Ballot results for the candidate by precinct
| Candidate | Goleń Bolesława Maria |
| Age | 54 |
| Address and endorsements | Chlebna |
| Constituency no. | 4 |
| Number of votes for the candidate | 296 |
| % of valid votes for the candidate | 5.66% |
| Number of votes for the list | 629 |
| % of votes for the candidate relating to votes for the list | 47.06% |
| Mandate | No |
gm. Jedlicze
| No. | Address | Number of votes | % of valid votes* | Number of votes for the list | % of votes for the candidate relating to votes for the list * |
|---|---|---|---|---|---|
| 1 | Sala Gminnego Ośrodka Kultury Jedlicze, ul. Tokarskich | 74 |
8.63% 
|
185 |
40.00%
|
| 2 | Sala Domu Ludowego Jedlicze, ul. Sikorskiego | 19 |
3.21%
|
72 |
26.39%
|
| 3 | Sala Domu Ludowego Jedlicze, ul. Kurkowskiego | 20 |
7.41%
|
29 |
68.97%
|
| 4 | Sala Domu Strażaka Moderówka | 10 |
2.92%
|
18 |
55.56%
|
| 5 | Sala Domu Ludowego Jaszczew | 16 |
3.65%
|
26 |
61.54%
|
| 6 | Sala Domu Ludowego Potok | 14 |
2.96%
|
64 |
21.88%
|
| 7 | Sala Szkoły Podstawowej Dobieszyn | 21 |
4.28%
|
36 |
58.33%
|
| 8 | Sala Damu Ludowego Żarnowiec | 17 |
4.29%
|
55 |
30.91%
|
| 9 | Sala Domu Ludowego Długie | 26 |
9.42%
|
31 |
83.87%
|
| 10 | Sala Domu Ludowego Piotrówka | 8 |
2.54%
|
11 |
72.73%
|
| 11 | Sala Domu Ludowego Chlebna | 42 |
11.86%
|
49 |
85.71%
|
| 12 | Sala Urzędu Gminy Jedlicze, ul. Rynek 5 | 29 |
6.84%
|
53 |
54.72%
|