VERIDIA
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Delivery docket
SO-26-01914
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
Bethany Wentworthville
Catholic Healthcare Ltd
Wentworthville NSW 2145
Attn: Dawn Rasheed
Account
CAT01
Terms 45 days EOM
Your PO: CAT-92954
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 |
|---|---|---|---|---|---|
| WJ-1116 | Microfibre Cloth 40x40 Green | 10 | 9 | $16.40 | $147.60 |
| CH-2328 | ELIMO Carpet Extraction Concentrate 5L | 2 x 5L | 12 | $94.30 | $1,131.60 |
| WJ-1086 | Bin Liner 27L Kitchen Tidy White | 20 x 50 | 15 | $34.90 | $523.50 |
| CH-2300 | Plug N Pump Neutral Detergent 1.5L | 4 x 1.5L | 2 | $105.30 | $210.60 |
| WJ-1056 | Wiper Cloth Interleaved Blue | 10 x 90 sht | 5 | $95.90 | $479.50 |
| CH-2260 | Machine Dishwash Powder 10kg [DG 8 UN3253] | 1 x 10kg | 8 | $68.60 | $548.80 |
| WJ-1022 | Continuous Roll Towel Blue 300m | 4 x 300m | 11 | $66.20 | $728.20 |
| Goods ex GST | $3,769.80 |
| GST 10% | $376.98 |
| Total inc GST | $4,146.78 |
62
1
490 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-26-01914 for Bethany Wentworthville. 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-2328 | ELIMO Carpet Extraction Concentrate 5L Irritant | SDS-CH-2328-R4 | 3 Jan 2025 | 3 Jan 2030 | Current |
| CH-2300 | Plug N Pump Neutral Detergent 1.5L Irritant | SDS-CH-2300-R2 | 24 Aug 2023 | 23 Aug 2028 | Current |
| CH-2260 | Machine Dishwash Powder 10kg Corrosive | SDS-CH-2260-R1 | 3 Nov 2023 | 2 Nov 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.