| Type of Incident: | Referee |
| Match Number: | 100 |
| Date of Incident: | 2019-12-03 |
| Time of Incident: | 10:00:00 |
| Location of Incident: | Newcastle |
| Competition: | 2019_SOR_FALL_ |
| Home Team: | PAD 1 |
| Visiting Team: | PAD 2 |
| Age Group and Gender: | U17B |
| Team Affiliation of Individual Committing Incident: | PAD 1 |
| Incident Summary: | Moe is testing the system |
| Comments: | Moe is testing the system |
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