| cemetery | Warszawa (Okopowa) |
| sector | 51 |
| row | 9 |
| number | 17 |
| sex | M |
| surname | Teitelbaum |
| first name | |
| hebrew name | Yaakov |
| fathers name | Moshe Yitzhak |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 12/13/1903 |
| additional info | żył lat 24 |
