?~OJECT : v073 RECCxD 10. CONCLUSION . viill re-eva~\nte if r eceive(.... LE~GTH c.= OBSERVATION 11. BRIEF SUMMARY AND ANALYSIS ~ ' ": 'tPE OF O::lScRVATION Information called into Duty Offic e r is sketcy. additional info. See Case file 'i. P:-iYSICAL EVlDENCE oro~ "with you a t th.: time you s o w thtt obj<.!lct? (Circl..: One) 31.1 n= '/~ .,.,~w~r9d YES, did they S~d th~ object too? ((ire/ 01~) 31.2 P:-cs .. ~i::t t httir names and oddre.ss~s: 32. Ple::~se siv~ th~ fvlfowill9 in format i o n obout )'OUrself: Losl Noma First Nom., Wl-:l ln ~!omo City Lor.~ TELE PnC -NUMBER--------- Jrdic-= :."" cc!ditionol infarmction r-:.out YO'Jfs.,lf, inclttding any sp'!ciol 9:{p~trionce, which rnig;1~ b-: p:rtin::n. 33. When o.,J . o ...,, ;,m ~ td you report that you hod se<>n th~ o Sject? 22. HAVE YOU !.VP:R SE~N THIS OA A SIMILAR PHENOMI!NO~ BI!,ORE! 0 YES [J ~0. IF "t cs, GIVE OAT AND LOCATION. 23. WAS ANVONi:: 'llt!TH YOU AT THE TIM! YOU SAW THE PHENOMENON? q_} YES 0 NO. IF v!s, DID THEY SEE IT TOO? 0 YES [J N:l. A, LIST THEI~ NAMES AND ADDRESSES LAST NAM!, I~OI~ATE ADOITIONAt. INFOR GIVE THE FOL.l.OWING INFORMATION ABOUT YOURSEI..F ON INCLUDIN G OCC.UPATION AND ANY EXPERIENCE WHICH MAY D E PERTINENT. 2:). WJ1ES ANu 7C 'Jt '-f0~ 010 YOU REPORT THAT YOU HAD SIGHTED THIS PHENOMENONP 26. DATE YOU CC:ooi?LE:TED THIS QUESTIONNAIRE. r:; .;? , 'I '(_ : . , PAGE 8 OF 9 PAGES 27. IN fi'O~MATIOM WHICH YOU f'ERL II PIRTINENT uT WHICH II NOT AOaQUATI!L Y COYIRID IN THIS QUIEITIOMNAtRa. AI.. T t:RMATIVILY PROYIOK A NARRATIVE E XPLANATION OP' THI liGHTING PAGE 9 OF 9 PAGES DEPARTMENT OF THE AIR II'ORCE HKADQUA .. TE.-s P'ONI:ION TECHNOLOGY DIVISION l AP'8C) WNIOHT.PATTifltSON AI" P'ORCI IJASE. OHIO 45433 TDP!' I Uli'Q UFO Observntion You~ name has been given to the Aerial Phenomena Branch (Project Blue Book) as being a witness to an unidentified flying object. If you l-:ere a 1:1tness to en UFO sighting on 24 November 1967 "ould you please complete the attachd AF Form 117 and return it ir. the envelope provided. If you were not a ".litness to this sighting, wc1..1ld you please make a statement to this effect on the attached form. The information 'ihich you provide will be used in evaluating this observation. Thank you for your assistance in this matter. C. MANA'I'T, Co lone 1, USAF ~rector of Production AF Form 117 BOD Nr 21-R25B SIGHTING OF UNIDENTIFIED PHENOMENA QUESTIONNAIRE THIS QUE.STIO AIRE HAS BEl-:N PRF.PA;U:O SO TIIAl' YOU CA.."i GlVg THE U.; . Ali~ FOI<CE AS MUCH lNFOR-..._'tiON . 1\S POSSlOLE CuNCT~RNlNG THE UNIDENTIFIED PHF.NO:'t\ENON THAT YOU u,,v.-; OH5ERV10:1>. PLEt\.;E TRY TO ANSWF.R ALL \)F THE QUE:STION~. TifF: l~lFOI<MATION YOU GIVE WILL DE US:1J FO~{ RE~t<:A'RCH PURPOSES. YOUR NA:~E :n:~t. NOT BE USED lN CONNECI10N WITH AJiY OJ" YOUR S'tATJ~MF.!i fS 0 !