| cemetery | Warszawa (Okopowa) |
| sector | 47 |
| row | 14 |
| number | 28 |
| sex | M |
| surname | Cywia |
| first name | |
| hebrew name | Shmuel Levi |
| fathers name | Meir |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 3/5/1920 |
| additional info | z Gostynina, teść: Mosze Chaim Rottenberg |
