| cemetery | Warszawa (Okopowa) |
| sector | 56 |
| row | 11 |
| number | 4 |
| sex | F |
| surname | Czarny |
| first name | |
| hebrew name | Tisha |
| fathers name | Yehoshua |
| husbands name | Baruch Mordechai |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 1/14/1910 |
| additional info | przodek: Yom Tov Lipman Heller |
