| cemetery | Warszawa (Okopowa) |
| sector | 12a |
| row | 15 |
| number | 3 |
| sex | M |
| surname | Hertz |
| first name | |
| hebrew name | Shimon |
| fathers name | Meir |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 9/27/1942 |
| additional info | zabity w Parysowie |
