| cemetery | Warszawa (Okopowa) |
| sector | 73 |
| row | 2 |
| number | 104 |
| sex | M |
| surname | Fagot |
| first name | Szmul Hersz |
| hebrew name | Shmuel Tzvi |
| fathers name | Gershon Shraga Yaakov |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 7/26/1933 |
| additional info | żył lat 72 |
