| Type of Incident: | Fields |
| Match Number: | 6366 |
| Date of Incident: | 2017-10-21 |
| Time of Incident: | 08:00:00 |
| Location of Incident: | Perkins Park |
| Competition: | 2017_SOR_FALL_ |
| Home Team: | chowchilla Cvleon06B White |
| Visiting Team: | Ceres Earthquake Republic FC |
| Age Group and Gender: | U12B |
| Team Affiliation of Individual Committing Incident: | chowchilla Cvleon06B White |
| Incident Summary: | Complaint about lines. |
| Comments: | This is not a PAD Incident. Please contact the Event Coordinator. |
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