| gm. Dolsk, Precinct no. 4 |
| Vote on 21-11-2010 | |
| Office | Burmistrz Miasta i Gminy Dolsk |
| Precinct | Precinct no. 4 |
| Electoral Commission Regional Headquarters | Przedszkole Samorządowe, ul. Ks. Marciniaka 35, Wieszczyczyn |
| Number of electors | 890 |
| Number of dispensed ballot cards | 394 |
| Number of valid ballot cards | 394 |
| Number of votes valid | 389 |
| Number of votes invalid | 5 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 22-11-2010 04:37 |
| No. | Family name and given names | Age | Education | Address, party membership and endorsements | Number of votes | Votes % | |
| 1 | Kmiecik Zofia Józefa | 53 | średnie | Lubiatówko, submitted by KOMITET WYBORCZY POLSKIE STRONNICTWO LUDOWE, member of Polskiego Stronnictwa Ludowego | 149 | 38,30% | |
| 2 | Litka Henryk Zbigniew | 56 | wyższe | Dolsk, submitted by KOMITET WYBORCZY WYBORCÓW GMINY DOLSK, not a member of any political party | 240 | 61,70% | |