| cemetery | Wasilków |
| sector | wasilkow |
| row | 0 |
| number | 3 |
| sex | M |
| surname | |
| first name | |
| hebrew name | Yaakov Dan |
| fathers name | Mordechai Meir Meshulam |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 6/29/1919 |
| additional info | N 53'12.486 E 23'12.910 |
