| Type of Incident: | Referee |
| Match Number: | |
| Date of Incident: | 2012-09-23 |
| Time of Incident: | 10:00:00 |
| Location of Incident: | Stockton Soccer Complex |
| Competition: | 2012_SOR_NCSC_ |
| Home Team: | Stockton Monarcas FC United |
| Visiting Team: | Yuba Sutter FC United |
| Age Group and Gender: | U12B |
| Team Affiliation of Individual Committing Incident: | |
| Incident Summary: | Only two referees at match. Checking on the validity of certification of the referees |
| Comments: | |
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