State of Utah

Purchase Order
Bill To: Date of Order: March 31, 2020 Purchase Order Number:
Division of Purchasing and General Services Date Required:
Attention: Windy Aphayrath/Chris Hughes
PO Box 141061 FOB: FOB Destination, Freight Prepaid PO 100 20CO190024
Salt Lake City, UT 84065

Vendor Address: Delivery: Bid or Quote #:

To Be Determined
Meds In Motion, Inc
12101 S State Street, Ste 101 Contact Person: Quote # CVD-CWH-24
Draper, UT 84020 Windy Aphayrath, waphayrath@utah.gov, 801-957-7138 Invoice # 2003104

For PO Questions contact: Diane Schmidt 801-957-7149 Grand Total: $800,000.00

Item Quantity Unit Description Warehouse/Commodity Unit Price Amount

Medication packs
Chloroquine/Zinc 500/50MG #8,
1 20,000 EA $40.00 $800,000.00
Hydroxychloroquine/Zinc
400/50MG #6

Location shipping contact:

Russ Pierson -- (385) 222-6619

Deliveries accepted 8:00 AM - 5:00

PM
Ship to:
To Be Determined

Authorized Signature

NOTICE
Invoices which exceed unit price listed above will not be paid.
Prices are F.0.B Destination, Freight Prepaid, unless otherwise indicated on this order.
Invoice items in the order they appear above.
Utah Division of Purchasing's tax exempt number is 11736850-010-STC.
Send 2 copies of your invoice to insure proper payment. Terms and Conditions are as outlined in the contract.