VERIDIA
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Delivery docket
SO-26-01655
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 Civic Centre
Orange City Council
Orange NSW 2800
Attn: Depot Store
Account
OCC01
Terms 30 days
Your PO: OCC-95897
Rep: Nadia Kostoglou
Delivery
Mon 29 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-1068 | Soap Dispenser 1L Bulk Fill White | 1 | 4 | $30.90 | $123.60 |
| HP-3020 | Nitrile Glove Long Cuff Black Medium | 10 x 100 | 1 | $101.20 | $101.20 |
| CH-2300 | Plug N Pump Neutral Detergent 1.5L | 4 x 1.5L | 10 | $105.30 | $1,053.00 |
| FP-4046 | Cling Film 45cm x 600m Cutter Box | 4 | 7 | $102.90 | $720.30 |
| WJ-1134 | Toilet Brush & Holder Set | 1 | 16 | $11.90 | $190.40 |
| HP-3090 | Hand Soap Foaming 1L Pod Fragrance Free | 6 x 1L | 13 | $66.00 | $858.00 |
| FP-4016 | Foil Container Oblong 3 Portion + Lid | 5 x 100 | 6 | $111.30 | $667.80 |
| WJ-1034 | Toilet Tissue 3ply Luxury 250 sheet | 48 x 250 sht | 3 | $72.90 | $218.70 |
| HP-3060 | Isolation Gown Level 2 Blue Universal | 10 x 10 | 12 | $130.40 | $1,564.80 |
| CH-2254 | Instrument Grade Disinfectant 5L [DG 8 UN1760] | 2 x 5L | 9 | $210.10 | $1,890.90 |
| Goods ex GST | $7,388.70 |
| GST 10% | $738.87 |
| Total inc GST | $8,127.57 |
81
2
555 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-26-01655 for Orange Civic Centre. 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-2300 | Plug N Pump Neutral Detergent 1.5L Irritant | SDS-CH-2300-R2 | 24 Aug 2023 | 23 Aug 2028 | Current |
| CH-2254 | Instrument Grade Disinfectant 5L Corrosive | SDS-CH-2254-R4 | 23 Jun 2023 | 22 Jun 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.