VERIDIA
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Delivery docket
SO-26-01451
Veridia Australia Pty Ltd
ABN 63 004 217 508
9 Stanton Rd, Ingleburn NSW 2565
(02) 9605 3300 · we.care@veridia.com.au
Deliver to
MQ Hospital & Clinic
Macquarie University
Macquarie Park NSW 2109
Attn: Clinical Supply
Account
MQU01
Terms 45 days EOM
Your PO: MQU-65157
Rep: Nadia Kostoglou
Delivery
Thu 18 Jun
Not yet allocated to a run
Dangerous goods: Class 3
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 |
|---|---|---|---|---|---|
| HP-3042 | Vinyl Glove Powder Free Clear Medium | 10 x 100 | 8 | $43.90 | $351.20 |
| CH-2242 | Hospital Grade Disinfectant Wipes 200 | 6 x 200 | 5 | $130.40 | $652.00 |
| FP-4062 | Cutlery Fork PP White Heavy | 20 x 100 | 14 | $49.10 | $687.40 |
| WJ-1084 | Bin Liner 240L Black Heavy Duty | 5 x 50 | 11 | $96.90 | $1,065.90 |
| WJ-1118 | Chux Superwipes Heavy Duty Blue | 20 | 12 | $24.40 | $292.80 |
| HP-3078 | Face Shield Full Length Anti-Fog | 50 | 9 | $108.90 | $980.10 |
| CH-2350 | Graffiti Remover 5L [DG 3 UN1993] | 2 x 5L | 2 | $167.10 | $334.20 |
| WJ-1018 | Roll Hand Towel 80m Autocut | 16 x 80m | 15 | $66.40 | $996.00 |
| WJ-1056 | Wiper Cloth Interleaved Blue | 10 x 90 sht | 16 | $95.90 | $1,534.40 |
| WJ-1158 | Sanitary Bin 20L Lockable White | 1 | 13 | $129.90 | $1,688.70 |
| Goods ex GST | $8,582.70 |
| GST 10% | $858.27 |
| Total inc GST | $9,440.97 |
105
2
790 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-26-01451 for MQ Hospital & Clinic. 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-2242 | Hospital Grade Disinfectant Wipes 200 Irritant | SDS-CH-2242-R4 | 25 Dec 2023 | 24 Dec 2028 | Current |
| CH-2350 | Graffiti Remover 5L Flammable liquid | SDS-CH-2350-R1 | 13 Sep 2025 | 13 Sep 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.