| cemetery | Warszawa (Okopowa) |
| sector | 31 |
| row | 12 |
| number | 25 |
| sex | F |
| surname | Czarnuszka |
| first name | |
| hebrew name | Chaia Roiza |
| fathers name | Tzvi Eliezer |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 4/2/1874 |
| additional info | panna |
