| cemetery | Warszawa (Okopowa) |
| sector | 5 |
| row | 26 |
| number | 44 |
| sex | F |
| surname | Teomim |
| first name | |
| hebrew name | Chaia Sara |
| fathers name | Yehuda |
| husbands name | Israel Moshe |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 2/21/1890 |
| additional info | mąż z Góry Kalwarii |
