| Type of Incident: | Team |
| Match Number: | |
| Date of Incident: | 2012-10-21 |
| Time of Incident: | 04:00:00 |
| Location of Incident: | San Anselmo, CA |
| Competition: | 2013_SOR_FALL_ |
| Home Team: | Breakers 96 |
| Visiting Team: | San Ramon Azuri 97 White |
| Age Group and Gender: | U16G |
| Team Affiliation of Individual Committing Incident: | Coach/Team/Azuri 97 White |
| Incident Summary: | San Ramon canceled a match less then 96 hours prior to game |
| Comments: | PAD Ruling:
1) This game will be scored a forfeit win for West Marin unless they agree to playing the match.
2) San Ramon is responsible for all field and referee fees. West Marin please send a bill to San Ramon and CC the league coordinator so he can help collect. |
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