1. DA U OTM ~ 2. LICATIOM 11\cto l)l ~ ;!t'/ 0 1 >Z Cassopolis } 11ichil un t . N\h141'f-. M OIJtcn 5. LENGTH or: OIIERVATION 4 IIi n u t,c s to. TYPE or: OISERYATIOH Gtoot'1d-Visual I . PHOTOS t . PHYSICAL EVIDINCl Ga t elli tc (ECHO II) Al 1835 local Echo II was a t 101 l onL 44 lal . ~b lont )9 lot. The observer sighted what appeared as a low flying s tar. 17. CID YOU O BSERVE T H E PHENO M E NON THROUGH A N Y OF THE FOLLOWI NG' I NCLUDE INFORMATION O N MODEL, TYPE , FILTER, LENS PRESCRIPTION OR OTHER APPLICABLE D A T A . EYEGLASSES C AMERA VIEWER SUNGLASSE S BINOCULARS WI N DSHIELD V TELESCOPE _30 ~ ~0 W\. 1'\fl_ WI NDOWPANE OTHER A . DO YOU ORQINARILY WEAR GLASSES' 0 YES e' NO B. DO YOU USE READING GLASS.ES,---- -[J YES ~tio - 18. WHAT WAS YOUR I MPRESSION OF THE SPEED OF THE 19. WH A T WAS YOUR I MPRESSION OF THE DISTANCLOF THI;: I. P H E N O M E N O N ' G IVE ESTIMATE O F SPEED 2${)q.2_761t).~t1. PHEN O M E N O N ' GIVE ESTIMATE OF DISTANCE 30rec,.(l~\~ 20 . IN O RDER THA T WE MAY OBTAIN A S C L EAR A PICTURE AS POSSIBLE OF WHAT YOU S AW, DESCRIBE IN YOUR O WN WORD:; A COMMON OBJECT OR O BJECTS WHIC H , WHEN PLA CED IN THE SKY, SIMILAR TO WHERE YOU NOTED THE PHENOM E N O N , OULD BEAR SOM E RESE MBLA N C E TO WHAT YOU S AW. DESCRIBE SI MILARITIES AND DIFFERENCES BETWEEN THE 21. DID YOU N O TICE ANY ODOR , NOISE, O R HEAT E MANAT!!'!Ji FROM THE PHENO M E N O N OR ANY EFFECT ON YOURSELF, ANIMALS OR M A CHINERY I N TH:;; VICINITY' 0 YES ~NO. IF "YES, " DESCRIBE. A . DID THE PHENOMENO N DISTURB THE G ROUND O R LEAVE ANY PHYSICA L EVIDENCE. Q YES [j NO. IF "YES, ' DESCRIBE. PAGE 7 OF 9 PAGES AFR R0-17(Cl) 27. INFORMATION WHICH YOU FEEL IS PERTINENT BUT WHIC H IS NOT ADEQUATELY COVERED I N THIS QUESTIONNAIRE, A LTERNATIVELY PROVIDE A NARRATIVE EXPLANATION OF THE SIGHTING. ~ .:D PAGE 9 OF 9 PAGES I J'. oil DEPARTMENT OF THE AIR FORCE HEADQUARTERS FOREIGN TECHNOLOGY DIVISION I AFSC l WRIGHT.PATTERSON A I R FORC E BASE. OHIO ... !5 ... 33 TDPT (UFO) UFO Observation' 27 Nove~er opolia, Michigan 49031 Referenc e your recent unidentified flying object sighting which you reported to t he Air Force. The information whic h we have received is not sufficient for a scientific investigation. Request you complete the attached AF For m 117 and return it in the self- addressed envelope. Thank you for reporting your observation to the Air Force. C :~ .1.NT~':fdl ,( lTr, Lt Colonel, Chief, ~erial