| gm. Jasień, Precinct no. 4, Constituency no. 6 | |
| Council name | Rada Miejska w Jasieniu |
| Constituency | Constituency no. 6 |
| Precinct | Precinct no. 4 |
| Electoral Commission Regional Headquarters | Szkoła Podstawowa, Golin |
| Number of electors | 459 |
| Number of dispensed ballot cards | 236 |
| Number of valid ballot cards | 236 |
| Number of votes valid | 230 |
| Number of votes invalid | 6 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 22-11-2010 04:42 |
| List no. 2 - KOMITET WYBORCZY POLSKIE STRONNICTWO LUDOWE | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Adamczewska Maria | 139 | 60,43% | |
| 2 | Okoński Marian Stanisław | 58 | 25,22% | |
| 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 | Sobkowiak Elżbieta Maria | 70 | 30,43% | |
| List no. 13 - KOMITET WYBORCZY WYBORCÓW NASZA GMINA JASIEŃ | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Michajluk Zbigniew Ryszard | 129 | 56,09% | |
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