| cemetery | Warszawa (Okopowa) |
| sector | 75 |
| row | 10 |
| number | 28 |
| sex | M |
| surname | Wagner |
| first name | |
| hebrew name | Shalom Shachna |
| fathers name | Moshe Menachem Halevi |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 4/13/1914 |
| additional info | z: Józefów |
