VERIDIA
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Delivery docket
SO-26-01351
Veridia Australia Pty Ltd
ABN 63 004 217 508
6 Kane Rd, Bomen NSW 2650
(02) 6931 7700 · we.care@veridia.com.au
Deliver to
Mantra Charles Hotel Wagga
Mantra Group Hotels
Wagga Wagga NSW 2650
Attn: Kirsty Lang
Account
MAN01
Terms 30 days
Your PO: -
Rep: Beau Harrington
Delivery
Mon 15 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 |
|---|---|---|---|---|---|
| CH-2252 | Norovirus Disinfectant Concentrate 5L [DG 8 UN1791] | 2 x 5L | 1 | $158.90 | $158.90 |
| WJ-1106 | Mop Bucket & Wringer 15L Yellow | 1 | 4 | $104.90 | $419.60 |
| CA-7044 | Coffee Cup Lid White 80mm | 20 x 50 | 7 | $70.90 | $496.30 |
| Goods ex GST | $1,074.80 |
| GST 10% | $107.48 |
| Total inc GST | $1,182.28 |
12
1
53 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-26-01351 for Mantra Charles Hotel Wagga. 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-2252 | Norovirus Disinfectant Concentrate 5L Corrosive | SDS-CH-2252-R2 | 15 Apr 2025 | 15 Apr 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.