| Elections to the Senate The Republic of Poland |
| gm. Włoszczowa, Precinct no. 12 , Constituency no. 81 |
| Electoral Commission Regional Headquarters: | Budynek byłej szkoły podstawowej w Motycznie, Motyczno , 29-100 Włoszczowa |
| Number of electors | 428 |
| Number of dispensed ballot cards | 182 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Number of cards removed from urn | 182 |
| Number of invalid ballot cards | 0 |
| Number of valid ballot cards | 182 |
| Number of votes invalid | 10 |
| Number of votes valid | 172 |
| Date of the impact of a protocol to visualize | 10-10-2011 06:50 |
