| cemetery | Warszawa (Okopowa) |
| sector | 65 |
| row | 36 |
| number | 4 |
| sex | M |
| surname | Połoncz |
| first name | Szmul |
| hebrew name | Shmuel Yitzhak |
| fathers name | Aharon David |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 8/24/1919 |
| additional info | żył 86 lat |
