| Alpena to Staro Nagoricane | 4,854.26 mi (7,812.18 km) |
| Alpena to Stip | 4,889.86 mi (7,869.46 km) |
| Alpena to Struga | 4,859.78 mi (7,821.07 km) |
| Alpena to Strumica | 4,920.96 mi (7,919.52 km) |
| Alpena to Studenicani | 4,856.68 mi (7,816.07 km) |
| Alpena to Sveti Nikole | 4,874.43 mi (7,844.63 km) |
| Alpena to Tearce | 4,831.14 mi (7,774.98 km) |
| Alpena to Tetovo | 4,831.32 mi (7,775.26 km) |
| Alpena to Valandovo | 4,923.73 mi (7,923.97 km) |
| Alpena to Vasilevo | 4,919.07 mi (7,916.47 km) |
| Alpena to Veles | 4,875.36 mi (7,846.13 km) |
| Alpena to Vevcani | 4,853.56 mi (7,811.06 km) |
| Alpena to Vinica | 4,894.58 mi (7,877.06 km) |
| Alpena to Vrapciste | 4,836.45 mi (7,783.52 km) |
| Alpena to Zelenikovo | 4,860.16 mi (7,821.67 km) |
