| Elections to the Senate The Republic of Poland |
| m. Dzierżoniów, Precinct no. 21 , Constituency no. 5 |
| Electoral Commission Regional Headquarters: | Niepubliczny Zakład Opieki Zdrowotnej Szpital Powiatowy, ul.Cicha 1 , Dzierżoniów 58-200 Dzierżoniów |
| Number of electors | 76 |
| Number of dispensed ballot cards | 20 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Number of cards removed from urn | 20 |
| Number of invalid ballot cards | 0 |
| Number of valid ballot cards | 20 |
| Number of votes invalid | 2 |
| Number of votes valid | 18 |
| Date of the impact of a protocol to visualize | 10-10-2011 07:20 |
