VERIDIA
Service, solutions, simplicity
Delivery docket
SO-26-01867
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
SCC Wollongong
Southern Cross Care NSW & ACT
Figtree NSW 2525
Attn: Damian Whitton
Account
SLH01
Terms 45 days EOM
Your PO: SLH-48097
Rep: Priya Selvaraj
Delivery
Wed 8 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 |
|---|---|---|---|---|---|
| CH-2254 | Instrument Grade Disinfectant 5L [DG 8 UN1760] | 2 x 5L | 4 | $210.10 | $840.40 |
| WJ-1052 | Facial Tissue 2ply Flat Box 100 sht | 36 x 100 sht | 1 | $44.10 | $44.10 |
| CH-2222 | Glass & Mirror Cleaner 5L Refill | 2 x 5L | 10 | $37.20 | $372.00 |
| WJ-1018 | Roll Hand Towel 80m Autocut | 16 x 80m | 7 | $73.80 | $516.60 |
| HP-3092 | Hand Soap Liquid Antibacterial 5L | 2 x 5L | 16 | $60.10 | $961.60 |
| BD-6054 | Cutlery Dessert Spoon 18/0 | 1 x 12 | 13 | $61.90 | $804.70 |
| HP-3066 | PVC Apron Heavy Duty White | 10 | 6 | $68.90 | $413.40 |
| BD-6018 | Champagne Flute 180ml | 1 x 24 | 3 | $122.90 | $368.70 |
| HP-3030 | Nitrile Exam Glove Micro-Touch Medium | 10 x 100 | 12 | $126.40 | $1,516.80 |
| FP-4066 | Cutlery Teaspoon PP White | 20 x 100 | 9 | $40.10 | $360.90 |
| Goods ex GST | $6,199.20 |
| GST 10% | $619.92 |
| Total inc GST | $6,819.12 |
81
2
611 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-26-01867 for SCC 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-2254 | Instrument Grade Disinfectant 5L Corrosive | SDS-CH-2254-R4 | 23 Jun 2023 | 22 Jun 2028 | Current |
| CH-2222 | Glass & Mirror Cleaner 5L Refill Irritant | SDS-CH-2222-R2 | 8 Oct 2023 | 7 Oct 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.