Bolivar
| # | Player | MIN | G | A | YC | RC | G2h | IN | OUT |
|---|---|---|---|---|---|---|---|---|---|
| Romel Javier Quiñónez Suárez SUB | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Lorgio Álvarez Roca D | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Ronald Eguino Segovia D | 90 | 0 | 0 | 1 | 0 | 0 | |||
| Luis Alberto Gutiérrez Herrera D | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Luis Francisco Rodríguez Zegada D | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Wálter Alberto Flores Condarco MF | 90 | 0 | 0 | 0 | 0 | 0 | |||
| José Luis Chávez Sanchez MF | 90 | 0 | 0 | 1 | 0 | 0 | |||
| Víctor Andrés Córdoba Córdoba MF | 35 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Leandro Marcelo Maygua Ríos MF | 83 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Carlos Vicente Tenorio Medina AT | 90 | 0 | 0 | 1 | 0 | 0 | |||
| Juan Carlos Arce Justiniano AT | 45 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Vladimir Soria Camacho MF | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Francisco Xabier Azcargorta Uriarte | 90 | 0 | 0 | 0 | 0 | 0 | |||
| José Luis Sánchez Capdevila SUB | 55 | 1 | 0 | 0 | 0 | 1 | 1 | ||
| Erwin Mario Saavedra Flores SUB | 7 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Damir Miranda Mercado MF | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Guillermo Viscarra Bruckner SUB | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Óscar Eduardo Rodas Vargas AT | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Rudy Alejandro Cardozo Fernández MF | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Totals | 1485 | 1 | 0 | 3 | 0 | 1 | 2 | 3 |
Goal scorers aren't recorded for every goal in this game (1 of 2 attributed).
Nacional Potosi
| # | Player | MIN | G | A | YC | RC | G2h | IN | OUT |
|---|---|---|---|---|---|---|---|---|---|
| Carlos Alberto Barahona Angulo SUB | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Ronny Jiménez Mendoza D | 90 | 0 | 0 | 1 | 0 | 0 | |||
| Eliseo Isaías Dury Gómez D | 90 | 0 | 0 | 1 | 0 | 0 | |||
| Walter Humberto Rioja Ugarte D | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Ignacio Awad García Justiniano MF | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Anderson Da Silva MF | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Juan Pablo Sánchez Chanevy MF | 69 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Leonel Justiniano Arauz MF | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Rolando Elmer Choque Calisaya MF | 60 | 0 | 0 | 1 | 0 | 0 | 1 | ||
| Wether Thiers Charles da Silva Mota AT | 90 | 0 | 0 | 1 | 0 | 0 | |||
| Erlan Gastón Mealla Anachuri AT | 77 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Marcos Ferrufino D | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Héctor Ariel Calderón Llave SUB | 30 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Jeison Siquita Toledo SUB | 21 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Diego Fernando Ardaya Serrate SUB | 13 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Totals | 1080 | 0 | 0 | 4 | 0 | 0 | 3 | 3 |