| cemetery | Warszawa (Okopowa) |
| sector | 31 |
| row | 7 |
| number | 17 |
| sex | F |
| surname | Bergman |
| first name | Teofila |
| hebrew name | |
| fathers name | |
| husbands name | Henryk |
| maiden name | Fuks |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 8/4/1936 |
| additional info | żył lat 77 |
