| gm. Ciepielów, Precinct no. 4 |
| Vote on 21-11-2010 | |
| Office | Wójt Gminy Ciepielów |
| Precinct | Precinct no. 4 |
| Electoral Commission Regional Headquarters | Publiczna Szkoła Podstawowa w Ciepielowie, ul. Lekarska 1 |
| Number of electors | 260 |
| Number of dispensed ballot cards | 101 |
| Number of valid ballot cards | 101 |
| Number of votes valid | 98 |
| Number of votes invalid | 3 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 21-11-2010 22:17 |
| No. | Family name and given names | Age | Education | Address, party membership and endorsements | Votes for | Votes against | Votes % | |
| 1 | Szewczyk Artur Grzegorz | 38 | wyższe | Stary Ciepielów, submitted by KOMITET WYBORCZY WYBORCÓW NASZA GMINA CIEPIELÓW, not a member of any political party | 93 | 5 | 94,90% | |