CONCLl . , ~odMt\t R Or OLlJECTS r;arr.:t->nt h .f. l e: .~G TH OF O~SERVATIOH 11. BRIEF SUMMARY AMl A~AL Y511 9. ,>HYSICAL E VID!NCE 17. DIU YOU OBSERVE f H E P H ENOMeNON rHR OUGH ANY OF THC: f-OL L OWING ' IN~.,":LUDE I~FORMA riON O N :IOO(:;L, T Y ">E:, FIL T FR, LEN S PHE!iCRIP f"I O N OR OTHER APPLIC~9LE D A T A . EYEGl.A S<;CS C AMERA VIEWER SUNGLA SSE S 81 NOCUL ARS WINOS~11ELD T EL I!SCOP E SIDE WINDOW OF V EHICLE THI:::ODOLITE WINDOWPANE OTHER 0 YES (3'NO B . DO YO'J USE R E ADIN G GLASSES? YE$ [J N O l A . D O YOU ORDINAHIL Y WEAR G L ASSES? t-,8- -. - W_H_A_T_W;._S_Y_ O_U_R_I_M_P_R_ E S_S_I _O_N_ O_F_ T _H _E _SPEE.D O F THE -+-19 . WHAT WAS YOUR-IMPRESSI O N (;F. T~E DIS-TAN C E OF TH;---~ 20 . IN O RDER THAT WE MAY OBTAI N A S C L EAR A PIC T U R E A S POSSIBLE 0 F WHAT Y O U SAW, DESCRIBE IN YOUR O WN WORDS A COMMO N OBJECT O R OBJECT!> WHIC H , WHEN PLACED IN THE SKY, SIMIL A R TO WHER E Y O U NOTED T H E P H E NOMENON, WOULD OEAq SOME RESEMBLANCE T O WHAT Y O U SAW. DESCRIBE SIMILARITIES AND DIFFERENCES BeTWEEN T H E COMMO N OBJECT AND WHAT YOU SAW. oq .C.NY Et.FECT O N YOUr-<'i~LF, A . 010 THE P H ENOME:-"N O N DISTURB T H E GROUN D OR LEAVE ANY PHYSICAL EVIDENCE. [_l YES UJNO. ES. " DESCRIBE. 22. H AVE YOU EVER SEEN THIS O R A ~ IMILAA P Ht::NO~ENON 8EFOME7 :!3 . WAS ANYO N E WIT H YOU AT THE T IME: YOU SAW THE P H E N O MC:NON? GJ YES [j NO. I F yEs, D I D 1' HF.Y 5E.E IT T001 QYES 0 NO. A. LIST THEIR NA\4ES MALE' FEMALE: T I O N INC LUDING OCCU P ATIO'I A N D ANY EXPERI E NCe:: WHICH MAY B E PERTINENT. 25 'f/HC: ~4 ANO TO 'nH0 '4 DID YOU R?:PO R r THAT YOU HAD SIGHTE D THIS PHt:N0'-4tN0~' 2o DATE 'iO U CO~.::;,LETED THIS Q UC'STIO"INAIRE. 27. INFC'I ATION WHIC H YOU FEEL I~ PC::RTI"H::N l ~UT WHIC.H 1.1 NOT -'OEQU TELY COVC::,...:-0 I N 1HI! QU::::.iTION'4AIK~, ALTERN A rJVELY PROVIDE A HARRATIVE EX?LANATIO/'f o.- THE SIGHTING. Ptl,.LY TO TDPT (UFO) DEPARTMENT OF THE AIR FORCE HEAOOUA~TE,.~ FOREIGN TECHNOLOGY DIVISION ( AFSC I WRIGHT-PATTERSON AIR FORCE O ASE. OHIO 4~4:13 UFO Observation, 1 r 1969 ~uens, Ohio 45701 Reference your recent unidentified flying object sighting "'hich you reported to the Air Force. The inforr~tion which ve have receive d is not sufficient for a scientific investigation. Reque~t you complete t he attached AF Form 117 and return it in the self- addres~ed envelope. Thank you for reportin g your observation to the Alr Force. ;~CTOH ~UINTANil.