VERIDIA
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Delivery docket
SO-26-02606
Veridia Australia Pty Ltd
ABN 63 004 217 508
9 Stanton Rd, Ingleburn NSW 2565
(02) 9605 3300 · we.care@veridia.com.au
Deliver to
SCC Marsfield
Southern Cross Care NSW & ACT
Marsfield NSW 2122
Attn: Ellen Broadbent
Account
SLH01
Terms 45 days EOM
Your PO: SLH-85099
Rep: Priya Selvaraj
Delivery
Fri 7 Aug
Run RUN-26-0807-SYD
Driver: Milan Petrovic
Vehicle: CJ42QK
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-1154 | Urinal Screen Deodoriser 30 Day | 10 | 2 | $52.40 | $104.80 |
| FP-4042 | Paper Bag SOS #8 Brown Handled | 5 x 250 | 15 | $82.70 | $1,240.50 |
| HP-3040 | Vinyl Glove Powder Free Clear Small | 10 x 100 | 12 | $48.80 | $585.60 |
| FP-4070 | Wooden Cutlery Set Compostable | 10 x 100 | 9 | $124.70 | $1,122.30 |
| WJ-1088 | Clinical Waste Bag Yellow 60L | 10 x 50 | 14 | $74.61 | $1,044.54 |
| CH-2330 | ELIMO Carpet Spotter 750ml | 12 x 750ml | 11 | $88.10 | $969.10 |
| WJ-1118 | Chux Superwipes Heavy Duty Blue | 20 | 8 | $24.40 | $195.20 |
| FP-4016 | Foil Container Oblong 3 Portion + Lid | 5 x 100 | 5 | $111.30 | $556.50 |
| CH-2226 | Heavy Duty Degreaser 5L [DG 8 UN1719] | 2 x 5L | 10 | $62.40 | $624.00 |
| WJ-1022 | Continuous Roll Towel Blue 300m | 4 x 300m | 7 | $66.20 | $463.40 |
| CH-2308 | Plug N Pump Degreaser 1.5L [DG 8 UN1719] | 4 x 1.5L | 11 | $125.40 | $1,379.40 |
| WJ-1066 | Toilet Roll Dispenser Twin ABS | 1 | 14 | $44.90 | $628.60 |
| Goods ex GST | $8,913.94 |
| GST 10% | $891.39 |
| Total inc GST | $9,805.33 |
118
3
914 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-26-02606 for SCC Marsfield. 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-2330 | ELIMO Carpet Spotter 750ml Irritant | SDS-CH-2330-R5 | 11 Feb 2025 | 11 Feb 2030 | Current |
| CH-2226 | Heavy Duty Degreaser 5L Corrosive | SDS-CH-2226-R1 | 6 May 2025 | 6 May 2030 | Current |
| CH-2308 | Plug N Pump Degreaser 1.5L Corrosive | SDS-CH-2308-R4 | 10 Sep 2025 | 10 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.