| cemetery | Warszawa (Okopowa) |
| sector | 59 |
| row | 11 |
| number | 35 |
| sex | F |
| surname | Polak |
| first name | |
| hebrew name | Sima |
| fathers name | Dov |
| husbands name | Avraham Shmuel |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | |
| additional info | zm. w r. 5662 |
