| Elections to the Senate The Republic of Poland |
| gm. Kępno, Precinct no. 16 , Constituency no. 95 |
| Electoral Commission Regional Headquarters: | Szpital Samodzielnego Publicznego Zakładu Opieki Zdrowotnej, ul.Szpitalna 7 , Kępno 63-600 Kępno |
| Number of electors | 115 |
| Number of dispensed ballot cards | 43 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Number of cards removed from urn | 43 |
| Number of invalid ballot cards | 0 |
| Number of valid ballot cards | 43 |
| Number of votes invalid | 1 |
| Number of votes valid | 42 |
| Date of the impact of a protocol to visualize | 10-10-2011 07:10 |