TRAVERSED DURING Tt:: SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN. HOW MUCH OTHER TRAFFIC WAS THERE? /'vO/v it' 010 YOU NOTICE ANY AIRPLANES! 0 YES ~0. IF "YES, DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIME OF SIGHTING THE PHENOMENON AND WHERE ~y WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON. HOW LONG WAS THE PHENOMENON IN SIGHT? LENGTH O F TI;Es CERTAIN OF TIME NOT VERY SURE FAIRLY CERTAIN JUST A GUESS HOW WAS TIME OETERMtNEO! WAS THE PHENOMENON IN SIGHT CO~iiNUOUSLY? ){I YES 0 NO. IF "NO.~ INDICATE WHETHER THIS IS DUE TO YOUR MOVEMENT OR THE 9EHAVIOR O F "T'1~ P~ENOMENOJI. l'n"'ID DESCRIBE SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAO. PEARANCES ON PR~VIOUS SKETC~ ~S PAGE 3 OF 9 ?AGES 10. IF THERE l!:fU MOAI! THAN ONa PHI!NOMI!NON, HOW MANY WERE THI!Rl!:~ DRAW A PICTURI! TO SHOW HOW THI!Y WI!RI! ARAANOI!O. DID THIS ARAANOI!MaNT CHANGE DUAINO THI! SIGHTING' CONOIT.IONS (Ciaeclr app,op,io&e block.} SKY 8. WI!ATHI!flt CUMULUS CLOUDS (Low fla(fy} FOG OR MIST CIRAUS CLOUDS (Hi1lt fleecy Of' Herrirar HEAVY RAIN LIGHT RAIN OR DRIZZLE NIM8UI CLOUDS (RoUt) HAIL PAATLY CLOUDY CUMULONIM.US CLOUDS . SNOW OA SLEET COM .. LETELY OVI!RCAST (TiaW1Uf'7IOh,..) --' UNKNOWN C. IF THE SIGHTING WAS AT TWILIGHT OR NIGHT. WHAT DID YOU NOTICE ABOUT THE STAAS AND MOON CU STAAS (2) ' MOON D. IF SIGHTING WAS IN DAYLIGHT, WAS THE SUN VISIBLE? 0 YES 0 t~O. IF yEs, WHERE WAS THE SUN AS YOU FACED THE PHENOMENON? TO YOU" -.IGHT OVERHEAD(Ne o~ TO YOU~ !..EFT E. SPECitrY THE MAJOR SOURCE 0,. ILLUMINATION PAESI!NT DU~ING THE SIGHTING, SUCH AS THE SUN, HEADLIGHTS OR STAI!I!T LAMP, ETC. FOR Tl!fU:tESTAIAL ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURCE. 12. GIVI! A BRIEF DESCRIPTION Otr THI! PM~NOMNON, INDICATING WHETHER IT APPEARED DARK OR LIGHT, WHETHER IT REFLECTED LIGHT 0" WAS SI!LF-L.U .. t .. OUS A)IIO WHAT COLORS YOU NOTICED. DESCRIBE YOUR IMPRESSION OF WHETHER IT WAS SOLID OR TRANS~ARI!NT., WMI!T,..I" EDGES WERE SHARP Oflt FUZZY. DESCRIBE THE SHAPE OR INDICATE IF IT APPEARED AS A POINT Otr LIGHT. ,,..OtCATI! COMPARISONS WITH OTHER 08S!:RV!:D OBJECTS, LIKE STARS. A LIGHT 0" OTHER OBJECT IN YOIJM tri'!:LD Ofl' \1\E. . rEJtS~tC:H! PAGE 4 OF 9 P G~S 010 THE PHI!NOMKNON MOVE IN A STAAIGMT LINE? STANO STILL. AT ANYTIME? <:: SUDDE NL. Y SPEE D UP AND RUN AWAY? BREAK UP IN PAfnS AND EXPLODE ' CHANGE COL.OA? GIVE O F F SMOKE ' CHANGE 8AIGHTNESSt CHANGE SHAPE? FLASH OA FLICK"? DISAPPEAA AND R EAPPEAR' SPIN LIKE A TOP? MAKE A NOISE? FLUTTE " OA W088LE? U. WHAT D"EW YOUA ATTENTION T O THE PHENOMENON! A . HOW 0 10 l'r FINAL.L.Y DISAPPEAR' f2-C llC_ Frl j) t;D B. 0 10 THE Ptf!!NO!IIt!:NON MOVI! BI!MINO OR IN FRONT OF SOMETHING, LIKE A CLOUD, TREE, OR BUILDING A T ANY TIME? NO. IF ,.YES, OE.SC AIBI!. PAG E 5 OF 9 PAGES 17. DID YOU OBSERVE THE PH!:NOM~NON rHROUGH ANY OF THE FOLLOWING' INCLUDE INFORMATION ON MODEL, TYPE, "LTER, LENS PRESCRIPTION OR OTHE.R APPLICABLE DATA. EYEGLASSES CAMERA VIEWER SUNGLASSES BINOCULARS [5<::i WINDSHIELD o TELESCOPE SlOE WINDOW OF VEHICLE THEOOOLI TIE WINDOWPANE OTHER A . DO YOU ORDINARILY WEAR GLASSESr 0 YES ~ B . DO YOU USE READING GLAsSES? bJ=-Y~S ~ Ulo WHAT WAS YOUR IMPRESSION OF THE SPEE JHE 190 WHAT WAS YOUR IMPRESSION OF THE OISTANC~F~Tji,E ~ PHENOMENON' GIVE ESTIMATE OF SPEED n 0 PHENOMENON! GIVE ESTIMATE OF DISTANCE -ft;..F~ 200 IN ORDER THAT W!: MAY OBTAIN AS CLEAR A PICTURE AS POSSIBLE OF WHAT YOU SAW, DESCRIBE IN YOUR OWN WORD~ A COMMON OBJECT OR OBJECTS WHICH, WHEN PLACED IN THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENOMENON, BEAR SOME R!SEM8LANC! TO WHAT YOU SAW. DESCRIBE SIMILARITIES AND DIFFERENCES BETWEEN THE COMMON OBJECT AND WHAT YOU SAW. 21. OlD YOU NOTIC~ ANY 000~. NOI~E jq ~-'EAT EMANAT~ FROM THE PHENOMENON OR ANY EFFECT ON YOURSELF. ANIMALS OR MAC H I ... F.RY IN TH~ .. ,::, NoTl'' 0 YES A_NOo IF yEs, DESCRIBE. A . DID THE PHENOMENON DISTURB THE GROUND OR LEAVE ANY PHYSICAL EVIDENCE. 0 YES >(NO. IF yES,"' DESCRIBE. r PAG E 7 O F 9 PAG E S 22. HAV YOU I:VEA SEEN THIS OR A SIMIL.AA PHENOMINON I!U!,OFU!' 0 Y E S 0 . IF "YEs, GIVE DATE AND 23. WAS ANYONE WITH YOU AT THE TIME YOU SAW THE PHENOMENON? 0 YES QYES 0 NO. NO. I F "YES, D I D THE Y SEE IT T OO' A . L.IST THEIR NAMES AND ADDRESSES GIVE THE FOLLOWING INF:ORMATION ABOUT YOURSELF NFOAMATION INCLUDING OCCUPATION AND AN EXPERIENCE WHICH MAY BE PERTINENT 25. WHEN AND T O WHO M DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENON? 46. DATE YOU C OMPL E TED THIS QUESTIONNAIRE. PAGE 8 OF 9 PAC=:S