| cemetery | Warszawa (Okopowa) |
| sector | 4b |
| row | 27 |
| number | 12 |
| sex | F |
| surname | Pol |
| first name | |
| hebrew name | Tema |
| fathers name | Ezra |
| husbands name | Shimon |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | |
| additional info | z Radzynia, żyła lat 22, zm. w 5695 r. |
