| Scorekeeper | Referee 1 | Referee 2 |
|---|---|---|
| Bill Whitmore | Elvis Hernandez | Sergei Sobolev |
| 1 | 2 | 3 | SO | Final | |
|---|---|---|---|---|---|
| Teal | 2 | 0 | 3 | 0 | 5 |
| Black | 1 | 3 | 1 | 1 | 6 |
| 1 | 2 | 3 | Total | |
|---|---|---|---|---|
| Teal | 2 | 0 | 3 | 5 |
| Black | 1 | 3 | 1 | 5 |
| P | Time | Team | Goal | Assist 1 | Assist 2 |
|---|---|---|---|---|---|
| 1 | 12:00 | Teal | Larry Kezar | Katsunori Mizuno | |
| 1 | 5:39 | Black | |||
| 1 | 3:09 | Teal | Larry Kezar | ||
| 2 | 10:56 | Black | Timothy R Chandler | Kenneth Murphy | |
| 2 | 6:08 | Black | Robert R Gianni | Timothy R Chandler | |
| 2 | 56.0 | Black | Charles J Cockroft | ||
| 3 | 11:01 | Teal | Larry Kezar | Katsunori Mizuno | |
| 3 | 8:13 | Teal | Kevin P Breitling | Michael L Whitmer | |
| 3 | 3:21 | Teal | Katsunori Mizuno | Kenneth D Anderson | |
| 3 | 1:19 | Black | Edward A Stitt |
| P | Time | Team | Player | Infraction | Min |
|---|
| Team | Shooter | Goalie | Result |
|---|---|---|---|
| Teal | Larry Kezar | Unknown | Missed |
| Black | Charles Cockroft | Christopher Neglia | Missed |
| Teal | Kenneth Anderson | Unknown | Missed |
| Black | Timothy Chandler | Christopher Neglia | Missed |
| Teal | Michael Whitmer | Unknown | Missed |
| Black | Edward Stitt | Christopher Neglia | Missed |
| Teal | Kevin Breitling | Unknown | Missed |
| Black | Michael Kaufman | Christopher Neglia | Scored |
| 10 | Kenneth D Anderson |
| 8 | Larry Kezar |
| 9 | Michael L Whitmer |
| 8 | David A Hurst |
| 39 | Katsunori Mizuno |
| 13 | Joseph Marrujo |
| 11 | Kevin P Breitling |
| Christopher Neglia (G) |
Game Number: 526969