VERIDIA
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Delivery docket
SO-26-01550
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 Aquatic Centre
Orange City Council
Orange NSW 2800
Attn: Centre Manager
Account
OCC01
Terms 30 days
Your PO: OCC-43478
Rep: Nadia Kostoglou
Delivery
Tue 23 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 |
|---|---|---|---|---|---|
| FP-4014 | Foil Container Rectangular 1 Portion | 10 x 100 | 13 | $79.50 | $1,033.50 |
| CH-2252 | Norovirus Disinfectant Concentrate 5L [DG 8 UN1791] | 2 x 5L | 16 | $158.90 | $2,542.40 |
| HP-3054 | Rubber Glove Heavy Duty Green Large | 12 pr | 3 | $66.90 | $200.70 |
| WJ-1100 | Mop Head Cotton Looped 400g Blue | 1 | 6 | $14.90 | $89.40 |
| CH-2292 | Laundry Stain Remover Spotting Kit [DG 8 UN1760] | 1 kit | 1 | $236.90 | $236.90 |
| HP-3086 | Safety Glasses Clear Anti-Fog | 12 | 4 | $56.90 | $227.60 |
| WJ-1132 | Broom Head Stiff Bristle 300mm | 1 | 7 | $23.40 | $163.80 |
| WJ-1032 | Toilet Tissue 2ply 700 sheet | 48 x 700 sht | 10 | $78.90 | $789.00 |
| WJ-1060 | Hand Towel Dispenser Interleaved ABS White | 1 | 5 | $34.90 | $174.50 |
| FP-4036 | Water Cup 200ml Paper Cold | 20 x 50 | 8 | $66.00 | $528.00 |
| WJ-1052 | Facial Tissue 2ply Flat Box 100 sht | 36 x 100 sht | 14 | $44.10 | $617.40 |
| Goods ex GST | $6,603.20 |
| GST 10% | $660.32 |
| Total inc GST | $7,263.52 |
87
2
638 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-26-01550 for Orange Aquatic 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-2252 | Norovirus Disinfectant Concentrate 5L Corrosive | SDS-CH-2252-R2 | 15 Apr 2025 | 15 Apr 2030 | Current |
| CH-2292 | Laundry Stain Remover Spotting Kit Corrosive | SDS-CH-2292-R4 | 3 Feb 2021 | 3 Feb 2026 | Expired |
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.