| gm. Goczałkowice-Zdrój, Precinct no. 5 |
| Vote on 07-08-2011 | |
| Precinct | Precinct no. 5 |
| Electoral Commission Regional Headquarters | Budynek Administracji Zakładu Produkcji Wody, ul.Jeziorna 5, 43-230 Goczałkowice-Zdrój |
| Number of electors | 412 |
| Number of dispensed ballot cards | 106 |
| Number of valid ballot cards | 106 |
| Number of votes valid | 105 |
| Number of votes invalid | 1 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 07-08-2011 22:28 |
| No. | Family name and given names | Age | Education | Address, party membership and endorsements | Number of votes | Votes % | |
| 1 | Maćkowski Adam, Maksymilian | 39 | wyższe | Goczałkowice-Zdrój, submitted by KOMITET WYBORCZY WYBORCÓW ADAMA MAĆKOWSKIEGO, not a member of any political party | 49 | 46,67% | |
| 3 | Placha Gabriela, Anna | 43 | wyższe | Goczałkowice-Zdrój, submitted by KOMITET WYBORCZY WYBORCÓW GABRIELI PLACHY, endorsed by Komitet Obywatelski "SOLIDARNOŚĆ" M.G-Z, not a member of any political party | 56 | 53,33% | |
| Vote on 24-07-2011 | |
| Precinct | Precinct no. 5 |
| Electoral Commission Regional Headquarters | Budynek Administracji Zakładu Produkcji Wody, ul.Jeziorna 5, 43-230 Goczałkowice-Zdrój |
| Number of electors | 412 |
| Number of dispensed ballot cards | 133 |
| Number of valid ballot cards | 133 |
| Number of votes valid | 131 |
| Number of votes invalid | 2 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 24-07-2011 22:38 |
| No. | Family name and given names | Age | Education | Address, party membership and endorsements | Number of votes | Votes % | |
| 1 | Maćkowski Adam, Maksymilian | 39 | wyższe | Goczałkowice-Zdrój, submitted by KOMITET WYBORCZY WYBORCÓW ADAMA MAĆKOWSKIEGO, not a member of any political party | 28 | 21,37% | |
| 2 | Pabin Józef, Andrzej | 53 | wyższe | Goczałkowice-Zdrój, submitted by KOMITET WYBORCZY WYBORCÓW JÓZEFA PABINA, not a member of any political party | 33 | 25,19% | |
| 3 | Placha Gabriela, Anna | 43 | wyższe | Goczałkowice-Zdrój, submitted by KOMITET WYBORCZY WYBORCÓW GABRIELI PLACHY, endorsed by Komitet Obywatelski "SOLIDARNOŚĆ" M.G-Z, not a member of any political party | 41 | 31,30% | |
| 4 | Waliczek Marian, Ryszard | 52 | średnie | Goczałkowice-Zdrój, submitted by KOMITET WYBORCZY WYBORCÓW MIESZKAŃCY Z INICJATYWĄ, not a member of any political party | 2 | 1,53% | |
| 5 | Zuber Adam, Józef | 43 | wyższe | Goczałkowice-Zdrój, submitted by KOMITET WYBORCZY WYBORCÓW ADAMA ZUBERA, not a member of any political party | 27 | 20,61% | |
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