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Please write all card names completely and legibly. Please include the quantity for each card.

Full Name:

Judge Use Only:

E
Last Initial

Herson No Carrillo Lpez


0 4 0 1 0 1 8 2 6 8

Date:

M M / D D / Y Y Y Y
Main Deck Total

Konami Player ID:

Event:

41
Trap Cards

Monster Cards
1 Tidal, Dragon Ruler of Waterfalls 1 Mermail Abyssleed

Spell Cards

1 Dark Hole 3 Mystical Space Typhoon

1 Torrential Tribute 1 Abyss-squall 3 Abyss-Sphere 1 Solemn Warning


1 Bottomless Trap hole 1 Compulsory Evacuation Device 2 Divine Wrath

2 Mermail Abyssmegalo 3 Mermail Abysspike


3 Mermail Abyssteus

3 Mermail Abysslinde 3 Mermail Abyssgunde

3 Atlantean Marksman
2 Atlantean Heavy Infantry

2 Aqua Spirit 1 Fishborg Archer 1 Atlantean Dragoons 1 Mermail Abyssturge


1 Deep Sea Diva

27 <<< Total Monster Cards


Side Deck

4 <<< Total Spell Cards


Extra Deck

10 <<< Total Trap Cards


For Judge Use Only
Deck List Checked? Judge Initial Description: Infraction(s):

2 Maxx "C" 2 Overworked 2 Light Imprisoning Mirror 1 Debunk 2 Mind Crush 2 Imperial Iron Wall 1 Raigeki Break
2 Effect Veiler

2 Mermail Abyssgaios 1 Number 11: Big Eye 1 Mecha Phantom Beast Dracossack 1 Bahamut Shark 1 Mermail Abysstrite 1 Kappa Blindado 1 Gungnir, Dragon of the Ice Barrier
1 Armades, Keeper of Boundaries

Deck Check Rd: Judge Initial Description: Infraction(s):

1 Malevolent Catastrophe

1 Ally of Justice Catastor 1 Black Rose Dragon 1 1 1 1


Dewloren, Tiger King of the Ice Barrier

Deck Check Rd: Judge Initial Description: Infraction(s):

15

<<< Total in Side Deck

15

<<< Total in Extra Deck

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