VERIDIA
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Delivery docket
SO-26-02559
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
Bolton Clarke Fernvale
Bolton Clarke Residential
Fernvale QLD 4306
Attn: Tracey Loxton
Account
BUP01
Terms 45 days EOM
Your PO: BUP-54847
Rep: Grant Whitely
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 |
|---|---|---|---|---|---|
| HP-3066 | PVC Apron Heavy Duty White | 10 | 14 | $68.90 | $964.60 |
| BD-6018 | Champagne Flute 180ml | 1 x 24 | 11 | $122.90 | $1,351.90 |
| HP-3092 | Hand Soap Liquid Antibacterial 5L | 2 x 5L | 8 | $60.10 | $480.80 |
| BD-6054 | Cutlery Dessert Spoon 18/0 | 1 x 12 | 5 | $61.90 | $309.50 |
| CH-2222 | Glass & Mirror Cleaner 5L Refill | 2 x 5L | 2 | $37.20 | $74.40 |
| WJ-1018 | Roll Hand Towel 80m Autocut | 16 x 80m | 15 | $73.80 | $1,107.00 |
| CH-2254 | Instrument Grade Disinfectant 5L [DG 8 UN1760] | 2 x 5L | 12 | $210.10 | $2,521.20 |
| WJ-1052 | Facial Tissue 2ply Flat Box 100 sht | 36 x 100 sht | 9 | $44.10 | $396.90 |
| CH-2290 | Fabric Softener Commercial 20L | 1 x 20L | 6 | $83.10 | $498.60 |
| WJ-1082 | Bin Liner 82L Black 30mu | 10 x 50 | 3 | $58.90 | $176.70 |
| Goods ex GST | $7,881.60 |
| GST 10% | $788.16 |
| Total inc GST | $8,669.76 |
85
2
795 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-26-02559 for Bolton Clarke Fernvale. 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-2222 | Glass & Mirror Cleaner 5L Refill Irritant | SDS-CH-2222-R2 | 8 Oct 2023 | 7 Oct 2028 | Current |
| CH-2254 | Instrument Grade Disinfectant 5L Corrosive | SDS-CH-2254-R4 | 23 Jun 2023 | 22 Jun 2028 | Current |
| CH-2290 | Fabric Softener Commercial 20L Irritant | SDS-CH-2290-R2 | 27 Nov 2022 | 27 Nov 2027 | 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.