VERIDIA
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Delivery docket
SO-26-02183
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-70467
Rep: Grant Whitely
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 |
|---|---|---|---|---|---|
| FP-4040 | Paper Bag Flat #4 Brown | 10 x 500 | 10 | $60.50 | $605.00 |
| HP-3032 | Nitrile Exam Glove Micro-Touch Large | 10 x 100 | 7 | $126.40 | $884.80 |
| FP-4068 | Cutlery Kit Wrapped Knife/Fork/Napkin | 1 x 250 | 4 | $74.20 | $296.80 |
| HP-3070 | Surgical Mask Level 2 Earloop Blue | 40 x 50 | 1 | $88.10 | $88.10 |
| CH-2328 | ELIMO Carpet Extraction Concentrate 5L | 2 x 5L | 6 | $94.30 | $565.80 |
| WJ-1116 | Microfibre Cloth 40x40 Green | 10 | 3 | $16.40 | $49.20 |
| FP-4014 | Foil Container Rectangular 1 Portion | 10 x 100 | 16 | $71.50 | $1,144.00 |
| WJ-1152 | Metered Air Freshener Dispenser | 1 | 13 | $48.90 | $635.70 |
| CH-2260 | Machine Dishwash Powder 10kg [DG 8 UN3253] | 1 x 10kg | 2 | $68.60 | $137.20 |
| WJ-1056 | Wiper Cloth Interleaved Blue | 10 x 90 sht | 15 | $95.90 | $1,438.50 |
| Goods ex GST | $5,845.10 |
| GST 10% | $584.51 |
| Total inc GST | $6,429.61 |
77
2
560 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-26-02183 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-2328 | ELIMO Carpet Extraction Concentrate 5L Irritant | SDS-CH-2328-R4 | 3 Jan 2025 | 3 Jan 2030 | Current |
| CH-2260 | Machine Dishwash Powder 10kg Corrosive | SDS-CH-2260-R1 | 3 Nov 2023 | 2 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.