VERIDIA
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Delivery docket
SO-26-02107
Veridia Australia Pty Ltd
ABN 63 004 217 508
14 Gateway Cres, Wacol QLD 4076
(07) 3271 4400 · we.care@veridia.com.au
Deliver to
Mitchelton Residential
Mercy Community Aged Care
Mitchelton QLD 4053
Attn: Sandra Okoye
Account
MER01
Terms 45 days EOM
Your PO: MER-97008
Rep: Grant Whitely
Delivery
Fri 17 Jul
Not yet allocated to a run
Dangerous goods — Class 2.1, 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 |
|---|---|---|---|---|---|
| WJ-1114 | Microfibre Cloth 40x40 Red | 10 | 3 | $16.40 | $49.20 |
| CH-2326 | ELIMO Drain & Grease Trap Treatment 5L | 2 x 5L | 6 | $119.40 | $716.40 |
| WJ-1150 | Air Freshener Aerosol Metered 270ml [DG 2.1 UN1950] | 12 x 270ml | 13 | $96.90 | $1,259.70 |
| FP-4012 | Foam Container Burger Clam Large | 4 x 125 | 16 | $54.90 | $878.40 |
| HP-3030 | Nitrile Exam Glove Micro-Touch Medium | 10 x 100 | 7 | $126.40 | $884.80 |
| FP-4036 | Water Cup 200ml Paper Cold | 20 x 50 | 10 | $66.00 | $660.00 |
| HP-3066 | PVC Apron Heavy Duty White | 10 | 1 | $68.90 | $68.90 |
| FP-4066 | Cutlery Teaspoon PP White | 20 x 100 | 4 | $40.10 | $160.40 |
| BD-6056 | Cutlery Weighted Handle Aged Care Set | 1 set | 11 | $55.90 | $614.90 |
| HP-3094 | Hand Sanitiser Gel 70% Ethanol 500ml [DG 3 UN1170] | 12 x 500ml | 14 | $82.40 | $1,153.60 |
| WJ-1102 | Mop Head Microfibre Flat 40cm | 1 | 16 | $20.90 | $334.40 |
| Goods ex GST | $6,780.70 |
| GST 10% | $678.07 |
| Total inc GST | $7,458.77 |
101
2
432 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-26-02107 for Mitchelton Residential. 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-2326 | ELIMO Drain & Grease Trap Treatment 5L Irritant | SDS-CH-2326-R4 | 1 Sep 2023 | 31 Aug 2028 | Current |
| WJ-1150 | Air Freshener Aerosol Metered 270ml Flammable gas · Gas under pressure | SDS-WJ-1150-R5 | 25 Sep 2021 | 25 Sep 2026 | Expiring |
| HP-3094 | Hand Sanitiser Gel 70% Ethanol 500ml Flammable liquid | SDS-HP-3094-R2 | 11 Sep 2021 | 11 Sep 2026 | Expiring |
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.