Certificate of Veterinary Inspection · issued 2023-03-22
35-245543
RIDGLAN FARMS, INC. → KANSAS STATE UNIVERSITY · 38 dogs
Consignor (shipper)
RIDGLAN FARMS, INC.
10489 W. BLUE MOUNDS ROAD (P.O. Box 318) BLUE MOUNDS, WI 53517 (Mailing: MT. HOREB, WI 53572)
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
Rabies vaccination: Nobivac 1-Rabies, Serial No. 588352, vaccinated 03/07/23, exp. 03/07/24. Other vaccinations: Canine 1-DAPPv (Nobivac), vaccinated 11/08/22. Not returning to WI.
Animals listed on this shipment (38)
| ID | Breed | Sex | Age / DOB | Color | Microchip / tattoo | Other |
|---|---|---|---|---|---|---|
| HIO-2 | Beagle | F | 8 MOS | |||
| KQO-2 | Beagle | |||||
| KSO-2 | Beagle | |||||
| KTO-2 | Beagle | |||||
| LBO-2 | Beagle | |||||
| PHO-2 | Beagle | |||||
| PKO-2 | Beagle | |||||
| RFO-2 | Beagle | F | 8 MOS | |||
| RJO-2 | Beagle | |||||
| RUO-2 | Beagle | |||||
| SVO-2 | Beagle | |||||
| TCO-2 | Beagle | |||||
| TFO-2 | Beagle | |||||
| TJO-2 | Beagle | |||||
| UJO-2 | Beagle | |||||
| UKO-2 | Beagle | |||||
| UPO-2 | Beagle | |||||
| UTO-2 | Beagle | |||||
| XRO-2 | Beagle | |||||
| LAP-2 | Beagle | M | ||||
| LVP-2 | Beagle | |||||
| OQP-2 | Beagle | |||||
| PDP-2 | Beagle | M | 8 MOS | |||
| PEP-2 | Beagle | |||||
| RAP-2 | Beagle | |||||
| SRP-2 | Beagle | |||||
| SWP-2 | Beagle | |||||
| TOP-2 | Beagle | |||||
| TTP-2 | Beagle | |||||
| TVP-2 | Beagle | |||||
| UBP-2 | Beagle | |||||
| UDP-2 | Beagle | |||||
| UGP-2 | Beagle | |||||
| UHP-2 | Beagle | |||||
| UWP-2 | Beagle | |||||
| UYP-2 | Beagle | |||||
| VDP-2 | Beagle | |||||
| XKP-2 | Beagle | M | 8 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.
Extraction provenance
shrine_id BUNDLE-9cfeb27a-1 · doc_class PaperCvi