| Type of Incident: | Injury |
| Match Number: | 2525 |
| Date of Incident: | 2023-10-01 |
| Time of Incident: | 10:00:00 |
| Location of Incident: | BILL CONLIN SPORTS COMPLEX |
| Competition: | 2023 NorCal State Cup |
| Home Team: | ssa 11b knights |
| Visiting Team: | 2011 ARSENAL EAST SAC |
| Age Group and Gender: | U13B |
| Team Affiliation of Individual Committing Incident: | ssa 11b knights |
| Incident Summary: | injury Report. |
| Comments: | Injury Report - no action taken. |
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