| gm. Kłodawa, Precinct no. 4 |
| Vote on 09-12-2012 | |
| Precinct | Precinct no. 4 |
| Electoral Commission Regional Headquarters | Gimnazjum Nr 1, ul. Kościelna 15, 62-650 Kłodawa |
| Number of electors | 1 214 |
| Number of dispensed ballot cards | 497 |
| Number of valid ballot cards | 497 |
| Number of votes valid | 493 |
| Number of votes invalid | 4 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 09-12-2012 22:46 |
| 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 | 204 | 41,38% | |
| 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 | 289 | 58,62% | |
| Vote on 25-11-2012 | |
| Precinct | Precinct no. 4 |
| Electoral Commission Regional Headquarters | Gimnazjum Nr 1, ul. Kościelna 15, 62-650 Kłodawa |
| Number of electors | 1 213 |
| Number of dispensed ballot cards | 541 |
| Number of valid ballot cards | 541 |
| Number of votes valid | 537 |
| Number of votes invalid | 4 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 25-11-2012 22:58 |
| 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 | 64 | 11,92% | |
| 2 | Danielewicz Leszek Henryk | 61 | wyższe | Poznań, submitted by KOMITET WYBORCZY WYBORCÓW L.DANIELEWICZA "NASZA WSPÓLNA GMINA", not a member of any political party | 32 | 5,96% | |
| 3 | Olejniczak Robert Arkadiusz | 43 | średnie | Kłodawa, submitted by KOMITET WYBORCZY WYBORCÓW ROBERTA OLEJNICZAKA, member of Platformy Obywatelskiej Rzeczypospolitej Polskiej | 156 | 29,05% | |
| 4 | Ratajczyk Wiesław Bronisław | 49 | wyższe | Kobylata, submitted by KOMITET WYBORCZY POLSKIE STRONNICTWO LUDOWE, member of Polskiego Stronnictwa Ludowego | 25 | 4,66% | |
| 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 | 241 | 44,88% | |
| 6 | Stremlau Ryszard Józef | 58 | zawodowe | Kłodawa, submitted by KOMITET WYBORCZY WYBORCÓW RYSZARDA STREMLAU - DOBRY GOSPODARZ, not a member of any political party | 19 | 3,54% | |
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