| gm. Ustrzyki Dolne, Precinct no. 15, Constituency no. 4 | |
| Council name | Rada Miejska w Ustrzykach Dolnych |
| Constituency | Constituency no. 4 |
| Precinct | Precinct no. 15 |
| Electoral Commission Regional Headquarters | Szkoła Podstawowa, Krościenko, Krościenko |
| Number of electors | 600 |
| Number of dispensed ballot cards | 281 |
| Number of valid ballot cards | 281 |
| Number of votes valid | 275 |
| Number of votes invalid | 6 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 22-11-2010 00:03 |
| 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 | 130 | 47,27% | |
| List no. 17 - KOMITET WYBORCZY WYBORCÓW POROZUMIENIE SAMORZĄDOWE "BIESZCZADY" | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Hutman Dorota | 33 | 12,00% | |
| 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 | 8 | 2,91% | |
| List no. 23 - KOMITET WYBORCZY WYBORCÓW NOWE PERSPEKTYWY | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Drogosz Artur Ludwik | 104 | 37,82% | |