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Certificate of Veterinary Inspection · issued 2023-08-29

35-245520

RIDGLAN FARMS, INC. → IIT RESEARCH INSTITUTE · 16 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

IIT RESEARCH INSTITUTE

STATE STREET DOCK 10 WEST 35TH STREET CHICAGO, IL 60616

State
IL
Shipped
2023-08-29
Inspected
2023-08-29
Issued
2023-08-29
Purpose
—
Species
Dog (Beagle)

Carrier

Not stated on the certificate.

Issuing Veterinarian

Richard J. Van Domelen, D.V.M.

P.O. BOX 318 MT. HOREB, WI 53572

Phone
608-437-8670
State license
4502
USDA accreditation
033491

Health declarations

Rabies
Vaccinated 08/10/2023; expires 08/10/2024; Nobivac 1-Rabies, Serial No. 588352
Other declarations
Veterinarian certifies animals have been inspected and are not showing any signs of infectious, contagious and/or communicable disease (except where noted). Vaccinations and test results are as indicated on this certificate.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 1-Rabies5883522023-08-102024-08-10all
Canine 1-DAPPvNobivac / Canine 1-DAPPv2023-06-07all

Remarks / additional certifications

Veterinarian certifies animals have been inspected and are not showing any signs of infectious, contagious and/or communicable disease (except where noted). Vaccinations and test results are as indicated on this certificate.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (16)

IDBreedSexAge / DOBColorMicrochip / tattooOther
DKC-3BeagleF6 Mos6 Mos
EXC-3BeagleF6 Mos6 Mos
HCC-3BeagleF6 Mos6 Mos
HUC-3BeagleF6 Mos6 Mos
LBC-3BeagleF6 Mos6 Mos
QWC-3BeagleF6 Mos6 Mos
RCC-3BeagleF6 Mos6 Mos
TRC-3BeagleF6 Mos6 Mos
ISD-3BeagleM6 Mos6 Mos
JRD-3BeagleM6 Mos6 Mos
LAD-3BeagleM6 Mos6 Mos
LGD-3BeagleM6 Mos6 Mos
QOD-3BeagleM6 Mos6 Mos
SOD-3BeagleM6 Mos6 Mos
SWD-3BeagleM6 Mos6 Mos
WOD-3BeagleM6 Mos6 Mos

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.

Open CVI 35-245520 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 4957 · out 3696 · cost $0.0703
Overall confidence0.88 · cross-tier agreement 1.00
Model notesTwo-page CVI. Page 1 lists animals 1–7 (rows DKC-3 through RCC-3), page 2 lists animals 7–15 (TRC-3 through WOD-3); total 16 animals per the shipment field. The form uses vertical ditto lines extensively: on page 1, DKC-3 (row 1) is the only row with explicit Sex (F), Age (6 Mos), and vaccination data; rows 2–7 inherit via ditto lines. On page 2, TRC-3 (row 7) explicitly shows F, 6 Mos, and vaccination data; ISD-3 (row 8) shows M explicitly; rows 9–15 inherit M and 6 Mos via ditto line terminating at WOD-3 (row 15). The permit number field reads 'IPDOQRVT' (handwritten, possibly a tracking/permit code). Owner mailing address is P.O. Box 318 Mt. Horeb, WI 53572 (different from origin address). The owner/agent who signed is 'Pamela J. Burke'. Rabies serial number 588352 and DAPPv vaccination date 06/07/23 appear to apply to all 16 animals based on the ditto lines spanning all rows.

shrine_id 707227 · doc_class PaperCvi