VERIDIA
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Delivery docket
SO-26-01015
Veridia Australia Pty Ltd
ABN 63 004 217 508
42–46 Mitchell Hwy, Molong NSW 2866
(02) 6366 8100 · we.care@veridia.com.au
Deliver to
Quest Dubbo
Quest Apartment Hotels
Dubbo NSW 2830
Attn: Tim Harkness
Account
QST01
Terms 30 days
Your PO: —
Rep: Beau Harrington
Delivery
Mon 1 Jun
Not yet allocated to a run
Dangerous goods — Class 8
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 |
|---|---|---|---|---|---|
| BD-6062 | Placemat Paper White 300x400 | 1 x 2000 | 10 | $99.90 | $999.00 |
| WJ-1050 | Facial Tissue 2ply 200 sheet Cube | 24 x 200 sht | 7 | $40.20 | $281.40 |
| WJ-1152 | Metered Air Freshener Dispenser | 1 | 4 | $48.90 | $195.60 |
| CH-2304 | Plug N Pump Glass Cleaner 1.5L | 4 x 1.5L | 1 | $108.40 | $108.40 |
| WJ-1012 | Compact Hand Towel 90 sheet | 24 x 90 sht | 6 | $44.40 | $266.40 |
| WJ-1112 | Microfibre Cloth 40x40 Blue | 10 | 3 | $16.40 | $49.20 |
| CH-2260 | Machine Dishwash Powder 10kg [DG 8 UN3253] | 1 x 10kg | 16 | $68.60 | $1,097.60 |
| HA-5020 | Soap Bar 40g Boxed | 1 x 400 | 13 | $189.90 | $2,468.70 |
| WJ-1072 | Dispenser Stand Free-Standing Sanitiser | 1 | 2 | $189.90 | $379.80 |
| CH-2222 | Glass & Mirror Cleaner 5L Refill | 2 x 5L | 15 | $37.20 | $558.00 |
| Goods ex GST | $6,404.10 |
| GST 10% | $640.41 |
| Total inc GST | $7,044.51 |
77
2
814 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-26-01015 for Quest Dubbo. 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 |
|---|---|---|---|---|---|
| CH-2304 | Plug N Pump Glass Cleaner 1.5L Irritant | SDS-CH-2304-R1 | 22 Mar 2025 | 22 Mar 2030 | Current |
| CH-2260 | Machine Dishwash Powder 10kg Corrosive | SDS-CH-2260-R1 | 3 Nov 2023 | 2 Nov 2028 | Current |
| CH-2222 | Glass & Mirror Cleaner 5L Refill Irritant | SDS-CH-2222-R2 | 8 Oct 2023 | 7 Oct 2028 | 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.