VERIDIA
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Delivery docket
SO-26-01501
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-45988
Rep: Priya Selvaraj
Delivery
Fri 19 Jun
Not yet allocated to a run
Dangerous goods: Class 3, 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-2250 | Alcohol Surface Spray 70% 750ml [DG 3 UN1987] | 12 x 750ml | 7 | $88.10 | $616.70 |
| WJ-1014 | Interleaved Hand Towel Premium | 16 x 150 sht | 10 | $58.60 | $586.00 |
| CH-2284 | Laundry Emulsifier 20L [DG 8 UN1719] | 1 x 20L | 1 | $125.40 | $125.40 |
| WJ-1042 | Compact Coreless Toilet Tissue 850 sht | 36 x 850 sht | 4 | $88.90 | $355.60 |
| HP-3086 | Safety Glasses Clear Anti-Fog | 12 | 3 | $56.90 | $170.70 |
| BD-6014 | Highball Glass 340ml | 1 x 48 | 6 | $126.90 | $761.40 |
| CH-2218 | Bathroom Cleaner Daily Spray 750ml [DG 8 UN1805] | 12 x 750ml | 13 | $62.90 | $817.70 |
| BD-6050 | Cutlery Table Knife 18/0 | 1 x 12 | 16 | $72.90 | $1,166.40 |
| HP-3020 | Nitrile Glove Long Cuff Black Medium | 10 x 100 | 15 | $101.20 | $1,518.00 |
| FP-4032 | Dispensary Cup Lid 30ml | 20 x 100 | 2 | $46.30 | $92.60 |
| WJ-1010 | Ultraslim Hand Towel 150 sheet | 16 x 150 sht | 12 | $44.60 | $535.20 |
| Goods ex GST | $6,745.70 |
| GST 10% | $674.57 |
| Total inc GST | $7,420.27 |
89
2
781 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-26-01501 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-2250 | Alcohol Surface Spray 70% 750ml Flammable liquid | SDS-CH-2250-R5 | 24 Nov 2021 | 24 Nov 2026 | Current |
| CH-2284 | Laundry Emulsifier 20L Corrosive | SDS-CH-2284-R5 | 17 Jul 2022 | 17 Jul 2027 | Current |
| CH-2218 | Bathroom Cleaner Daily Spray 750ml Corrosive | SDS-CH-2218-R2 | 4 Aug 2021 | 4 Aug 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.