| cemetery | Warszawa (Okopowa) |
| sector | 73 |
| row | 9 |
| number | 59 |
| sex | M |
| surname | Waller |
| first name | Samuel |
| hebrew name | Shmuel |
| fathers name | Israel |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 3/21/1912 |
| additional info | żył lat 67 |
