1C. C OIICL U510N !~-LEHCTH OF O~SERVATIOH 11. BRIEF SU"'"'ARY Miv A>IALV,I4 ~:;.c.:;. oa tnc rcflect10 n Of a se~.._,, ' . 1 iG;1t or s iL::ila r 1 i g ht frun clou ... I;:-TY'PE O'" oss v.+. TION 8. PriOTO! PHYSICAL EVI~c"'CE 'lhe o o .. erver sic.1tE:u o. oran0'' cre s c ent sl1aped light and bee:< t o the ri~ilt ('.'i -1\"'11' ) a n u the n d i sappe:ued. l3 0 10 T H E PHENO ME NON N O UNK~IOWN MOVE I N A STRAIGH r LINE' STAND STILL A"T :.NYTIME SUDDE NLY S !:E!J UP ANIJ rt AREAK UP : .: " .. =<- s "'NO EXPLODE' CHAIIGE COLO~' GIVE OF" sv::><:' FLA.iH oo FL' "o:EA> OISAP.:>EA"" .. :' "!EAPPEAR' SPIN LIKE -' - ?Pl FLUTTER co 14 . WHAT 0~:""" YOUR ATTE NTIO I'I TO THE. PHENOME N O N > A HO 010 IT FINALLY DISAPPEAR' "RONT OF SOMETHIN:>. LIKE A C LOUD, TREE . OR BUILDING AT ANY TIME' ::yEs.~ OESCRI3~. PAGE q OF' 9 PAGI::.f. I 15. DRAW A PICTURE THAT WILL SHOW THE SHAPI:: OF THE PHENOIAENON INCLUDE AND LABEL ANY DETAILS THA r MIGIIT HAVE APPEARED AS WINCS OR PROTRUSIONS, AND INDICATE E.-<HAUST OR VAPOR TRAil.<;. INDICATE BY AN ARilDW litE DIRECTIO"' -HE PHENOM E NON WAS MOVING. 6 ,.~J..-~::; -,.;: A NCULAR Sl:t .-.:LOA MATC H AT ARM'S LENGTH IN FRONT OF A KNOWI~ OBJECT, SUCH A S A STREET !... ..,.,:. ::, --"'-lOON. NOTE 1-10 -"'-'"'-'OF THE OBJECT IS COVERED BY THE HEAD OF THE MATCH. N OW IF YOU HAD ;:;:; ;: _:; -~ PE~FOAM T-1? :X?:;:> ~!::NT AT THE TIME OF THE SIC~ITING, ESTIMATE WHAT FRACTION OF THE PAG E 6 OF" 9 PI\GCS DID YOU OBSERVE TilE PHENOMENON THROUGH ANY OF THE F OLLOWING' INCLUD E IN FORMA TIO~I ON FILTER, LENS P RESCRIPTION OR OTHE R APPLICABLE DATA. E.'"E::il t.>SES AMEH A VIE WER S J " -;~ASSES BINOCULARS TELESCOP E TH 1.:0 D OLl T E ::::o vo :ROINARILY WEAR GLASSES' QYES QNO DO Y O U USE R EADING GLASSES' ,.,..,A-11:..S YOUR IMPRESSION OF THE SPEED OF THE WHAT WAS YOUR IMPRESSION OF THE DISTANC~TIIF CIVE ESTIMATE oc-SPEED . PHE~IOMENON' GIVE ESTIMATE OF DISTANC E ZO:. IN o-:-:::R THAT WE MAY OBTAIN AS CLEA R A PICTUR AS POSSIBLE OF WHAT YOU S AW, DESCRIBE IN YOU R O W N WORDS A C0"''~0N OBJECT OR OBJECTS WHICH, WHEN PLACE D IN THE SKY, SIMILAR TO W~IERE YOU NOTED THE PHEt~OME NON, WOUL:' BEAR SOME RESEMBLANCE TO WHAT YOU SAW. DESCRIBE SIMILARITICS AND DIFFERCNCES B ETWEEN THE C OM"'C'O OBJECT AND WHAT YOU SAW. '1. ::JI:: ': ..,O.,.ICE 4NY ODOR , NOSE:, o o MEA T E M ANATI N C F R O M THE PHEtiO M E N O N OR ANY EFFECT O N YOURSELF, ,:., v._ OP ~A.CHINERY IN Tl-'~ 'ICI'IITY' DYES 52JNO. IF "YES, DESCRIBE. D I S T UR3 TME GROUN D O R LEAVE ANY PHYSI C A L EVIDEN C E . UYES fa-No. P AGE 7 OF 9 PAGES 2 2 . HAVE YOU EVER SEEN THIS OR A SIMILAR PHENOMENON DEFORE LOCATI O N . ES NO. I F "YES.