| gm. Jasień, Precinct no. 3, Constituency no. 4 | |
| Council name | Rada Miejska w Jasieniu |
| Constituency | Constituency no. 4 |
| Precinct | Precinct no. 3 |
| Electoral Commission Regional Headquarters | Szkoła Podstawowa, Wicina |
| Number of electors | 449 |
| Number of dispensed ballot cards | 212 |
| Number of valid ballot cards | 212 |
| Number of votes valid | 211 |
| Number of votes invalid | 1 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 22-11-2010 01:44 |
| List no. 2 - KOMITET WYBORCZY POLSKIE STRONNICTWO LUDOWE | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Majewski Marek Jan | 136 | 64,45% | |
| List no. 12 - KOMITET WYBORCZY FORUM SAMORZĄDOWE MIAST I GMIN POWIATU ŻARSKIEGO | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Wyrwiński Roman | 75 | 35,55% | |
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