VERIDIA
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Delivery docket
SO-26-02605
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
Roshana Orange
Roshana Care Group
Orange NSW 2800
Attn: Leonie Sharp
Account
ROS01
Terms 30 days
Your PO: ROS-49527
Rep: Priya Selvaraj
Delivery
Fri 7 Aug
Run RUN-26-0807-MOL
Driver: Col Amery
Vehicle: CV60LN
Dangerous goods — Class 3, 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-1042 | Compact Coreless Toilet Tissue 850 sht | 36 x 850 sht | 6 | $88.90 | $533.40 |
| CH-2284 | Laundry Emulsifier 20L [DG 8 UN1719] | 1 x 20L | 3 | $125.40 | $376.20 |
| WJ-1072 | Dispenser Stand Free-Standing Sanitiser | 1 | 16 | $189.90 | $3,038.40 |
| CH-2320 | ELIMO Odour Neutraliser 5L | 2 x 5L | 13 | $96.60 | $1,255.80 |
| WJ-1108 | Duo Mop Bucket 2 x 15L on Castors | 1 | 10 | $246.90 | $2,469.00 |
| CH-2350 | Graffiti Remover 5L [DG 3 UN1993] | 2 x 5L | 7 | $167.10 | $1,169.70 |
| WJ-1136 | Squeegee Floor 600mm with Handle | 1 | 4 | $57.90 | $231.60 |
| FP-4030 | Dispensary Cup 30ml Clear PP | 20 x 100 | 1 | $62.90 | $62.90 |
| FP-4062 | Cutlery Fork PP White Heavy | 20 x 100 | 14 | $49.10 | $687.40 |
| HP-3062 | Isolation Gown Level 3 Yellow Universal | 10 x 10 | 11 | $167.40 | $1,841.40 |
| Goods ex GST | $11,665.80 |
| GST 10% | $1,166.58 |
| Total inc GST | $12,832.38 |
85
2
799 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-26-02605 for Roshana Orange. 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-2284 | Laundry Emulsifier 20L Corrosive | SDS-CH-2284-R5 | 17 Jul 2022 | 17 Jul 2027 | Current |
| CH-2320 | ELIMO Odour Neutraliser 5L Irritant | SDS-CH-2320-R1 | 8 Nov 2021 | 8 Nov 2026 | Current |
| CH-2350 | Graffiti Remover 5L Flammable liquid | SDS-CH-2350-R1 | 13 Sep 2025 | 13 Sep 2030 | 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.