Phenomena Office Aerospace Technologies Division Production Directorate USAF 1 Atch AF Form 117 w/envelope A Fit 80-J7(C J ) 6 A . N O W I MAGINE YOU ARE AT THE CENTER JF THE COMPASS ROSE:. r'LACE A N " A " ON THE COMPASS TO INDICAT E THE DIREC"TION TO THE PHENOMEN O N WHEN FIRST SEEN . PLACE: A " 8 " ON THE COMF>ASS TO I NDICATE THE DIRECTIO N TO THE PHEN O M E N O N WHEN L A ST SEEN . 7 . IN THE SKETCH BELOW. PLACE AN " A " AT THE POSITION OF THE PHENOMENON WHEN FIRST SEEN. AND A a AT THE POSITION OF THE PHENOMENON WHEN LAST SEEN . CONNECT THE A AND a WITH A LINE TO APPROXIMATE THE MOVEMENT OF THE PHENOM E NON BETWEEN "A" AND a. THAT IS, SCHEMATICALLY SHOW WHETHER THE MOVEMENT APPEARED TO BE STRAIGHT, CURVED OR ZIG-ZAG. REFER TO SMALLER SKETCH A S AN EXAMPLE O F HOW T O COMPLETE THE L ARGER SKETCH. P AGE 2 OF 9 P AGES SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE BUDGET BUREAU APPROVAL NU/IIDER 21-R2H Tlllg QUESTIONN/\I RF. HAS UEEN PI~EP/\RED SO Til AT YOII CAN GIVE Til F. U. S AIR FORCT. AS MIJCII INFORMATION AS POSSJULE CONCERNING TilE UNI DF.NTIFIED PIIENOMENON TIIAT YOU HAVE OOSERVEO PJ.F.ASF. TRY TO ANSWER At.U OF TilE QUESTIO NS. T H E INFORMATION YOU G IVE WILL Ul': USED F OR T~F:SEARCII PURPOSES YOUR NAME \\'lLI,.. NOT OE USED IN CONNECTION WlTII ANY OF YOUR STATEM E NTS OR CONCLUSIONS WlTIIOUT YOUR Pl:.RMISSidN. RETURN TO AIR FORCE OASE INVESTIGATOR FO R FORWARDING TO FTD (TUETR), WRI(jJIT. ATTF.RSON i\FB, OH 10 45433, 1/\W AFR 80-f7. (IF ADD/TIONA I . S H EF.T S ARF NF.DF.D FOR NARRA TIVF. OR SKF.TCIIF.S A TT A Clf SF.CUIU;;L Y TO TiffS FORM OR ANNOTA TF. WITH YOUU NAMF. FOR lf)F.NTI FICA TION ) I WHE N DID YOU SEE THE PHEN O M E NON' M ONTH 1\)oll'" YEAR 19. \,$ 2 WHAT TIME DID YOU FIRST SIGHT THE PHENOM E N O N > 3 WH A T TIME DID YOU LAST SIGHT THE PHENOM E N O N > HOUR /f'()() MINUTES ;-J , LJ A . M. TIM E 2 0NE LJ DAYLIGH T SAVIN GS LJ STANDARD [~ASTERN c MOUNTAIN rJ PACIFIC r s WHERC: WERE YOU WHEN YOU SAW Tf1E PHEN O M E N O N ' IF IN CITY GIVE THE N EAREST STREET ADDRESS AND I NOICAT!:: O N HAND oqAWN MAP WHEqE YOU WERE STAN DING WITH REFERENCE TO THE ADDRESS. IF I N THE '=OUNTRY. IDENTIFY THE HIGHWA Y YOU WERE O N O R NEAR AND TRY TO FIX A DISTAN)J AND DIRECTIO N FRO M SOME RECOGNIZABLE LAND MARK PHEN0'1.4E NO N WAS ABOVE THE HORIZON . OR SKYLINE 'NHEN FIRST SEEN. PLACE A a O N THE SAM E CURVED LIN E T O SHOW HOW HIGH ABOVE T H E H O RIZON THE PHENOM E N O N WAS WHE N L AST SEEN . 