| Skład: Pelikan Łowicz [Pelikan Łowicz] | III Liga 2016/17 |
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 | Tomasz Bogołębski | 1 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | |
| 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 0 | 0 | |||||||
| Sztab Pelikan Łowicz [Pelikan Łowicz] |
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