VERIDIA
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Delivery docket
SO-26-02536
Veridia Australia Pty Ltd
ABN 63 004 217 508
9 Stanton Rd, Ingleburn NSW 2565
(02) 9605 3300 · we.care@veridia.com.au
Deliver to
Mounties Mount Pritchard
Mounties Group
Mount Pritchard NSW 2170
Attn: Danny Attard
Account
MOU01
Terms 30 days
Your PO: —
Rep: Beau Harrington
Delivery
Wed 5 Aug
Run RUN-26-0805-SYD
Driver: Milan Petrovic
Vehicle: CJ42QK
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 | 11 | $158.90 | $1,747.90 |
| CH-2306 | Plug N Pump Disinfectant 1.5L | 4 x 1.5L | 14 | $139.10 | $1,947.40 |
| WJ-1110 | Janitorial Trolley 3-Shelf with Bag | 1 | 5 | $479.90 | $2,399.50 |
| WJ-1158 | Sanitary Bin 20L Lockable White | 1 | 8 | $129.90 | $1,039.20 |
| WJ-1014 | Interleaved Hand Towel Premium | 16 x 150 sht | 15 | $58.60 | $879.00 |
| WJ-1062 | Hand Towel Dispenser Autocut Roll | 1 | 2 | $74.90 | $149.80 |
| BD-6032 | Side Plate Vitrified White 180mm | 1 x 36 | 9 | $199.90 | $1,799.10 |
| Goods ex GST | $9,961.90 |
| GST 10% | $996.19 |
| Total inc GST | $10,958.09 |
64
2
634 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-26-02536 for Mounties Mount Pritchard. 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.