VERIDIA
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Delivery docket
SO-26-01101
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
Dubbo RSL Memorial Club
Dubbo RSL Memorial Club
Dubbo NSW 2830
Attn: Grant Hoolihan
Account
DUB01
Terms 30 days
Your PO: —
Rep: Beau Harrington
Delivery
Wed 3 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-4030 | Dispensary Cup 30ml Clear PP | 20 x 100 | 16 | $62.90 | $1,006.40 |
| CH-2330 | ELIMO Carpet Spotter 750ml | 12 x 750ml | 13 | $88.10 | $1,145.30 |
| BD-6050 | Cutlery Table Knife 18/0 | 1 x 12 | 6 | $72.90 | $437.40 |
| FP-4080 | Napkin 1ply Lunch White 1/4 Fold | 20 x 500 | 3 | $83.10 | $249.30 |
| WJ-1134 | Toilet Brush & Holder Set | 1 | 4 | $11.90 | $47.60 |
| WJ-1086 | Bin Liner 27L Kitchen Tidy White | 20 x 50 | 1 | $34.90 | $34.90 |
| CH-2282 | Laundry Liquid Commercial 20L | 1 x 20L | 10 | $105.30 | $1,053.00 |
| CH-2226 | Heavy Duty Degreaser 5L [DG 8 UN1719] | 2 x 5L | 7 | $62.40 | $436.80 |
| Goods ex GST | $4,410.70 |
| GST 10% | $441.07 |
| Total inc GST | $4,851.77 |
60
2
532 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-26-01101 for Dubbo RSL Memorial Club. 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-2330 | ELIMO Carpet Spotter 750ml Irritant | SDS-CH-2330-R5 | 11 Feb 2025 | 11 Feb 2030 | Current |
| CH-2282 | Laundry Liquid Commercial 20L Irritant | SDS-CH-2282-R4 | 11 Oct 2022 | 11 Oct 2027 | Current |
| CH-2226 | Heavy Duty Degreaser 5L Corrosive | SDS-CH-2226-R1 | 6 May 2025 | 6 May 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.