| gm. Wiązów, Precinct no. 4 |
| Vote on 14-10-2012 | |
| Precinct | Precinct no. 4 |
| Electoral Commission Regional Headquarters | Świetlica wiejska w Jutrzynie, Jutrzyna, 57-120 Wiązów |
| Number of electors | 1 102 |
| Number of dispensed ballot cards | 387 |
| Number of valid ballot cards | 387 |
| Number of votes valid | 384 |
| Number of votes invalid | 3 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 14-10-2012 22:27 |
| No. | Family name and given names | Age | Education | Address, party membership and endorsements | Number of votes | Votes % | |
| 3 | Kościelak Józef Ryszard | 62 | zawodowe | Oleśnica Mała, submitted by KOMITET WYBORCZY WYBORCÓW "JAWNOŚĆ GOSPODARNOŚĆ", not a member of any political party | 169 | 44,01% | |
| 4 | Krochmalny Jerzy Marek | 47 | wyższe | Wiązów, submitted by KOMITET WYBORCZY WYBORCÓW JERZEGO KROCHMALNEGO, not a member of any political party | 215 | 55,99% | |
| Vote on 30-09-2012 | |
| Precinct | Precinct no. 4 |
| Electoral Commission Regional Headquarters | Świetlica wiejska w Jutrzynie, Jutrzyna, 57-120 Wiązów |
| Number of electors | 1 102 |
| Number of dispensed ballot cards | 422 |
| Number of valid ballot cards | 422 |
| Number of votes valid | 413 |
| Number of votes invalid | 9 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 30-09-2012 23:20 |
| No. | Family name and given names | Age | Education | Address, party membership and endorsements | Number of votes | Votes % | |
| 1 | Filar Daniel | 25 | wyższe | Wiązów, submitted by KOMITET WYBORCZY WYBORCÓW POROZUMIENIE DLA SAMORZĄDU, not a member of any political party | 30 | 7,26% | |
| 2 | Korpowski Marian Tadeusz | 65 | średnie | Oława, submitted by KOMITET WYBORCZY WYBORCÓW WIĄZÓW LEPSZE JUTRO, member of Polskiego Stronnictwa Ludowego | 40 | 9,69% | |
| 3 | Kościelak Józef Ryszard | 62 | zawodowe | Oleśnica Mała, submitted by KOMITET WYBORCZY WYBORCÓW "JAWNOŚĆ GOSPODARNOŚĆ", not a member of any political party | 80 | 19,37% | |
| 4 | Krochmalny Jerzy Marek | 47 | wyższe | Wiązów, submitted by KOMITET WYBORCZY WYBORCÓW JERZEGO KROCHMALNEGO, not a member of any political party | 186 | 45,04% | |
| 5 | Lachowicz Ewelina Aleksandra | 31 | wyższe | Jutrzyna, submitted by KOMITET WYBORCZY WYBORCÓW ZIEMI WIĄZOWSKIEJ, not a member of any political party | 77 | 18,64% | |
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