| gm. Piotrków Kujawski, Precinct no. 11 |
| Vote on 05-12-2010 | |
| Office | Burmistrz Miasta i Gminy Piotrków Kujawski |
| Precinct | Precinct no. 11 |
| Electoral Commission Regional Headquarters | Dom Pomocy Społecznej, ul. Poznańska 98, Piotrków Kujawski |
| Number of electors | 67 |
| Number of dispensed ballot cards | 32 |
| Number of valid ballot cards | 32 |
| Number of votes valid | 25 |
| Number of votes invalid | 7 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 05-12-2010 22:05 |
| No. | Family name and given names | Age | Education | Address, party membership and endorsements | Number of votes | Votes % | |
| 2 | Kołtuniak Jarosław Józef | 43 | wyższe | Piotrków Kujawski, submitted by KOMITET WYBORCZY WYBORCÓW DLA PRZYSZŁOŚCI MIASTA I GMINY PIOTRKÓW KUJAWSKI, not a member of any political party | 4 | 16,00% | |
| 6 | Skonieczny Mirosław Józef | 46 | wyższe | Piotrków Kujawski, submitted by KOMITET WYBORCZY WYBORCÓW "NASZA PRZYSZŁOŚĆ", member of Platformy Obywatelskiej Rzeczypospolitej Polskiej | 21 | 84,00% | |
| Vote on 21-11-2010 | |
| Office | Burmistrz Miasta i Gminy Piotrków Kujawski |
| Precinct | Precinct no. 11 |
| Electoral Commission Regional Headquarters | Dom Pomocy Społecznej, ul. Poznańska 98, Piotrków Kujawski |
| Number of electors | 67 |
| Number of dispensed ballot cards | 35 |
| Number of valid ballot cards | 35 |
| Number of votes valid | 30 |
| Number of votes invalid | 5 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 21-11-2010 23:32 |
| No. | Family name and given names | Age | Education | Address, party membership and endorsements | Number of votes | Votes % | |
| 1 | Borczyński Stanisław | 58 | wyższe | Palczewo, submitted by KOMITET WYBORCZY STOWARZYSZENIE "FORUM SAMORZĄDOWE", not a member of any political party | 2 | 6,67% | |
| 2 | Kołtuniak Jarosław Józef | 43 | wyższe | Piotrków Kujawski, submitted by KOMITET WYBORCZY WYBORCÓW DLA PRZYSZŁOŚCI MIASTA I GMINY PIOTRKÓW KUJAWSKI, not a member of any political party | 2 | 6,67% | |
| 3 | Maniewska Elżbieta | 45 | wyższe | Zborowiec, submitted by KOMITET WYBORCZY WYBORCÓW "SZANSA NA ZMIANY", not a member of any political party | 4 | 13,33% | |
| 4 | Radaszewski Zbigniew | 59 | wyższe | Połajewo, submitted by KOMITET WYBORCZY PRAWO I SPRAWIEDLIWOŚĆ, not a member of any political party | 1 | 3,33% | |
| 5 | Skonieczny Marian | 50 | średnie | Radziejów, submitted by KOMITET WYBORCZY PRZYMIERZA NARODU POLSKIEGO, not a member of any political party | 4 | 13,33% | |
| 6 | Skonieczny Mirosław Józef | 46 | wyższe | Piotrków Kujawski, submitted by KOMITET WYBORCZY WYBORCÓW "NASZA PRZYSZŁOŚĆ", member of Platformy Obywatelskiej Rzeczypospolitej Polskiej | 16 | 53,33% | |
| 7 | Skuratowicz Jan Franciszek | 62 | średnie | Wójcin, submitted by KOMITET WYBORCZY WYBORCÓW "GOSPODARNOŚĆ", not a member of any political party | 1 | 3,33% | |