| Home: Independance Health Care |
Away: Regent Rangers |
| 1 | A. Botnick | | 9 | S. Maslin | | 34 | D. Botnick | | 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 | 13:00 | 77 | 70 | | | | | | | 1 | 04:47 | 73 | 34 | | | | | | | 1 | 00:43 | 70 | 77 | | | | | | | 2 | 14:30 | 73 | | | | | | | | 2 | 10:20 | 55 | | | | | | | | 2 | 05:11 | 77 | 70 | | | | | |
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| 1 | A. Botnick | | 8 | D. Elkhunovich | | 9 | S. Elkhunovich | | 10 | J. Federgreen | | 12 | A. Levin | | 13 | N. Levin | | 21 | B. Fleiss | | 33 | G. Hamilton | | 34 | D. Botnick | | 70 | Y. Levine | | 80 | S. Kiss |
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| #1 - A. Botnick | 45 | 0 | 0 | | #34 - D. Botnick | 45 | 0 | 0 |
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| #1 - A. Botnick | 45 | 0 | 0 | | #34 - D. Botnick | 45 | 0 | 0 |
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| 2 | Hooking | 2 | #73 - M. Klien | 07:20 | | |
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| Scorekeeper | |
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| Referee | Josh Botnick |
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| Referee | Yitzchak Tenenbaum |
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