| gm. Pokój, Precinct no. 4, Constituency no. 5 | |
| Constituency | Constituency no. 5 |
| Precinct | Precinct no. 4 |
| Electoral Commission Regional Headquarters | Szkoła Podstawowa, Domaradz 3, 46-034 Pokój |
| Number of electors | 728 |
| Number of dispensed ballot cards | 41 |
| Number of valid ballot cards | 41 |
| Number of votes valid | 40 |
| Number of votes invalid | 1 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 16-10-2011 22:21 |
| List no. 1 - KOMITET WYBORCZY STOWARZYSZENIE POKÓJ ORGANIZACJA POŻYTKU PUBLICZNEGO | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Pawłowska Edyta Barbara | 29 | 72,50% | |
| List no. 2 - KOMITET WYBORCZY WYBORCÓW "MIESZKAŃCY WSI" | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Kruszelnicki Tomasz | 11 | 27,50% | |