| cemetery | Warszawa (Okopowa) |
| sector | 8 |
| row | 1 |
| number | 48 |
| sex | M |
| surname | Bajnusiewicz |
| first name | Samus |
| hebrew name | Shlomo |
| fathers name | Moshe |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 9/26/1918 |
| additional info | żył 9 lat |
