| cemetery | Warszawa (Okopowa) |
| sector | 51 |
| row | 18 |
| number | 5 |
| sex | M |
| surname | Choze |
| first name | |
| hebrew name | Shmuel |
| fathers name | Moshe Eliezer |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 1/6/1906 |
| additional info | żył lat 58; z miejscowości Indura (jid. Amdor) |
