| Type of Incident: | Referee |
| Match Number: | 5058 |
| Date of Incident: | 2016-09-09 |
| Time of Incident: | 11:00:00 |
| Location of Incident: | B street fields |
| Competition: | 2016_SOR_FALL_ |
| Home Team: | monrcas academy 02 red |
| Visiting Team: | adrain sevilla jr / cap fc united 02 cap |
| Age Group and Gender: | U15B |
| Team Affiliation of Individual Committing Incident: | adrain sevilla jr / cap fc united 02 cap |
| Incident Summary: | Send-off |
| Comments: | Please file a send-off report instead of a PAD Incident Report when a player is sent off. |
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