l. souP. c f t . HliM~E R OF O~JECTS S. lENGTH Of 03SERVATIOH tt. TYPE OF 03SEAVATION Groun1-V'isual 8. PttOTOI 9. PHYSICAL EVIDlMCI! Cincin:10. L i 0~1io 10. CONCLUSION 11. G~l E F SUMW~R'f AN\> At-IAL Y ~IS No information on sighting. 'I'DPT (UFO) DEPARTMEN T OF TH~ AO~ FORCZ Ht:ADQUA~TE,"5 FOREIG N TECHNOLOGY OIVISION C AF C I WRIGHT PATrf'RSON A ll-( FORCE BASE OHiv 4'5433 UFO Observation, 6 Apr 69 Cincinnati, Reference your recent unidentified flying object Gighting vhich you reported to the Air Force. The infor1118 tion which \te have received is not sufi'icient for a scientific investigation. Reques~. you complete t.he attached AF Form 117 and return it in the self- addressed envelope. Thank you for r...-:porting your observation to the Air Force. t.~Uil,TANILLA, Jr, Lt Colonel, USA!-' Chi~r, Aerial Phenomena Off.ice t, '.- o !;pwe rt!r.!:...'1ologie~ Ui'.tl::;ton ro lu~ t ion Di rec tornt,.! M' Form 117 w/envelop~ SIGHTIHG OF U~IDENTIFIEO PHEHOMEHA QUESTIO IRE nTICXi.'17 BU~E~U Ai""l0Vtll.. NU't18i.il 11-.ll':JI THIS QUF.STIONNAll~E HAS BEEN P REPARED SO THAT YOU Ci\N GIVE THE U.S. i\IR FORCE AS MUC H INFO \TION AS POSSIBL E CONCERNING THE UNIDENTIFIED PHENO\IENON THAT YO U HAVE OBSEr~VED. PLEA~F. TRY ro ANS'.I/ E R ALU OF THE QUESTIONS. THE lNFOR~IATtON YOU G IVE WILL UE USED FOR HF:SEARCH PURPOSES YOUR NAME WILt,. NOT BE USED I N CONNECTION WITH ANY OF YOUR STATEMENTS OR C08CLUStONS \;lTHOUT YOUR PER.'vHSSidN. RETURN TO AlR FORCE BASE INVESTIGATOR FOR FORWARDING T O FTD (1'DETR), \'/RI GHT- p ATTERSO~ AFB, OH I 0 45-1JJ, I A'N AFR 80-17. ( I F A DDT TIONA L S!IE~TS AR!:: NF.E DF.D POR NARRA TlVE OR SKF:T CF!F:S ATTACH SECURELY TO TfllS F ORM O R ANNOTATE UlTll YOUR NAMF: FOR IDF.NTIFICATJON.) 1. WHE N DID YOU SEE THE PHEN OMENON ? 2 . WHAT T I M E DID Y O U FIRST SIGHT T H E PHE N O M E N O N 1 MONTH ---.Li-1-.. YEAR 3 . WH~T TIME DID YOU LAST.SIGH T Tt1t=: PHE N O M E N ON? t-----------H jft HOUR MINUTEs oA.M . oP.M. 1Mo/ZON E 0 D AYLIGHT SAVI'IGS OsTANDARD MO UNTAIN n PACIFIC L 5 . Wl-iEI1E WERE YOU WHE N YOU SAW THE PHEN O M N 0 N 7 IF IN CITY. G IVE THE N EAREST STREE T ADDHESS AND I~OICATE 0111 A HAND DRAWN MAP WHERF. Y O U WERE STAN DING WITH REFE R E NCE TO THE ADDRES S . I F IN THE COUNTRY, I D E NTIFY THE: HIGHWAY YOU WERF. ON O R NEAR AND TRY T O FIX A DISTANCE A N D DIRECTIO N FROM SOM E R ECOGNIZ A 9 L E LANO ... ARK. l'-IA ,; fOil APE A r r;-1:: P OINT ~.II' '-N '"' T H = S K l r CH, PLA<""L AN 11, O N THE' CUR VED LIN E TO <)H O W HOW HIGI-i THE ow H '"'ltl H I :;11 A80Vt-THF. H 0 '1110tl Tt4~ t-lH E I'I O ME'NON W'-\::. ff1 :..N l #'1ST SCEIII . OBSERVCR , DIR=!:CTIO ~ TO THC:: P Ht::NO MC:NON WHEN FI~ST SeE1~. PLAC~ A "ll"' O N T H E C O ,Io4?ASS TO INl>IC A TE: THE 01.