| cemetery | Warszawa (Okopowa) |
| sector | 87 |
| row | 10 |
| number | 43 |
| sex | F |
| surname | Bergholz |
| first name | |
| hebrew name | Rachel Lea |
| fathers name | Chaim Pesach |
| husbands name | David Yehuda |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | |
| additional info | zm. 5682r. |
