| gm. Nowogrodziec, Precinct no. 12 |
| Vote on 21-11-2010 | |
| Office | Burmistrz Nowogrodźca |
| Precinct | Precinct no. 12 |
| Electoral Commission Regional Headquarters | Samodzielny Publiczny Zespół Zakładów Opieki Zdrowotnej ,ul. Cicha 4, Nowogrodziec |
| Number of electors | 18 |
| Number of dispensed ballot cards | 6 |
| Number of valid ballot cards | 6 |
| Number of votes valid | 6 |
| Number of votes invalid | 0 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 21-11-2010 22:40 |
| No. | Family name and given names | Age | Education | Address, party membership and endorsements | Number of votes | Votes % | |
| 1 | BURNIAK JÓZEF | 59 | WYŻSZE | BOLESŁAWIEC, submitted by KOMITET WYBORCZY WYBORCÓW JÓZEFA BURNIAKA, not a member of any political party | 2 | 33,33% | |
| 2 | JAKUBOWICZ KRZYSZTOF | 49 | ŚREDNIE | GOŚCISZÓW, submitted by KOMITET WYBORCZY PLATFORMA OBYWATELSKA RP, member of Platformy Obywatelskiej Rzeczypospolitej Polskiej | 1 | 16,67% | |
| 3 | RELICH ROBERT MAREK | 41 | WYŻSZE | GIERAŁTÓW, submitted by KOMITET WYBORCZY WYBORCÓW ROBERTA MARKA RELICHA, not a member of any political party | 3 | 50,00% | |
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