| cemetery | Warszawa (Okopowa) |
| sector | 96 |
| row | 28 |
| number | 18 |
| sex | M |
| surname | Dorman |
| first name | |
| hebrew name | Shmuel |
| fathers name | Dov Ber Hacohen |
| 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 43 |
