PROOF OF MAILING AND CONTENTS MAILED

Petitioner’s Affidavit of Obligation/Commercial Lien

By the undersigned’s full commercial liability, the undersigned hereby certifies that the following
statement is true, correct, complete, certain and not misleading to the best of the Undersigned’s knowledge
and belief.

That the undersigned is a man upon the land on Utah state, the Republic, over the age of twenty-
one (21) years and competent to be a witness.

That a true, correct and complete original copy of the: Affidavit of Obligation/Commercial Lien
was mailed to:

John Smith
55 N. Main
Ivins, Utah 84xxx

and

Bill Brown, dba MAYOR CITY OF IVINS

55 N. Main
Ivins, Utah 84xxx

By personal service or

By: Certified Mail, Return Receipt Requested, Cert. No. _____________________________________

By United States Postal Service, first-class postage, prepaid this ____ day of ________________ AD,
2002, at St. George, Utah.

________________________________________
NOTARY PUBLIC FOR Utah

Living in Washington county, Utah