| cemetery | Warszawa (Okopowa) |
| sector | 65 |
| row | 10 |
| number | 42 |
| sex | M |
| surname | Teitelbaum |
| first name | Wacław Izaak |
| hebrew name | |
| fathers name | |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 2/9/1940 |
| additional info | żył 55 lat, dr |
