VERIDIA
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Delivery docket
SO-26-01574
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-66317
Rep: Grant Whitely
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 |
|---|---|---|---|---|---|
| WJ-1156 | Toilet Bowl Clip Deodoriser | 12 | 16 | $44.90 | $718.40 |
| FP-4044 | Cling Film 33cm x 600m Cutter Box | 6 | 13 | $96.50 | $1,254.50 |
| WJ-1120 | Scourer Pad Green Heavy Duty 150mm | 10 | 6 | $13.20 | $79.20 |
| FP-4018 | Dual Ovenable Tray 2 Compartment | 4 x 125 | 3 | $124.90 | $374.70 |
| HP-3074 | P2 Respirator Flat Fold Unvalved | 20 x 20 | 4 | $209.70 | $838.80 |
| BD-6030 | Dinner Plate Vitrified White 255mm | 1 x 24 | 1 | $224.90 | $224.90 |
| HP-3042 | Vinyl Glove Powder Free Clear Medium | 10 x 100 | 10 | $43.70 | $437.00 |
| FP-4080 | Napkin 1ply Lunch White 1/4 Fold | 20 x 500 | 7 | $83.10 | $581.70 |
| WJ-1032 | Toilet Tissue 2ply 700 sheet | 48 x 700 sht | 8 | $78.90 | $631.20 |
| CH-2264 | Dishwash Rinse Aid 20L [DG 8 UN1805] | 1 x 20L | 5 | $110.60 | $553.00 |
| Goods ex GST | $5,693.40 |
| GST 10% | $569.34 |
| Total inc GST | $6,262.74 |
73
2
632 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-26-01574 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-2264 | Dishwash Rinse Aid 20L Corrosive | SDS-CH-2264-R2 | 6 Apr 2022 | 6 Apr 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.