VERIDIA
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Delivery docket
SO-26-01726
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
Ashgrove Nursing Home
Mercy Community Aged Care
Ashgrove QLD 4060
Attn: Marion Devlin
Account
MER01
Terms 45 days EOM
Your PO: MER-54987
Rep: Grant Whitely
Delivery
Wed 1 Jul
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 |
|---|---|---|---|---|---|
| BD-6054 | Cutlery Dessert Spoon 18/0 | 1 x 12 | 2 | $61.90 | $123.80 |
| CH-2222 | Glass & Mirror Cleaner 5L Refill | 2 x 5L | 15 | $37.20 | $558.00 |
| WJ-1018 | Roll Hand Towel 80m Autocut | 16 x 80m | 12 | $73.80 | $885.60 |
| CH-2254 | Instrument Grade Disinfectant 5L [DG 8 UN1760] | 2 x 5L | 9 | $210.10 | $1,890.90 |
| FP-4066 | Cutlery Teaspoon PP White | 20 x 100 | 14 | $40.10 | $561.40 |
| HP-3066 | PVC Apron Heavy Duty White | 10 | 11 | $68.90 | $757.90 |
| BD-6018 | Champagne Flute 180ml | 1 x 24 | 8 | $122.90 | $983.20 |
| HP-3092 | Hand Soap Liquid Antibacterial 5L | 2 x 5L | 5 | $60.10 | $300.50 |
| WJ-1112 | Microfibre Cloth 40x40 Blue | 10 | 10 | $16.40 | $164.00 |
| FP-4010 | Foam Container 3 Compartment Hinged | 4 x 125 | 7 | $60.10 | $420.70 |
| Goods ex GST | $6,646.00 |
| GST 10% | $664.60 |
| Total inc GST | $7,310.60 |
93
2
655 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-26-01726 for Ashgrove Nursing Home. 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-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.