| Scorekeeper | Referee 1 | Referee 2 |
|---|---|---|
| Bill Whitmore | Mark Espinosa | Chinh Bui |
| 1 | 2 | 3 | Final | |
|---|---|---|---|---|
| Teal | 0 | 2 | 0 | 2 |
| Black | 2 | 0 | 2 | 4 |
| 1 | 2 | 3 | Total | |
|---|---|---|---|---|
| Teal | 0 | 2 | 0 | 2 |
| Black | 2 | 0 | 2 | 4 |
| P | Time | Team | Goal | Assist 1 | Assist 2 |
|---|---|---|---|---|---|
| 1 | 13:06 | Black | Robert Johnson | Randal H Chen | |
| 1 | 2:06 | Black | Joseph Jellen | ||
| 2 | 10:15 | Teal | Jane Ross | ||
| 2 | 6:04 | Teal | Risto Miikkulainen | Kevin Eyres | Hans Schweingruber |
| 3 | 19:35 | Black | Edward E Asato | ||
| 3 | 17:10 | Black | Ralph A Schachter | Ted S Marks | Randal H Chen |
| Anthony D Stone (G) | |
| 7 | David Logan |
| 20 | John F Phillips |
| 15 | Hans Schweingruber |
| 18 | Jane Ross |
| 10 | Christopher R Adams |
| 14 | Brian Toyota |
| 17 | Mark G Siechen |
| 24 | Kevin Eyres |
| 12 | Risto Miikkulainen |
| 11 | Luca Vassalli |
| 14 | Robert Johnson |
| 18 | Randal H Chen |
| 8 | Ted S Marks |
| Jean-paul Bourget (G) | |
| 10 | Alain Mowad |
| 1 | David Greenspan |
| 15 | Joseph Jellen |
| 3 | Edward E Asato |
| 5 | Ron J Starnes |
| 3 | Ralph A Schachter |
| 77 | Tushar Mazumder |
Game Number: 403214