| gm. Jastrzębia, Precinct no. 5, Constituency no. 7 | |
| Constituency | Constituency no. 7 |
| Precinct | Precinct no. 5 |
| Electoral Commission Regional Headquarters | Publiczna Szkoła Podstawowa w Kozłowie |
| Number of electors | 416 |
| Number of dispensed ballot cards | 188 |
| Number of valid ballot cards | 188 |
| Number of votes valid | 187 |
| Number of votes invalid | 1 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 26-06-2011 22:18 |
| List no. 1 - KOMITET WYBORCZY WYBORCÓW Barbary Tomalskiej | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Tomalska Barbara Krystyna | 125 | 66,84% | |
| List no. 2 - KOMITET WYBORCZY WYBORCÓW "Razem Kozłów" | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Wojdat Jan | 62 | 33,16% | |