-tECTION TO TH~ P HI::H O ,..'!NON 'f'tHEH L,",ST SEEN. IN TH!: SKETCH fJr-. LUH, J-'I. A C E AN "A'" A r TtH. POSt rtO H OF THE PHENOM~NON \'#HE N FIRST SEE N , AND A e .>.T THE POSITION OF THE': ~"H"NI>"' ' H O H WHE N LASf Sf.Et4 CONNECT T H E A AND a WITH A LIHE 1 0 APPROXIMATE T H:: H E HC MF.HOH 9ETWF.F.:N A AND " a . THAT IS, SCHE'-4,T ICALLY SHOW tVHS:::THER THE MOVE~ENT A~u'::.\RC'O -::> """: ..i l A.:.I IIT. CU ~ Jf:O O R ::!h..;.[.A';. Rf'F F A T O SMALL~R ;iK~ fCH A3 AH EXAMPLi! OF H O W TO C OMPLETE WHERE WERE YOU WHEN YOU SAW fH E PHI-"N O MENO"'' ( (.'/u r J.. rtp p rt)(trwtr IN 8 U S I" i:.S S Sf:. C T I 0 N 0 F C I T Y IN O UILOIN G R ESIDENTIAL SECTION O F C l fY 0 A S DRIVER [J A S P ASSENGER IN OPEN COUNTRYS IDE N CAR AIRFIELD I N AIRPLANE []A S PILO T 0 A S PASSENGER FLYING OVE R CITY OTHER F L Yl NG OVER OPEN COUNrRY YOU WERE IN A VEHICLE, COMPLETE THE FOLLOWING: DIRECTION WERE YOU MOVING? H O W FAS T WER~ YOU MOVING? YOU ST0 ANYTIME WHIL E OBSRVING TH!:: PHE N O M E N O N ? SOUTH E A ST EXPLAIN WHETHER SU C H MOVE M E N r AFFEC T S YOUR SKETCHES IN I T E M S 5 AND 6 D E""CRIBE TYPE OF VEHIC L E YOU WERE IN AND TYPE OF ROA D TERRAIN OR BODY OF WAT E R Y O U TRAVFRSc-D DURIN G T H E SIGHTING. STATE WHETH E R WINDOWS OR CONVERTIBLE TOP W F?E UP OR DOWN M U C H OTHCH fHAF'FI C WAS O l D YOU r~OTIC"t"' AttY AIRPLANFS' f J YE:.S l{riO. IF ye:~." DE'>CRitJ~=' WHf-:N THEY WERt:. IN SIGHT RE.LAT IVF T O THE. TIMC:: Ot-" S I GHTING rt-tF PHI N C) M E N O N A N DWHE'RE 1t4FY W E R E IN 1HL ~KY ~U~LAfiV(' TO THE POSifiON OF THE PHEN 0'-1F N O N . 9 H OW\ ON'" WI\C, THE PHF N 0'-1E:NO N IN r.tGH P L.: t rAi N o r TIM!: NOT V ERY SUR F F"'a.lq! "C~RTAIN JUS T A GUESS n UW W~>t, , Y E S IKfNo. lF ".o . ttJ;)I':ArE wHETH E R THIS IS D U E TO YOUR I"'OICATE O ISAP. I ?f:ARAr.C::., (JN Prt~l,f")ll K~ 'rC Hf.S 10. I F THERE W;::R E M ORE THAN O N E PH::.NO M E N O N . HOW MANY Wtl-t~ 1 H:.HE ARRAHCEO. DID THIS ARRANGEMENT CHANG~ DURIN G T H E S I G H T ING? CON 0 IT 10 N S (Check c.ppropriate b lnc Jcs . ) W!::ATHE R DAY C UMULUS CLOUDS (Low fluffy} FOG O R MIST TWILIGHT CIRRUS C LOUDS ( Hi6h fleecy o r Hurint HEAVY RAIN NIGHT bone) LIGHT RAIN OR DRIZZL E O:.:AR NIM3US CLOUOS (Rain) HAIL PARTLY CLOUDY CO"'PLE TEL Y o v=:RCAST CUMULONII'o48US CLOUDS (T h under :a r:orrn.s) C. I F THE SIGH riNG W.~S AT TWILIGHT O R NIGHT. WHAT DID YOU N OTI; E ABOUT THE SrAf-1'> AND MOO N ? BRIGHT t.iO ONLIGHT NO MOONLIGHT MOON WI rH HALO I F SIGH riNG WAS I N OAYLI\.H r, WAS THE SUN V ISIBLE? 