VERIDIA
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Delivery docket
SO-26-02049
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
Forbes Services Memorial Club
Forbes Services Memorial Club
Forbes NSW 2871
Attn: Neville Cutcliffe
Account
FOR01
Terms 30 days
Your PO: —
Rep: Beau Harrington
Delivery
Wed 15 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-1068 | Soap Dispenser 1L Bulk Fill White | 1 | 13 | $30.90 | $401.70 |
| WJ-1116 | Microfibre Cloth 40x40 Green | 10 | 16 | $16.40 | $262.40 |
| CH-2214 | Multi-Purpose Neutral Detergent 5L | 2 x 5L | 3 | $44.00 | $132.00 |
| CH-2260 | Machine Dishwash Powder 10kg [DG 8 UN3253] | 1 x 10kg | 6 | $68.60 | $411.60 |
| FP-4068 | Cutlery Kit Wrapped Knife/Fork/Napkin | 1 x 250 | 1 | $74.20 | $74.20 |
| BD-6038 | Melamine Plate Non-Slip Aged Care 230mm | 1 x 12 | 4 | $163.90 | $655.60 |
| CA-7022 | Chai Latte Powder 1kg | 6 x 1kg | 7 | $139.90 | $979.30 |
| WJ-1020 | Roll Hand Towel 100m Slimroll | 6 x 100m | 10 | $62.90 | $629.00 |
| CA-7014 | Coffee Beans House Blend 1kg | 6 x 1kg | 5 | $190.90 | $954.50 |
| WJ-1012 | Compact Hand Towel 90 sheet | 24 x 90 sht | 8 | $44.40 | $355.20 |
| Goods ex GST | $4,855.50 |
| GST 10% | $485.55 |
| Total inc GST | $5,341.05 |
73
2
370 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-26-02049 for Forbes Services Memorial 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-2214 | Multi-Purpose Neutral Detergent 5L Irritant | SDS-CH-2214-R5 | 14 Jun 2021 | 14 Jun 2026 | Expired |
| CH-2260 | Machine Dishwash Powder 10kg Corrosive | SDS-CH-2260-R1 | 3 Nov 2023 | 2 Nov 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.