VERIDIA
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Delivery docket
SO-26-02204
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 Cleveland
Bolton Clarke Residential
Cleveland QLD 4163
Attn: Michael Ansell
Account
BUP01
Terms 45 days EOM
Your PO: BUP-67039
Rep: Grant Whitely
Delivery
Tue 21 Jul
Not yet allocated to a run
Dangerous goods — Class 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 |
|---|---|---|---|---|---|
| FP-4014 | Foil Container Rectangular 1 Portion | 10 x 100 | 14 | $79.50 | $1,113.00 |
| WJ-1152 | Metered Air Freshener Dispenser | 1 | 11 | $48.90 | $537.90 |
| FP-4040 | Paper Bag Flat #4 Brown | 10 x 500 | 8 | $60.50 | $484.00 |
| HP-3032 | Nitrile Exam Glove Micro-Touch Large | 10 x 100 | 5 | $126.40 | $632.00 |
| FP-4068 | Cutlery Kit Wrapped Knife/Fork/Napkin | 1 x 250 | 2 | $74.20 | $148.40 |
| HP-3070 | Surgical Mask Level 2 Earloop Blue | 40 x 50 | 15 | $88.10 | $1,321.50 |
| BD-6020 | Beer Glass Pot 285ml Certified | 1 x 48 | 12 | $146.90 | $1,762.80 |
| HP-3094 | Hand Sanitiser Gel 70% Ethanol 500ml [DG 3 UN1170] | 12 x 500ml | 9 | $82.40 | $741.60 |
| BD-6056 | Cutlery Weighted Handle Aged Care Set | 1 set | 6 | $55.90 | $335.40 |
| CH-2224 | Cream Cleanser 500ml | 12 x 500ml | 3 | $60.40 | $181.20 |
| BD-6038 | Melamine Plate Non-Slip Aged Care 230mm | 1 x 12 | 15 | $146.80 | $2,202.00 |
| HP-3082 | Beard Cover White | 10 x 100 | 2 | $34.90 | $69.80 |
| Goods ex GST | $9,529.60 |
| GST 10% | $952.96 |
| Total inc GST | $10,482.56 |
102
2
804 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-26-02204 for Bolton Clarke Cleveland. 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 |
|---|---|---|---|---|---|
| HP-3094 | Hand Sanitiser Gel 70% Ethanol 500ml Flammable liquid | SDS-HP-3094-R2 | 11 Sep 2021 | 11 Sep 2026 | Expiring |
| CH-2224 | Cream Cleanser 500ml Irritant | SDS-CH-2224-R4 | 15 Dec 2021 | 15 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.