VERIDIA
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Delivery docket
SO-26-01776
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
Bolton Clarke Bundaberg
Bolton Clarke Residential
Bundaberg QLD 4670
Attn: Ken Rowbotham
Account
BUP01
Terms 45 days EOM
Your PO: BUP-76429
Rep: Grant Whitely
Delivery
Thu 2 Jul
Not yet allocated to a run
Dangerous goods: Class 3, 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-1122 | Sponge Scourer Non-Scratch | 10 | 8 | $10.90 | $87.20 |
| FP-4020 | Meal Delivery Tray Sealable 3 Comp | 4 x 125 | 5 | $144.40 | $722.00 |
| WJ-1100 | Mop Head Cotton Looped 400g Blue | 1 | 14 | $14.90 | $208.60 |
| CH-2342 | Floor Seal Acrylic 5L | 2 x 5L | 11 | $110.60 | $1,216.60 |
| HP-3044 | Vinyl Glove Powder Free Clear Large | 10 x 100 | 12 | $48.80 | $585.60 |
| FP-4082 | Napkin 2ply Dinner White 1/8 Fold | 10 x 250 | 9 | $93.70 | $843.30 |
| WJ-1158 | Sanitary Bin 20L Lockable White | 1 | 2 | $129.90 | $259.80 |
| FP-4046 | Cling Film 45cm x 600m Cutter Box | 4 | 15 | $102.90 | $1,543.50 |
| HP-3100 | Alcohol Wipes Sachet 70% IPA [DG 3 UN1219] | 10 x 100 | 16 | $60.50 | $968.00 |
| BD-6064 | Bar Runner Rubber Backed 900mm | 1 | 13 | $31.90 | $414.70 |
| WJ-1050 | Facial Tissue 2ply 200 sheet Cube | 24 x 200 sht | 13 | $40.20 | $522.60 |
| CH-2252 | Norovirus Disinfectant Concentrate 5L [DG 8 UN1791] | 2 x 5L | 16 | $158.90 | $2,542.40 |
| Goods ex GST | $9,914.30 |
| GST 10% | $991.43 |
| Total inc GST | $10,905.73 |
134
3
877 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-26-01776 for Bolton Clarke Bundaberg. 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-2342 | Floor Seal Acrylic 5L Irritant | SDS-CH-2342-R5 | 2 Apr 2024 | 2 Apr 2029 | Current |
| HP-3100 | Alcohol Wipes Sachet 70% IPA Flammable liquid | SDS-HP-3100-R2 | 15 Jan 2025 | 15 Jan 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.