VERIDIA
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Delivery docket
SO-26-02493
Veridia Australia Pty Ltd
ABN 63 004 217 508
6 Kane Rd, Bomen NSW 2650
(02) 6931 7700 · we.care@veridia.com.au
Deliver to
Roshana Griffith
Roshana Care Group
Griffith NSW 2680
Attn: Frank Tesoriero
Account
ROS01
Terms 30 days
Your PO: ROS-48697
Rep: Priya Selvaraj
Delivery
Mon 3 Aug
Run RUN-26-0803-WGA
Driver: Dylan Reith
Vehicle: EB55TX
Dangerous goods — Class 3, 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 |
|---|---|---|---|---|---|
| CH-2226 | Heavy Duty Degreaser 5L [DG 8 UN1719] | 2 x 5L | 4 | $62.40 | $249.60 |
| WJ-1022 | Continuous Roll Towel Blue 300m | 4 x 300m | 1 | $66.20 | $66.20 |
| HP-3096 | Hand Sanitiser Gel 70% Ethanol 5L [DG 3 UN1170] | 2 x 5L | 10 | $97.20 | $972.00 |
| BD-6060 | Table Cover Paper White 1.2 x 30m | 1 x 6 | 7 | $115.90 | $811.30 |
| HP-3072 | Surgical Mask Level 3 Fluid Resistant | 40 x 50 | 16 | $119.80 | $1,916.80 |
| BD-6022 | Glass Rack 25 Compartment | 1 | 13 | $71.90 | $934.70 |
| HP-3040 | Vinyl Glove Powder Free Clear Small | 10 x 100 | 6 | $48.80 | $292.80 |
| FP-4070 | Wooden Cutlery Set Compostable | 10 x 100 | 3 | $124.70 | $374.10 |
| WJ-1154 | Urinal Screen Deodoriser 30 Day | 10 | 12 | $52.40 | $628.80 |
| FP-4042 | Paper Bag SOS #8 Brown Handled | 5 x 250 | 9 | $82.70 | $744.30 |
| Goods ex GST | $6,990.60 |
| GST 10% | $699.06 |
| Total inc GST | $7,689.66 |
81
2
561 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-26-02493 for Roshana Griffith. 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-2226 | Heavy Duty Degreaser 5L Corrosive | SDS-CH-2226-R1 | 6 May 2025 | 6 May 2030 | Current |
| HP-3096 | Hand Sanitiser Gel 70% Ethanol 5L Flammable liquid | SDS-HP-3096-R5 | 3 Nov 2025 | 3 Nov 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.