~ GIVE DATE AHO 23. WAS. ANY.;)/'OE WITH YOU AT THE T I M E YOU SAW THE PHENOMENON? f'aYES 0 NO. IF YES," DID T HEY SE E IT TOO? B'YES 0 SO. 24. GIVE THE FOLLOWING I N FORMATI O N ABOUT Y ASEL F MALE t/ FEMALt:: INOICATE &.;>DITIONAL INFORMATION INCI..UOING OCCUPATION ANO ANY EXPERIENCE WHICH MAY BE PERTIN E N T . RT THAT YOU HAD SIGHTED THIS PHENOMZNON' 26 DATE Y -::>. ::7""'-ETEO THIS QUESTIO>INAIRE. PAGE 8 OF 9 PAGES lt!I'LY TO DEPARTMENT O F THE AI'R FORCI:: HEADOU~RTRS FOREIG N TECHNOLOGY DIVISION I AFSC I WRIGHT -PATTERSON AIR FORCE BASE OHIO 4!5433 A~2rews, South Carolin3 29510 Yet..~ nnr.1e has been r,ive n to the Aeriol PhenomenR Office (Proje:t nh:.~ Book) as bein g e ,itness to on unidentifie'i flyint; object. u \.'e r e c. .Jitness t.o n n UFO s ie-;htine on 21 J:muary 1969 . ou:.d you please coli.ple7.e the att11ched A? Forrr. 117 and r e t urn it in t.ne envelope provided . If you \-:er e not a " i tness to this signtin~, ~oulc you please make a st9tement t o this effect on t r.e '17. t.: t:hed form. The information 1t:h ich you provide \.:ill be used i:: ev':u1ting this observdtion . Thnnk you for your assistance in t.~:: 7.SC:'OR (j.UINTANILLA, J~, Lt Colonel, USAF Chie~, Aeric l Pheno~ena Office ~crcsp~ce Technologies Di v i s ion ?~= :tion Directornte AF Form 117 ~/envEi:-~ ;tstt: you IU irL :.nd TI"lil i t i n t:t! .. ~t:~-.hl _nv1op.::, O'.l.r ~f.:-izht-Pu"tt r .on ir ?ore: Ea.~, Ohlo, ,:iJl . ~bl to 1nv~Jti~.~ n n on-th~-:3pot lnv .?.;ti:;at.ion, ;:hl t;h u ... tully r-: :;ul t . in c: t.:or~.. I n tbe ::;!.::d!rti:.:e, y o u r.!lgh~ l a !.IU1.: c y l ooking :it th-:: c~t2gori.: l o f obj~::: t.; o ll~ntify jOur :i~htilt6 G~'l'ic~ o; Itlforr.~tion Coord. Cy -C~F-OICC SIGUT I HG OF UN I DEHT I F I ED PHENOMEHA QUEST I miN A IRE BUDGET DUREAU APPROVAL NUMHER 21-R:IH THIS QUt-:STICJ',' ".iRE HAS REEN PREPARED SO TIIAT YOU CA:-1 \.lVI:. 