VERIDIA
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Delivery docket
SO-26-01753
Veridia Australia Pty Ltd
ABN 63 004 217 508
9 Stanton Rd, Ingleburn NSW 2565
(02) 9605 3300 · we.care@veridia.com.au
Deliver to
Roshana Wollongong
Roshana Care Group
Fairy Meadow NSW 2519
Attn: Kath Purcell
Account
ROS01
Terms 30 days
Your PO: ROS-66524
Rep: Priya Selvaraj
Delivery
Thu 2 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 |
|---|---|---|---|---|---|
| WJ-1016 | Slimfold Hand Towel | 16 x 90 sht | 15 | $53.90 | $808.50 |
| CH-2220 | Glass & Mirror Cleaner 750ml | 12 x 750ml | 2 | $54.90 | $109.80 |
| WJ-1050 | Facial Tissue 2ply 200 sheet Cube | 24 x 200 sht | 9 | $40.20 | $361.80 |
| CH-2252 | Norovirus Disinfectant Concentrate 5L [DG 8 UN1791] | 2 x 5L | 12 | $158.90 | $1,906.80 |
| BD-6016 | Wine Glass Stemmed 350ml | 1 x 24 | 11 | $115.90 | $1,274.90 |
| HP-3064 | Disposable Apron Polythene White | 10 x 100 | 14 | $54.90 | $768.60 |
| BD-6052 | Cutlery Table Fork 18/0 | 1 x 12 | 5 | $65.90 | $329.50 |
| Goods ex GST | $5,559.90 |
| GST 10% | $555.99 |
| Total inc GST | $6,115.89 |
68
2
523 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-26-01753 for Roshana Wollongong. 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-2220 | Glass & Mirror Cleaner 750ml Irritant | SDS-CH-2220-R5 | 31 Jul 2025 | 31 Jul 2030 | Current |
| CH-2252 | Norovirus Disinfectant Concentrate 5L Corrosive | SDS-CH-2252-R2 | 15 Apr 2025 | 15 Apr 2030 | 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.