| gm. Kępno, Precinct no. 16 |
| Vote on 05-12-2010 | |
| Office | Burmistrz Miasta i Gminy Kępno |
| Precinct | Precinct no. 16 |
| Electoral Commission Regional Headquarters | Szpital Samodzielnego Publicznego Zakładu Opieki Zdrowotnej Kępno |
| Number of electors | 52 |
| Number of dispensed ballot cards | 15 |
| Number of valid ballot cards | 15 |
| Number of votes valid | 15 |
| Number of votes invalid | 0 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 05-12-2010 22:04 |
| 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 | 11 | 73,33% | |
| 4 | Psikus Piotr Paweł | 51 | wyższe | Kępno, submitted by KOMITET WYBORCZY WYBORCÓW "POROZUMIENIE SAMORZĄDOWE KĘPNO 2010", not a member of any political party | 4 | 26,67% | |
| Vote on 21-11-2010 | |
| Office | Burmistrz Miasta i Gminy Kępno |
| Precinct | Precinct no. 16 |
| Electoral Commission Regional Headquarters | Szpital Samodzielnego Publicznego Zakładu Opieki Zdrowotnej Kępno |
| Number of electors | 33 |
| Number of dispensed ballot cards | 13 |
| Number of valid ballot cards | 13 |
| Number of votes valid | 13 |
| Number of votes invalid | 0 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 21-11-2010 22:51 |
| 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 | 1 | 7,69% | |
| 2 | Kempa Aniela Helena | 57 | wyższe | Kępno, submitted by KOMITET WYBORCZY WYBORCÓW ANIELI KEMPA, not a member of any political party | 3 | 23,08% | |
| 3 | Przybylski Ryszard Stanisław | 64 | wyższe | Kępno, submitted by KOMITET WYBORCZY SOJUSZ LEWICY DEMOKRATYCZNEJ, member of Sojuszu Lewicy Demokratycznej | 2 | 15,38% | |
| 4 | Psikus Piotr Paweł | 51 | wyższe | Kępno, submitted by KOMITET WYBORCZY WYBORCÓW "POROZUMIENIE SAMORZĄDOWE KĘPNO 2010", not a member of any political party | 6 | 46,15% | |
| 5 | Rudziński Krzysztof Eugeniusz | 57 | wyższe | Kępno, submitted by KOMITET WYBORCZY WYBORCÓW WSPÓLNOTA SAMORZĄDOWA POWIATU KĘPIŃSKIEGO, not a member of any political party | 1 | 7,69% | |
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