VERIDIA
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Delivery docket
SO-26-02127
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
Bolton Clarke Carseldine
Bolton Clarke Residential
Carseldine QLD 4034
Attn: Vicky Nguyen
Account
BUP01
Terms 45 days EOM
Your PO: BUP-52996
Rep: Grant Whitely
Delivery
Mon 20 Jul
Not yet allocated to a run
Dangerous goods — Class 2.1, 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 |
|---|---|---|---|---|---|
| CH-2220 | Glass & Mirror Cleaner 750ml | 12 x 750ml | 15 | $54.90 | $823.50 |
| BD-6052 | Cutlery Table Fork 18/0 | 1 x 12 | 2 | $65.90 | $131.80 |
| CH-2252 | Norovirus Disinfectant Concentrate 5L [DG 8 UN1791] | 2 x 5L | 9 | $158.90 | $1,430.10 |
| WJ-1016 | Slimfold Hand Towel | 16 x 90 sht | 12 | $53.90 | $646.80 |
| HP-3064 | Disposable Apron Polythene White | 10 x 100 | 11 | $54.90 | $603.90 |
| FP-4064 | Cutlery Spoon PP White Heavy | 20 x 100 | 14 | $49.10 | $687.40 |
| HP-3090 | Hand Soap Foaming 1L Pod Fragrance Free | 6 x 1L | 5 | $66.00 | $330.00 |
| BD-6016 | Wine Glass Stemmed 350ml | 1 x 24 | 8 | $115.90 | $927.20 |
| CH-2352 | Chewing Gum Remover Aerosol 400g [DG 2.1 UN1950] | 12 x 400g | 7 | $136.60 | $956.20 |
| Goods ex GST | $6,536.90 |
| GST 10% | $653.69 |
| Total inc GST | $7,190.59 |
83
2
638 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-26-02127 for Bolton Clarke Carseldine. 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-2220 | Glass & Mirror Cleaner 750ml Irritant | SDS-CH-2220-R5 | 31 Jul 2025 | 31 Jul 2030 | Current |
| CH-2252 | Norovirus Disinfectant Concentrate 5L Corrosive | SDS-CH-2252-R2 | 15 Apr 2025 | 15 Apr 2030 | Current |
| CH-2352 | Chewing Gum Remover Aerosol 400g Flammable gas · Gas under pressure | SDS-CH-2352-R3 | 21 Nov 2023 | 20 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.