VERIDIA
Service, solutions, simplicity
Delivery docket
SO-26-02468
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
Cowra Services Club
Cowra Services Club
Cowra NSW 2794
Attn: Julie Trebilcock
Account
COW01
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 |
|---|---|---|---|---|---|
| WJ-1134 | Toilet Brush & Holder Set | 1 | 2 | $11.90 | $23.80 |
| WJ-1086 | Bin Liner 27L Kitchen Tidy White | 20 x 50 | 15 | $34.90 | $523.50 |
| WJ-1038 | Jumbo Toilet Roll 500m 1ply | 6 x 500m | 12 | $64.90 | $778.80 |
| CA-7036 | Milk Frothing Jug 600ml Stainless | 1 | 9 | $31.90 | $287.10 |
| FP-4030 | Dispensary Cup 30ml Clear PP | 20 x 100 | 14 | $62.90 | $880.60 |
| CH-2330 | ELIMO Carpet Spotter 750ml | 12 x 750ml | 11 | $88.10 | $969.10 |
| CH-2282 | Laundry Liquid Commercial 20L | 1 x 20L | 8 | $105.30 | $842.40 |
| CH-2226 | Heavy Duty Degreaser 5L [DG 8 UN1719] | 2 x 5L | 5 | $62.40 | $312.00 |
| Goods ex GST | $4,617.30 |
| GST 10% | $461.73 |
| Total inc GST | $5,079.03 |
76
2
635 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-26-02468 for Cowra Services 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 |
|---|---|---|---|---|---|
| CH-2330 | ELIMO Carpet Spotter 750ml Irritant | SDS-CH-2330-R5 | 11 Feb 2025 | 11 Feb 2030 | Current |
| CH-2282 | Laundry Liquid Commercial 20L Irritant | SDS-CH-2282-R4 | 11 Oct 2022 | 11 Oct 2027 | Current |
| CH-2226 | Heavy Duty Degreaser 5L Corrosive | SDS-CH-2226-R1 | 6 May 2025 | 6 May 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.