Please write all card names completely and legibly.

E
Please include the quantity for each card. Judge Use M S
Only: Last
Full Name: Initi

Fabian Steven Aguirre Franco Date M

Event:M /
al
D D / Y Y Y Y
: Mai
n

Konami Player 0 4 0 2 1 1 3 3 8 3 Dec

k
ID: Tota
l
Monster Cards Spell Cards Trap Cards
1 PSY-Frame Driver 1 Mind Control
2 Ultimate Conductor Tyranno 2 Double Evolution Pill 41

2 True King Agnimazud, The 3 Fossil Dig

Vanisher
1 True King Lithosagym, The 1 Upstart Goblin
Disaster
1 Dogoran, the Mad Flame Kaiju 1 Terraforming
1 Overtex Qoatlus 1 Foolish Burial
1 Dinowrestler Pankratops 1 Monster Reborn
3 Miscellaneousaurus 1 Called by the Grave
3 Souleating Oviraptor 3 Twin Twisters
3 PSY-Framegear Gamma 3 Lost World
2 Babycerasaurus
1 Petiteranodon
3 Effect Veiler

2 <<< Total Monster Cards 1 <<< Total Spell Cards 0 <<< Total Trap Cards
4 7
Side Extra Deck For Judge Use Only
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Deck Check Rd:

Judge Initial Infraction(s):

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1 Tyranno Infinity 1 True King of All Calamities

1 Babycerasaurus 1 Tornado Dragon
1 Dark Hole 1 Number 101: Silent Honor ARK
2 Burial from a Different Dimension 1 Abyss Dweller
2 Swords of Concealing Light 1 Topologic Zeroboros
2 Secret Blast 1 Pentestag
2 Quaking Mirror Force
1 Imperial Order
2 Grand Horn of Heaven
1 Red Reboot

1 <<< Total in Side Deck 6 <<< Total in Extra Deck

5