VERIDIA
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Delivery docket
SO-26-02503
Veridia Australia Pty Ltd
ABN 63 004 217 508
14 Gateway Cres, Wacol QLD 4076
(07) 3271 4400 · we.care@veridia.com.au
Deliver to
Chalk Hotel
Australian Venue Co — QLD
Woolloongabba QLD 4102
Attn: Jayden Kerr
Account
AVC01
Terms 30 days
Your PO: —
Rep: Beau Harrington
Delivery
Tue 4 Aug
Run RUN-26-0804-BNE
Driver: Rob Sanderson
Vehicle: 912WQC
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-7012 | Coffee Beans Organic Blend 1kg | 6 x 1kg | 14 | $238.90 | $3,344.60 |
| BD-6022 | Glass Rack 25 Compartment | 1 | 11 | $71.90 | $790.90 |
| FP-4052 | Greaseproof Paper Sheets 400x330 | 1 x 800 | 8 | $66.00 | $528.00 |
| FP-4014 | Foil Container Rectangular 1 Portion | 10 x 100 | 5 | $79.50 | $397.50 |
| CH-2310 | Plug N Pump Wall Dosing Station 4-Way | 1 | 2 | $429.90 | $859.80 |
| CH-2256 | Viraclean Hospital Disinfectant 5L | 2 x 5L | 15 | $136.00 | $2,040.00 |
| CH-2212 | Neutral Floor Detergent 20L Drum | 1 x 20L | 12 | $74.20 | $890.40 |
| WJ-1114 | Microfibre Cloth 40x40 Red | 10 | 9 | $16.40 | $147.60 |
| WJ-1066 | Toilet Roll Dispenser Twin ABS | 1 | 6 | $44.90 | $269.40 |
| WJ-1018 | Roll Hand Towel 80m Autocut | 16 x 80m | 3 | $73.80 | $221.40 |
| CA-7032 | Espresso Machine Cleaning Powder 900g [DG 8 UN3260] | 6 x 900g | 15 | $154.90 | $2,323.50 |
| WJ-1034 | Toilet Tissue 3ply Luxury 250 sheet | 48 x 250 sht | 2 | $72.90 | $145.80 |
| Goods ex GST | $11,958.90 |
| GST 10% | $1,195.89 |
| Total inc GST | $13,154.79 |
102
2
794 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-26-02503 for Chalk Hotel. 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-2310 | Plug N Pump Wall Dosing Station 4-Way Irritant | SDS-CH-2310-R2 | 18 Oct 2023 | 17 Oct 2028 | Current |
| CH-2256 | Viraclean Hospital Disinfectant 5L Irritant | SDS-CH-2256-R1 | 30 Aug 2021 | 30 Aug 2026 | Expiring |
| CH-2212 | Neutral Floor Detergent 20L Drum Irritant | SDS-CH-2212-R1 | 29 Oct 2021 | 29 Oct 2026 | Current |
| CA-7032 | Espresso Machine Cleaning Powder 900g Corrosive | SDS-CA-7032-R5 | 16 Aug 2023 | 15 Aug 2028 | 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.