| cemetery | Warszawa (Okopowa) |
| sector | 48 |
| row | 1 |
| number | 23 |
| sex | M |
| surname | Hanna |
| first name | |
| hebrew name | Yaakov Shalom |
| fathers name | Yeshaya Eliezer |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 10/23/1904 |
| additional info |
