VERIDIA
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Delivery docket
SO-26-02546
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
Rothwell Aged Care
Mercy Community Aged Care
Rothwell QLD 4022
Attn: Peter Ngo
Account
MER01
Terms 45 days EOM
Your PO: MER-74543
Rep: Grant Whitely
Delivery
Thu 6 Aug
Run RUN-26-0806-BNE
Driver: Rob Sanderson
Vehicle: 912WQC
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 |
|---|---|---|---|---|---|
| FP-4040 | Paper Bag Flat #4 Brown | 10 x 500 | 14 | $60.50 | $847.00 |
| HP-3032 | Nitrile Exam Glove Micro-Touch Large | 10 x 100 | 11 | $126.40 | $1,390.40 |
| FP-4068 | Cutlery Kit Wrapped Knife/Fork/Napkin | 1 x 250 | 8 | $74.20 | $593.60 |
| HP-3070 | Surgical Mask Level 2 Earloop Blue | 40 x 50 | 5 | $88.10 | $440.50 |
| BD-6020 | Beer Glass Pot 285ml Certified | 1 x 48 | 2 | $146.90 | $293.80 |
| HP-3094 | Hand Sanitiser Gel 70% Ethanol 500ml [DG 3 UN1170] | 12 x 500ml | 15 | $82.40 | $1,236.00 |
| Goods ex GST | $4,801.30 |
| GST 10% | $480.13 |
| Total inc GST | $5,281.43 |
55
1
483 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-26-02546 for Rothwell Aged Care. 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 |
|---|---|---|---|---|---|
| HP-3094 | Hand Sanitiser Gel 70% Ethanol 500ml Flammable liquid | SDS-HP-3094-R2 | 11 Sep 2021 | 11 Sep 2026 | Expiring |
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.