< CONCLU$10 ~1Tt10UT YOUR p:::l-~!t(J..:':O~. RETURN TO AIH FORCE OASE lNVF.5TIGATOI~ IOr{ FOR.VARDnF; '('0 FTD (TDr:1'R), WRIGHT- PATTER~:~-~ ~ ::3 OHlO 45433, lAW S0-17. (II-' ADDITIONAL 51/BETS ARE Nr:VRL1 FOE\ N.l\T~RA 'l'IVE Oi-l SKBTCtieS , AT1'Ar::t :.:set.:-~;_ Y TO THIS FOHN 01? ANNOTATE W'ITH YOUR NAMr: FOH. InliNTif'JC.\'( ~r;,'i.) MON'l"H@ 1/ ~INUTES_/ 0 2. WHAT Tlioi! C O YOU FI~ST SlGHT THE PHI:-:NOMENONT I 3. WHAT TIM!: 01::> YOU LAST SIGHT THE PHENOMENON? /0 , ,.., -. / HOUR ' l MINUTES --OA."M. lffr>.r.t. 4. TIME/ZO...,!: 0 DAYLIGHT SAVINGS 0 STAUOAf\0 Q EASTE~ .. ~CENTRAL 0 t.JOUNTAIN 0 PACIFIC []OTHER s . WHeRE E .. -: vou WHEN You sAw THE P~1'IO-;.-EN0N? IF IN CITY, GIVE.THE UEAREST~TnEET-Aoo_R_E .,-s-,.- H-D-IH- n, cATE OH 1 A HAt-,0 0~ ~ ~N MAP WHERE YOU WERE c;TAI-.DINC WliU REFERENCE TO THE AODHF.SS. IF IN THC COUNTrtY, IDeNTIFY THE HIGHWAY Y.JU '1'/C.RE ON OR NEAR AND TRY ro F I X A DISTAPCE AtfD OIREC'f!O N FnOM SOM': AE'COCNIZfdLE LANOf.4ARK. . Tl-/f' Co f?N & R o ?' 6. PA~C! C: YO~ .t..~E AT THE POHIT SHO~, ~IN TH~ SKETC!. PLAC:: AH A G"f THE CUR,l.-:.D Lltd:' TO :HOii llvH HIG H "irlE PH:::'?,.~':;N ~AS ABOVE THE HCHiZO .... , OR SKYLINE, W~EH FIRST !>EEN. PL..ACt A "13" 0 'rHE SAM=: CURV::O LINE TO SHO.V HO W :i\C.~ ABOVE THE HORIZON 7 .-lt:. PHEHOJ.4~NON WAS WHEt~ LA$ "1 SEE'II. &A. NOW IMAGINE YOU ARE AT TH Ct!NTER OF TH COMPASS RO'i~. PLACF. AH A or THE COJot .. AlS TO INOICATti Tt1& OIAECfiOH TO THE PHI!NOMNON WHI!N F'IAST S~EN. PLACE A a ON THE CO"~AS3 TO INDICATE TH~ OIRI!CTION TO THIE PH!NOMEHON WH!:N LAST SEEN t 7. :-.. T . .,: .;.:;~7CH BELOW, PLACE AN A AT Tl-{f: POSITION O F THE PHENOMENON WHEtl F'IRST SI::EN, 1\NO A a AT THE: POSITIO~ OF THE PHENOM~UON WHEN LAST SEN. CONNECT THE A 1\NO e \tiTH A LINE TO APPROXIMATE THE ~iOVEMC:N'T OF THE PHENOMENON BETWEEN ~A AND a. THAT IS, SCHEt.'ATICALI..Y St-IO'H WHEtHER THE MOVE:.I!::NT Af'PEA =~ T.::> BE STRAIGHT, CURVED OR ZIC-ZAG. REFER TO SMALLER SKETCH AS AH EXI\\,PLe OF HOW TO COtAPLE T E " THe; L,J.RG Sl(!:,TCH. I PAGE 2 OF 9 P , G Z 5 1 . L WHERE WC!RI! YOU WHEN YOU SAW THE PHENOMENON? (Ciaedt appropriate hlo~lu.) V OUTDOORS /'-'IN BUSINESS SECTION 0, CITY IN BUILOI~G If" IH AESIOENTIAL SECTION 0, CITY IN CAR AS DAIVI!ft 0 AS PASSENOEft IN OPEN COUNTRYSIDE IN BOAT HEAR AIA"ELD IN AIA~L.AH! n AS PASSENGER FLYING OV!R CITY FLYING OVER OPEN COUNTRY IF VOU WEAl! IN A V.EHICL.E, COMPLETE THE FOLLOWING: WHAT e i;\ECTION WEAl! VOU MOVING? HOW FAST WEAl! YOU MOVING? NO~Tio4 lEAST SOUTH WIST DID YOU STOP ANYTIMI WHILE O!tSERVINO THE HO .. TH!"ST lOUTH EAST NORTH~!tST EXPLAIN WHTHE" SUCH MOVEMENT E,,ECTS YOUR SKETCHES IN ITEMS SAND&. OESCRiaE T' ? ~OF VEHICLE YOU WERE IN AND TYPE OJr ROAD, TERRAIN OR BODY OF WATER YOU TRAVERSED DURING THE SIGHTING. STATE WHETHER WINDOWS OR CONVERTIBLE TOP WERE UP OR DOWN. HOW MUCH 07HER TRAFFIC WAS THERE? 