Certificate of Veterinary Inspection · issued 2023-04-13
35-245559
RIDGLAN FARMS, INC. → MERCK ANIMAL HEALTH · 20 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 |
|---|---|---|---|---|---|
| Canine 1-Pv | Merck / Canine 1-Pv | 2023-04-04 | all |
Remarks / additional certifications
Owner/Agent: Pamela J. Burke. Owner mailing address: P.O. Box 318 Mt. Horeb, WI 53572. Animals are NOT returning to WI. Not for international movement. 20 animals in shipment. Certificate number 35-245559, Page 1 of 2 and Page 2 of 2. Received by WI Fri, 21 Apr 2023 12:34pm CDT.
Veterinarian certifies animals have been inspected and are not showing signs of infectious, contagious and/or communicable disease (except where noted). Vaccinations and test results are as indicated on certificate.
Emails on form: ridglan@mhtc.net
Animals listed on this shipment (20)
| ID | Breed | Sex | Age / DOB | Color | Microchip / tattoo | Other |
|---|---|---|---|---|---|---|
| BAA-3 | Beagle | F | 2-3 Mos | 2-3 Mos | ||
| BBA-3 | Beagle | F | 2-3 Mos | 2-3 Mos | ||
| BCA-3 | Beagle | F | 2-3 Mos | 2-3 Mos | ||
| WZA-3 | Beagle | F | 2-3 Mos | 2-3 Mos | ||
| XGA-3 | Beagle | F | 2-3 Mos | 2-3 Mos | ||
| XHA-3 | Beagle | F | 2-3 Mos | 2-3 Mos | ||
| XQA-3 | Beagle | F | 2-3 Mos | 2-3 Mos | ||
| XWA-3 | Beagle | F | 2-3 Mos | 2-3 Mos | ||
| YHA-3 | Beagle | F | 2-3 Mos | 2-3 Mos | ||
| YUA-3 | Beagle | F | 2-3 Mos | 2-3 Mos | ||
| AYB-3 | Beagle | M | 2-3 Mos | 2-3 Mos | ||
| AZB-3 | Beagle | M | 2-3 Mos | 2-3 Mos | ||
| WKB-3 | Beagle | M | 2-3 Mos | 2-3 Mos | ||
| XJB-3 | Beagle | M | 2-3 Mos | 2-3 Mos | ||
| XTB-3 | Beagle | M | 2-3 Mos | 2-3 Mos | ||
| XUB-3 | Beagle | M | 2-3 Mos | 2-3 Mos | ||
| YEB-3 | Beagle | M | 2-3 Mos | 2-3 Mos | ||
| YGB-3 | Beagle | M | 2-3 Mos | 2-3 Mos | ||
| YPB-3 | Beagle | M | 2-3 Mos | 2-3 Mos | ||
| YQB-3 | Beagle | M | 2-3 Mos | 2-3 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 612970 · doc_class PaperCvi