| cemetery | Warszawa (Okopowa) |
| sector | 99 |
| row | 9 |
| number | 20 |
| sex | M |
| surname | Warszawski |
| first name | |
| hebrew name | Chaim Shmuel |
| fathers name | Israel Yitzhak |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 11/2/1937 |
| additional info | żył lat 21 |
