| gm. Złocieniec, Precinct no. 4, Constituency no. 3 | |
| Constituency | Constituency no. 3 |
| Precinct | Precinct no. 4 |
| Electoral Commission Regional Headquarters | Spółdzielnia Mieszkaniowa "Postęp", ul. Obrońców Westerplatte 3, Złocieniec |
| Number of electors | 1 330 |
| Number of dispensed ballot cards | 123 |
| Number of valid ballot cards | 123 |
| Number of votes valid | 121 |
| Number of votes invalid | 2 |
| Number of dispensed ballot cards for plenipotentiaries | 1 |
| Protocol date | 26-06-2011 22:09 |
| List no. 1 - KOMITET WYBORCZY WYBORCÓW NIEZALEŻNE FORUM SAMORZĄDOWE POJEZIERZE DRAWSKIE | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Janiszewski Zbigniew | 70 | 57,85% | |
| List no. 2 - KOMITET WYBORCZY WYBORCÓW NASZA PRZYSZŁOŚĆ | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Pryboda Elżbieta | 51 | 42,15% | |