VERIDIA
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Delivery docket
SO-26-01083
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
Roshana Wollongong
Roshana Care Group
Fairy Meadow NSW 2519
Attn: Kath Purcell
Account
ROS01
Terms 30 days
Your PO: ROS-50288
Rep: Priya Selvaraj
Delivery
Thu 4 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 |
|---|---|---|---|---|---|
| FP-4034 | Drinking Cup 200ml Plastic Clear | 20 x 50 | 3 | $54.20 | $162.60 |
| WJ-1140 | Wet Floor Sign A-Frame Yellow | 1 | 6 | $30.90 | $185.40 |
| FP-4064 | Cutlery Spoon PP White Heavy | 20 x 100 | 13 | $49.10 | $638.30 |
| HP-3022 | Nitrile Glove Long Cuff Black Large | 10 x 100 | 16 | $101.20 | $1,619.20 |
| BD-6016 | Wine Glass Stemmed 350ml | 1 x 24 | 7 | $115.90 | $811.30 |
| HP-3064 | Disposable Apron Polythene White | 10 x 100 | 10 | $54.90 | $549.00 |
| BD-6052 | Cutlery Table Fork 18/0 | 1 x 12 | 1 | $65.90 | $65.90 |
| HP-3090 | Hand Soap Foaming 1L Pod Fragrance Free | 6 x 1L | 4 | $60.10 | $240.40 |
| CH-2254 | Instrument Grade Disinfectant 5L [DG 8 UN1760] | 2 x 5L | 11 | $210.10 | $2,311.10 |
| WJ-1018 | Roll Hand Towel 80m Autocut | 16 x 80m | 14 | $73.80 | $1,033.20 |
| HP-3060 | Isolation Gown Level 2 Blue Universal | 10 x 10 | 16 | $130.40 | $2,086.40 |
| Goods ex GST | $9,702.80 |
| GST 10% | $970.28 |
| Total inc GST | $10,673.08 |
101
2
825 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-26-01083 for Roshana Wollongong. 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-2254 | Instrument Grade Disinfectant 5L Corrosive | SDS-CH-2254-R4 | 23 Jun 2023 | 22 Jun 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.