| m. Złotoryja, Precinct no. 4, Constituency no. 3 | |
| Constituency | Constituency no. 3 |
| Precinct | Precinct no. 4 |
| Electoral Commission Regional Headquarters | Szkoła Podstawowa Nr 3, ul. Wilcza 41, 59-500 Złotoryja |
| Number of electors | 2 082 |
| Number of dispensed ballot cards | 291 |
| Number of valid ballot cards | 291 |
| Number of votes valid | 289 |
| Number of votes invalid | 2 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 24-07-2011 22:47 |
| List no. 1 - KOMITET WYBORCZY WYBORCÓW BARBARA ZWIERZYŃSKA-DOSKOCZ | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Zwierzyńska-Doskocz Barbara | 31 | 10,73% | |
| List no. 2 - KOMITET WYBORCZY WYBORCÓW NIEZALEŻNY KANDYDAT TOMASZ PUCZKO | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Puczko Tomasz Sebastian | 6 | 2,08% | |
| List no. 3 - KOMITET WYBORCZY WYBORCÓW FRANCISZEK SŁABY | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Słaby Franciszek | 69 | 23,88% | |
| List no. 4 - KOMITET WYBORCZY WYBORCÓW RAFAŁA TOKARZA | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Tokarz Rafał Marcin | 63 | 21,80% | |
| List no. 5 - KOMITET WYBORCZY WYBORCÓW ANDRZEJ ZAJĄC | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Zając Andrzej Marek | 42 | 14,53% | |
| List no. 6 - KOMITET WYBORCZY WYBORCÓW KRYSTYNA WIDULIŃSKA | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Widulińska Józefa Krystyna | 0 | 0,00% | |
| List no. 7 - KOMITET WYBORCZY WYBORCÓW PAWEŁ MACUGA | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Macuga Paweł Piotr | 25 | 8,65% | |
| List no. 8 - KOMITET WYBORCZY WYBORCÓW Bartosza Jeziorskiego | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Jeziorski Bartosz Grzegorz | 22 | 7,61% | |
| List no. 9 - KOMITET WYBORCZY WYBORCÓW Kazimierz Karst | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Karst Kazimierz | 31 | 10,73% | |