| gm. Policzna, Precinct no. 4, Constituency no. 6 | |
| Council name | Rada Gminy w Policznie |
| Constituency | Constituency no. 6 |
| Precinct | Precinct no. 4 |
| Electoral Commission Regional Headquarters | Świetlica Wiejska w Chechłach |
| Number of electors | 184 |
| Number of dispensed ballot cards | 98 |
| Number of valid ballot cards | 98 |
| Number of votes valid | 94 |
| Number of votes invalid | 4 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 21-11-2010 23:42 |
| List no. 5 - KOMITET WYBORCZY PRAWO I SPRAWIEDLIWOŚĆ | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Bocian Halina Małgorzata | 17 | 18,09% | |
| List no. 25 - KOMITET WYBORCZY WYBORCÓW RAZEM BUDUJEMY | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Makuch Dorota | 12 | 12,77% | |
| List no. 26 - KOMITET WYBORCZY WYBORCÓW WSPÓLNA DROGA | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Adamiec Marian | 65 | 69,15% | |