| cemetery | Warszawa (Okopowa) |
| sector | 75 |
| row | 11 |
| number | 26 |
| sex | M |
| surname | Goldberg |
| first name | |
| hebrew name | Chaim |
| fathers name | Arie Leib Yeshayahu |
| husbands name | |
| maiden name | |
| date of birth (m/d/y) (m/d/r) | |
| date of death (m/d/y) (m/d/r) | 9/30/1912 |
| additional info |
