 
| gm. Ostrów Wielkopolski, Precinct no. 12 | 
| Vote on 21-11-2010 | |
| Office | Wójt Gminy Ostrów Wielkopolski | 
| Precinct | Precinct no. 12 | 
| Electoral Commission Regional Headquarters | Szkoła Podstawowa, ul. Szkolna 6, Czekanów | 
| Number of electors | 1 383 | 
| Number of dispensed ballot cards | 551 | 
| Number of valid ballot cards | 551 | 
| Number of votes valid | 524 | 
| Number of votes invalid | 27 | 
| Number of dispensed ballot cards for plenipotentiaries | 0 | 
| Protocol date | 22-11-2010 00:07 | 
| No. | Family name and given names | Age | Education | Address, party membership and endorsements | Votes for | Votes against | Votes % | |
| 1 | Kuroszczyk Piotr Czesław | 53 | wyższe | Ostrów Wielkopolski, submitted by KOMITET WYBORCZY WYBORCÓW PIOTRA KUROSZCZYKA, member of Polskiego Stronnictwa Ludowego | 353 | 171 | 67,37% | |