VERIDIA
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Delivery docket
SO-26-02453
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
Quest Dubbo
Quest Apartment Hotels
Dubbo NSW 2830
Attn: Tim Harkness
Account
QST01
Terms 30 days
Your PO: —
Rep: Beau Harrington
Delivery
Mon 3 Aug
Run RUN-26-0803-MOL
Driver: Col Amery
Vehicle: CV60LN
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 |
|---|---|---|---|---|---|
| CH-2250 | Alcohol Surface Spray 70% 750ml [DG 3 UN1987] | 12 x 750ml | 4 | $88.10 | $352.40 |
| HA-5012 | Conditioner 30ml Tube Boxed | 1 x 400 | 1 | $189.40 | $189.40 |
| CA-7042 | Double Wall Coffee Cup 12oz | 20 x 25 | 10 | $118.90 | $1,189.00 |
| WJ-1104 | Mop Handle Aluminium 1500mm | 1 | 7 | $24.60 | $172.20 |
| CH-2322 | ELIMO Enzyme Digestant 5L | 2 x 5L | 16 | $111.40 | $1,782.40 |
| BD-6012 | Tumbler Tempered 425ml | 1 x 48 | 13 | $139.90 | $1,818.70 |
| WJ-1064 | Jumbo Roll Dispenser Single ABS | 1 | 6 | $39.90 | $239.40 |
| CH-2214 | Multi-Purpose Neutral Detergent 5L | 2 x 5L | 3 | $44.00 | $132.00 |
| HA-5034 | Shower Cap Boxed | 1 x 500 | 12 | $109.90 | $1,318.80 |
| CA-7014 | Coffee Beans House Blend 1kg | 6 x 1kg | 9 | $190.90 | $1,718.10 |
| Goods ex GST | $8,912.40 |
| GST 10% | $891.24 |
| Total inc GST | $9,803.64 |
81
2
724 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-26-02453 for Quest Dubbo. 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-2250 | Alcohol Surface Spray 70% 750ml Flammable liquid | SDS-CH-2250-R5 | 24 Nov 2021 | 24 Nov 2026 | Current |
| CH-2322 | ELIMO Enzyme Digestant 5L Irritant | SDS-CH-2322-R3 | 30 Mar 2025 | 30 Mar 2030 | Current |
| CH-2214 | Multi-Purpose Neutral Detergent 5L Irritant | SDS-CH-2214-R5 | 14 Jun 2021 | 14 Jun 2026 | Expired |
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.