VERIDIA
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Delivery docket
SO-26-02100
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
Blayney Shire Council
Blayney Shire Council
Blayney NSW 2799
Attn: Peta Coogan
Account
BLK01
Terms 30 days
Your PO: —
Rep: Nadia Kostoglou
Delivery
Thu 16 Jul
Not yet allocated to a run
| Item code | Description | Pack | Qty | Unit | Amount |
|---|---|---|---|---|---|
| WJ-1104 | Mop Handle Aluminium 1500mm | 1 | 7 | $24.60 | $172.20 |
| FP-4082 | Napkin 2ply Dinner White 1/8 Fold | 10 x 250 | 10 | $93.70 | $937.00 |
| CH-2256 | Viraclean Hospital Disinfectant 5L | 2 x 5L | 1 | $136.00 | $136.00 |
| HP-3062 | Isolation Gown Level 3 Yellow Universal | 10 x 10 | 4 | $167.40 | $669.60 |
| HP-3014 | Nitrile Glove Powder Free Blue Large | 10 x 200 | 3 | $87.90 | $263.70 |
| WJ-1064 | Jumbo Roll Dispenser Single ABS | 1 | 6 | $39.90 | $239.40 |
| CH-2328 | ELIMO Carpet Extraction Concentrate 5L | 2 x 5L | 13 | $94.30 | $1,225.90 |
| CH-2220 | Glass & Mirror Cleaner 750ml | 12 x 750ml | 16 | $54.90 | $878.40 |
| HP-3084 | Shoe Cover Blue Non-Slip | 10 x 100 | 15 | $54.20 | $813.00 |
| WJ-1130 | Broom Head Soft Bristle 450mm | 1 | 2 | $28.40 | $56.80 |
| Goods ex GST | $5,392.00 |
| GST 10% | $539.20 |
| Total inc GST | $5,931.20 |
77
2
578 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-26-02100 for Blayney Shire Council. 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-2256 | Viraclean Hospital Disinfectant 5L Irritant | SDS-CH-2256-R1 | 30 Aug 2021 | 30 Aug 2026 | Expiring |
| CH-2328 | ELIMO Carpet Extraction Concentrate 5L Irritant | SDS-CH-2328-R4 | 3 Jan 2025 | 3 Jan 2030 | Current |
| CH-2220 | Glass & Mirror Cleaner 750ml Irritant | SDS-CH-2220-R5 | 31 Jul 2025 | 31 Jul 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.