| gm. Jaświły, Precinct no. 4 |
| Vote on 21-11-2010 | |
| Office | Wójt Gminy Jaświły |
| Precinct | Precinct no. 4 |
| Electoral Commission Regional Headquarters | "Dom Kombatanta" w Mocieszach |
| Number of electors | 38 |
| Number of dispensed ballot cards | 31 |
| Number of valid ballot cards | 31 |
| Number of votes valid | 26 |
| Number of votes invalid | 5 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 21-11-2010 23:11 |
| No. | Family name and given names | Age | Education | Address, party membership and endorsements | Votes for | Votes against | Votes % | |
| 1 | Joka Jan | 51 | wyższe | Dolistowo Stare I, submitted by KOMITET WYBORCZY WYBORCÓW GMINY JAŚWIŁY, not a member of any political party | 24 | 2 | 92,31% | |