| cemetery | Warszawa (Okopowa) |
| sector | 45 |
| row | 4 |
| number | 37 |
| sex | M |
| surname | Chodak |
| first name | Szymon |
| hebrew name | Shimon |
| fathers name | Chaim Eliahu |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 12/28/1911 |
| additional info | żył 69 lat |