0 YE:S 0 N O . IF YES.'" WH~RE WAS THE SUN A S YOU FACED THE PM~HOMENO-.' ! I N 9,C .,. o:=-Y~" ro YQuq L FFT UNKNOWN 'lESE"f r OUR IN G THE SI"~H TING, SUC H A S THE SUN, H EADLI G HTS OR ~rREET l "'..C?, C:TO:: F .. .IH 1'~R~Ec;rRIAL ILLUMINATION, SPCCIFY DISTANCE TO L G H T S OURCE. GIVE A dHI.:.F ::, _ _.c H tPrJ0!-1 CJ~ rt-f' P!o1ENO\o!F'NI"'I"', ~::>C~TING WHETI-'~q , - ,g~ARO DARK OR L I CHT, WriETH,;.-~ IT c::tEFLE'::T.-0 LIC~r t'l~ W"'i ~ELF-L'.!~INO\JS AN!' wH~-COLORS YOU N OTICe=>. ~e::;::~1q:; YOUR IMP~c:.SSION OF VriETHER A P P !:: A R'::O A S A pnl'fr f'JF ':_I G Hr. INDI::A rt: C?~F"A;:IISONS WITH OT~E~ 03SEqJI:.:O 09J~CTS, L IKE STA~S. A LICHT O R PHf"NOMENO N u \jl(tj 0 .ot "; IN A. STRAIGHT LINE ' STANO STILL AT ANYTIME? SUOO&:NLY SPEED UP AND RUN A WAY? DRF.AK U? IN PARTS AND CHANGE COLO~' GIVE 0 F F SMOKE' CHANGE BRIGHTNESS1 CHANGE SHAPE? FLASH OR FLICKER? DISAPPEA~ AND REAPPEAR? SPIN LIKE A TOP? MAKE A NOISE? FLUTTER O R WOBBLE? 14. WHAT DREW YOUR ATTENTION TO THE PHENOME N O N ? HOW 010 I r f.'INAI. L Y DISAPPEAR' V H ff'fQ .... ~f'fON MOVE B E H IND O R IN FRONT OF S0"'4ETHINC, LIKE A CLOUD, TR=:E. OR BUILDING AT ANY TIME? ar: v!:'i, DESCRIBE . PAGE 50"=" 9 PAG~c; 17 . DID YOLJ OBSERV E r H E PHr:N O ME:.NON rHnOUGH ANY O F THE FOLLOWINGl INCLUDE l'lf-0 -;TI -z:l TY~E. FIL T EA, LENS PRESCHIPTION OH OTriE::R APPLIC AOLE D A T A . ~ EYEGLASSES SUN GLASSES CAME;RA VIE W.:R OINOCULARS WI N05H I ELD T E LESCOPE" WINDOWPANE THEODOLITE A . DO YOU ORDINARILY WEAR GLASSES"r R)...:YES Ll N 'J 8 . DO YOU USE HEADIN G GLASSES? (_l Y ~S [ j N O WHAT WAS YOUR IMPRESSI O N OF THE SPEED Of THE PH E N O MENO N 1 Gl V E ESTIMATE 0 F SPEE 0 l ' ,' .,.f- 19 . WHA T WAS YOUR I MPRESSION OF THF DISTANCE OF THE PHE N O M E N O N ? GIV E ESTIMATE 01-OIST.~NCt: _ 20 IN ORDER THAT WE MAY OBTAI N A S C L EAR A PICTURE A S POSSIBLE 0 F WHAT YOU S AW, DESC R I E:JE I N YOU A O WN WOtl O S A COMMO N OBJECT OR OBJECT<; WHICH, WHEN PLACED IN THE SKY, SI M I LAR T O WH E H E Y O U NOTED THE PHEN O M E N ON, WOU LO BEAR SOM E A ESEMBLANC E T O WHAT YOU S AW. DESCRIBE SIMIL ARITIES A N 0 01 F FERE N C ES BET 'hEE '4 T H E COMM O N OBJECT AND WHAT YOU SAW . A . DID THE PH!:.N0\4E N O N D ISTURB THE GROUND OR LEAVE ANY PHYSICA L EVIDENCE. Ll YES -[-~NO. I F yt.S,"" OESCRIBI::. 22 . HAVt:: YOU EVt:::R SEEN THfS O R A SIMILArt PH ~NOMC:NON SEFOHE? 0 YeS Z3 . W \ S ANYON~ WITH YOU AT THE TIME YOU S AW THE PHE N OMENON? E) YES 0 NO. lJ NO. I F vEs, GIV:. CJA P :: AND IF "YES," DID THEY SEE IT TOO? A . LIST THEIR NA~E3 AHO ADDRESSES FOLLOWING I N FORMATION ABOUT YOUR3EL.F N I N CLUDING OCCUPATIO N AND ANY EXPF.AIC:NCE WHICH~ Y D~ P ERTI"''E NT. 25 WHEN ANIJ T O l'IH0'-4 DID YOU REPORT THAT YOU HAD SIGHTED rHIS PHENOM E NOtP 26. OA1 f-. YOU CO'-IPLETED THIS QUE<;TIONNAIRE.