State of Utah ant: Date of Order: March 31,2020 Purchase Order Number: Dison of Purchasing and General Services Dare Regud tetion: Windy Apbayath Chris Haghes Pinactennen? PMMeVChs Hashes pop, FOB Destination Freight Prepaid P0100 200190024 Siake Gi, UT 64055 Vendor Adare: Delivery a Bid or Quote #: Meds In Motion, Ine oBeDsermins 12101 S State Street, Ste 101 contac Person Quote # CvD-cwH-24 Draper, UT 84020 Windy Aphayrth, waphayrath@utah gov, 001-957-7130 Invoice # 2003104 ForPO Questions contact: Diane Schmidt 801-957-7149 Tem Quantity Unit Description ‘Warehouse/commodiy UnitPace Amount Medication packs Chloroquine/Zine 500/50MG #8, 12> 200000 | BA | ee eine $40.00 $800,000.00 400/50MG #5 ‘Location shipping contact Russ Pierson (305) 222-6619 Deliveries accepted 8:00 AM - 5:00 PM. Ship to: ToBeDetermined Purchase Order “humoral nate NOTICE Ihvoless which exceed unit price Isted above wil not be pal. Prices are F.0.8 Destination, Freight Prepaid, unless otherwise indicated on this order bcos Items hhthe order they appear above. Utah Division of Purchasing's tax exempt number Sond 2 copies of your nvice to insure proper payment. Terms ard Conditions are as oulined inthe contrac.Meds In Motion, Inc. Invoice 12101 S State Street, Ste 101 Draper, UT 84020 Date Invoice # anno 2003108 Bi To [Noni Heath C10 Mark Newnan ark @noribelth.com P.O. No Terms Project Die on rcpt Description ty Rate ‘Amount Tediation packs (Choroqulne/Zine SO0S0MG), 720,000 70.09 #00,000.00 FydroxyeloroquseZine 500/S0MG Subtotal 800,000.00, Sales Tax (6.85%) s00 Total $800,000.00 Payments/Credits sv00 Balance Due 800,000.00