| cemetery | Warszawa (Okopowa) |
| sector | 83 |
| row | 9 |
| number | 33 |
| sex | F |
| surname | Teitelbaum |
| first name | |
| hebrew name | Shmuel Yaakov |
| fathers name | Moshe Baruch |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 6/30/1921 |
| additional info |
