| Elections to the Senate The Republic of Poland |
| m. Ustroń, Precinct no. 12 , Constituency no. 79 |
| Electoral Commission Regional Headquarters: | Samodzielny Publiczny Zakład Opieki Zdrowotnej Śląskie Centrum Rehabilitacji, ul. Zdrojowa 6 , Ustroń, Zawodzie Górne 43-450 Ustroń |
| Number of electors | 30 |
| Number of dispensed ballot cards | 30 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Number of cards removed from urn | 30 |
| Number of invalid ballot cards | 0 |
| Number of valid ballot cards | 30 |
| Number of votes invalid | 2 |
| Number of votes valid | 28 |
| Date of the impact of a protocol to visualize | 10-10-2011 06:11 |