| gm. Ustrzyki Dolne, Precinct no. 13, Constituency no. 4 | |
| Council name | Rada Miejska w Ustrzykach Dolnych |
| Constituency | Constituency no. 4 |
| Precinct | Precinct no. 13 |
| Electoral Commission Regional Headquarters | Świetlica, Brzegi Dolne, Brzegi Dolne |
| Number of electors | 336 |
| Number of dispensed ballot cards | 145 |
| Number of valid ballot cards | 145 |
| Number of votes valid | 134 |
| Number of votes invalid | 11 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 21-11-2010 23:29 |
| List no. 16 - KOMITET WYBORCZY BIESZCZADZKIEGO STOWARZYSZENIA SAMORZĄDOWEGO W USTRZYKACH DOLNYCH | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Bis Leokadia | 52 | 38,81% | |
| List no. 17 - KOMITET WYBORCZY WYBORCÓW POROZUMIENIE SAMORZĄDOWE "BIESZCZADY" | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Hutman Dorota | 3 | 2,24% | |
| List no. 18 - KOMITET WYBORCZY WYBORCÓW BIESZCZADZKI BLOK WYBORCZY "DLA PRZYSZŁOŚCI" | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Cybruch Wiesław Paweł | 69 | 51,49% | |
| List no. 23 - KOMITET WYBORCZY WYBORCÓW NOWE PERSPEKTYWY | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Drogosz Artur Ludwik | 10 | 7,46% | |