VERIDIA
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Delivery docket
SO-26-02534
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
Regatta Hotel
Australian Venue Co — QLD
Toowong QLD 4066
Attn: Lauren Pace
Account
AVC01
Terms 30 days
Your PO: —
Rep: Beau Harrington
Delivery
Wed 5 Aug
Run RUN-26-0805-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 |
|---|---|---|---|---|---|
| CH-2252 | Norovirus Disinfectant Concentrate 5L [DG 8 UN1791] | 2 x 5L | 9 | $158.90 | $1,430.10 |
| CH-2306 | Plug N Pump Disinfectant 1.5L | 4 x 1.5L | 12 | $139.10 | $1,669.20 |
| FP-4010 | Foam Container 3 Compartment Hinged | 4 x 125 | 15 | $60.10 | $901.50 |
| FP-4048 | Aluminium Foil 44cm x 150m Catering | 3 | 2 | $110.90 | $221.80 |
| BD-6018 | Champagne Flute 180ml | 1 x 24 | 5 | $122.90 | $614.50 |
| BD-6068 | Ice Bucket Stainless 4L with Tongs | 1 | 8 | $79.90 | $639.20 |
| CA-7044 | Coffee Cup Lid White 80mm | 20 x 50 | 11 | $70.90 | $779.90 |
| WJ-1052 | Facial Tissue 2ply Flat Box 100 sht | 36 x 100 sht | 14 | $44.10 | $617.40 |
| FP-4018 | Dual Ovenable Tray 2 Compartment | 4 x 125 | 1 | $124.90 | $124.90 |
| FP-4062 | Cutlery Fork PP White Heavy | 20 x 100 | 4 | $49.10 | $196.40 |
| Goods ex GST | $7,194.90 |
| GST 10% | $719.49 |
| Total inc GST | $7,914.39 |
81
2
500 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-26-02534 for Regatta 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-2252 | Norovirus Disinfectant Concentrate 5L Corrosive | SDS-CH-2252-R2 | 15 Apr 2025 | 15 Apr 2030 | Current |
| CH-2306 | Plug N Pump Disinfectant 1.5L Irritant | SDS-CH-2306-R4 | 31 Oct 2021 | 31 Oct 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.