| Elections to the Senate The Republic of Poland | |
| gm. Kozłowo, Precinct no. 5 , Constituency no. 86 | |
| Electoral Commission Regional Headquarters: | Zespół Szkół, Rogóż 4 , 13-124 Kozłowo |
| Number of electors | 895 |
| Number of dispensed ballot cards | 264 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Number of cards removed from urn | 264 |
| Number of invalid ballot cards | 0 |
| Number of valid ballot cards | 264 |
| Number of votes invalid | 28 |
| Number of votes valid | 236 |
| Date of the impact of a protocol to visualize | 10-10-2011 04:40 |
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Chazbijewicz Selim | 93 | 39,41% | |
| 2 | Górecki Ryszard Józef | 80 | 33,90% | |
| 3 | Lorenz Janusz Józef | 63 | 26,69% | |
