VERIDIA
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Delivery docket
SO-26-02389
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 Merrylands
Roshana Care Group
Merrylands NSW 2160
Attn: Hazem Nassif
Account
ROS01
Terms 30 days
Your PO: ROS-79808
Rep: Priya Selvaraj
Delivery
Wed 29 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 |
|---|---|---|---|---|---|
| CH-2312 | Plug N Pump Spray Bottle & Trigger Set | 6 | 3 | $35.90 | $107.70 |
| WJ-1070 | Sanitiser Dispenser Auto Sensor 1L | 1 | 6 | $119.90 | $719.40 |
| CH-2348 | Descaler Acidic Concentrate 5L [DG 8 UN1789] | 2 x 5L | 13 | $68.60 | $891.80 |
| WJ-1106 | Mop Bucket & Wringer 15L Yellow | 1 | 16 | $104.90 | $1,678.40 |
| FP-4026 | Bagasse Plate 230mm Compostable | 10 x 50 | 7 | $88.70 | $620.90 |
| WJ-1134 | Toilet Brush & Holder Set | 1 | 10 | $11.90 | $119.00 |
| FP-4052 | Greaseproof Paper Sheets 400x330 | 1 x 800 | 1 | $66.00 | $66.00 |
| HP-3014 | Nitrile Glove Powder Free Blue Large | 10 x 200 | 4 | $87.90 | $351.60 |
| HP-3084 | Shoe Cover Blue Non-Slip | 10 x 100 | 11 | $54.20 | $596.20 |
| BD-6012 | Tumbler Tempered 425ml | 1 x 48 | 14 | $139.90 | $1,958.60 |
| FP-4016 | Foil Container Oblong 3 Portion + Lid | 5 x 100 | 16 | $111.30 | $1,780.80 |
| Goods ex GST | $8,890.40 |
| GST 10% | $889.04 |
| Total inc GST | $9,779.44 |
101
3
825 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-26-02389 for Roshana Merrylands. 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-2312 | Plug N Pump Spray Bottle & Trigger Set Irritant | SDS-CH-2312-R4 | 25 Dec 2021 | 25 Dec 2026 | Current |
| CH-2348 | Descaler Acidic Concentrate 5L Corrosive | SDS-CH-2348-R5 | 5 Aug 2025 | 5 Aug 2030 | 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.