| Home: Independance Health Care |
Away: .. |
| 1 | Y. Mann | | 1 | S. Tenenbaum | | 9 | S. Maslin | | 45 | B. Leibovic | | 55 | E. Jacobs | | 60 | Z. Rubin | | 70 | Y. Bobroff | | 73 | M. Klien | | 77 | N. Klien | | 80 | D. Goldschein | | 90 | G. Jacknis |
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| 1 | Y. Mann | | 1 | S. Tenenbaum | | 7 | S. Zirkind | | 11 | A. Spodek | | 13 | E. Fishman | | 14 | E. Einhorn | | 17 | A. Zirkind | | 37 | T. Tomachewski | | 70 | L. Braun | | 80 | Y. Ives | | 93 | A. Botnick |
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| 1 | 09:30 | 70 | 17 | | | | | | | 2 | 08:10 | 70 | 11 | | | | | | | 2 | 00:48 | 17 | 70 | | | | | | | 2 | 00:30 | 70 | 17 | | | | | | | 3 | 12:25 | 37 | 7 | 93 | | | | | | 3 | 01:11 | 13 | 93 | | | | | | | 3 | 00:56 | 7 | | | | | | |
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| #1 - S. Tenenbaum | 45 | 0 | 0 | | #1 - Y. Mann | 45 | 0 | 0 |
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| #1 - S. Tenenbaum | 45 | 0 | 0 | | #1 - Y. Mann | 45 | 0 | 0 |
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| Scorekeeper | |
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| Referee | Yitzchak Tenenbaum |
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| Referee | Josh Botnick |
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