| cemetery | Warszawa (Okopowa) |
| sector | 51 |
| row | 28 |
| number | 6 |
| sex | M |
| surname | Goldblat |
| first name | |
| hebrew name | Shmuel Tzvi |
| fathers name | Yitzhak |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 11/18/1906 |
| additional info | żył lat 51 |
