VERIDIA
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Delivery docket
SO-26-01490
Veridia Australia Pty Ltd
ABN 63 004 217 508
42-46 Mitchell Hwy, Molong NSW 2866
(02) 6366 8100 · we.care@veridia.com.au
Deliver to
Roshana Orange
Roshana Care Group
Orange NSW 2800
Attn: Leonie Sharp
Account
ROS01
Terms 30 days
Your PO: ROS-83369
Rep: Priya Selvaraj
Delivery
Fri 19 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 |
|---|---|---|---|---|---|
| WJ-1064 | Jumbo Roll Dispenser Single ABS | 1 | 12 | $39.90 | $478.80 |
| CH-2306 | Plug N Pump Disinfectant 1.5L | 4 x 1.5L | 9 | $139.10 | $1,251.90 |
| WJ-1034 | Toilet Tissue 3ply Luxury 250 sheet | 48 x 250 sht | 2 | $72.90 | $145.80 |
| CH-2266 | Manual Dishwash Liquid 5L Lemon | 2 x 5L | 15 | $46.30 | $694.50 |
| BD-6066 | Serving Tray Non-Slip 450x350 | 1 | 8 | $41.90 | $335.20 |
| CH-2240 | Hospital Grade Disinfectant 5L TGA | 2 x 5L | 5 | $88.40 | $442.00 |
| BD-6034 | Soup Bowl Vitrified White 400ml | 1 x 24 | 14 | $214.90 | $3,008.60 |
| CH-2210 | Neutral Floor Detergent 5L | 2 x 5L | 11 | $40.10 | $441.10 |
| HP-3044 | Vinyl Glove Powder Free Clear Large | 10 x 100 | 4 | $48.80 | $195.20 |
| FP-4082 | Napkin 2ply Dinner White 1/8 Fold | 10 x 250 | 1 | $93.70 | $93.70 |
| WJ-1102 | Mop Head Microfibre Flat 40cm | 1 | 9 | $20.90 | $188.10 |
| CH-2308 | Plug N Pump Degreaser 1.5L [DG 8 UN1719] | 4 x 1.5L | 12 | $125.40 | $1,504.80 |
| Goods ex GST | $8,779.70 |
| GST 10% | $877.97 |
| Total inc GST | $9,657.67 |
102
3
812 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-26-01490 for Roshana Orange. 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-2306 | Plug N Pump Disinfectant 1.5L Irritant | SDS-CH-2306-R4 | 31 Oct 2021 | 31 Oct 2026 | Current |
| CH-2266 | Manual Dishwash Liquid 5L Lemon Irritant | SDS-CH-2266-R4 | 26 Aug 2025 | 26 Aug 2030 | Current |
| CH-2240 | Hospital Grade Disinfectant 5L TGA Irritant | SDS-CH-2240-R1 | 18 Nov 2025 | 18 Nov 2030 | Current |
| CH-2210 | Neutral Floor Detergent 5L Irritant | SDS-CH-2210-R4 | 22 Aug 2023 | 21 Aug 2028 | Current |
| CH-2308 | Plug N Pump Degreaser 1.5L Corrosive | SDS-CH-2308-R4 | 10 Sep 2025 | 10 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.