| Scorekeeper | Referee 1 | Referee 2 |
|---|---|---|
| Bill Whitmore | Terence Lim | Richard Keiner |
| 1 | 2 | 3 | Final | |
|---|---|---|---|---|
| Black | 0 | 0 | 1 | 1 |
| Teal | 1 | 0 | 1 | 2 |
| 1 | 2 | 3 | Total | |
|---|---|---|---|---|
| Black | 0 | 0 | 1 | 1 |
| Teal | 1 | 0 | 1 | 2 |
| P | Time | Team | Goal | Assist 1 | Assist 2 |
|---|---|---|---|---|---|
| 1 | 7:43 | Teal | Kevin Kinkor | Hans Schweingruber | |
| 3 | 14:06 | Black | Albert E Valcarcel | ||
| 3 | 6:57 | Teal | Carl L Meert | John M Lewis |
| P | Time | Team | Player | Infraction | Min |
|---|---|---|---|---|---|
| 1 | 8:15 | Black | Mark Espinosa | Tripping | 3 |
| 3 | 17:26 | Black | Ed Asato | Cross-Checking | 3 |
| 5 | Mark A Espinosa |
| 15 | Michael L Kaufman |
| 18 | Jennifer L Glass (G) |
| 12 | Duane H Mathiowetz |
| 7 | Scott D Shepard |
| 4 | Albert E Valcarcel |
| 9 | M Salkola |
| 21 | Stuart A Slamowitz |
| 1 | Yenpang Lin |
| 3 | Ed Asato |
| 10 | Ryanquang B Nguyen |
| 15 | Jarad D Smith (G) |
| 18 | Jon M Campbell |
| 5 | John M Lewis |
| 11 | Hans Schweingruber |
| 14 | Carl L Meert |
| 9 | Russ C Rankin |
| 13 | Dmitry Semenov |
| 20 | Kevin Kinkor |
| 1 | Peter Fediay |
| 19 | Robert Mattson |
| 2 | Jun Otsuka |
Game Number: 228038