| Type of Incident: | Referee |
| Match Number: | 5273 |
| Date of Incident: | 2018-05-05 |
| Time of Incident: | 10:00:00 |
| Location of Incident: | Place to play |
| Competition: | 2018_SOR_SPRING_ |
| Home Team: | Santa Rosa United Chealse |
| Visiting Team: | Black Oaks Galaxy |
| Age Group and Gender: | U14B |
| Team Affiliation of Individual Committing Incident: | Santa Rosa United Chealse |
| Incident Summary: | This Incident Report was filed by an individual who is not the President or DOC of the Club. |
| Comments: | This report was filed by an individual other than the President or DOC of the club submitting this report. If the club's President or DOC wishes to re-file, please do so. |
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