VERIDIA
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Delivery docket
SO-26-01955
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
Roshana Bexley
Roshana Care Group
Bexley NSW 2207
Attn: Angela Tsoukalas
Account
ROS01
Terms 30 days
Your PO: ROS-59001
Rep: Priya Selvaraj
Delivery
Fri 10 Jul
Not yet allocated to a run
Dangerous goods: Class 2.1
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 |
|---|---|---|---|---|---|
| FP-4036 | Water Cup 200ml Paper Cold | 20 x 50 | 4 | $66.00 | $264.00 |
| HP-3030 | Nitrile Exam Glove Micro-Touch Medium | 10 x 100 | 1 | $126.40 | $126.40 |
| FP-4012 | Foam Container Burger Clam Large | 4 x 125 | 10 | $54.90 | $549.00 |
| WJ-1150 | Air Freshener Aerosol Metered 270ml [DG 2.1 UN1950] | 12 x 270ml | 7 | $96.90 | $678.30 |
| Goods ex GST | $1,617.70 |
| GST 10% | $161.77 |
| Total inc GST | $1,779.47 |
22
1
100 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-26-01955 for Roshana Bexley. 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 |
|---|---|---|---|---|---|
| WJ-1150 | Air Freshener Aerosol Metered 270ml Flammable gas · Gas under pressure | SDS-WJ-1150-R5 | 25 Sep 2021 | 25 Sep 2026 | Expiring |
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.