VERIDIA
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Delivery docket
SO-26-01915
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-85478
Rep: Grant Whitely
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-1064 | Jumbo Roll Dispenser Single ABS | 1 | 5 | $39.90 | $199.50 |
| CH-2266 | Manual Dishwash Liquid 5L Lemon | 2 x 5L | 8 | $46.30 | $370.40 |
| WJ-1034 | Toilet Tissue 3ply Luxury 250 sheet | 48 x 250 sht | 11 | $72.90 | $801.90 |
| CH-2240 | Hospital Grade Disinfectant 5L TGA | 2 x 5L | 14 | $87.50 | $1,225.00 |
| WJ-1122 | Sponge Scourer Non-Scratch | 10 | 9 | $10.90 | $98.10 |
| CH-2342 | Floor Seal Acrylic 5L | 2 x 5L | 12 | $110.60 | $1,327.20 |
| WJ-1100 | Mop Head Cotton Looped 400g Blue | 1 | 15 | $14.90 | $223.50 |
| CH-2306 | Plug N Pump Disinfectant 1.5L | 4 x 1.5L | 2 | $139.10 | $278.20 |
| HP-3044 | Vinyl Glove Powder Free Clear Large | 10 x 100 | 13 | $48.80 | $634.40 |
| FP-4046 | Cling Film 45cm x 600m Cutter Box | 4 | 16 | $102.90 | $1,646.40 |
| CH-2348 | Descaler Acidic Concentrate 5L [DG 8 UN1789] | 2 x 5L | 6 | $68.60 | $411.60 |
| Goods ex GST | $7,216.20 |
| GST 10% | $721.62 |
| Total inc GST | $7,937.82 |
111
2
891 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-26-01915 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-2266 | Manual Dishwash Liquid 5L Lemon Irritant | SDS-CH-2266-R4 | 26 Aug 2025 | 26 Aug 2030 | Current |
| CH-2240 | Hospital Grade Disinfectant 5L TGA Irritant | SDS-CH-2240-R1 | 18 Nov 2025 | 18 Nov 2030 | Current |
| CH-2342 | Floor Seal Acrylic 5L Irritant | SDS-CH-2342-R5 | 2 Apr 2024 | 2 Apr 2029 | Current |
| CH-2306 | Plug N Pump Disinfectant 1.5L Irritant | SDS-CH-2306-R4 | 31 Oct 2021 | 31 Oct 2026 | Current |
| CH-2348 | Descaler Acidic Concentrate 5L Corrosive | SDS-CH-2348-R5 | 5 Aug 2025 | 5 Aug 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.