VERIDIA
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Delivery docket
SO-26-01420
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
SCC Young
Southern Cross Care NSW & ACT
Young NSW 2594
Attn: Rosslyn Kerr
Account
SLH01
Terms 45 days EOM
Your PO: SLH-69669
Rep: Priya Selvaraj
Delivery
Thu 18 Jun
Not yet allocated to a run
Dangerous goods: Class 2.1
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 |
|---|---|---|---|---|---|
| WJ-1114 | Microfibre Cloth 40x40 Red | 10 | 8 | $16.40 | $131.20 |
| FP-4012 | Foam Container Burger Clam Large | 4 x 125 | 5 | $54.90 | $274.50 |
| WJ-1084 | Bin Liner 240L Black Heavy Duty | 5 x 50 | 14 | $96.90 | $1,356.60 |
| CH-2326 | ELIMO Drain & Grease Trap Treatment 5L | 2 x 5L | 11 | $119.40 | $1,313.40 |
| HP-3030 | Nitrile Exam Glove Micro-Touch Medium | 10 x 100 | 12 | $126.40 | $1,516.80 |
| FP-4066 | Cutlery Teaspoon PP White | 20 x 100 | 9 | $40.10 | $360.90 |
| WJ-1150 | Air Freshener Aerosol Metered 270ml [DG 2.1 UN1950] | 12 x 270ml | 2 | $96.90 | $193.80 |
| FP-4036 | Water Cup 200ml Paper Cold | 20 x 50 | 15 | $66.00 | $990.00 |
| HP-3092 | Hand Soap Liquid Antibacterial 5L | 2 x 5L | 16 | $60.10 | $961.60 |
| BD-6054 | Cutlery Dessert Spoon 18/0 | 1 x 12 | 13 | $61.90 | $804.70 |
| BD-6066 | Serving Tray Non-Slip 450x350 | 1 | 13 | $41.90 | $544.70 |
| CH-2210 | Neutral Floor Detergent 5L | 2 x 5L | 16 | $40.10 | $641.60 |
| Goods ex GST | $9,089.80 |
| GST 10% | $908.98 |
| Total inc GST | $9,998.78 |
134
2
966 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-26-01420 for SCC Young. 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-2326 | ELIMO Drain & Grease Trap Treatment 5L Irritant | SDS-CH-2326-R4 | 1 Sep 2023 | 31 Aug 2028 | Current |
| WJ-1150 | Air Freshener Aerosol Metered 270ml Flammable gas · Gas under pressure | SDS-WJ-1150-R5 | 25 Sep 2021 | 25 Sep 2026 | Expiring |
| CH-2210 | Neutral Floor Detergent 5L Irritant | SDS-CH-2210-R4 | 22 Aug 2023 | 21 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.