'IIIF U.S AIR FORC'F. A<; MIJCH INFOR\IATI()N A S POSSIIJLE Cv:"Ct::HNING THE UNIDENTIF'IEO PIIENOMI::-~o;-.; TIIA'f YOU IIAVE Or3SERVEO. PLr:ASI:. TI?Y T O ANSWER ALL "F THE QUESTIONS. THE INFORMATION YOIJ ('.JVr .. WILL HE U S!.W F OI< R I .. SEAI<('fl PURPOSI-..S YOUR N t\lv.E \,; NOT AE USED lN CONNt::CTION WITH ANY OF YOUR STATEMENTS OR CONCLUSIONS Wl'l flOUT YOUR Pr .. R~l!S:::c1'11 RETURN TO AlR FORCE BASE INVr .. STIGATOR FOR FORWAIWING TO FTD (TDETI~). WRIC.JIT P ATTERSO~ F ~. Oh 10 4!jl\33, I fi\Y ArR 80-f7. (/ F ADD I TIONA/. Sll/ii;TS AN F. N F.F.DF.J) Jo'(JU A' II /?I? A T1 \IJ~ ON "iK I~ T CIJI::S ATTACH ::FC" :0.-:.LY TO "J'/1/S FORM O R ANNOTIITr .. WJTIJ YOUU l\',lf\11: FOR IDF:NTIFICIITION) I. WHEII Dl"~ '=>-3EC THE PHENOMENON' HOUR --MINU1 ES 'J ( -J :J I lA "' 4 . TIME Z OI'C [_JDA Y.IGHT SAVINGS (!STANDARD [Lj E.r.s - e:q-.; 0 CENTRAl n MOU~ITAIN [I PACif-I C f j OTHER t-5-W;.;..H_E_R_f_W-:E:-~-::: '7'ou WHE N YoU C.AW THE PHENOI~'t:.'I-ON>-, ; i N-CiTY-GIVf nit: tiEAf>i':c,r -;TREET ADDRESS MID II.O~CATE_O_N. A HAND ORA~I MAP WHERE YOU WERE STANDIN G WITH REFERENCE TO atE AODUf:.SS I F I N THE ':OUtiTqY IOEIITIF'Y THE HIGHWAY YO. o\ERE ON O R NEAR AND TRY TO FIX A OISTANC.E' At~O DIR~CTIOtl FP.OI' SOM E RECOGNIZABLE LA IO~ARK 6 I"AG -..~ Y::i'~ p>~ A T THE POINT SHOWN I'-THE SKCTC H , PLACC Ml " A ON TilE CURVCD LINE TO SHOW HOW HIC'-1 THE P~EN::."E-8:"'- ~S ABOVE THE HORIZO"-. ~rt Si'.YLINE WHEN ~ IPST SEEN. PLACE. A "'"ON T ... E SAM E CURVED LINE;. T O S.-i;)"' '-::l'l "'';,.~ ;..sOVE THE HORIZON T~<:: PHENOME N O N WAS WHE" LAST SCEN 6A. N O W I'IAGINE YOU A R E AT THE: CENTER 0~" TttE COMP ASS ll05E' PLACr AN "II" O N TilE COI.I? ASS T O I N O I C AT' THI ' D IRECTION T O THE PHENO M E NON WHEN FIRS! SCE:N . PL.AC~. A " A " O N THL COIII'A S<; 1 1) ltiO I CATF THE D trHCliOtl TO T H E PHE N O MENON 'HHFN L A ST SEEN . - -~ S ~=-~"" OEI O W, PLACE AN ~A".\~-.-;:: POS'TIOtl OF" THE ~-'HEt~OMCIJON WHEN FII'IST S"'i:N A'ID A"&' AT THF /.l,jvC:MC.r- 7 O r T HE: I'HEN O M E NON EIETWEE~. "A~ A"'O " H " . T"iAT 1;, SCIICM<>.riCALL.Y ~HOW WH!:::T lf'R THC:: Y.OV~'.'C. IIT A=>~:: REO TO a E S T RAIGHT, CURVEO O R !'G-!AG. REF E R T O S''At.L E A SKETCH A S A N E XAM?LE: O r H O W TO C.O~PLF T : T k E LARvER S<ET C.IL Cll D j>"- WHERE WERE YOU WHEN YOU SAW THE PHENOMENON' ((:l.,c k upprnJoriat,. hlorJ..s.) IN BUSINESS SECTION OF CITY IN BUILDING IN RESIDENTIAL SCCTION OF -0As-PASSENGE-R 0 AS DRIVER IN OPE~I COUNTnYSIOE NEAR AIRFIELD 