| cemetery | Warszawa (Okopowa) |
| sector | 64b |
| row | 8 |
| number | 19 |
| sex | M |
| surname | Kac |
| first name | |
| hebrew name | Shimshon |
| fathers name | Mordechai Ayzik Hacohen |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 7/28/1916 |
| additional info |
