| cemetery | Siemiatycze |
| sector | siemiatycze |
| row | 0 |
| number | 17 |
| sex | F |
| surname | Dubner |
| first name | |
| hebrew name | Sheindel |
| fathers name | Avraham Yosef |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 4/23/1904 |
| additional info | z miasta Boćki |
