VERIDIA
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Delivery docket
SO-26-02087
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 Aged Care
Forbes Aged Care
Forbes NSW 2871
Attn: Lisa Mahony
Account
FOR02
Terms 30 days
Your PO: —
Rep: Priya Selvaraj
Delivery
Thu 16 Jul
Not yet allocated to a run
Dangerous goods — Class 3
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-2320 | ELIMO Odour Neutraliser 5L | 2 x 5L | 6 | $96.60 | $579.60 |
| WJ-1108 | Duo Mop Bucket 2 x 15L on Castors | 1 | 3 | $246.90 | $740.70 |
| CH-2350 | Graffiti Remover 5L [DG 3 UN1993] | 2 x 5L | 16 | $167.10 | $2,673.60 |
| WJ-1136 | Squeegee Floor 600mm with Handle | 1 | 13 | $57.90 | $752.70 |
| FP-4030 | Dispensary Cup 30ml Clear PP | 20 x 100 | 10 | $62.90 | $629.00 |
| HP-3016 | Nitrile Glove Powder Free Blue XL | 10 x 200 | 7 | $87.90 | $615.30 |
| FP-4060 | Cutlery Knife PP White Heavy | 20 x 100 | 4 | $49.10 | $196.40 |
| HP-3060 | Isolation Gown Level 2 Blue Universal | 10 x 10 | 1 | $130.40 | $130.40 |
| Goods ex GST | $6,317.70 |
| GST 10% | $631.77 |
| Total inc GST | $6,949.47 |
60
2
427 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-26-02087 for Forbes Aged Care. 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-2320 | ELIMO Odour Neutraliser 5L Irritant | SDS-CH-2320-R1 | 8 Nov 2021 | 8 Nov 2026 | Current |
| CH-2350 | Graffiti Remover 5L Flammable liquid | SDS-CH-2350-R1 | 13 Sep 2025 | 13 Sep 2030 | 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.