VERIDIA
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Delivery docket
SO-26-01383
Veridia Australia Pty Ltd
ABN 63 004 217 508
14 Gateway Cres, Wacol QLD 4076
(07) 3271 4400 · we.care@veridia.com.au
Deliver to
Chalk Hotel
Australian Venue Co - QLD
Woolloongabba QLD 4102
Attn: Jayden Kerr
Account
AVC01
Terms 30 days
Your PO: -
Rep: Beau Harrington
Delivery
Tue 16 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-2310 | Plug N Pump Wall Dosing Station 4-Way | 1 | 12 | $429.90 | $5,158.80 |
| CH-2256 | Viraclean Hospital Disinfectant 5L | 2 x 5L | 9 | $136.00 | $1,224.00 |
| FP-4052 | Greaseproof Paper Sheets 400x330 | 1 x 800 | 2 | $66.00 | $132.00 |
| FP-4014 | Foil Container Rectangular 1 Portion | 10 x 100 | 15 | $79.50 | $1,192.50 |
| CA-7012 | Coffee Beans Organic Blend 1kg | 6 x 1kg | 8 | $238.90 | $1,911.20 |
| BD-6022 | Glass Rack 25 Compartment | 1 | 5 | $71.90 | $359.50 |
| WJ-1056 | Wiper Cloth Interleaved Blue | 10 x 90 sht | 14 | $95.90 | $1,342.60 |
| WJ-1010 | Ultraslim Hand Towel 150 sheet | 16 x 150 sht | 11 | $48.90 | $537.90 |
| FP-4066 | Cutlery Teaspoon PP White | 20 x 100 | 4 | $40.10 | $160.40 |
| FP-4022 | Plastic Tray Black PP 5 Compartment | 5 x 100 | 1 | $105.20 | $105.20 |
| CH-2346 | Drain Cleaner Caustic 5L [DG 8 UN1824] | 2 x 5L | 9 | $77.30 | $695.70 |
| FP-4040 | Paper Bag Flat #4 Brown | 10 x 500 | 12 | $60.50 | $726.00 |
| Goods ex GST | $13,545.80 |
| GST 10% | $1,354.58 |
| Total inc GST | $14,900.38 |
102
2
815 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-26-01383 for Chalk Hotel. 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-2310 | Plug N Pump Wall Dosing Station 4-Way Irritant | SDS-CH-2310-R2 | 18 Oct 2023 | 17 Oct 2028 | Current |
| CH-2256 | Viraclean Hospital Disinfectant 5L Irritant | SDS-CH-2256-R1 | 30 Aug 2021 | 30 Aug 2026 | Expiring |
| CH-2346 | Drain Cleaner Caustic 5L Corrosive | SDS-CH-2346-R1 | 4 Sep 2022 | 4 Sep 2027 | 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.