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___ Date _______Time __________ Referee _________________________________ Game No. _________ Place ___________________ Team A ____________________________________ Time-outs Team fouls Period j k Period l m Extra periods Licence Player Fouls Players No. in 1 2 3 4 no. 4 5 6 7 8 9 10 11 12 13 14 15 Coach Assistant Coach Team B ____________________________________ Time-outs Team fouls Period j k Period l m Extra periods Licence Player Fouls Players No. in 1 2 3 4 no. 4 5 6 7 8 9 10 11 12 13 14 1.

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