VERIDIA
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Delivery docket
SO-26-01648
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-73144
Rep: Grant Whitely
Delivery
Fri 26 Jun
Not yet allocated to a run
Dangerous goods: Class 2.1
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-1110 | Janitorial Trolley 3-Shelf with Bag | 1 | 11 | $479.90 | $5,278.90 |
| CH-2322 | ELIMO Enzyme Digestant 5L | 2 x 5L | 14 | $111.40 | $1,559.60 |
| WJ-1138 | Dustpan & Brush Set Long Handle | 1 | 5 | $41.90 | $209.50 |
| CH-2352 | Chewing Gum Remover Aerosol 400g [DG 2.1 UN1950] | 12 x 400g | 8 | $136.60 | $1,092.80 |
| HP-3020 | Nitrile Glove Long Cuff Black Medium | 10 x 100 | 15 | $101.20 | $1,518.00 |
| FP-4032 | Dispensary Cup Lid 30ml | 20 x 100 | 2 | $46.30 | $92.60 |
| HP-3062 | Isolation Gown Level 3 Yellow Universal | 10 x 10 | 9 | $167.40 | $1,506.60 |
| Goods ex GST | $11,258.00 |
| GST 10% | $1,125.80 |
| Total inc GST | $12,383.80 |
64
2
641 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-26-01648 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-2322 | ELIMO Enzyme Digestant 5L Irritant | SDS-CH-2322-R3 | 30 Mar 2025 | 30 Mar 2030 | Current |
| CH-2352 | Chewing Gum Remover Aerosol 400g Flammable gas · Gas under pressure | SDS-CH-2352-R3 | 21 Nov 2023 | 20 Nov 2028 | 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.