| cemetery | Warszawa (Okopowa) |
| sector | 83 |
| row | 10 |
| number | 29 |
| sex | M |
| surname | Schultz |
| first name | |
| hebrew name | Moshe David |
| fathers name | Tzvi Yitzhak |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 8/28/1919 |
| additional info | z Węgrowa |
