| gm. Kłodawa, Precinct no. 3 |
| Vote on 09-12-2012 | |
| Precinct | Precinct no. 3 |
| Electoral Commission Regional Headquarters | Zespół Szkół Ponadgimnazjalnych, ul. Adama Mickiewicza 5, 62-650 Kłodawa |
| Number of electors | 794 |
| Number of dispensed ballot cards | 309 |
| Number of valid ballot cards | 309 |
| Number of votes valid | 307 |
| Number of votes invalid | 2 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 09-12-2012 22:20 |
| 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 | 130 | 42,35% | |
| 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 | 177 | 57,65% | |
| Vote on 25-11-2012 | |
| Precinct | Precinct no. 3 |
| Electoral Commission Regional Headquarters | Zespół Szkół Ponadgimnazjalnych, ul. Adama Mickiewicza 5, 62-650 Kłodawa |
| Number of electors | 795 |
| Number of dispensed ballot cards | 335 |
| Number of valid ballot cards | 335 |
| Number of votes valid | 334 |
| Number of votes invalid | 1 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 25-11-2012 22:48 |
| 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 | 49 | 14,67% | |
| 2 | Danielewicz Leszek Henryk | 61 | wyższe | Poznań, submitted by KOMITET WYBORCZY WYBORCÓW L.DANIELEWICZA "NASZA WSPÓLNA GMINA", not a member of any political party | 14 | 4,19% | |
| 3 | Olejniczak Robert Arkadiusz | 43 | średnie | Kłodawa, submitted by KOMITET WYBORCZY WYBORCÓW ROBERTA OLEJNICZAKA, member of Platformy Obywatelskiej Rzeczypospolitej Polskiej | 102 | 30,54% | |
| 4 | Ratajczyk Wiesław Bronisław | 49 | wyższe | Kobylata, submitted by KOMITET WYBORCZY POLSKIE STRONNICTWO LUDOWE, member of Polskiego Stronnictwa Ludowego | 7 | 2,10% | |
| 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 | 144 | 43,11% | |
| 6 | Stremlau Ryszard Józef | 58 | zawodowe | Kłodawa, submitted by KOMITET WYBORCZY WYBORCÓW RYSZARDA STREMLAU - DOBRY GOSPODARZ, not a member of any political party | 18 | 5,39% | |