| cemetery | Warszawa (Okopowa) |
| sector | 39 |
| row | 7 |
| number | 19 |
| sex | F |
| surname | Kapelusznik |
| first name | |
| hebrew name | Chaia Miriam |
| fathers name | Chanoch Henech |
| husbands name | Yosef Menachem |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 3/30/1929 |
| additional info | żyła 37 lat |
