VERIDIA
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Delivery docket
SO-26-02175
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
Chalk Hotel
Australian Venue Co — QLD
Woolloongabba QLD 4102
Attn: Jayden Kerr
Account
AVC01
Terms 30 days
Your PO: —
Rep: Beau Harrington
Delivery
Tue 21 Jul
Not yet allocated to a run
Dangerous goods — Class 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-2214 | Multi-Purpose Neutral Detergent 5L | 2 x 5L | 7 | $44.00 | $308.00 |
| CH-2260 | Machine Dishwash Powder 10kg [DG 8 UN3253] | 1 x 10kg | 10 | $68.60 | $686.00 |
| WJ-1068 | Soap Dispenser 1L Bulk Fill White | 1 | 1 | $30.90 | $30.90 |
| WJ-1116 | Microfibre Cloth 40x40 Green | 10 | 4 | $16.40 | $65.60 |
| FP-4060 | Cutlery Knife PP White Heavy | 20 x 100 | 3 | $49.10 | $147.30 |
| BD-6030 | Dinner Plate Vitrified White 255mm | 1 x 24 | 6 | $224.90 | $1,349.40 |
| CH-2312 | Plug N Pump Spray Bottle & Trigger Set | 6 | 13 | $35.90 | $466.70 |
| FP-4016 | Foil Container Oblong 3 Portion + Lid | 5 x 100 | 16 | $111.30 | $1,780.80 |
| WJ-1060 | Hand Towel Dispenser Interleaved ABS White | 1 | 15 | $34.90 | $523.50 |
| WJ-1108 | Duo Mop Bucket 2 x 15L on Castors | 1 | 2 | $246.90 | $493.80 |
| Goods ex GST | $5,852.00 |
| GST 10% | $585.20 |
| Total inc GST | $6,437.20 |
77
2
543 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-26-02175 for Chalk Hotel. 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-2214 | Multi-Purpose Neutral Detergent 5L Irritant | SDS-CH-2214-R5 | 14 Jun 2021 | 14 Jun 2026 | Expired |
| CH-2260 | Machine Dishwash Powder 10kg Corrosive | SDS-CH-2260-R1 | 3 Nov 2023 | 2 Nov 2028 | Current |
| CH-2312 | Plug N Pump Spray Bottle & Trigger Set Irritant | SDS-CH-2312-R4 | 25 Dec 2021 | 25 Dec 2026 | 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.