VERIDIA
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Delivery docket
SO-26-02558
Veridia Australia Pty Ltd
ABN 63 004 217 508
6 Kane Rd, Bomen NSW 2650
(02) 6931 7700 · we.care@veridia.com.au
Deliver to
Coolamon Shire Aged Care
Coolamon Shire Aged Care
Coolamon NSW 2701
Attn: Anne Wishart
Account
COO01
Terms 30 days
Your PO: —
Rep: Priya Selvaraj
Delivery
Wed 5 Aug
Run RUN-26-0805-WGA
Driver: Dylan Reith
Vehicle: EB55TX
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 |
|---|---|---|---|---|---|
| WJ-1102 | Mop Head Microfibre Flat 40cm | 1 | 2 | $20.90 | $41.80 |
| CH-2344 | Floor Polish High Solids 5L | 2 x 5L | 15 | $121.60 | $1,824.00 |
| WJ-1130 | Broom Head Soft Bristle 450mm | 1 | 12 | $28.40 | $340.80 |
| FP-4022 | Plastic Tray Black PP 5 Compartment | 5 x 100 | 9 | $105.20 | $946.80 |
| WJ-1036 | Jumbo Toilet Roll 300m 2ply | 8 x 300m | 14 | $59.90 | $838.60 |
| CH-2270 | Glasswash Detergent 20L [DG 8 UN1824] | 1 x 20L | 11 | $130.60 | $1,436.60 |
| Goods ex GST | $5,428.60 |
| GST 10% | $542.86 |
| Total inc GST | $5,971.46 |
63
2
638 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-26-02558 for Coolamon Shire 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 |
|---|---|---|---|---|---|
| CH-2344 | Floor Polish High Solids 5L Irritant | SDS-CH-2344-R3 | 24 Jan 2026 | 24 Jan 2031 | Current |
| CH-2270 | Glasswash Detergent 20L Corrosive | SDS-CH-2270-R5 | 23 Mar 2024 | 23 Mar 2029 | 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.