VERIDIA
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Delivery docket
SO-26-02461
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
Parkes Leagues Club
Parkes Leagues Club
Parkes NSW 2870
Attn: Shane Toohey
Account
PAR01
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 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 |
|---|---|---|---|---|---|
| CA-7030 | Espresso Machine Cleaning Tablet 1.5g [DG 8 UN3260] | 1 x 100 | 10 | $68.90 | $689.00 |
| BD-6052 | Cutlery Table Fork 18/0 | 1 x 12 | 7 | $65.90 | $461.30 |
| FP-4082 | Napkin 2ply Dinner White 1/8 Fold | 10 x 250 | 4 | $93.70 | $374.80 |
| FP-4032 | Dispensary Cup Lid 30ml | 20 x 100 | 1 | $46.30 | $46.30 |
| CH-2220 | Glass & Mirror Cleaner 750ml | 12 x 750ml | 6 | $54.90 | $329.40 |
| WJ-1122 | Sponge Scourer Non-Scratch | 10 | 3 | $10.90 | $32.70 |
| WJ-1080 | Bin Liner 36L Clear Natural 18mu | 20 x 50 | 16 | $45.90 | $734.40 |
| WJ-1032 | Toilet Tissue 2ply 700 sheet | 48 x 700 sht | 13 | $78.90 | $1,025.70 |
| FP-4066 | Cutlery Teaspoon PP White | 20 x 100 | 2 | $40.10 | $80.20 |
| FP-4022 | Plastic Tray Black PP 5 Compartment | 5 x 100 | 15 | $105.20 | $1,578.00 |
| WJ-1106 | Mop Bucket & Wringer 15L Yellow | 1 | 3 | $104.90 | $314.70 |
| WJ-1154 | Urinal Screen Deodoriser 30 Day | 10 | 6 | $52.40 | $314.40 |
| Goods ex GST | $5,980.90 |
| GST 10% | $598.09 |
| Total inc GST | $6,578.99 |
86
2
651 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-26-02461 for Parkes Leagues Club. 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 |
|---|---|---|---|---|---|
| CA-7030 | Espresso Machine Cleaning Tablet 1.5g Corrosive | SDS-CA-7030-R3 | 8 Jun 2025 | 8 Jun 2030 | Current |
| CH-2220 | Glass & Mirror Cleaner 750ml Irritant | SDS-CH-2220-R5 | 31 Jul 2025 | 31 Jul 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.