| Type of Incident: | Team |
| Match Number: | |
| Date of Incident: | 2012-10-20 |
| Time of Incident: | 03:15:00 |
| Location of Incident: | Shorty Garcia Park |
| Competition: | 2012_SOR_FALL_ |
| Home Team: | UC Premier United |
| Visiting Team: | Heritage SC Juventus |
| Age Group and Gender: | U15B |
| Team Affiliation of Individual Committing Incident: | Heritage SC Juventus |
| Incident Summary: | Heritage did not show up for game with Union City |
| Comments: | PAD Ruling
1) Heritage forfeits game and is responsible for paying all field and referee fees. |
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