VERIDIA
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Delivery docket
SO-26-02076
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 Civic Centre
Orange City Council
Orange NSW 2800
Attn: Depot Store
Account
OCC01
Terms 30 days
Your PO: OCC-73459
Rep: Nadia Kostoglou
Delivery
Wed 15 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-1140 | Wet Floor Sign A-Frame Yellow | 1 | 2 | $29.60 | $59.20 |
| HP-3096 | Hand Sanitiser Gel 70% Ethanol 5L [DG 3 UN1170] | 2 x 5L | 15 | $97.20 | $1,458.00 |
| CH-2306 | Plug N Pump Disinfectant 1.5L | 4 x 1.5L | 12 | $139.10 | $1,669.20 |
| FP-4052 | Greaseproof Paper Sheets 400x330 | 1 x 800 | 9 | $66.00 | $594.00 |
| HP-3066 | PVC Apron Heavy Duty White | 10 | 14 | $68.90 | $964.60 |
| CH-2262 | Machine Dishwash Liquid 20L [DG 8 UN1824] | 1 x 20L | 11 | $97.20 | $1,069.20 |
| FP-4022 | Plastic Tray Black PP 5 Compartment | 5 x 100 | 8 | $105.20 | $841.60 |
| WJ-1040 | Mini Jumbo Toilet Roll 200m | 12 x 200m | 5 | $54.60 | $273.00 |
| WJ-1014 | Interleaved Hand Towel Premium | 16 x 150 sht | 10 | $58.60 | $586.00 |
| WJ-1114 | Microfibre Cloth 40x40 Red | 10 | 7 | $16.40 | $114.80 |
| WJ-1056 | Wiper Cloth Interleaved Blue | 10 x 90 sht | 11 | $95.90 | $1,054.90 |
| FP-4034 | Drinking Cup 200ml Plastic Clear | 20 x 50 | 14 | $54.20 | $758.80 |
| Goods ex GST | $9,443.30 |
| GST 10% | $944.33 |
| Total inc GST | $10,387.63 |
118
2
968 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-26-02076 for Orange Civic Centre. 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 |
|---|---|---|---|---|---|
| HP-3096 | Hand Sanitiser Gel 70% Ethanol 5L Flammable liquid | SDS-HP-3096-R5 | 3 Nov 2025 | 3 Nov 2030 | Current |
| CH-2306 | Plug N Pump Disinfectant 1.5L Irritant | SDS-CH-2306-R4 | 31 Oct 2021 | 31 Oct 2026 | Current |
| CH-2262 | Machine Dishwash Liquid 20L Corrosive | SDS-CH-2262-R3 | 10 Jan 2022 | 10 Jan 2027 | 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.