| Home: Team Chetter |
Away: West 4th |
| 9 | A. Bertelson | | 10 | R. Cheetam | | 12 | M. Nightingale | | 13 | C. Nalbandian | | 16 | R. Miyamoto | | 20 | M. Ulrich | | 22 | E. Rosas | | 23 | D. Waite | | 64 | M. Surrey | | 98 | S. Eddie |
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| 1 | M. Bourgeois | | 2 | S. Bauman | | 5 | D. Elbaz | | 6 | R. Stomel | | 12 | J. Stomel | | 13 | J. Conboy | | 14 | S. Lieberman | | 15 | J. Stomel | | 17 | J. Lorenzetti |
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| 1 | 12:40 | 2 | 12 | | | | | | | 3 | 14:20 | 12 | 6 | | | | | | | 3 | 00:05 | 2 | 6 | | | | | |
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| 2 | Hooking | 2 | #23 - D. Waite | 02:28 | | |
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| 2 | Tripping | 2 | #15 - J. Stomel | 11:18 | | |
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| Scorekeeper | |
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| Referee | Jason Lahmon |
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| Referee | Justin Schenck |
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