| Type of Incident: | Injury |
| Match Number: | 8145 |
| Date of Incident: | 2021-09-12 |
| Time of Incident: | 05:15:00 |
| Location of Incident: | Maidu Field 1 |
| Competition: | 2021_SOR_FALL_ |
| Home Team: | Roseville Premier 2007B White |
| Visiting Team: | Elite '07B Black - injured player |
| Age Group and Gender: | U15B |
| Team Affiliation of Individual Committing Incident: | Elite '07B Black - injured player |
| Incident Summary: | Injury Report |
| Comments: | Injury Report - no action taken. |
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