| cemetery | Warszawa (Okopowa) |
| sector | 4 |
| row | 28 |
| number | 1 |
| sex | M |
| surname | Kac |
| first name | |
| hebrew name | Chaim Shmuel |
| fathers name | Shlomo Yoel Hacohen |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 4/29/1934 |
| additional info |
