| Type of Incident: | Referee |
| Match Number: | |
| Date of Incident: | 2012-10-13 |
| Time of Incident: | 02:25:00 |
| Location of Incident: | Morgan Hill |
| Competition: | 2012_SOR_NPL_ |
| Home Team: | San Jose 97 Impact |
| Visiting Team: | California Odyssey U15 BR |
| Age Group and Gender: | U15G |
| Team Affiliation of Individual Committing Incident: | |
| Incident Summary: | COSC asking for forfeit against PAC |
| Comments: | Game is considered a "No Play" since teams did not have time to get the game rescheduled. The standings will remain as they are currently. |
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