| cemetery | Piotrków Trybunalski |
| sector | ptr |
| row | III5 |
| number | 2 |
| sex | M |
| surname | Kozłowski |
| first name | |
| hebrew name | Shmuel Yedidia |
| fathers name | Menachem Mendel |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 2/12/1937 |
| additional info | przodek: Fiszel ze Strykowa |
