| Scorekeeper | Referee 1 | Referee 2 |
|---|---|---|
| Richard Forrester | John Parsons | Joshua Hartley |
| 1 | 2 | 3 | Final | |
|---|---|---|---|---|
| BK 10 | 0 | 0 | 2 | 2 |
| Unhealthy Scratch | 2 | 1 | 3 | 6 |
| 1 | 2 | 3 | Total | |
|---|---|---|---|---|
| BK 10 | 6 | 3 | 5 | 14 |
| Unhealthy Scratch | 9 | 6 | 14 | 29 |
| P | Time | Team | Goal | Assist 1 | Assist 2 |
|---|---|---|---|---|---|
| 1 | 16:27 | Unhealthy Scratch | Michael L Whitmer | Matthew T Burke | |
| 1 | 8:16 | Unhealthy Scratch | Daniel R Canton | Andre F Dizon | Matthew T Burke |
| 2 | 5:27 | Unhealthy Scratch | Robert F Blackmore | ||
| 3 | 18:14 | Unhealthy Scratch | Donald Labarbera | Robert F Blackmore | Andre F Dizon |
| 3 | 16:55 | BK 10 | Michael W Lee | Steve Kleinke | |
| 3 | 9:24 | BK 10 | Steve Kleinke | Michael W Lee | |
| 3 | 5:56 | Unhealthy Scratch | Robert F Blackmore | Steven R Miller | |
| 3 | 1:19 | Unhealthy Scratch | Andrew Moran | Robert F Blackmore | Donald Labarbera |
| P | Time | Team | Player | Infraction | Min |
|---|---|---|---|---|---|
| 3 | 17:31 | Unhealthy Scratch | Robert Blackmore | Hooking | 3 |
| 3 | 1:55 | BK 10 | Steve Kleinke | Unsportsmanlike | 3 |
| 00 | Michael W Lee |
| 47 | James S An |
| 99 | Brian P Carey |
| 58 | Eric P Chen |
| 85 | David Y Yasuda |
| 33 | Douglas I Anderson |
| 2 | Rick F Espanol |
| 24 | Jason Ramirez (C) |
| 3 | Michael P Griffiths |
| 15 | Daniel C Goode |
| 13 | Steve Kleinke |
| 98 | Richard Swope (S) |
| Ronald Brandon (G) | |
| 93 | Kyle Huynh |
| 4 | Alan Kulawik |
| 20 | Santosh Katkuri |
Game Number: 517357