| cemetery | Warszawa (Okopowa) |
| sector | 77 |
| row | 19 |
| number | 5 |
| sex | M |
| surname | Mintz |
| first name | |
| hebrew name | Shmuel Gavriel |
| fathers name | Tuvia Meir |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 5/19/1916 |
| additional info | żył 66 lat |
