VERIDIA
Service, solutions, simplicity
Delivery docket
SO-26-01093
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
Grenfell Multi-Purpose Service
Grenfell Multi-Purpose Service
Grenfell NSW 2810
Attn: Chris Mulligan
Account
GRE01
Terms 45 days EOM
Your PO: —
Rep: Priya Selvaraj
Delivery
Thu 4 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-3016 | Nitrile Glove Powder Free Blue XL | 10 x 200 | 13 | $87.90 | $1,142.70 |
| FP-4030 | Dispensary Cup 30ml Clear PP | 20 x 100 | 16 | $62.90 | $1,006.40 |
| WJ-1136 | Squeegee Floor 600mm with Handle | 1 | 3 | $57.90 | $173.70 |
| CH-2350 | Graffiti Remover 5L [DG 3 UN1993] | 2 x 5L | 6 | $167.10 | $1,002.60 |
| HP-3084 | Shoe Cover Blue Non-Slip | 10 x 100 | 1 | $54.20 | $54.20 |
| BD-6012 | Tumbler Tempered 425ml | 1 x 48 | 4 | $139.90 | $559.60 |
| HP-3060 | Isolation Gown Level 2 Blue Universal | 10 x 10 | 7 | $130.40 | $912.80 |
| FP-4060 | Cutlery Knife PP White Heavy | 20 x 100 | 10 | $49.10 | $491.00 |
| WJ-1042 | Compact Coreless Toilet Tissue 850 sht | 36 x 850 sht | 5 | $88.90 | $444.50 |
| Goods ex GST | $5,787.50 |
| GST 10% | $578.75 |
| Total inc GST | $6,366.25 |
65
1
552 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-26-01093 for Grenfell Multi-Purpose Service. 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-2350 | Graffiti Remover 5L Flammable liquid | SDS-CH-2350-R1 | 13 Sep 2025 | 13 Sep 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.