VERIDIA
Service, solutions, simplicity
Delivery docket
SO-26-02374
Veridia Australia Pty Ltd
ABN 63 004 217 508
42–46 Mitchell Hwy, Molong NSW 2866
(02) 6366 8100 · we.care@veridia.com.au
Deliver to
UPA Forbes
UPA Central West
Forbes NSW 2871
Attn: Sue Hetherington
Account
UPA01
Terms 30 days
Your PO: —
Rep: Priya Selvaraj
Delivery
Wed 29 Jul
Not yet allocated to a run
| Item code | Description | Pack | Qty | Unit | Amount |
|---|---|---|---|---|---|
| CH-2342 | Floor Seal Acrylic 5L | 2 x 5L | 4 | $110.60 | $442.40 |
| WJ-1122 | Sponge Scourer Non-Scratch | 10 | 1 | $10.90 | $10.90 |
| CH-2306 | Plug N Pump Disinfectant 1.5L | 4 x 1.5L | 10 | $139.10 | $1,391.00 |
| WJ-1100 | Mop Head Cotton Looped 400g Blue | 1 | 7 | $14.90 | $104.30 |
| CH-2266 | Manual Dishwash Liquid 5L Lemon | 2 x 5L | 16 | $46.30 | $740.80 |
| WJ-1064 | Jumbo Roll Dispenser Single ABS | 1 | 13 | $39.90 | $518.70 |
| CH-2240 | Hospital Grade Disinfectant 5L TGA | 2 x 5L | 6 | $89.30 | $535.80 |
| WJ-1034 | Toilet Tissue 3ply Luxury 250 sheet | 48 x 250 sht | 3 | $72.90 | $218.70 |
| CH-2210 | Neutral Floor Detergent 5L | 2 x 5L | 12 | $40.10 | $481.20 |
| BD-6066 | Serving Tray Non-Slip 450x350 | 1 | 9 | $41.90 | $377.10 |
| Goods ex GST | $4,820.90 |
| GST 10% | $482.09 |
| Total inc GST | $5,302.99 |
81
2
547 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-26-02374 for UPA Forbes. 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-2342 | Floor Seal Acrylic 5L Irritant | SDS-CH-2342-R5 | 2 Apr 2024 | 2 Apr 2029 | Current |
| CH-2306 | Plug N Pump Disinfectant 1.5L Irritant | SDS-CH-2306-R4 | 31 Oct 2021 | 31 Oct 2026 | Current |
| CH-2266 | Manual Dishwash Liquid 5L Lemon Irritant | SDS-CH-2266-R4 | 26 Aug 2025 | 26 Aug 2030 | Current |
| CH-2240 | Hospital Grade Disinfectant 5L TGA Irritant | SDS-CH-2240-R1 | 18 Nov 2025 | 18 Nov 2030 | Current |
| CH-2210 | Neutral Floor Detergent 5L Irritant | SDS-CH-2210-R4 | 22 Aug 2023 | 21 Aug 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.