| gm. Dębowa Kłoda, Precinct no. 4 |
| Vote on 05-12-2010 | |
| Office | Wójt Gminy Dębowa Kłoda |
| Precinct | Precinct no. 4 |
| Electoral Commission Regional Headquarters | Szkoła Podstawowa w Chmielowie, Chmielów 61, Chmielów |
| Number of electors | 375 |
| Number of dispensed ballot cards | 204 |
| Number of valid ballot cards | 204 |
| Number of votes valid | 201 |
| Number of votes invalid | 3 |
| Number of dispensed ballot cards for plenipotentiaries | 3 |
| Protocol date | 05-12-2010 22:23 |
| No. | Family name and given names | Age | Education | Address, party membership and endorsements | Number of votes | Votes % | |
| 1 | Czech Henryk | 59 | średnie | Makoszka, submitted by KOMITET WYBORCZY WYBORCÓW SAMORZĄDNA GMINA, not a member of any political party | 110 | 54,73% | |
| 2 | Grudzińska-Konczal Elżbieta | 34 | średnie | Krzywowierzba Kolonia, submitted by KOMITET WYBORCZY PRAWO I SPRAWIEDLIWOŚĆ, not a member of any political party | 91 | 45,27% | |
| Vote on 21-11-2010 | |
| Office | Wójt Gminy Dębowa Kłoda |
| Precinct | Precinct no. 4 |
| Electoral Commission Regional Headquarters | Szkoła Podstawowa w Chmielowie, Chmielów 61, Chmielów |
| Number of electors | 378 |
| Number of dispensed ballot cards | 281 |
| Number of valid ballot cards | 280 |
| Number of votes valid | 273 |
| Number of votes invalid | 7 |
| Number of dispensed ballot cards for plenipotentiaries | 3 |
| Protocol date | 22-11-2010 01:00 |
| No. | Family name and given names | Age | Education | Address, party membership and endorsements | Number of votes | Votes % | |
| 1 | Czech Henryk | 59 | średnie | Makoszka, submitted by KOMITET WYBORCZY WYBORCÓW SAMORZĄDNA GMINA, not a member of any political party | 106 | 38,83% | |
| 2 | Grudzińska-Konczal Elżbieta | 34 | średnie | Krzywowierzba Kolonia, submitted by KOMITET WYBORCZY PRAWO I SPRAWIEDLIWOŚĆ, not a member of any political party | 84 | 30,77% | |
| 3 | Hołod Ryszard Anatoli | 58 | wyższe | Pachole, submitted by KOMITET WYBORCZY WYBORCÓW "RAZEM", not a member of any political party | 31 | 11,36% | |
| 4 | Mazur Wiesław Jan | 56 | wyższe | Parczew, submitted by KOMITET WYBORCZY PLATFORMA OBYWATELSKA RP, member of Platformy Obywatelskiej Rzeczypospolitej Polskiej | 20 | 7,33% | |
| 5 | Wiórko Dariusz Marian | 47 | średnie | Uhnin, submitted by KOMITET WYBORCZY WYBORCÓW "LEPSZE JUTRO", not a member of any political party | 32 | 11,72% | |