| cemetery | Warszawa (Okopowa) |
| sector | 12b |
| row | 27 |
| number | 7 |
| sex | M |
| surname | Bergholc |
| first name | Chaim |
| hebrew name | Chaim |
| fathers name | Israel |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 8/14/1927 |
| additional info | żył lat 81 |
