VERIDIA
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Delivery docket
SO-26-02408
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
Bolton Clarke Bundaberg
Bolton Clarke Residential
Bundaberg QLD 4670
Attn: Ken Rowbotham
Account
BUP01
Terms 45 days EOM
Your PO: BUP-92845
Rep: Grant Whitely
Delivery
Thu 30 Jul
Not yet allocated to a run
Dangerous goods — Class 3
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 |
|---|---|---|---|---|---|
| BD-6020 | Beer Glass Pot 285ml Certified | 1 x 48 | 8 | $146.90 | $1,175.20 |
| HP-3094 | Hand Sanitiser Gel 70% Ethanol 500ml [DG 3 UN1170] | 12 x 500ml | 5 | $82.40 | $412.00 |
| FP-4068 | Cutlery Kit Wrapped Knife/Fork/Napkin | 1 x 250 | 14 | $74.20 | $1,038.80 |
| HP-3070 | Surgical Mask Level 2 Earloop Blue | 40 x 50 | 11 | $88.10 | $969.10 |
| CH-2350 | Graffiti Remover 5L [DG 3 UN1993] | 2 x 5L | 12 | $167.10 | $2,005.20 |
| WJ-1136 | Squeegee Floor 600mm with Handle | 1 | 9 | $57.90 | $521.10 |
| BD-6056 | Cutlery Weighted Handle Aged Care Set | 1 set | 2 | $55.90 | $111.80 |
| WJ-1108 | Duo Mop Bucket 2 x 15L on Castors | 1 | 15 | $246.90 | $3,703.50 |
| Goods ex GST | $9,936.70 |
| GST 10% | $993.67 |
| Total inc GST | $10,930.37 |
76
2
680 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-26-02408 for Bolton Clarke Bundaberg. 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-3094 | Hand Sanitiser Gel 70% Ethanol 500ml Flammable liquid | SDS-HP-3094-R2 | 11 Sep 2021 | 11 Sep 2026 | Expiring |
| CH-2350 | Graffiti Remover 5L Flammable liquid | SDS-CH-2350-R1 | 13 Sep 2025 | 13 Sep 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.