VERIDIA
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Delivery docket
SO-26-01970
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-63049
Rep: Priya Selvaraj
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-1136 | Squeegee Floor 600mm with Handle | 1 | 12 | $57.90 | $694.80 |
| FP-4030 | Dispensary Cup 30ml Clear PP | 20 x 100 | 9 | $62.90 | $566.10 |
| WJ-1108 | Duo Mop Bucket 2 x 15L on Castors | 1 | 2 | $246.90 | $493.80 |
| CH-2350 | Graffiti Remover 5L [DG 3 UN1993] | 2 x 5L | 15 | $167.10 | $2,506.50 |
| WJ-1072 | Dispenser Stand Free-Standing Sanitiser | 1 | 8 | $189.90 | $1,519.20 |
| CH-2320 | ELIMO Odour Neutraliser 5L | 2 x 5L | 5 | $96.60 | $483.00 |
| WJ-1042 | Compact Coreless Toilet Tissue 850 sht | 36 x 850 sht | 14 | $88.90 | $1,244.60 |
| CH-2284 | Laundry Emulsifier 20L [DG 8 UN1719] | 1 x 20L | 11 | $125.40 | $1,379.40 |
| CH-2216 | Bathroom Cleaner Acidic 5L [DG 8 UN1805] | 2 x 5L | 4 | $51.90 | $207.60 |
| WJ-1012 | Compact Hand Towel 90 sheet | 24 x 90 sht | 1 | $44.40 | $44.40 |
| BD-6012 | Tumbler Tempered 425ml | 1 x 48 | 9 | $139.90 | $1,259.10 |
| HP-3060 | Isolation Gown Level 2 Blue Universal | 10 x 10 | 12 | $130.40 | $1,564.80 |
| Goods ex GST | $11,963.30 |
| GST 10% | $1,196.33 |
| Total inc GST | $13,159.63 |
102
3
1,138 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-26-01970 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 |
|---|---|---|---|---|---|
| CH-2350 | Graffiti Remover 5L Flammable liquid | SDS-CH-2350-R1 | 13 Sep 2025 | 13 Sep 2030 | Current |
| CH-2320 | ELIMO Odour Neutraliser 5L Irritant | SDS-CH-2320-R1 | 8 Nov 2021 | 8 Nov 2026 | Current |
| CH-2284 | Laundry Emulsifier 20L Corrosive | SDS-CH-2284-R5 | 17 Jul 2022 | 17 Jul 2027 | Current |
| CH-2216 | Bathroom Cleaner Acidic 5L Corrosive | SDS-CH-2216-R2 | 28 Aug 2021 | 28 Aug 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.