| Elections to the Senate The Republic of Poland |
| gm. Dzierżoniów, Precinct no. 12 , Constituency no. 5 |
| Electoral Commission Regional Headquarters: | Domek Myśliwski, Jodłownik 40 , 58-262 Ostroszowice |
| Number of electors | 387 |
| Number of dispensed ballot cards | 165 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Number of cards removed from urn | 165 |
| Number of invalid ballot cards | 0 |
| Number of valid ballot cards | 165 |
| Number of votes invalid | 5 |
| Number of votes valid | 160 |
| Date of the impact of a protocol to visualize | 10-10-2011 04:40 |
