Certificate of Veterinary Inspection · issued 2023-03-27
35-245547
RIDGLAN FARMS, INC. → MERCK ANIMAL HEALTH / EAST TENNESSEE CLINICAL RESEARCH, INC. · 32 dogs
Consignor (shipper)
RIDGLAN FARMS, INC.
10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517
Consignee (buyer)
MERCK ANIMAL HEALTH / EAST TENNESSEE CLINICAL RESEARCH, INC.
21401 WEST CENTER RD. / 80 COPPER RIDGE ROAD ELKHORN, NE 68022 / ROCKWOOD, TN 37854
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 (2)
| Name | Manufacturer / Product | Lot | Administered | Expires | Applies to |
|---|---|---|---|---|---|
| Parvo Virus | NeoPar | 2023-01-16 | specific | ||
| Parvovirus Vaccine | Canine 1-Pv | 2023-03-27 | specific |
Remarks / additional certifications
CVI 35-245547: 8 animals shipped 3/27/2023 to MERCK ANIMAL HEALTH, ELKHORN, NE. CVI 35-245615: 24 animals shipped 4/3/2023 to EAST TENNESSEE CLINICAL RESEARCH, INC., ROCKWOOD, TN. Owner/Agent: Pamela J. Burke. Email: ridglan@mhtc.net. Both CVIs received APR 2023; received by WI Wed, 27 Mar 2024 3:43–3:46pm CDT.
Veterinarian certifies animals have been inspected and are not showing signs of infectious, contagious and/or communicable disease. Serial Number column reads 'ANIMALS FOR RESEARCH'.
Emails on form: ridglan@mhtc.net
Animals listed on this shipment (30)
| ID | Breed | Sex | Age / DOB | Color | Microchip / tattoo | Other |
|---|---|---|---|---|---|---|
| EZQ-2 | Beagle | F | 4-7 MOS | 4-7 MOS | ||
| FBQ-2 | Beagle | F | 4-7 MOS | 4-7 MOS | ||
| GSQ-2 | Beagle | F | 4-7 MOS | 4-7 MOS | ||
| ORW-2 | Beagle | F | 4-7 MOS | 4-7 MOS | ||
| OTW-2 | Beagle | F | 4-7 MOS | 4-7 MOS | ||
| OXW-2 | Beagle | F | 4-7 MOS | 4-7 MOS | ||
| RYW-2 | Beagle | F | 4-7 MOS | 4-7 MOS | ||
| TAW-2 | Beagle | F | 4-7 MOS | 4-7 MOS | ||
| BOA-3 | Beagle | F | 2 Mos | 2 Mos | ||
| CAA-3 | Beagle | F | 2 Mos | 2 Mos | ||
| CBA-3 | Beagle | F | 2 Mos | 2 Mos | ||
| CIA-3 | Beagle | F | 2 Mos | 2 Mos | ||
| ZEA-3 | Beagle | F | 2 Mos | 2 Mos | ||
| ZFA-3 | Beagle | F | 2 Mos | 2 Mos | ||
| ZRA-3 | Beagle | F | 2 Mos | 2 Mos | ||
| BGB-3 | Beagle | M | 2 Mos | 2 Mos | ||
| BIB-3 | Beagle | M | 2 Mos | 2 Mos | ||
| BJB-3 | Beagle | M | 2 Mos | 2 Mos | ||
| BLB-3 | Beagle | M | 2 Mos | 2 Mos | ||
| BQB-3 | Beagle | M | 2 Mos | 2 Mos | ||
| BRB-3 | Beagle | M | 2 Mos | 2 Mos | ||
| BZB-3 | Beagle | M | 2 Mos | 2 Mos | ||
| WVB-3 | Beagle | M | 2 Mos | 2 Mos | ||
| WWB-3 | Beagle | M | 2 Mos | 2 Mos | ||
| WXB-3 | Beagle | M | 2 Mos | 2 Mos | ||
| XIB-3 | Beagle | M | 2 Mos | 2 Mos | ||
| YFB-3 | Beagle | M | 2 Mos | 2 Mos | ||
| ZBB-3 | Beagle | M | 2 Mos | 2 Mos | ||
| ZGB-3 | Beagle | M | 2 Mos | 2 Mos | ||
| ZHB-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 867545 · doc_class PaperCvi