| cemetery | Warszawa (Okopowa) |
| sector | 59 |
| row | 15 |
| number | 6 |
| sex | M |
| surname | Polus |
| first name | Jakób |
| hebrew name | Yaakov |
| fathers name | Azriel |
| husbands name | Shimon Meir |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 9/24/1916 |
| additional info | żył 25 lat |
