VERIDIA
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Delivery docket
SO-26-01651
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 Ex-Services Club
Orange Ex-Services Club
Orange NSW 2800
Attn: Karen Tickle
Account
ORA01
Terms 30 days
Your PO: —
Rep: Beau Harrington
Delivery
Fri 26 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-4068 | Cutlery Kit Wrapped Knife/Fork/Napkin | 1 x 250 | 13 | $74.20 | $964.60 |
| BD-6038 | Melamine Plate Non-Slip Aged Care 230mm | 1 x 12 | 16 | $163.90 | $2,622.40 |
| CA-7022 | Chai Latte Powder 1kg | 6 x 1kg | 3 | $139.90 | $419.70 |
| WJ-1020 | Roll Hand Towel 100m Slimroll | 6 x 100m | 6 | $62.90 | $377.40 |
| CH-2222 | Glass & Mirror Cleaner 5L Refill | 2 x 5L | 1 | $37.20 | $37.20 |
| CH-2270 | Glasswash Detergent 20L [DG 8 UN1824] | 1 x 20L | 4 | $130.60 | $522.40 |
| CH-2326 | ELIMO Drain & Grease Trap Treatment 5L | 2 x 5L | 7 | $119.40 | $835.80 |
| Goods ex GST | $5,779.50 |
| GST 10% | $577.95 |
| Total inc GST | $6,357.45 |
50
1
404 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-26-01651 for Orange Ex-Services Club. 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-2222 | Glass & Mirror Cleaner 5L Refill Irritant | SDS-CH-2222-R2 | 8 Oct 2023 | 7 Oct 2028 | Current |
| CH-2270 | Glasswash Detergent 20L Corrosive | SDS-CH-2270-R5 | 23 Mar 2024 | 23 Mar 2029 | Current |
| CH-2326 | ELIMO Drain & Grease Trap Treatment 5L Irritant | SDS-CH-2326-R4 | 1 Sep 2023 | 31 Aug 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.