| Elections to the Senate The Republic of Poland |
| gm. Jarocin, Precinct no. 21 , Constituency no. 96 |
| Electoral Commission Regional Headquarters: | "Szpital Powiatowy w Jarocinie" Sp. z o.o., Szpitalna 1 , Jarocin 63-200 Jarocin |
| Number of electors | 61 |
| Number of dispensed ballot cards | 6 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Number of cards removed from urn | 6 |
| Number of invalid ballot cards | 0 |
| Number of valid ballot cards | 6 |
| Number of votes invalid | 0 |
| Number of votes valid | 6 |
| Date of the impact of a protocol to visualize | 10-10-2011 06:50 |
