VERIDIA
Service, solutions, simplicity
Delivery docket
SO-26-01543
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
Orange Civic Centre
Orange City Council
Orange NSW 2800
Attn: Depot Store
Account
OCC01
Terms 30 days
Your PO: OCC-58629
Rep: Nadia Kostoglou
Delivery
Mon 22 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-1022 | Continuous Roll Towel Blue 300m | 4 x 300m | 8 | $66.20 | $529.60 |
| WJ-1122 | Sponge Scourer Non-Scratch | 10 | 5 | $10.90 | $54.50 |
| CH-2246 | Quaternary Sanitiser Food Grade 5L [DG 8 UN1760] | 2 x 5L | 14 | $77.10 | $1,079.40 |
| FP-4010 | Foam Container 3 Compartment Hinged | 4 x 125 | 11 | $60.10 | $661.10 |
| FP-4040 | Paper Bag Flat #4 Brown | 10 x 500 | 12 | $60.50 | $726.00 |
| WJ-1062 | Hand Towel Dispenser Autocut Roll | 1 | 9 | $74.90 | $674.10 |
| HP-3082 | Beard Cover White | 10 x 100 | 2 | $34.90 | $69.80 |
| CH-2286 | Laundry Sour / Neutraliser 20L [DG 8 UN1805] | 1 x 20L | 15 | $96.50 | $1,447.50 |
| CH-2326 | ELIMO Drain & Grease Trap Treatment 5L | 2 x 5L | 16 | $119.40 | $1,910.40 |
| FP-4080 | Napkin 1ply Lunch White 1/4 Fold | 20 x 500 | 13 | $83.10 | $1,080.30 |
| CH-2290 | Fabric Softener Commercial 20L | 1 x 20L | 13 | $83.10 | $1,080.30 |
| HP-3084 | Shoe Cover Blue Non-Slip | 10 x 100 | 16 | $54.20 | $867.20 |
| Goods ex GST | $10,180.20 |
| GST 10% | $1,018.02 |
| Total inc GST | $11,198.22 |
134
3
1,446 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-26-01543 for Orange Civic Centre. 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-2246 | Quaternary Sanitiser Food Grade 5L Corrosive | SDS-CH-2246-R5 | 3 Feb 2026 | 3 Feb 2031 | Current |
| CH-2286 | Laundry Sour / Neutraliser 20L Corrosive | SDS-CH-2286-R3 | 9 May 2024 | 9 May 2029 | Current |
| CH-2326 | ELIMO Drain & Grease Trap Treatment 5L Irritant | SDS-CH-2326-R4 | 1 Sep 2023 | 31 Aug 2028 | Current |
| CH-2290 | Fabric Softener Commercial 20L Irritant | SDS-CH-2290-R2 | 27 Nov 2022 | 27 Nov 2027 | 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.