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Holder name: <br />Auth lD:Event Date <br /># Participants # Spectators # Staff Participant Fees Spectator Fees A. Total Fee Receipts <br />Concession Sales B. Total Sales Receipts <br />Gross Receipts: (A+ B = C)c <br />Qualifying expenses (prizes purchased and awarded)s <br />Total Cost of Awarded Prizes:D. <br />Adjusted Gross Receipts (C - O = e)E <br />Adjusted Gross Receipts x3 % (Two or more events) or 5 To (One time event) =F <br />Amount previously paid for this permit G <br />Amount payable to USDA Forest Service (F - G = H)H <br />RECREATION EVENT. POST USE REPORT <br />Permit holder must lete this ort and return to within thi 3 after the event date <br />Describe any problems such as crowd control, crimes, hazards, and accidents (injuries, property damage), etc. <br />(Print name of individual submitting information)(Address) <br />(Signature) <br />(Telephone no. - business)(Date) <br />(Telephone no. - home)