VERIDIA
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Delivery docket
SO-26-02360
Veridia Australia Pty Ltd
ABN 63 004 217 508
9 Stanton Rd, Ingleburn NSW 2565
(02) 9605 3300 · we.care@veridia.com.au
Deliver to
Roshana Bexley
Roshana Care Group
Bexley NSW 2207
Attn: Angela Tsoukalas
Account
ROS01
Terms 30 days
Your PO: ROS-64168
Rep: Priya Selvaraj
Delivery
Tue 28 Jul
Not yet allocated to a run
Dangerous goods — Class 3, 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 |
|---|---|---|---|---|---|
| WJ-1136 | Squeegee Floor 600mm with Handle | 1 | 3 | $57.90 | $173.70 |
| CH-2350 | Graffiti Remover 5L [DG 3 UN1993] | 2 x 5L | 6 | $167.10 | $1,002.60 |
| HP-3016 | Nitrile Glove Powder Free Blue XL | 10 x 200 | 13 | $87.90 | $1,142.70 |
| FP-4030 | Dispensary Cup 30ml Clear PP | 20 x 100 | 16 | $62.90 | $1,006.40 |
| HP-3060 | Isolation Gown Level 2 Blue Universal | 10 x 10 | 7 | $130.40 | $912.80 |
| FP-4060 | Cutlery Knife PP White Heavy | 20 x 100 | 10 | $49.10 | $491.00 |
| HP-3084 | Shoe Cover Blue Non-Slip | 10 x 100 | 1 | $54.20 | $54.20 |
| BD-6012 | Tumbler Tempered 425ml | 1 x 48 | 4 | $139.90 | $559.60 |
| WJ-1014 | Interleaved Hand Towel Premium | 16 x 150 sht | 11 | $58.60 | $644.60 |
| CH-2218 | Bathroom Cleaner Daily Spray 750ml [DG 8 UN1805] | 12 x 750ml | 14 | $62.90 | $880.60 |
| WJ-1110 | Janitorial Trolley 3-Shelf with Bag | 1 | 16 | $479.90 | $7,678.40 |
| Goods ex GST | $14,546.60 |
| GST 10% | $1,454.66 |
| Total inc GST | $16,001.26 |
101
2
1,018 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-26-02360 for Roshana Bexley. 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-2350 | Graffiti Remover 5L Flammable liquid | SDS-CH-2350-R1 | 13 Sep 2025 | 13 Sep 2030 | Current |
| CH-2218 | Bathroom Cleaner Daily Spray 750ml Corrosive | SDS-CH-2218-R2 | 4 Aug 2021 | 4 Aug 2026 | Expiring |
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.