| cemetery | Warszawa (Okopowa) |
| sector | 65 |
| row | 5 |
| number | 26 |
| sex | M |
| surname | Polak |
| first name | Josek |
| hebrew name | Yosef |
| fathers name | Shlomo |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 8/1/1905 |
| additional info | żył 74 lata |
