 
| gm. Ciepłowody, Precinct no. 1, Constituency no. 4 | |
| Council name | Rada Gminy Ciepłowody | 
| Constituency | Constituency no. 4 | 
| Precinct | Precinct no. 1 | 
| Electoral Commission Regional Headquarters | Plac A.Mickiewicza 2, Ciepłowody | 
| Number of electors | 206 | 
| Number of dispensed ballot cards | 120 | 
| Number of valid ballot cards | 120 | 
| Number of votes valid | 116 | 
| Number of votes invalid | 4 | 
| Number of dispensed ballot cards for plenipotentiaries | 0 | 
| Protocol date | 22-11-2010 04:38 | 
| List no. 21 - KOMITET WYBORCZY WYBORCÓW WSPÓLNA GMINA | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Kupczak Zofia Janina | 44 | 37,93% | |
| List no. 22 - KOMITET WYBORCZY WYBORCÓW SAMORZĄDNI | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Olejarnik Jan | 41 | 35,34% | |
| List no. 23 - KOMITET WYBORCZY WYBORCÓW POWIAT GMINA WSPÓLNA SPRAWA | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Białkowska Barbara | 31 | 26,72% | |