GV San Jose
| # | Player | MIN | G | A | YC | RC | G1h | IN | OUT |
|---|---|---|---|---|---|---|---|---|---|
| David Patiño Gutiérrez GK | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Carlos Emilio Lampe Porras SUB | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Ariel Juárez Montaño D | 90 | 0 | 0 | 1 | 0 | 0 | |||
| Luis Aníbal Torrico Valverde D | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Juan Gabriel Valverde Rivera D | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Delio Ramón Ojeda Ferreira D | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Darwin Jesus Lora MF | 90 | 0 | 0 | 1 | 0 | 0 | |||
| Mario Alberto Ovando Padilla MF | 70 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Abdón Reyes Cardozo MF | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Miguel Oswaldo Loaiza Tardio MF | 70 | 0 | 0 | 1 | 0 | 0 | 1 | ||
| Gil Antonio Parada Velarde MF | 45 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Mauro Sergio Bustamante AT | 90 | 1 | 0 | 1 | 0 | 1 | |||
| Miguel Ángel Zahzú | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Cristian Omar Díaz SUB | 45 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| José Carlos Muñoz López SUB | 20 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Wilder Zabala Perrogon SUB | 20 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Diego Jhosimar Prado Tupa MF | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Mario Leonardo Parrado Alanéz MF | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Ronald Puma Caballero MF | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Totals | 1440 | 1 | 0 | 4 | 0 | 1 | 3 | 3 |
Jorge Wilstermann
| # | Player | MIN | G | A | YC | RC | G1h | IN | OUT |
|---|---|---|---|---|---|---|---|---|---|
| Matías Ezequiel Dituro SUB | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Amílcar Álvaro Sánchez Guzmán D | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Enrique David Díaz Velázquez D | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Juan Carlos Zampiery Rivarola D | 90 | 0 | 0 | 1 | 0 | 0 | |||
| Juan Pablo Aponte Gutiérrez D | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Augusto Andaveris Iriondo AT | 90 | 0 | 0 | 1 | 0 | 0 | |||
| Carlos Ariel Neumann Torres AT | 87 | 1 | 0 | 1 | 0 | 1 | 1 | ||
| Rodrigo Vargas Touchard AT | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Ronald Segovia Calzadilla AT | 67 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Antonio Thomaz Santos de Barros AT | 76 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Oscar Alberto Diaz Acosta AT | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Julio César Baldivieso Rico MF | 90 | 0 | 0 | 0 | 0 | 0 | |||
| Edson Marcelo Zenteno Alvarez SUB | 23 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Edward Mauro Zenteno Álvarez SUB | 14 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Gianakis Suárez Tan Wing SUB | 3 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Totals | 1080 | 1 | 0 | 3 | 0 | 1 | 3 | 3 |
Goal scorers aren't recorded for every goal in this game (1 of 2 attributed).