VERIDIA
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Delivery docket
SO-26-01672
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
UPA Orange
UPA Central West
Orange NSW 2800
Attn: Bev Antcliff
Account
UPA01
Terms 30 days
Your PO: UPA-42382
Rep: Priya Selvaraj
Delivery
Tue 30 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 |
|---|---|---|---|---|---|
| HP-3098 | Barrier Cream Silicone 500ml Pump | 6 x 500ml | 5 | $76.50 | $382.50 |
| BD-6030 | Dinner Plate Vitrified White 255mm | 1 x 24 | 8 | $224.90 | $1,799.20 |
| HP-3074 | P2 Respirator Flat Fold Unvalved | 20 x 20 | 11 | $209.70 | $2,306.70 |
| FP-4080 | Napkin 1ply Lunch White 1/4 Fold | 20 x 500 | 14 | $83.10 | $1,163.40 |
| CH-2262 | Machine Dishwash Liquid 20L [DG 8 UN1824] | 1 x 20L | 9 | $97.20 | $874.80 |
| Goods ex GST | $6,526.60 |
| GST 10% | $652.66 |
| Total inc GST | $7,179.26 |
47
1
601 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-26-01672 for UPA Orange. 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-2262 | Machine Dishwash Liquid 20L Corrosive | SDS-CH-2262-R3 | 10 Jan 2022 | 10 Jan 2027 | 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.