| Type of Incident: | Team |
| Match Number: | |
| Date of Incident: | 2013-11-16 |
| Time of Incident: | 12:50:00 |
| Location of Incident: | Danville, Ca. |
| Competition: | 2013_SOR_NPL_ |
| Home Team: | Team Manager |
| Visiting Team: | Team Manager/Team Head Coach |
| Age Group and Gender: | U19G |
| Team Affiliation of Individual Committing Incident: | Team Manager/Team Head Coach |
| Incident Summary: | Forfeit by Impact |
| Comments: | 1) Impact is responsible for any fees associated with the game
2) Mustang will be awarded a 3-0 forfeit win |
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