Certificate of Veterinary Inspection · issued 2023-03-27
35-245546
RIDGLAN FARMS, INC. → MERCK ANIMAL HEALTH · 10 dogs
Consignor (shipper)
RIDGLAN FARMS, INC.
10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517
Carrier
Not stated on the certificate.
Issuing Veterinarian
Richard J. Van Domelen, D.V.M.
P.O. BOX 318 MT. HOREB, WI 53572
Health declarations
Vaccinations (1)
| Name | Manufacturer / Product | Lot | Administered | Expires | Applies to |
|---|---|---|---|---|---|
| Parvo Virus | NeoPar / NeoPar | 2023-03-14 | all |
Remarks / additional certifications
Owner/Agent: Pamela G. Burke. This form is NOT for international movement. Animals not returning to WI. Certificate number 35-245546, page 1 of 2.
Serial Number column reads: ANIMALS FOR RESEARCH. Veterinarian certifies animals show no signs of infectious, contagious and/or communicable disease.
Emails on form: ridglan@mhtc.net
Animals listed on this shipment (10)
| ID | Breed | Sex | Age / DOB | Color | Microchip / tattoo | Other |
|---|---|---|---|---|---|---|
| WLA-3 | Beagle | F | 2 Mos | 2 Mos | ||
| XBA-3 | Beagle | F | 2 Mos | 2 Mos | ||
| XFA-3 | Beagle | F | 2 Mos | 2 Mos | ||
| YAA-3 | Beagle | F | 2 Mos | 2 Mos | ||
| YBA-3 | Beagle | F | 2 Mos | 2 Mos | ||
| XAB-3 | Beagle | M | 2 Mos | 2 Mos | ||
| XDB-3 | Beagle | M | 2 Mos | 2 Mos | ||
| XEB-3 | Beagle | M | 2 Mos | 2 Mos | ||
| XKB-3 | Beagle | M | 2 Mos | 2 Mos | ||
| YCB-3 | Beagle | M | 2 Mos | 2 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 867538 · doc_class PaperCvi