VERIDIA
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Delivery docket
SO-26-01007
Veridia Australia Pty Ltd
ABN 63 004 217 508
9 Stanton Rd, Ingleburn NSW 2565
(02) 9605 3300 · we.care@veridia.com.au
Deliver to
St Hedwig Blacktown
Catholic Healthcare Ltd
Blacktown NSW 2148
Attn: Ursula Kaminski
Account
CAT01
Terms 45 days EOM
Your PO: CAT-89911
Rep: Priya Selvaraj
Delivery
Mon 1 Jun
Not yet allocated to a run
Dangerous goods: Class 3
Segregate per the ADG Code. Safety data sheets for every hazardous line are attached to this docket. Driver must hold a current dangerous goods certificate.
| Item code | Description | Pack | Qty | Unit | Amount |
|---|---|---|---|---|---|
| HP-3072 | Surgical Mask Level 3 Fluid Resistant | 40 x 50 | 14 | $119.80 | $1,677.20 |
| BD-6022 | Glass Rack 25 Compartment | 1 | 11 | $71.90 | $790.90 |
| HP-3096 | Hand Sanitiser Gel 70% Ethanol 5L [DG 3 UN1170] | 2 x 5L | 8 | $97.20 | $777.60 |
| BD-6060 | Table Cover Paper White 1.2 x 30m | 1 x 6 | 5 | $115.90 | $579.50 |
| Goods ex GST | $3,825.20 |
| GST 10% | $382.52 |
| Total inc GST | $4,207.72 |
38
1
285 kg
Received in good order by
Print name
Signature
Date & time
Date
Any shortages or damage noted here
Safety data sheet summary
Attached to SO-26-01007 for St Hedwig Blacktown. Full sheets travel with the consignment and are held on the site chemical register. Reviewed at least every five years under WHS Regulation 344.
| Item | Product | Sheet | Issued | Review due | Status |
|---|---|---|---|---|---|
| HP-3096 | Hand Sanitiser Gel 70% Ethanol 5L Flammable liquid | SDS-HP-3096-R5 | 3 Nov 2025 | 3 Nov 2030 | Current |
Poisons Information Centre 13 11 26. Emergency (Veridia, 24 hours) 1300 228 222.
Veridia Australia Pty Ltd · ABN 63 004 217 508 · 14 Gateway Cres, Wacol QLD 4076 · 1300 228 222 · veridia.com.au
Goods remain the property of Veridia Australia Pty Ltd until paid in full. Claims for shortage or damage must be noted on
this docket at the time of delivery.