| Home: Independance Health Care |
Away: R&E Management |
| 1 | Y. Mann | | 7 | A. Roz | | 9 | S. Maslin | | 31 | A. Botnick | | 43 | B. Weiss | | 55 | E. Jacobs | | 70 | D. Westreich | | 73 | M. Klien | | 77 | N. Klien | | 82 | S. Heyman |
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| 1 | 07:47 | 77 | 82 | | | | | | | 3 | 08:19 | 77 | 82 | | | | | | | 3 | 00:10 | 77 | | | | | | |
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| 1 | Y. Mann | | 9 | J. Hirschel | | 10 | Y. Rosenbaum | | 31 | A. Botnick | | 57 | C. Mann | | 65 | O. Cochev Lev | | 70 | E. Balter | | 71 | S. Fleischman | | 73 | A. Mann | | 78 | A. Tessler |
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| #31 - A. Botnick | 45 | 0 | 0 | | #1 - Y. Mann | 45 | 0 | 0 |
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| #31 - A. Botnick | 45 | 0 | 0 | | #1 - Y. Mann | 45 | 0 | 0 |
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| 3 | Tripping | 2 | #78 - A. Tessler | 09:34 | | |
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| Scorekeeper | |
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| Referee | Dovi Botnick |
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| Referee | Josh Botnick |
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