| Type of Incident: | Player |
| Match Number: | |
| Date of Incident: | 2013-12-14 |
| Time of Incident: | 02:30:00 |
| Location of Incident: | Val Vista 2 in Pleasanton |
| Competition: | 2013_SOR_NCSC_ |
| Home Team: | Ballistic United SC |
| Visiting Team: | Pac San Jose |
| Age Group and Gender: | U13B |
| Team Affiliation of Individual Committing Incident: | Pac San Jose |
| Incident Summary: | This should be reported as a Send off and not an incident report |
| Comments: | |
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