| gm. Szepietowo, Precinct no. 4, Constituency no. 12 | |
| Council name | Rada Miejska w Szepietowie |
| Constituency | Constituency no. 12 |
| Precinct | Precinct no. 4 |
| Electoral Commission Regional Headquarters | Szkoła Podstawowa, Wojny - Krupy 11 |
| Number of electors | 406 |
| Number of dispensed ballot cards | 231 |
| Number of valid ballot cards | 231 |
| Number of votes valid | 223 |
| Number of votes invalid | 8 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 22-11-2010 00:29 |
| List no. 13 - KOMITET WYBORCZY WYBORCÓW PRAWORZĄDNA GMINA | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Szymoniak Andrzej | 184 | 82,51% | |
| List no. 15 - KOMITET WYBORCZY TPZSZ | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Szulborska Danuta | 39 | 17,49% | |
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