| Elections to the Senate The Republic of Poland |
| Gorzów Wielkopolski, Precinct no. 64 , Constituency no. 21 |
| Electoral Commission Regional Headquarters: | Samodzielny Publiczny Szpital Wojewódzki w Gorzowie Wlkp., Zespół Szpitalny , ul. Walczaka 42 , Gorzów Wielkopolski 66-400 Gorzów Wielkopolski |
| Number of electors | 446 |
| Number of dispensed ballot cards | 112 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Number of cards removed from urn | 112 |
| Number of invalid ballot cards | 0 |
| Number of valid ballot cards | 112 |
| Number of votes invalid | 2 |
| Number of votes valid | 110 |
| Date of the impact of a protocol to visualize | 10-10-2011 10:47 |