| Type of Incident: | Team |
| Match Number: | |
| Date of Incident: | 2013-04-28 |
| Time of Incident: | 12:00:00 |
| Location of Incident: | None |
| Competition: | 2013_SOR_SPRING_ |
| Home Team: | South Valley Chivas Academy |
| Visiting Team: | Turlock Fc Newcastle |
| Age Group and Gender: | U10B |
| Team Affiliation of Individual Committing Incident: | South Valley Chivas Academy 03B |
| Incident Summary: | Question regarding forfeit score |
| Comments: | Game has been rescheduled by teams for June 1 |
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