VERIDIA
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Delivery docket
SO-26-01594
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
Forbes Aged Care
Forbes Aged Care
Forbes NSW 2871
Attn: Lisa Mahony
Account
FOR02
Terms 30 days
Your PO: —
Rep: Priya Selvaraj
Delivery
Thu 25 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 |
|---|---|---|---|---|---|
| CH-2244 | Chlorine Sanitiser 12.5% 20L [DG 8 UN1791] | 1 x 20L | 12 | $66.10 | $793.20 |
| WJ-1038 | Jumbo Toilet Roll 500m 1ply | 6 x 500m | 9 | $64.90 | $584.10 |
| CH-2214 | Multi-Purpose Neutral Detergent 5L | 2 x 5L | 2 | $44.00 | $88.00 |
| WJ-1010 | Ultraslim Hand Towel 150 sheet | 16 x 150 sht | 15 | $48.90 | $733.50 |
| HP-3082 | Beard Cover White | 10 x 100 | 8 | $34.90 | $279.20 |
| BD-6038 | Melamine Plate Non-Slip Aged Care 230mm | 1 x 12 | 5 | $163.90 | $819.50 |
| HP-3054 | Rubber Glove Heavy Duty Green Large | 12 pr | 14 | $66.90 | $936.60 |
| BD-6010 | Tumbler Tempered 285ml | 1 x 72 | 11 | $132.90 | $1,461.90 |
| Goods ex GST | $5,696.00 |
| GST 10% | $569.60 |
| Total inc GST | $6,265.60 |
76
2
855 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-26-01594 for Forbes Aged Care. 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-2244 | Chlorine Sanitiser 12.5% 20L Corrosive | SDS-CH-2244-R2 | 19 Aug 2021 | 19 Aug 2026 | Expiring |
| CH-2214 | Multi-Purpose Neutral Detergent 5L Irritant | SDS-CH-2214-R5 | 14 Jun 2021 | 14 Jun 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.