| gm. Czarnożyły, Precinct no. 3, Constituency no. 5 | |
| Constituency | Constituency no. 5 |
| Precinct | Precinct no. 3 |
| Electoral Commission Regional Headquarters | Świetlica Wiejska w Wydrzynie, Wydrzyn 59a, 98-310 Czarnożyły |
| Number of electors | 530 |
| Number of dispensed ballot cards | 172 |
| Number of valid ballot cards | 172 |
| Number of votes valid | 169 |
| Number of votes invalid | 3 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 21-10-2012 22:18 |
| List no. 1 - KOMITET WYBORCZY WYBORCÓW Sławomira Mikołajczyka | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Mikołajczyk Sławomir | 113 | 66,86% | |
| List no. 2 - KOMITET WYBORCZY WYBORCÓW Jaworek Jerzy | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Jaworek Jerzy | 56 | 33,14% | |