VERIDIA
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Delivery docket
SO-26-01632
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
Alkira Ipswich
Anglicare Southern Queensland
Ipswich QLD 4305
Attn: Nigel Pratt
Account
ANG01
Terms 45 days EOM
Your PO: ANG-45383
Rep: Grant Whitely
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 |
|---|---|---|---|---|---|
| FP-4062 | Cutlery Fork PP White Heavy | 20 x 100 | 14 | $49.10 | $687.40 |
| HP-3062 | Isolation Gown Level 3 Yellow Universal | 10 x 10 | 11 | $167.40 | $1,841.40 |
| BD-6014 | Highball Glass 340ml | 1 x 48 | 8 | $126.90 | $1,015.20 |
| HP-3086 | Safety Glasses Clear Anti-Fog | 12 | 5 | $56.90 | $284.50 |
| BD-6050 | Cutlery Table Knife 18/0 | 1 x 12 | 2 | $72.90 | $145.80 |
| CH-2218 | Bathroom Cleaner Daily Spray 750ml [DG 8 UN1805] | 12 x 750ml | 15 | $62.90 | $943.50 |
| Goods ex GST | $4,917.80 |
| GST 10% | $491.78 |
| Total inc GST | $5,409.58 |
55
1
492 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-26-01632 for Alkira Ipswich. 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-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.