[.A, Jr, Lt Colonel, Aerial Phe nomena Office A?"'O ~; _:)J\CC Tee hnologie s Di v l. s i on Prcd.u .; Lion D l rec Lora te AF Form 117 v/enve1ope SIGHT!~G OF U~IDEHTJFIED PHE~OMENA QUESTIOMN~IR E NU"ldll :ll-ll'lJl THtS QUESTlOi'lNAlRE:: H AS OEEN PREPARED SO T H 1\ T YOU CAN G l VE T H E U. c:;, .'\lR FOf~CE AS MUC H INFO!-<MA''l'ION POSSIHLE CONCERNING THE UNIDENTIFIED PHE-:-.:OMENON T IIAT Y O U ti.\V E OBSERVE<:D. PLEASE TRY TO ANSWE R 1\LIJ O F T H E QUESTIONS. THE INFORMATION YOU GIVE WI L L D E U SED FOt-< ~1-:SE.\RCit PURPOSE~; YOUR N AME ~1L~ NOT BE USED IN CONNECTION WITH A r-.Y O F YOUR STATE tENTS OR CONCLUSIO~S '.~1T~-!OUT YOUR PERMlSSJdN. RETURN TO AIR FORCE O ASE: I N VESTI GATOR FOR FORWAR DING TO FTD (TDr:TR), .VcUGH T - PATTERSON AFB,OHI045433, IA'.Y AFR80-f7. (IF ADDITI ON A L SHEETS ARF. NEEDF:D FOR NARRi \ T IVB OR SKETCIIF.S A TTACII SF;CURE.L Y TO TlllS FOHM O R ANflt'OT A TF. W/Tfl YOUR NA. 4E F O R IDENTIFlCA T/ON.) 1. WHE N D I D Y O U SEE THE PHENO~f:NON1 M O NT H YEAR 2 . WHAT TI~E D I D YOU FIRS T SI GHT THE P H E N O M ENON? MINUTES _ 3 WHAT T IME DID YOU LAST SIGHT THE P H E N O ME:N O N ' [fDAYLlG H T S A VINGS [_l STANDARD TIME ' ZONE [.l'f CA:;TERN [l CENTRAL []MOUNTAIN [J PACIFIC (]O T HER 5 WHER.: WERE YOU WHE N ~OIJ SAW THE P H E N O MC:N O N 1 I F I N CITY. GIV E THE NC:ARF'iT STREET ADDRESS A N D I NDICATE O N A HAI'ID DRAWN MAP WHE ~ E Y O U WERE STANDING WITH REFERENCE TO THE ADORE:'SS. I F ltl THE (:OUNTRY, IDENTI F Y TH'-=.: HIGHWAY YOU W ER F. O N OR N EAR AND TRY TO FIX A Dl!iT A NCE A N D U IRECTIO N FRO M SOM F RECOGN12A 8LE L ANOMARK . ;;. O'il-4~ ''"l!J 1\HF. ._ r It--~ P O I NT ' iltOI'I'N '"' fH'-... K E f<..rl, P A- , "' 0 i Mc. CURvFD LI!'IE T O SHOW H OI HIGH Trif: ! >PI ' 0 N , rn1 SJI("!. I NI.:. W.,..t:.N c.,c r -~'"~. PLACE A o O N T H E SAME CURVE D LINE:. rO 'SA. HOW IM.\CIN::: YOU A R E AT"rHi! C<.::NT~ R OF THE COMP.A.>S ROSE. PLACE AN A' 0:"4 THE: CO'I.4P t;'3 TO INDICATE T H:::: DIRECTION TO THE PHEN0)4ENOH WHEN FIRST SEEN. PLACE A a O N THE COM?~\SS TO I N DICATE T H:: DIRECTION TO THE rHENO~E:HON WH:!N LAST SEE N . 7. IH THE 'lKETCH H:LOW, Pl.fiCE AN A AT rHE PO~I rtO N OF T H I:: PHF.NO M E H C),.,. WHEN FIRST SEI:.N, NO A a AT THE f POSITIO N OF THC:: Phe N<JM'fNON WHEN LAST <;EEN (.()NNECT THE A AND a WITH A LINE TO APPROXIMATE THE j OVEtwtE"fT o~ TI J ~ ?r'o::Nrt.,_E.,.ON a-: rwEE N A A~lO e . THAT IS, SCHEM~TICALLY SHOW WHETHER THE MOVE M ENT ! AP~'!. ~:') i J I'. ~tr\1-jt'IT, CtJ~/..:0 OH JIG-ZA> R .