| Type of Incident: | Injury |
| Match Number: | 5130 |
| Date of Incident: | 2016-10-15 |
| Time of Incident: | 02:05:00 |
| Location of Incident: | College Park High School Turf |
| Competition: | 2016_SOR_FALL_ |
| Home Team: | HSC 03 Boys |
| Visiting Team: | Atletico Santa Rosa Cobras |
| Age Group and Gender: | U14B |
| Team Affiliation of Individual Committing Incident: | Atletico Santa Rosa Cobras |
| Incident Summary: | Injury Report. |
| Comments: | Injury Report - no action. |
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