| cemetery | Warszawa (Okopowa) |
| sector | 13A |
| row | 3 |
| number | 16 |
| sex | M |
| surname | Blumengarten |
| first name | Moshe Zisa |
| hebrew name | Moshe Zisa |
| fathers name | Natanyel |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | |
| additional info | zmarł w 1 dzień Szawuot 5619 |
