VERIDIA
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Delivery docket
SO-26-02279
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
St Martin's Taigum
Anglicare Southern Queensland
Taigum QLD 4018
Attn: Jill Somerville
Account
ANG01
Terms 45 days EOM
Your PO: ANG-55267
Rep: Grant Whitely
Delivery
Fri 24 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 |
|---|---|---|---|---|---|
| HP-3086 | Safety Glasses Clear Anti-Fog | 12 | 10 | $56.90 | $569.00 |
| BD-6050 | Cutlery Table Knife 18/0 | 1 x 12 | 7 | $72.90 | $510.30 |
| CH-2218 | Bathroom Cleaner Daily Spray 750ml [DG 8 UN1805] | 12 x 750ml | 4 | $62.90 | $251.60 |
| WJ-1014 | Interleaved Hand Towel Premium | 16 x 150 sht | 1 | $58.60 | $58.60 |
| HP-3020 | Nitrile Glove Long Cuff Black Medium | 10 x 100 | 6 | $101.20 | $607.20 |
| FP-4062 | Cutlery Fork PP White Heavy | 20 x 100 | 3 | $49.10 | $147.30 |
| HP-3062 | Isolation Gown Level 3 Yellow Universal | 10 x 10 | 16 | $167.40 | $2,678.40 |
| BD-6014 | Highball Glass 340ml | 1 x 48 | 13 | $126.90 | $1,649.70 |
| WJ-1110 | Janitorial Trolley 3-Shelf with Bag | 1 | 2 | $479.90 | $959.80 |
| CH-2352 | Chewing Gum Remover Aerosol 400g [DG 2.1 UN1950] | 12 x 400g | 15 | $136.60 | $2,049.00 |
| Goods ex GST | $9,480.90 |
| GST 10% | $948.09 |
| Total inc GST | $10,428.99 |
77
2
669 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-26-02279 for St Martin's Taigum. 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-2218 | Bathroom Cleaner Daily Spray 750ml Corrosive | SDS-CH-2218-R2 | 4 Aug 2021 | 4 Aug 2026 | Expiring |
| 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.