VERIDIA
Service, solutions, simplicity
Delivery docket
SO-26-01094
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
Forbes Aged Care
Forbes Aged Care
Forbes NSW 2871
Attn: Lisa Mahony
Account
FOR02
Terms 30 days
Your PO: —
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 |
|---|---|---|---|---|---|
| HP-3092 | Hand Soap Liquid Antibacterial 5L | 2 x 5L | 14 | $60.10 | $841.40 |
| BD-6054 | Cutlery Dessert Spoon 18/0 | 1 x 12 | 11 | $61.90 | $680.90 |
| CH-2222 | Glass & Mirror Cleaner 5L Refill | 2 x 5L | 8 | $37.20 | $297.60 |
| WJ-1018 | Roll Hand Towel 80m Autocut | 16 x 80m | 5 | $73.80 | $369.00 |
| CH-2254 | Instrument Grade Disinfectant 5L [DG 8 UN1760] | 2 x 5L | 2 | $210.10 | $420.20 |
| WJ-1052 | Facial Tissue 2ply Flat Box 100 sht | 36 x 100 sht | 15 | $44.10 | $661.50 |
| Goods ex GST | $3,270.60 |
| GST 10% | $327.06 |
| Total inc GST | $3,597.66 |
55
1
429 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-26-01094 for Forbes Aged Care. 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-2222 | Glass & Mirror Cleaner 5L Refill Irritant | SDS-CH-2222-R2 | 8 Oct 2023 | 7 Oct 2028 | Current |
| 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.