| Type of Incident: | Injury |
| Match Number: | 5586 |
| Date of Incident: | 2017-05-21 |
| Time of Incident: | 11:45:00 |
| Location of Incident: | Central Park #1, Roseville |
| Competition: | 2017_SOR_SPRING_ |
| Home Team: | GRANITE BAY FC SPIRIT 05 |
| Visiting Team: | DIXON SC LEON 05G |
| Age Group and Gender: | U13G |
| Team Affiliation of Individual Committing Incident: | DIXON SC LEON 05G |
| Incident Summary: | Injury Report |
| Comments: | Injury Report - no action taken. |
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