| Home: Bears |
Away: Leftovers |
| 3 | A. Artigas | | 10 | G. Heakes | | 12 | J. Abramson | | 13 | D. Rubino | | 14 | E. Muntz | | 17 | M. Fraipont | | 27 | M. Jones | | 55 | D. Terramani | | 89 | J. Lovelace | | 90 | B. Forester | | 91 | J. Warner | | 92 | P. Davoodi | | 99 | B. Hansen |
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| 7 | J. Masri | | 10 | D. Griffin | | 16 | A. Corona | | 27 | J. Burroughs | | 28 | E. Rowen | | 29 | M. O'brien | | 70 | A. Arcilla | | 70 | A. Zirk | | 99 | A. Barrera |
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| 55 | D. Terramani | x | | 13 | D. Rubino | x | | 90 | B. Forester | |
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| 16 | A. Corona | | | 29 | M. O'brien | x | | 70 | A. Arcilla | |
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| 3 | Tripping | 2 | #14 - E. Muntz | 04:15 | | |
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| Scorekeeper | |
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| Referee | Dave Grifman |
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| Referee | Tim Phillips |
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