VERIDIA
Service, solutions, simplicity
Delivery docket
SO-26-02547
Veridia Australia Pty Ltd
ABN 63 004 217 508
42–46 Mitchell Hwy, Molong NSW 2866
(02) 6366 8100 · we.care@veridia.com.au
Deliver to
Orange Works Depot
Orange City Council
Orange NSW 2800
Attn: Stores
Account
OCC01
Terms 30 days
Your PO: OCC-68686
Rep: Nadia Kostoglou
Delivery
Thu 6 Aug
Run RUN-26-0806-MOL
Driver: Col Amery
Vehicle: CV60LN
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 |
|---|---|---|---|---|---|
| CH-2250 | Alcohol Surface Spray 70% 750ml [DG 3 UN1987] | 12 x 750ml | 13 | $88.10 | $1,145.30 |
| HP-3052 | Rubber Glove Household Yellow Medium | 12 pr | 16 | $52.90 | $846.40 |
| WJ-1090 | Sanitary Disposal Bag Opaque | 20 x 100 | 3 | $37.90 | $113.70 |
| FP-4068 | Cutlery Kit Wrapped Knife/Fork/Napkin | 1 x 250 | 6 | $74.20 | $445.20 |
| HP-3084 | Shoe Cover Blue Non-Slip | 10 x 100 | 1 | $54.20 | $54.20 |
| WJ-1130 | Broom Head Soft Bristle 450mm | 1 | 4 | $28.40 | $113.60 |
| WJ-1030 | Toilet Tissue 2ply 400 sheet | 48 x 400 sht | 7 | $55.90 | $391.30 |
| FP-4012 | Foam Container Burger Clam Large | 4 x 125 | 10 | $54.90 | $549.00 |
| FP-4034 | Drinking Cup 200ml Plastic Clear | 20 x 50 | 5 | $54.20 | $271.00 |
| Goods ex GST | $3,929.70 |
| GST 10% | $392.97 |
| Total inc GST | $4,322.67 |
65
1
376 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-26-02547 for Orange Works Depot. 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-2250 | Alcohol Surface Spray 70% 750ml Flammable liquid | SDS-CH-2250-R5 | 24 Nov 2021 | 24 Nov 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.