VERIDIA
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Delivery docket
SO-26-01174
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
Parkes Leagues Club
Parkes Leagues Club
Parkes NSW 2870
Attn: Shane Toohey
Account
PAR01
Terms 30 days
Your PO: —
Rep: Beau Harrington
Delivery
Mon 8 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-6012 | Tumbler Tempered 425ml | 1 x 48 | 8 | $139.90 | $1,119.20 |
| FP-4042 | Paper Bag SOS #8 Brown Handled | 5 x 250 | 5 | $82.70 | $413.50 |
| CA-7038 | Coffee Machine Descaler 1L [DG 8 UN1789] | 6 x 1L | 14 | $109.90 | $1,538.60 |
| BD-6062 | Placemat Paper White 300x400 | 1 x 2000 | 11 | $99.90 | $1,098.90 |
| CH-2244 | Chlorine Sanitiser 12.5% 20L [DG 8 UN1791] | 1 x 20L | 12 | $66.10 | $793.20 |
| WJ-1152 | Metered Air Freshener Dispenser | 1 | 9 | $48.90 | $440.10 |
| CH-2348 | Descaler Acidic Concentrate 5L [DG 8 UN1789] | 2 x 5L | 2 | $68.60 | $137.20 |
| CH-2300 | Plug N Pump Neutral Detergent 1.5L | 4 x 1.5L | 15 | $105.30 | $1,579.50 |
| CA-7046 | Coffee Cup Carrier 4 Cup | 1 x 300 | 16 | $133.90 | $2,142.40 |
| CA-7010 | Coffee Beans Espresso Blend 1kg | 6 x 1kg | 13 | $208.90 | $2,715.70 |
| FP-4080 | Napkin 1ply Lunch White 1/4 Fold | 20 x 500 | 13 | $83.10 | $1,080.30 |
| BD-6050 | Cutlery Table Knife 18/0 | 1 x 12 | 16 | $72.90 | $1,166.40 |
| Goods ex GST | $14,225.00 |
| GST 10% | $1,422.50 |
| Total inc GST | $15,647.50 |
134
3
1,267 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-26-01174 for Parkes Leagues 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 |
|---|---|---|---|---|---|
| CA-7038 | Coffee Machine Descaler 1L Corrosive | SDS-CA-7038-R5 | 13 Apr 2022 | 13 Apr 2027 | Current |
| CH-2244 | Chlorine Sanitiser 12.5% 20L Corrosive | SDS-CH-2244-R2 | 19 Aug 2021 | 19 Aug 2026 | Expiring |
| CH-2348 | Descaler Acidic Concentrate 5L Corrosive | SDS-CH-2348-R5 | 5 Aug 2025 | 5 Aug 2030 | Current |
| CH-2300 | Plug N Pump Neutral Detergent 1.5L Irritant | SDS-CH-2300-R2 | 24 Aug 2023 | 23 Aug 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.