| cemetery | Otwock |
| sector | |
| row | 11 |
| number | 67 |
| sex | M |
| surname | Rubinstein |
| first name | |
| hebrew name | Chaim Yaakov |
| fathers name | Baruch Menachem |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 5/7/1939 |
| additional info | żył lat 58, urodzony w Sokołowie |
