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Circumstances of Death Report transcript

Circumstances of Death Report.
Unit: 5th Canadian Mounted Rifles.
Name: ROGERS. Lawrence B.
Rank: Lieut.
Number: —
Date of Death: 30-10-17.
Cause of Death: Killed in action.

Detailed report of circumstances surrounding the death of this soldier (If “died of wounds” please report how wounds were received): The late Lieut. Rogers was instantly killed by enemy shell fire on October 30th 1917 while assisting in the Dressing of the wounded at forward R.A.P. during the attack on PASSCHENDAELE.

(Sgd) J. A. Adamson, Lieut.
for Officer Commanding.

This report to be signed by or for Officer Commanding and returned direct to:
A.A.G. (Canadian Section),
G.H.Q. 3rd Echelon.

Certified true copy
[signature] CAPTAIN.
for Lt. Col. i/c Records, COMF.