| Type of Incident: | Game Protest/Forfeit |
| Match Number: | 353 |
| Date of Incident: | 2015-11-07 |
| Time of Incident: | 10:00:00 |
| Location of Incident: | Ceres Soccer Complex |
| Competition: | 2015_SOR_FALL_ |
| Home Team: | Ceres Earthquake FC Barcelona Jr's |
| Visiting Team: | Merced Atlas 05B Premier |
| Age Group and Gender: | U10B |
| Team Affiliation of Individual Committing Incident: | Merced Atlas 05B Premier |
| Incident Summary: | Allegation an unlicensed referee was assigned to the match. |
| Comments: | Ceres has until noon on November 20, 2015 to provide the name and a picture of the referee at the match to the PAD Committee at amittler@norcalpremier.com. |
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