| Type of Incident: | Other — Do not use if a team, player, coach, or spectator is involved. Use only if the incident cannot be classified as any other Type of Incident above. |
| Date of Incident: | 2021-10-23 |
| Time of Incident: | 08:30:00 |
| Location of Incident: | Cherry Island |
| Home Team: | Monaco |
| Visiting Team: | Sac United 06B NPL |
| Age Group and Gender: | U16B |
| Team Affiliation of Individual Committing Incident: | Sac United 06B NPL |
| Incident Summary: | Allegation that an illegal player was used in a match. |
| Comments: | The PAD Committee is unable to hear this incident because the club listed as committing the incident is incorrect. Please refile the report with the correct club listed as committing the violation. |
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