VERIDIA
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Delivery docket
SO-26-01933
Veridia Australia Pty Ltd
ABN 63 004 217 508
42–46 Mitchell Hwy, Molong NSW 2866
(02) 6366 8100 · we.care@veridia.com.au
Deliver to
Orange Ex-Services Club
Orange Ex-Services Club
Orange NSW 2800
Attn: Karen Tickle
Account
ORA01
Terms 30 days
Your PO: —
Rep: Beau Harrington
Delivery
Fri 10 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-1010 | Ultraslim Hand Towel 150 sheet | 16 x 150 sht | 1 | $48.90 | $48.90 |
| WJ-1056 | Wiper Cloth Interleaved Blue | 10 x 90 sht | 4 | $95.90 | $383.60 |
| WJ-1106 | Mop Bucket & Wringer 15L Yellow | 1 | 7 | $104.90 | $734.30 |
| WJ-1154 | Urinal Screen Deodoriser 30 Day | 10 | 10 | $52.40 | $524.00 |
| CH-2246 | Quaternary Sanitiser Food Grade 5L [DG 8 UN1760] | 2 x 5L | 13 | $77.10 | $1,002.30 |
| CH-2302 | Plug N Pump Bathroom Cleaner 1.5L [DG 8 UN1805] | 4 x 1.5L | 16 | $116.30 | $1,860.80 |
| CH-2350 | Graffiti Remover 5L [DG 3 UN1993] | 2 x 5L | 3 | $167.10 | $501.30 |
| FP-4044 | Cling Film 33cm x 600m Cutter Box | 6 | 6 | $96.50 | $579.00 |
| BD-6014 | Highball Glass 340ml | 1 x 48 | 9 | $126.90 | $1,142.10 |
| BD-6064 | Bar Runner Rubber Backed 900mm | 1 | 12 | $31.90 | $382.80 |
| CA-7012 | Coffee Beans Organic Blend 1kg | 6 x 1kg | 10 | $238.90 | $2,389.00 |
| Goods ex GST | $9,548.10 |
| GST 10% | $954.81 |
| Total inc GST | $10,502.91 |
91
2
665 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-26-01933 for Orange Ex-Services Club. 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-2246 | Quaternary Sanitiser Food Grade 5L Corrosive | SDS-CH-2246-R5 | 3 Feb 2026 | 3 Feb 2031 | Current |
| CH-2302 | Plug N Pump Bathroom Cleaner 1.5L Corrosive | SDS-CH-2302-R5 | 16 Jun 2025 | 16 Jun 2030 | Current |
| CH-2350 | Graffiti Remover 5L Flammable liquid | SDS-CH-2350-R1 | 13 Sep 2025 | 13 Sep 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.