-F'ER TO SMALLER S'<~TCH AS A N EXAM?LE O F HOlt T O C0.'-4FitLETE THi: Lo\n' F.A ~"E'r(t-1 WER C:: YOU W H E:.N OU ~AW rHE PHENOM~NON1 ( (. h r k. BUSIN ESS SE.CriON O F CITY IN BUILDING ESIDEN rlf\L S!::CfiO N OF OPt:.N COUNTRYSI\JE IN B OAr N E A R AIRFIELD I N AIRPLAN E PASSEN G F R FLYING OVE R C I T Y OTHER FLYING OVE R OPEN YOU WERE IN A V EHICLE. COMPLETE THC: FOLLOWING: WF.:RE YOU H O W FAST WERE YOU MOVIN G ? DID YOU STOP ANYTIME WHILE OBSERVI N G PHE N O M E N O N ' SO UTH EAST NO~ THWEST EXPLAI N WH E T H : R SUCH MOVE MC:N T AFFEC T S OUR SKETCHES I N DESCRIBE TYPE OF VEHICLE YOU '.VERE IN AND TYPE:. OF ROAD. RRAIN OR BOD (OF WATER Y O U TrtAVE~'iED DU~ING THC SICHT1'4C . STATE WHETHEn WINDOWS O R CON V ERT I f:JLE TOP WE R:: UP OR DOW'I. MUCH OflllH DID YOU N OIIC.. ANY AIHPLANI-~' 1 Y FS [YNo. DESCRIHI-WHE N THt:-Y WERE IN SIGHT R,..LATIVF.: TO THE TIM F' rtt~. PHE'N O MEti O N AND WHERE 1H~YWERE IN 1Hr S:<Y H~l ATJVE TO THE POSITIO'I OF TH!:: PHEN O'AEtiO N . !J. H "'I 1'1 L 0 'I G WAS THF Plf--"'OM!;..NO~ IN Jusr A CU~;,S INDICATE WrlFTHE.H THIS I S DUE T O YOU R '"'0VE..,.0::'1 fOP s=rlAVIOR . INDICA rE DISAP ARRANG~D. Ol D THIS ARRANGEMi!N r CHANGE DURING Ph:: SIGHTING' CONDITIONS (Chf'ck appropriate blocks.) DAY CUMULUS CLOUD S (Lotu fluffy) F O G O R MIST TWILIGHT CIRRUS CLOUDS (Hi~la fleecy o r Herrinx HEAVY RAIN THt.Y Rt l -"' HIGHT bone} LIGHT R~IN OR DRIZZLE - " CLEAH NIMBUS CLOUDS (Roin) HAIL PA~TL Y CLvUDY CUMULONI'48US CLOUDS SNOW O R SLI:~ET CO .... ?L ETE L y OVERCAST ( (hundnsto rm.s) C . I F THE SIGHTING WA S AT TWIL I G H T OR NIGHT. WHA r D I D Y O U NOTICE ABOUT T H E ST A R S AND MOON 7 STARS ( 2 ) HONE ORIGH r MOON L I G H T NO M O O NLIGHT A FEW MOON WITH HALO "' U,_lt<N OHN IF S I G MTIN G w~:; l!'t DAfLtc: Hr, THE PHE NO~EN0"4 f WAS THE :,uN Vl'iiRLF.:' ( ]Y E S UNO . IF "YES.~ WHEHE WAS THF SUN A5 Y O U FACED i I ~ 3A=I( G'=' y.:,~. r n YCH~ L = F r uNKNOwN V E . t.PECIF't' idE MAJVI"C . IIUR c F O F IU.UMINA1. 10P.. "R~SI-NT DURING Tf-!E SI CHriNG , SU C H AS THE SUN , H EADLIGHTS O R c:v-= A qo::>~to nr.:>'" ~, ~Tf.'"' 'J~ T H " "~f~ti':''H:."'l ~.,. "'C.A TING -Nt'i.:TME~ I rAJ A~cO DARt< O R LIGHT, WHETHF ~ IT IT WAS SOLI~ 0~ TR~'f ,p N r , .,,.,-:.. Ti1FR ~ lH.t''; w=c:o~ C\'iARP O R F U-;' ~" ='C\C.,a~ IH'! SH,lPF 0~ I N D I CATE I F IT