0 AS PILOT 0 AS PASSENGER FLYING OVER CITY FLYING OVER O?EN COUNTRY WERE IN A VEHICLE, COMPLETE THE rOLLOWING: :,rq::CTION WERE YOU MOVING' HOW FAST WERE YOU MOVING> DID YOU STOP ANYTIME WHILE OBSERVING THE PHENOMENON> NO=!T-:: .O.ST SOUTHEAST NOR7,.,_,E'ST EXPLAIN WI-' ;oTHER SUCH MOVE MENT AFFECTS Y.OUR SKETCHES IN ITEMS 5 AN..P 6 I DESCRIBE 7 <>;OF VEHICLE YOU WERt; I N AtiO TYPE OF POAO. TERRAIN OR BODY OF WATER Y O U TRAVERSED DURING THE SIGHTII',G. STATE WHETHER WINDOWS OR CONVEHTIBLE TOP WERE UP OR DOWN. tt u e . I HOW MUCH OTHER TRAFFIC WAS THERE' 0:.1!) YOU N O -ICE ANY AIRPLANES> 0 YES 0NO. IF "YES," DESCPIBE WHEN THEY WERE II~ SIGHT RELATIVe TO THE TIME fOr SIGHTIN.:> -HE PHENOMENON AND WHE'le: THEY Y/ERE IN THE S'<Y RELATIVE TO THE POSITION OF THE PHEIIOMciiON . 9 HOW LONG WAS THE PHENOMENON IN SIGHT? L=:I'IGT'i C~" - !ME CERTAIN OF TIME NOT VERY SURE FAIRLY CERTAIN t/ JUST A GUESS HO"' W \S -I!-'! ::>~TERMINED> WAS ll-'~ ;;,.o~'~'-~ENO~I IN SIGHT CONTI'-UOUSLY? (~}'YES g NO. IF No, INDICATE WHETHER THIS IS DUE TO YOUR !.'OVEM!>;T ::; 7HE BEHAVIOR Of" THE: P.-tENOMt::N O N , AND DE CRIBE SUCH MOVEMEN T OR BEHAVIOR. INDICATE DISAP- PEA"A'4C!:; v'-oqEVIOUS SKETCHES PACE 3 OF q PI\GE!\ 10 . IF THERE WERE MORE THAN O NE. PHE~IOME NON. HOW MANY WERE HIEREl DRAW A PICTURC TO SHOW HOW THEY WEHt. ARR,\NGED. DID THIS ARRANGEMENT CHANGE" DURING THE SIGH TING> 11. CO~I O I T I O N S (Chc:c:J.. uppruprwrc blucl.s.) A. SKY B . WEATHER DAY CUMULUS C LOUDS (l.ot< fluffy} FOG O R MIST HE.I.VY RAIN TWILIO>< --------------------------1 CIRRUS CLOUDS {1/i"h fleecy o r llcrrin11 LIGHT RAIN OR DRIZZLE \-/ NIOHT bone) CLEAq NIMBUS CLOUDS (Rc.w) HAIL PAR":"!.. Y :_OUDY CUMULONIMAUS CLOUD S OR S L ECT COM? L'-:-~LY OVE R CAST (Thundcrstnrms ) C . IF THZ SI TING WAS A T TWILIGHT OR N i G HT. WHAT OlD YOU NOTICC AAOUT THE STAAS AND MOOt!' v" NONE BRIGHT MOONLIGHT V N O MO ONLIGHT A FEW MOON WITH HALO U NKNOWN I:) I"" StG~TINC WAS It~ DAYLIGHT, WAS THE S :J"-V I SIBLE' 0 Y E S 0 tiO. IF yEs, WIIC:RE WAS THE SUN AS YOU FACED FRONT OF YOU TO YOU R R IGHT OVFRHE/\0 (Ncor ""IJ 1) I N aACK :::r YOU T O YOUR LEFT Ut~KNOWN I E. 5"'EC:~y Tr'E ).!AJOR SOURCE OF ILLU"'INATION PRESENT OURI"'G THE SIGHTING, SUCH A S TilE SUN, HEADLIGHTS OR ST?EET L;.M:>, ETC. FOR TERRESTRI A L ILLUI-'INATION, SPECIFY DISTANCE TO LIGHT SOURCE.