| cemetery | Warszawa (Okopowa) |
| sector | 73 |
| row | 31 |
| number | 12 |
| sex | M |
| surname | Mendelsohn |
| first name | |
| hebrew name | Shmuel Tzvi |
| fathers name | Asher Yehuda |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | |
| additional info | przodek: "Chemdat Szlomo" (Szlomo Zalman Lipszyc z Warszawy) |
