| cemetery | Warszawa (Okopowa) |
| sector | 57 |
| row | 6 |
| number | 57 |
| sex | M |
| surname | Kamiński |
| first name | Chaim Szlama |
| hebrew name | Chaim Shlomo |
| fathers name | |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 8/11/1921 |
| additional info | żył 54 lata |
