| cemetery | Warszawa (Okopowa) |
| sector | 23 |
| row | 13 |
| number | 20a |
| sex | F |
| surname | Wertheim |
| first name | |
| hebrew name | Dvora |
| fathers name | Shmuel Yehuda |
| husbands name | Avigdor |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 12/1/1895 |
| additional info | z Szydłowca |
