| cemetery | Warszawa (Okopowa) |
| sector | 94 |
| row | 4 |
| number | 15 |
| sex | M |
| surname | Goldberg |
| first name | |
| hebrew name | Yaakov David |
| fathers name | Chaim Asher Halevi |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 4/12/1935 |
| additional info |
