| Date | 19 Jun 04 |
| Grade | 3rd |
| Opponent | Gosford |
| Venue | Heazlett Park |
| Round | 10 |
| Score | 5 - 0 |
| No# | Pos | Player | T | G | PG | FG | Pts |
|---|---|---|---|---|---|---|---|
| 1 | PR | Easey, John | |||||
| 2 | HK | Ritchie, Bill | |||||
| 3 | PR | Nash, John | |||||
| 3 | PR(sub) | Slape, Brendan | |||||
| 4 | SR | Bailey, Paul | |||||
| 5 | SR | White, Evan | |||||
| 6 | BW | Horwath, Ron | |||||
| 7 | BW | Kane, Peter | 1 | 5 | |||
| 8 | No#8 | Pashley, Jason | |||||
| 9 | HB | Dunn, Scott | |||||
| 10 | 5/8 | Bardsley, Shane | |||||
| 11 | WG | McMillan, Shane | |||||
| 12 | IC | Byrne, Shane | |||||
| 12 | IC | Heaney, Christopher | |||||
| 14 | WG | Fletcher, Alistair | |||||
| 15 | FB | Willmott, Mal | Totals: | 1 | 0 | 0 | 0 | 5 |