| cemetery | Warszawa (Okopowa) |
| sector | 74 |
| row | 10 |
| number | 18 |
| sex | F |
| surname | Polak |
| first name | Bela |
| hebrew name | Beila |
| fathers name | Avraham Levi |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 7/8/1911 |
| additional info | żyła 21 lat |
