VERIDIA
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Delivery docket
SO-26-02019
Veridia Australia Pty Ltd
ABN 63 004 217 508
6 Kane Rd, Bomen NSW 2650
(02) 6931 7700 · we.care@veridia.com.au
Deliver to
RSL Goulburn
RSL LifeCare
Goulburn NSW 2580
Attn: Ray Stitt
Account
RSL01
Terms 45 days EOM
Your PO: RSL-73723
Rep: Priya Selvaraj
Delivery
Mon 13 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 |
|---|---|---|---|---|---|
| CH-2222 | Glass & Mirror Cleaner 5L Refill | 2 x 5L | 10 | $37.20 | $372.00 |
| WJ-1018 | Roll Hand Towel 80m Autocut | 16 x 80m | 7 | $73.80 | $516.60 |
| CH-2254 | Instrument Grade Disinfectant 5L [DG 8 UN1760] | 2 x 5L | 4 | $210.10 | $840.40 |
| WJ-1052 | Facial Tissue 2ply Flat Box 100 sht | 36 x 100 sht | 1 | $44.10 | $44.10 |
| HP-3066 | PVC Apron Heavy Duty White | 10 | 6 | $68.90 | $413.40 |
| BD-6018 | Champagne Flute 180ml | 1 x 24 | 3 | $122.90 | $368.70 |
| Goods ex GST | $2,555.20 |
| GST 10% | $255.52 |
| Total inc GST | $2,810.72 |
31
1
287 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-26-02019 for RSL Goulburn. 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-2222 | Glass & Mirror Cleaner 5L Refill Irritant | SDS-CH-2222-R2 | 8 Oct 2023 | 7 Oct 2028 | Current |
| CH-2254 | Instrument Grade Disinfectant 5L Corrosive | SDS-CH-2254-R4 | 23 Jun 2023 | 22 Jun 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.