| cemetery | Warszawa (Okopowa) |
| sector | 29 |
| row | 15 |
| number | 35 |
| sex | F |
| surname | Goldberg |
| first name | |
| hebrew name | Shulamit Roza |
| fathers name | Yechezkiel |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 3/21/1898 |
| additional info | żyła lat 16 |
