| cemetery | Warszawa (Okopowa) |
| sector | 87 |
| row | 22 |
| number | 53 |
| sex | F |
| surname | Polus |
| first name | |
| hebrew name | Chaya Sara |
| fathers name | David Halevi |
| husbands name | Rafael |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 6/12/1920 |
| additional info | żyła lat 39 |
