| Type of Incident: | Referee |
| Match Number: | 6571 |
| Date of Incident: | 2017-09-09 |
| Time of Incident: | 12:00:00 |
| Location of Incident: | Alameda Point |
| Competition: | 2017_SOR_FALL_ |
| Home Team: | Jack London |
| Visiting Team: | Referee |
| Age Group and Gender: | U18G |
| Team Affiliation of Individual Committing Incident: | Jack London |
| Incident Summary: | Allegation of referee verbally abusing players. |
| Comments: | This matter is referred to Moe Shafai who will address it with the referee. |
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