| cemetery | Warszawa (Okopowa) |
| sector | 17 |
| row | 31 |
| number | 12 |
| sex | M |
| surname | Kozłowski |
| first name | |
| hebrew name | Mordechai Motel |
| fathers name | Asher |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 9/26/1900 |
| additional info | ze Zduńskiej Woli, przodek: Fiszel ze Strykowa |
