gm. Wieruszów, precinct no. 12
| Precinct | Precinct no. 12 |
| Siedziba Obwodowej Komisji Wyborczej | Szpital Samodzielnego Publicznego Zakładu Opieki Zdrowotnej w Wieruszowie, ul. Warszawska 104 |
| Office | Burmistrz Wieruszowa |
| Number of electors | 19 |
| Number of dispensed ballot cards | 1 |
| Number of valid ballot cards | 1 |
| Number of votes valid | 1 |
| Number of votes invalid | 0 |
| Protocol date | 12-11-2006 20:24 |
| Number | Family name and given names | Age | Education | Address, party membership and endorsements | Number of votes | % votes |
|---|---|---|---|---|---|---|
| 1 | Kania Marzena Agnieszka | 26 | wyższe | Wieruszów, submitted by Komitet Wyborczy Samoobrona Rzeczpospolitej Polskiej, not a member of any political party | 0 | 0.00% |
| 2 | Nawrocka Elżbieta | 42 | wyższe | Wieruszów, submitted by Komitet Wyborczy Wyborców "ZGODA", not a member of any political party | 0 | 0.00% |
| 3 | Szkopińska Iwona Barbara | 48 | wyższe | Wieruszów, submitted by Komitet Wyborczy Wyborców Obywatelska Gmina Wieruszów, not a member of any political party | 1 | 100.00% |