VERIDIA
Service, solutions, simplicity
Delivery docket
SO-26-01232
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
Cowra Services Club
Cowra Services Club
Cowra NSW 2794
Attn: Julie Trebilcock
Account
COW01
Terms 30 days
Your PO: —
Rep: Beau Harrington
Delivery
Tue 9 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-4062 | Cutlery Fork PP White Heavy | 20 x 100 | 4 | $49.10 | $196.40 |
| FP-4018 | Dual Ovenable Tray 2 Compartment | 4 x 125 | 1 | $124.90 | $124.90 |
| CA-7016 | Coffee Ground Filter 1kg | 6 x 1kg | 10 | $178.90 | $1,789.00 |
| BD-6032 | Side Plate Vitrified White 180mm | 1 x 36 | 7 | $199.90 | $1,399.30 |
| WJ-1062 | Hand Towel Dispenser Autocut Roll | 1 | 16 | $74.90 | $1,198.40 |
| WJ-1014 | Interleaved Hand Towel Premium | 16 x 150 sht | 13 | $58.60 | $761.80 |
| WJ-1158 | Sanitary Bin 20L Lockable White | 1 | 6 | $129.90 | $779.40 |
| WJ-1110 | Janitorial Trolley 3-Shelf with Bag | 1 | 3 | $479.90 | $1,439.70 |
| CH-2306 | Plug N Pump Disinfectant 1.5L | 4 x 1.5L | 12 | $139.10 | $1,669.20 |
| CH-2252 | Norovirus Disinfectant Concentrate 5L [DG 8 UN1791] | 2 x 5L | 9 | $158.90 | $1,430.10 |
| CH-2300 | Plug N Pump Neutral Detergent 1.5L | 4 x 1.5L | 1 | $105.30 | $105.30 |
| CH-2348 | Descaler Acidic Concentrate 5L [DG 8 UN1789] | 2 x 5L | 4 | $68.60 | $274.40 |
| Goods ex GST | $11,167.90 |
| GST 10% | $1,116.79 |
| Total inc GST | $12,284.69 |
86
2
685 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-26-01232 for Cowra Services 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-2306 | Plug N Pump Disinfectant 1.5L Irritant | SDS-CH-2306-R4 | 31 Oct 2021 | 31 Oct 2026 | Current |
| CH-2252 | Norovirus Disinfectant Concentrate 5L Corrosive | SDS-CH-2252-R2 | 15 Apr 2025 | 15 Apr 2030 | Current |
| CH-2300 | Plug N Pump Neutral Detergent 1.5L Irritant | SDS-CH-2300-R2 | 24 Aug 2023 | 23 Aug 2028 | Current |
| CH-2348 | Descaler Acidic Concentrate 5L Corrosive | SDS-CH-2348-R5 | 5 Aug 2025 | 5 Aug 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.