| Type of Incident: | Injury |
| Match Number: | |
| Date of Incident: | 2013-09-21 |
| Time of Incident: | 02:15:00 |
| Location of Incident: | Tice Park Fresno, Ca. |
| Competition: | 2013_SOR_FALL_ |
| Home Team: | Central California Soccer Alliance 94B B |
| Visiting Team: | Heritage SC Heritage Milan |
| Age Group and Gender: | U19B |
| Team Affiliation of Individual Committing Incident: | |
| Incident Summary: | Injured Player |
| Comments: | |
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