VERIDIA
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Delivery docket
SO-26-02402
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
Forbes Aged Care
Forbes Aged Care
Forbes NSW 2871
Attn: Lisa Mahony
Account
FOR02
Terms 30 days
Your PO: —
Rep: Priya Selvaraj
Delivery
Thu 30 Jul
Not yet allocated to a run
Dangerous goods — Class 2.1, 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 |
|---|---|---|---|---|---|
| HP-3100 | Alcohol Wipes Sachet 70% IPA [DG 3 UN1219] | 10 x 100 | 3 | $60.50 | $181.50 |
| BD-6032 | Side Plate Vitrified White 180mm | 1 x 36 | 6 | $199.90 | $1,199.40 |
| CH-2230 | Stainless Steel Polish Aerosol 400g [DG 2.1 UN1950] | 12 x 400g | 13 | $96.60 | $1,255.80 |
| BD-6064 | Bar Runner Rubber Backed 900mm | 1 | 16 | $31.90 | $510.40 |
| CH-2264 | Dishwash Rinse Aid 20L [DG 8 UN1805] | 1 x 20L | 7 | $110.60 | $774.20 |
| WJ-1032 | Toilet Tissue 2ply 700 sheet | 48 x 700 sht | 10 | $78.90 | $789.00 |
| CH-2304 | Plug N Pump Glass Cleaner 1.5L | 4 x 1.5L | 1 | $108.40 | $108.40 |
| WJ-1062 | Hand Towel Dispenser Autocut Roll | 1 | 4 | $74.90 | $299.60 |
| WJ-1122 | Sponge Scourer Non-Scratch | 10 | 11 | $10.90 | $119.90 |
| Goods ex GST | $5,238.20 |
| GST 10% | $523.82 |
| Total inc GST | $5,762.02 |
71
2
556 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-26-02402 for Forbes Aged Care. 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-3100 | Alcohol Wipes Sachet 70% IPA Flammable liquid | SDS-HP-3100-R2 | 15 Jan 2025 | 15 Jan 2030 | Current |
| CH-2230 | Stainless Steel Polish Aerosol 400g Flammable gas · Gas under pressure | SDS-CH-2230-R1 | 27 Apr 2022 | 27 Apr 2027 | Current |
| CH-2264 | Dishwash Rinse Aid 20L Corrosive | SDS-CH-2264-R2 | 6 Apr 2022 | 6 Apr 2027 | Current |
| CH-2304 | Plug N Pump Glass Cleaner 1.5L Irritant | SDS-CH-2304-R1 | 22 Mar 2025 | 22 Mar 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.