Real Mamore
| # | Player | MIN | G | A | YC | RC | G1h | G2h | IN | OUT |
|---|---|---|---|---|---|---|---|---|---|---|
| Juan Carlos Robles Rodriguez SUB | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Alan Loras Vélez D | 90 | 1 | 0 | 0 | 0 | 0 | 0 | |||
| Juan Pablo Fernández Méndez D | 90 | 0 | 0 | 1 | 0 | 0 | 0 | |||
| Jorge Leonardo Toco Arredondo D | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Gustavo David Arce Gamarra D | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Carlos Daniel Belmonte D | 78 | 1 | 0 | 0 | 0 | 0 | 1 | 1 | ||
| Roque Alberto Pizarro Amancio D | 57 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | ||
| Miguel Angel Camacho Chávez MF | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Frank Ernesto Oni Iriarte MF | 90 | 1 | 0 | 0 | 0 | 1 | 0 | |||
| José Luis Suárez Arza MF | 46 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Iván Jamilton Adán Zerda AT | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Gustavo Pinedo Zabala SUB | 44 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Jorge Céspedes Vargas SUB | 33 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Emerson Felipe De Oliveira SUB | 12 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Divar Loras Vélez MF | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Diego Armando Méndez Salcedo SUB | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Diego Armando Zambrana Aponte MF | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| José Luis Roca Chayana AT | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Totals | 1350 | 3 | 0 | 2 | 0 | 1 | 1 | 3 | 3 |
Nacional Potosi
| # | Player | MIN | G | A | YC | RC | G1h | G2h | IN | OUT |
|---|---|---|---|---|---|---|---|---|---|---|
| Matías Garavano GK | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Rafael Segovia Jerez D | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Raúl René Gonzáles Guzmán D | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Fernando Ariel Brandán MF | 90 | 1 | 0 | 0 | 0 | 1 | 0 | |||
| Miguel Angel Hurtado Suarez MF | 90 | 0 | 0 | 0 | 0 | 0 | 0 | |||
| Carmelo Angulo Mendoza MF | 90 | 0 | 0 | 1 | 0 | 0 | 0 | |||
| Maximiliano Alberto Vallejo Gómez MF | 53 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Cristian Jhamil Urdininea Zambrana MF | 90 | 0 | 0 | 1 | 0 | 0 | 0 | |||
| Gregorio Ezequiel Abregú MF | 65 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Edgar Marcelo Escalante Mojica AT | 90 | 1 | 0 | 0 | 0 | 0 | 1 | |||
| Marcos Medardo Ríos Crespo AT | 50 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| José Gabriel Ríos Banegas SUB | 40 | 1 | 0 | 0 | 0 | 0 | 1 | 1 | ||
| Joe Emmanuel Escobar Aliaga SUB | 37 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Jorge Gary Paz Ponce SUB | 25 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | ||
| Totals | 990 | 3 | 0 | 2 | 0 | 1 | 2 | 3 | 3 |
Goal scorers aren't recorded for every goal in this game (3 of 4 attributed).