| Type of Incident: | Field |
| Match Number: | |
| Date of Incident: | 2013-11-04 |
| Time of Incident: | 02:30:00 |
| Location of Incident: | Oakland High School |
| Competition: | 2013_SOR_NPL_ |
| Home Team: | Bulldogs Soccer Club Thunder 05 |
| Visiting Team: | Alameda SC Islander White |
| Age Group and Gender: | U09B |
| Team Affiliation of Individual Committing Incident: | |
| Incident Summary: | PAD Incident Reports must be submitted by a DOC or Club Official. |
| Comments: | PAD Incident Reports must be submitted by a DOC or Club Official. |
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