| Type of Incident: | Referee |
| Match Number: | 1299 |
| Date of Incident: | 2016-09-17 |
| Time of Incident: | 04:00:00 |
| Location of Incident: | Petaluma Sports Complex |
| Competition: | 2016_SOR_NPL_ |
| Home Team: | Tahuichi Boys 2003 Red |
| Visiting Team: | 03B NPL |
| Age Group and Gender: | U14B |
| Team Affiliation of Individual Committing Incident: | Tahuichi Boys 2003 Red |
| Incident Summary: | Lack of referees at a NPL match. |
| Comments: | This is not a PAD issue. Please address this with the Event Coordinator. |
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