| cemetery | Warszawa (Okopowa) |
| sector | 57 |
| row | 7 |
| number | 27 |
| sex | F |
| surname | Wertheim |
| first name | |
| hebrew name | Chaya Zisel |
| fathers name | Akiva Mordechai |
| husbands name | Shimshon David |
| maiden name | Czosnek |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 7/10/1923 |
| additional info |
