| gm. Potok Górny, Precinct no. 4 |
| Vote on 21-11-2010 | |
| Office | Wójt Gminy Potok Górny |
| Precinct | Precinct no. 4 |
| Electoral Commission Regional Headquarters | Szkoła Podstawowa, Szyszków |
| Number of electors | 1 428 |
| Number of dispensed ballot cards | 918 |
| Number of valid ballot cards | 918 |
| Number of votes valid | 914 |
| Number of votes invalid | 4 |
| Number of dispensed ballot cards for plenipotentiaries | 2 |
| Protocol date | 22-11-2010 05:47 |
| No. | Family name and given names | Age | Education | Address, party membership and endorsements | Number of votes | Votes % | |
| 1 | Dyjak Stanisław Jan | 42 | Wyższe | Lipiny Dolne, submitted by KOMITET WYBORCZY PRAWO I SPRAWIEDLIWOŚĆ, not a member of any political party | 153 | 16,74% | |
| 2 | Hacia Edward Adam | 57 | Wyższe | Szyszków, submitted by KOMITET WYBORCZY WYBORCÓW NASZA GMINA POTOK, not a member of any political party | 761 | 83,26% | |