10. IF THERE WERE MORE THAN ONE PHENO M E N O N , HOW MANY WERE THERE' DRAW A P ICTURE TO SHOW HOW THEY WERE ARRANGED. DID THIS ARRANGEMENT CHANGE DURING T H E SIGHTitlG' 11. CONDITIONS (Check apptopriate bloclc.t.) SKY 8. W EATHER CUMULUS CLOUDS {/.ow fluffy) FOG OR MIST V TWILIGHT CIRRUS CLOUDS {1/igh fleecy or II erring HEAVY RAIN PARTLY CLOUDY COMPLETELY OVERCAST NIMBUS CLOUDS (Rain) CUMULONIMBUS CLOUDS (Thunderstorms) HAZE O R SMOG LIGHT RAIN OR DRIZZLE SN O W OR SLEET UN KNO W .. N ONE OF THE ABOVE C . IF THE SIGHTIN G WAS AT TWILIGHT OR NIGHT. WHAT DID YOU N OTICE ABOUT THE STARS AND MOON t,/ BRIGHT MOONLIGHT MOON WITH H ALO MOON HIDDEN BY CLOUDS U N K N OWN PARTIAL (New or quo.rter) N O MOONLIGHT D. IF SIGHTING WAS IN D AYLIGHT, WAS THE SUN VISIBLE' 0 YES @'N O . THE PHENO M E NON> IF "YES." WHERE WAS THE SUN AS YOU FACED IN FRO N T OF YOU TO YOUR RIGHT OVERHE-'D (Near naon) I N BACK OF YOU T O YOUR LEFT E. SPECIFY THE MAJOR SOURCE O F ILLUMINATION PRESEN T DURIN G THE SIGHTING, SUCH A S THE SUN , HEADLIGHTS O R STREET LAMP, ETC. F O R TERRESTRIAL ILLUMINATION, SPECIFY DISTANCE TO L I GHT SOURCE. 12. GIVE A BRIEF DESCR IPTION O F THE P HENOM E N O N , INDICATING WHETHER IT APPEARED D ARK OR LIGHT, WHETHER IT REFLECTED LIGHT O R WAS SELF - L U MI NOUS AND WHAT COLORS YOU N O TICED. DESCRIBE YOUR I MPRESSION OF WHETHER IT WAS SOLID OR TRANSPARENT, WHETHER EDGES WERE SHARP OR FUZZY. DESCRIBE THE SHAPE O R INDICATE IF IT APPEARED AS A POINT OF LIGHT. INDICATE COMPARISON S WI T H OTHER OBSERVED OBJECTS, LIKE STARS, A LIGHT OR OTHER OBJECT I N YOUR FIELD OF VIEW. ' PAGE 4 OF 9 PAGES WHERE WERE YOU WHE N YOU SAW T HE PHEN O MENON? {f.'hrrlc "I' I' "JIJ rir tr BUSINESS SECTION OF CITY I N BUILDING RESIDENTIA L SECTION Q A S D~VER -- O A S P ASmGER I N OPEN COUNTRYSIDE N EAR AIRFIELD 0 AS PASSENGER I N AIRPLANE (]A S PILOT FLYIN G OVER CITY FLYING OVER OPEN COUNTRY IF YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWIN G : WHAT DIRECTION WERE YOU MOVING' HOW F A S T WERE YOU MOVING> YOU STOP ANYTIM E WHILE OBSERVIN G THE PHEN O M E N ON' NORTH E A ST SOUTHEAST NORT H WEST PLA I N WHETHE R SUCH MOVEMENT AFFECTS YOUR SKETC HES IN ITEMS SAND 6 . DESCRIBE TYPE OF VEHICLE YOU WERE I N AND TYPE OF R O A D . TERRA I N OR BODY O F WATER YOU TRAVERSED DURIN G THE SIGHTING . STATE WHETHER WI NDOWS O R CONVERTIBLE T O P WE R E UF' OR DOWN. H O W MUCH OTHER TRAFFIC WAS