VERIDIA
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Delivery docket
SO-26-02492
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
Dubbo RSL Memorial Club
Dubbo RSL Memorial Club
Dubbo NSW 2830
Attn: Grant Hoolihan
Account
DUB01
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 |
|---|---|---|---|---|---|
| WJ-1156 | Toilet Bowl Clip Deodoriser | 12 | 3 | $44.90 | $134.70 |
| CH-2250 | Alcohol Surface Spray 70% 750ml [DG 3 UN1987] | 12 x 750ml | 6 | $88.10 | $528.60 |
| WJ-1060 | Hand Towel Dispenser Interleaved ABS White | 1 | 13 | $34.90 | $453.70 |
| Goods ex GST | $1,117.00 |
| GST 10% | $111.70 |
| Total inc GST | $1,228.70 |
22
1
83 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-26-02492 for Dubbo RSL Memorial 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-2250 | Alcohol Surface Spray 70% 750ml Flammable liquid | SDS-CH-2250-R5 | 24 Nov 2021 | 24 Nov 2026 | 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.