| gm. Urzędów, Precinct no. 3, Constituency no. 4 | |
| Constituency | Constituency no. 4 |
| Precinct | Precinct no. 3 |
| Electoral Commission Regional Headquarters | lokal Szkoły Podstawowej, Moniaki 110, 23-250 Urzędów |
| Number of electors | 445 |
| Number of dispensed ballot cards | 182 |
| Number of valid ballot cards | 182 |
| Number of votes valid | 180 |
| Number of votes invalid | 2 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 10-09-2012 10:52 |
| List no. 1 - KOMITET WYBORCZY WYBORCÓW "DLA MONIAK" | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Mazik Tomasz | 135 | 75,00% | |
| List no. 2 - KOMITET WYBORCZY WYBORCÓW MONIAKI 2012 | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Kramczyńska Małgorzata Barbara | 45 | 25,00% | |