VERIDIA
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Delivery docket
SO-26-01486
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
Bolton Clarke Cleveland
Bolton Clarke Residential
Cleveland QLD 4163
Attn: Michael Ansell
Account
BUP01
Terms 45 days EOM
Your PO: BUP-84957
Rep: Grant Whitely
Delivery
Fri 19 Jun
Not yet allocated to a run
Dangerous goods: Class 2.1, 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 |
|---|---|---|---|---|---|
| WJ-1020 | Roll Hand Towel 100m Slimroll | 6 x 100m | 8 | $62.90 | $503.20 |
| CH-2256 | Viraclean Hospital Disinfectant 5L | 2 x 5L | 5 | $136.00 | $680.00 |
| BD-6056 | Cutlery Weighted Handle Aged Care Set | 1 set | 14 | $55.90 | $782.60 |
| CH-2224 | Cream Cleanser 500ml | 12 x 500ml | 11 | $60.40 | $664.40 |
| WJ-1084 | Bin Liner 240L Black Heavy Duty | 5 x 50 | 12 | $96.90 | $1,162.80 |
| CH-2326 | ELIMO Drain & Grease Trap Treatment 5L | 2 x 5L | 9 | $119.40 | $1,074.60 |
| WJ-1054 | Wiper Roll Heavy Duty Blue 90m | 6 x 90m | 2 | $107.60 | $215.20 |
| CH-2292 | Laundry Stain Remover Spotting Kit [DG 8 UN1760] | 1 kit | 15 | $236.90 | $3,553.50 |
| WJ-1150 | Air Freshener Aerosol Metered 270ml [DG 2.1 UN1950] | 12 x 270ml | 16 | $96.90 | $1,550.40 |
| FP-4036 | Water Cup 200ml Paper Cold | 20 x 50 | 13 | $66.00 | $858.00 |
| Goods ex GST | $11,044.70 |
| GST 10% | $1,104.47 |
| Total inc GST | $12,149.17 |
105
2
770 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-26-01486 for Bolton Clarke Cleveland. 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-2256 | Viraclean Hospital Disinfectant 5L Irritant | SDS-CH-2256-R1 | 30 Aug 2021 | 30 Aug 2026 | Expiring |
| CH-2224 | Cream Cleanser 500ml Irritant | SDS-CH-2224-R4 | 15 Dec 2021 | 15 Dec 2026 | Current |
| CH-2326 | ELIMO Drain & Grease Trap Treatment 5L Irritant | SDS-CH-2326-R4 | 1 Sep 2023 | 31 Aug 2028 | Current |
| CH-2292 | Laundry Stain Remover Spotting Kit Corrosive | SDS-CH-2292-R4 | 3 Feb 2021 | 3 Feb 2026 | Expired |
| WJ-1150 | Air Freshener Aerosol Metered 270ml Flammable gas · Gas under pressure | SDS-WJ-1150-R5 | 25 Sep 2021 | 25 Sep 2026 | Expiring |
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.