| gm. Kłodawa, Precinct no. 5 |
| Vote on 09-12-2012 | |
| Precinct | Precinct no. 5 |
| Electoral Commission Regional Headquarters | Szkoła Podstawowa i Gimnazjum SPSK, Wólka Czepowa 33, 62-650 Kłodawa |
| Number of electors | 961 |
| Number of dispensed ballot cards | 287 |
| Number of valid ballot cards | 287 |
| Number of votes valid | 284 |
| Number of votes invalid | 3 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 09-12-2012 22:23 |
| No. | Family name and given names | Age | Education | Address, party membership and endorsements | Number of votes | Votes % | |
| 3 | Olejniczak Robert Arkadiusz | 43 | średnie | Kłodawa, submitted by KOMITET WYBORCZY WYBORCÓW ROBERTA OLEJNICZAKA, member of Platformy Obywatelskiej Rzeczypospolitej Polskiej | 166 | 58,45% | |
| 5 | Sarnociński Włodzimierz Ryszard | 51 | wyższe | Kłodawa, submitted by KOMITET WYBORCZY WYBORCÓW WŁODZIMIERZA SARNOCIŃSKIEO POPIERANY PRZEZ INICJATORÓW REFERENDUM, not a member of any political party | 118 | 41,55% | |
| Vote on 25-11-2012 | |
| Precinct | Precinct no. 5 |
| Electoral Commission Regional Headquarters | Szkoła Podstawowa i Gimnazjum SPSK, Wólka Czepowa 33, 62-650 Kłodawa |
| Number of electors | 961 |
| Number of dispensed ballot cards | 337 |
| Number of valid ballot cards | 337 |
| Number of votes valid | 332 |
| Number of votes invalid | 5 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 25-11-2012 22:34 |
| No. | Family name and given names | Age | Education | Address, party membership and endorsements | Number of votes | Votes % | |
| 1 | Chudy Józef | 61 | wyższe | Cząstków, submitted by KOMITET WYBORCZY WYBORCÓW JÓZEFA CHUDY, not a member of any political party | 85 | 25,60% | |
| 2 | Danielewicz Leszek Henryk | 61 | wyższe | Poznań, submitted by KOMITET WYBORCZY WYBORCÓW L.DANIELEWICZA "NASZA WSPÓLNA GMINA", not a member of any political party | 37 | 11,14% | |
| 3 | Olejniczak Robert Arkadiusz | 43 | średnie | Kłodawa, submitted by KOMITET WYBORCZY WYBORCÓW ROBERTA OLEJNICZAKA, member of Platformy Obywatelskiej Rzeczypospolitej Polskiej | 139 | 41,87% | |
| 4 | Ratajczyk Wiesław Bronisław | 49 | wyższe | Kobylata, submitted by KOMITET WYBORCZY POLSKIE STRONNICTWO LUDOWE, member of Polskiego Stronnictwa Ludowego | 13 | 3,92% | |
| 5 | Sarnociński Włodzimierz Ryszard | 51 | wyższe | Kłodawa, submitted by KOMITET WYBORCZY WYBORCÓW WŁODZIMIERZA SARNOCIŃSKIEO POPIERANY PRZEZ INICJATORÓW REFERENDUM, not a member of any political party | 44 | 13,25% | |
| 6 | Stremlau Ryszard Józef | 58 | zawodowe | Kłodawa, submitted by KOMITET WYBORCZY WYBORCÓW RYSZARDA STREMLAU - DOBRY GOSPODARZ, not a member of any political party | 14 | 4,22% | |
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