| cemetery | Warszawa (Okopowa) |
| sector | 4 |
| row | 7 |
| number | 12 |
| sex | M |
| surname | Bergstein |
| first name | |
| hebrew name | Chaim Shraga |
| fathers name | Israel |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 7/8/1927 |
| additional info | ze Szczuczyna, żył lat 54 |
