| cemetery | Warszawa (Okopowa) |
| sector | 13 |
| row | 15 |
| number | 9 |
| sex | M |
| surname | Hertz |
| first name | |
| hebrew name | David Simcha |
| fathers name | Avraham Shlomo |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 1/5/1860 |
| additional info | z Przerowa |
