| cemetery | Warszawa (Okopowa) |
| sector | 78 |
| row | 2 |
| number | 1 |
| sex | F |
| surname | Dornbusch |
| first name | |
| hebrew name | Yenta |
| fathers name | Shmuel Shlomo |
| husbands name | Gadel |
| maiden name | Rosenblum |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 8/28/1915 |
| additional info | żyła lat 53 |
