Certificate of Veterinary Inspection · issued 2022-01-10
35-245504
RIDGLAN FARMS, INC. → Vet and Biomedical Research Center · 2 dogs
Consignor (shipper)
RIDGLAN FARMS, INC.
10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517
Consignee (buyer)
Vet and Biomedical Research Center
9027 Green Valley Drive Manhattan, KS 66502
Carrier
Not stated on the certificate.
Issuing Veterinarian
Richard J. Van Domelen, D.V.M.
P.O. BOX 318 MT. HOREB, WI 53572
Remarks / additional certifications
Owner/Agent: Pamela J. Burke; Owner mailing address: P.O. Box 318 Mt. Horeb, WI 53572; Not returning to WI; Received JAN 12 2022
Animals listed on this shipment (2)
| ID | Breed | Sex | Age / DOB | Color | Microchip / tattoo | Other |
|---|---|---|---|---|---|---|
| UTP-1 | Beagle | M | 5 Months; Rabies Vaccine: Nobivac; Serial: 523628; Rabies Tag: N/A; Other Vaccinations: Canine 1 DAPPv; Date Vaccinated: 12/10/21; Vaccine Producer: Nobivac | |||
| YVP-1 | Beagle | Row 2 - details indicated by ditto marks referencing row 1 | Row 2 - details indicated by ditto marks referencing row 1 |
The CVI form lists each dog individually. Per-animal vaccination and treatment history is on the source PDF.
Primary source
This certificate was published by Wisconsin DATCP and is hosted on cvicentral.com. Click through to see the original PDF with all vaccination dates, treatment records, and any handwritten notes.
Extraction provenance
shrine_id BUNDLE-6924e9af-1 · doc_class PaperCvi