THERE> DID YOU NOTICE ANY A IRF'LANES> 0 YES 0 NO. IF "YES." DESCRIBE WHEN T HEY WERE IN SIGHT RELATIVE TO THE T I M E OF SIGHTING THE PHENOMENON A N O WHERE THEY WERE I N THE SKY RELATIVE TO T H E POSITION O F THE PHEN O MENO N 9 . H O W LON G WAS THE PHENOMENON IN SIGHT? LENGTH O F TIME CERTAIN O F TIME F AIRLY CERTA I N JUST A GUESS HOW WAS T I ME DETERMI NED> E N O N IN SIGHT CONTINUOUSLY> 1_YES ]!'No. IF " N O,' I NDICATE WHETHER THIS IS OUE T O YOUR MOVEMENT OR THE BEHAVIOR OF THE F'HENOM E N O ANO DESCRIBE SUCH MOVEMENT OR BEHAVIOR. I NDICATE OISA P. PEARANCES O N PREVIOUS SKETCHES. PAGE 3 OF 9 PAGES 15. DRAW A PICTURE THA T WILL SHOW TilE SHAPE OF THE PHENOM ENON . INCLUDE AND LABEL ANY DETAILS THA T MIGHT HA"E APPEARED A S WI N GS OR PROTRUSION S, AND I NDICATE EXHAUST OR VAPOR TRAILS. INDICATE B Y A N ARROW THE DIRECTION THE PHEN O ME N O N WAS MOVIN G . 16. WH A T WA S THE ANGULAR SIZE? HOLD A MATCH AT ARM'S LENGTH IN FRONT OF A KNOWN OBJECT , SUCH A S A STREET LAMP OR THE MOON . NOTE HOW MUCH O F THE O BJECT I S COVERED BY THE HEAD OF THE MATCH. N O W IF YOU HAD BEEN ABLE TO PERFORM THIS EXPERIMENT AT THE TIM E O F THE SIGHTING, ESTIMATE WHAT FRACTION O F THE PHEN O ME NON WOULD HAVE BEEN COVERED BY THE MATCH H_Et~ .. : \ PAGE 6 OF 9 PAG E S 13. 010 THE PHENOMENON NOVE IN A STRAIGHT LINEl STANO STILL AT ANYTIME? SUDDENLY SPEED UP ANO RUN BREAK UP IN PARTS ANO EXPLODE' CHANG~ COLOR? GIVE OFF SNOKE CHA~GE BRIGHTNESS? CHANG~ SHAPE? FLASH OR FLICKER? DISAPPEAR AND REAPPEAR? SPIN LIKE A TOPl MAKE A NOISE ? FLUTTER O R WOBBLE? 14 . WHAT OR~W YOUR ATTENTION TO THE PHENOMENON A . H O W OlD IT FINALLY DISAPPEAR An 10-lT(Cl) 8 . DID THE PHENOMENON MOVE BEHIND OR IN FRONT OF SOMETHING, LIK!: A CLOUD, TREE. OR BUILDING AT ANY TIWIEf IF yEs. DESC R IBE PAGK a Off t ~AGEl 22. HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON BEFORE' LOC,ATION. ' 23. !!fS ANYONE WITH YOU AT THE TIME YOU SAW THE PHENOMENON? llJ YES 0 NO. A . LIST THEIR NAMES AND ADDRESSES YES NO. IF "YEs, GIVE DATE AND YES 0 N O . IF yEs. DID THEY SEE IT TOO' 24. GIVE THE FOLLOWING IN FORMATION ABOUT YOURSELF LAST NAME, FIRST NAME. MIDDLE NAME TELEPHONE (Area code AGE INDICATE ADDITIONAL INFORMATION INCLUDING OCCUPATION ERIENCE WHICH MAY BE PERTINENT. 25. WHEN AND TO WHO M DID YOU REPORT THAT YOU HAD SIGHTED THIS PHENOfioiENON ' NAME CAY M ONTH 26. DATE YOU COMPLETED THIS QUESTIONNAIRE. C A Y M ONTH PAGE B OF 9 PAGES