010 YOU NOTICE ANY AIRPLANES? n YES n NO. IF yEs, DESCRIBE WHEN THEY WERE IN SIGHT RELATIVE TO THE TIMC:. OF SIGHTING THE PHENOMENON ANDWHEF THEY WERE IN THE SKY RELATIVE TO THE POSITION OF THE PHENOMENON. HOW L.ONG WAS THE PHENOMENON IN SIGHT? ~CERTAIN OF TIME NOT VERV SURE IY FAIRLY CERTAIN JUST A GUESS HOW WAS T IM!: ~E:TERMINED? WAS THE PH!:)oi~M~NOH IN SIGHT CONTINUOUSLY? J!J YES n NO. IF No, INDICATE WHETHER THIS IS DUE TO YOUR MOVEM~N T CR THE 8EH A VI OR OF THE PH C:HOMENON, AND oE5c:RI9 SUCH MOVEMENT OR BEHAVIOR. INDICATE DISAP- PEARANCES 0"+ ";:REVIOUS SKETCHES. PAGE 3 OF 9 PAGES to. IF' THI!_.I WilfUl MO_.I THAN ON! PHI!NOMI!NOM, HOW MANY WIERI! THIE .. If DRAW A PICTUAI! TO SHOW HOW THIY W!RI AfUtANOtO. DID THII A_._.AttOIEMINT CHANOI! DUfttHO THI StOHTINO? CONDITIONS (Ciaeelc qpropritde 6loc1c.) 8. WEATHIR . j TNILI~HT V"' PAq -:-:_ Y CLOUDY CO~=-~ !TI!LY OVERCAST CUMULUS CLOUDS {Low flufly) CtARUS CLOUDS (Hilla fleecy or Herrl,.,_ NIMBUS CLOUDS (Roltt) CUMULONIMBUS CLOUDS (Tit""ckrtomu) V HAZI! OR SMOG HI!AVY RAIN LIGHT RAIN OR ORilZt...E SNOW OR SLEET i/ NONE OF THE ABOVE C . IF' TH! SIGHTING WAS AT TWILIGHT OR NIGHT, WHAT DID YOU NOTICE ABOUT THE STARS AND MOON? (1) I STARS (2) MOON I BRIGHT MOONl.l GHT tt NO MOONLIOI-fT MOON WITH HALO UNKNOWN MOON HIDDEN BY CLOUDS oOOOOoOOO toooooOOOoOOOoOOOoOOooOOooooooooooooooooooooooooooooooooooooooo +00 u "4 K "f :-~ N P A RTt A L (New or qUOI1er) ,..3 WAS IN DAYLIGHT, WAS THI! SUN VISIDLET 0 YES 0 NO. THE PHENOMI!NON? IF yEs, WH~RI! WAS TH~ SUN AS YOU FACED OVERHEAD (Nec. noon) IN FR~,..T' OF YOU TO YOUR RIGHT I N BACIC OF YOU TO YOUR LEFT E. S?ECif'Y TH~ MAJOR SOURCI! OF ILLU"41 ... ATION PRESENT DURING THE SIGHTING, SUCH AS TH!! SUN, HEADLIGHTS OR ST~E:ET L.AMP, ETC. FOR TERREST~IAL. ILLUMINATION, SPECIFY DISTANCE TO LIGHT SOURC!!. 12. GIV~ ~ -e~:!:F OESCRtPTION OF TH! P H!'NOMENON, INDICATitf'l WHETHER IT APPEARED DARK 0~ LIGHT, WHETHER IT RZFL~C'r~:J LIGHT OR WAS SELF-LI.JI!jfi~OUS AND WHAT COLORS YOU NOTICED. OESCR19! YOUR H4PAe:SSION OF WHETHER IT WA S SO!...I O OR TRANSPARENT, WH!'T'HER EDGES WI!RI! SHARP OR FUZZY. DESCRIBE THI! SHAPE OR INDICATE IF IT A ?P~AR!:: U A POINT OF LIGHT. !H::>ICATE COMPARISONS WITH OTHI!R OBSERVED OBJECTS, LIKE STARS, A LIGHT OR OTH OBJ~:T IN YOUR F'IEl.D OF \/I !:W. PAGE 4 OF 9 PAGES NO L UNKNO'N~- MAKE A NOiSE:_ /-' FLUTTER OR - .:'3 3LE? _ , ''OUR ATTENTION TO THE PHENOM~NON? 14. WHAT OR.:.V a II ;:~;ALLy DISAPPEAR -r HE E - 0-RrJ U l l tJ IN G .~ T AN "/" T I t E 1 15. DRAW A PICTURI THAT WILL IHOW THE IHAPE 0' THE JIHI!:NOMI!NOM. INCLUD AND LABEL. ANY OI!TAILS THAT MIGHT HAVIl AJIJIKARRO AS WINOS OR PROTRUSIONS, AND INDICATE EXHAUST OR VAPOR TRAILS. INDICATE BY AN ARROW THE DIRICTION THI! PHENOMENON WAS MOVING 16. WHAT '!tA.i i-;:. \~c:;UI..AR SIZE? HOL.O;;. M.I.TCH AT ARM'S LENGTH IN FRONT OF A KNOWN OBJECT, SUCH AS A STREET LAMP 0~ -:--.c: .fOOH. NOTE HOW MUC"i CF T~E OBJECT IS COVEREO BY THE HEAO OF THE MATCH. NOW IF YOU