| type of event | statement |
| date of statement | on Tuesday, 6th of December 2005 |
| author | Jadwiga Mazurkiewicz née Szymanek |
| addressee | Maciej Róg |
| media | |
| to whom (or to what) is related to x7 | [private] [private] [private] death Szymanek Jan burial Szymanek Jan residence current [private] birth Mazurkiewicz Karol |