| Elections to the Senate The Republic of Poland |
| Gorzów Wielkopolski, Precinct no. 65 , Constituency no. 21 |
| Electoral Commission Regional Headquarters: | Samodzielny Publiczny Szpital Wojewódzki w Gorzowie Wlkp., Zespół Szpitalny, ul. Dekerta 1 , Gorzów Wielkopolski 66-400 Gorzów Wielkopolski |
| Number of electors | 170 |
| Number of dispensed ballot cards | 78 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Number of cards removed from urn | 78 |
| Number of invalid ballot cards | 1 |
| Number of valid ballot cards | 77 |
| Number of votes invalid | 0 |
| Number of votes valid | 77 |
| Date of the impact of a protocol to visualize | 10-10-2011 10:47 |