| gm. Kępno, Precinct no. 12 |
| Vote on 05-12-2010 | |
| Office | Burmistrz Miasta i Gminy Kępno |
| Precinct | Precinct no. 12 |
| Electoral Commission Regional Headquarters | Szkoła Podstawowa, Olszowa |
| Number of electors | 852 |
| Number of dispensed ballot cards | 411 |
| Number of valid ballot cards | 411 |
| Number of votes valid | 409 |
| Number of votes invalid | 2 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 05-12-2010 22:54 |
| No. | Family name and given names | Age | Education | Address, party membership and endorsements | Number of votes | Votes % | |
| 2 | Kempa Aniela Helena | 57 | wyższe | Kępno, submitted by KOMITET WYBORCZY WYBORCÓW ANIELI KEMPA, not a member of any political party | 259 | 63,33% | |
| 4 | Psikus Piotr Paweł | 51 | wyższe | Kępno, submitted by KOMITET WYBORCZY WYBORCÓW "POROZUMIENIE SAMORZĄDOWE KĘPNO 2010", not a member of any political party | 150 | 36,67% | |
| Vote on 21-11-2010 | |
| Office | Burmistrz Miasta i Gminy Kępno |
| Precinct | Precinct no. 12 |
| Electoral Commission Regional Headquarters | Szkoła Podstawowa, Olszowa |
| Number of electors | 855 |
| Number of dispensed ballot cards | 461 |
| Number of valid ballot cards | 461 |
| Number of votes valid | 457 |
| Number of votes invalid | 4 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| 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 | Hendrys Iwona Katarzyna | 40 | wyższe | Kępno, submitted by KOMITET WYBORCZY PLATFORMA OBYWATELSKA RP, member of Platformy Obywatelskiej Rzeczypospolitej Polskiej | 17 | 3,72% | |
| 2 | Kempa Aniela Helena | 57 | wyższe | Kępno, submitted by KOMITET WYBORCZY WYBORCÓW ANIELI KEMPA, not a member of any political party | 144 | 31,51% | |
| 3 | Przybylski Ryszard Stanisław | 64 | wyższe | Kępno, submitted by KOMITET WYBORCZY SOJUSZ LEWICY DEMOKRATYCZNEJ, member of Sojuszu Lewicy Demokratycznej | 90 | 19,69% | |
| 4 | Psikus Piotr Paweł | 51 | wyższe | Kępno, submitted by KOMITET WYBORCZY WYBORCÓW "POROZUMIENIE SAMORZĄDOWE KĘPNO 2010", not a member of any political party | 149 | 32,60% | |
| 5 | Rudziński Krzysztof Eugeniusz | 57 | wyższe | Kępno, submitted by KOMITET WYBORCZY WYBORCÓW WSPÓLNOTA SAMORZĄDOWA POWIATU KĘPIŃSKIEGO, not a member of any political party | 57 | 12,47% | |
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