Certificate of Veterinary Inspection · issued 2023-04-24
35-245561
RIDGLAN FARMS, INC. → Vet and Biomedical Research Center · 40 dogs
Consignor (shipper)
RIDGLAN FARMS, INC.
10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517
Consignee (buyer)
Vet and Biomedical Research Center
9027 Green Valley Drive Manhatten, KS 66502
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 |
|---|---|---|---|---|---|
| Rabies | Nobivac / Nobivac 1-Rabies | 2023-04-13 | 2024-04-13 | all | |
| Canine 1-DAPPv | Nobivac / Nobivac | 2023-02-23 | all |
Remarks / additional certifications
Form AH-IN-20 (rev 12/2014). This form is NOT for international movement. 40 dogs (Beagles) shipped from Ridglan Farms, Inc., Blue Mounds WI to Vet and Biomedical Research Center, Manhattan KS. Not returning to WI. Certificate received by WI Wed, 27 Mar 2024 4:22pm CDT.
Veterinarian certifies animals have been inspected and are not showing signs of infectious, contagious and/or communicable disease. No warranty is made or implied.
Emails on form: ridglan@mhtc.net
Animals listed on this shipment (40)
| ID | Breed | Sex | Age / DOB | Color | Microchip / tattoo | Other |
|---|---|---|---|---|---|---|
| AJU-2 | Beagle | F | 6 MOS | 6 MOS | ||
| BOU-2 | Beagle | F | 6 MOS | 6 MOS | ||
| BPU-2 | Beagle | F | 6 MOS | 6 MOS | ||
| CIU-2 | Beagle | F | 6 MOS | 6 MOS | ||
| CWU-2 | Beagle | F | 6 MOS | 6 MOS | ||
| CZU-2 | Beagle | F | 6 MOS | 6 MOS | ||
| DAU-2 | Beagle | F | 6 MOS | 6 MOS | ||
| EBU-2 | Beagle | F | 6 MOS | 6 MOS | ||
| EHU-2 | Beagle | F | 6 MOS | 6 MOS | ||
| FJU-2 | Beagle | F | 6 MOS | 6 MOS | ||
| FWU-2 | Beagle | F | 6 MOS | 6 MOS | ||
| GPU-2 | Beagle | F | 6 MOS | 6 MOS | ||
| HCU-2 | Beagle | F | 6 MOS | 6 MOS | ||
| HZU-2 | Beagle | F | 6 MOS | 6 MOS | ||
| LJU-2 | Beagle | F | 6 MOS | 6 MOS | ||
| OGU-2 | Beagle | F | 6 MOS | 6 MOS | ||
| PTU-2 | Beagle | F | 6 MOS | 6 MOS | ||
| QOU-2 | Beagle | F | 6 MOS | 6 MOS | ||
| ZSU-2 | Beagle | F | 6 MOS | 6 MOS | ||
| ZXU-2 | Beagle | F | 6 MOS | 6 MOS | ||
| AVV-2 | Beagle | M | 6 MOS | 6 MOS | ||
| BKV-2 | Beagle | M | 6 MOS | 6 MOS | ||
| BWV-2 | Beagle | M | 6 MOS | 6 MOS | ||
| BXV-2 | Beagle | M | 6 MOS | 6 MOS | ||
| CRV-2 | Beagle | M | 6 MOS | 6 MOS | ||
| CXV-2 | Beagle | M | 6 MOS | 6 MOS | ||
| DBV-2 | Beagle | M | 6 MOS | 6 MOS | ||
| DIV-2 | Beagle | M | 6 MOS | 6 MOS | ||
| EAV-2 | Beagle | M | 6 MOS | 6 MOS | ||
| EPV-2 | Beagle | M | 6 MOS | 6 MOS | ||
| EWV-2 | Beagle | M | 6 MOS | 6 MOS | ||
| FFV-2 | Beagle | M | 6 MOS | 6 MOS | ||
| FXV-2 | Beagle | M | 6 MOS | 6 MOS | ||
| GFV-2 | Beagle | M | 6 MOS | 6 MOS | ||
| GHV-2 | Beagle | M | 6 MOS | 6 MOS | ||
| GJV-2 | Beagle | M | 6 MOS | 6 MOS | ||
| KLV-2 | Beagle | M | 6 MOS | 6 MOS | ||
| LFV-2 | Beagle | M | 6 MOS | 6 MOS | ||
| LUV-2 | Beagle | M | 6 MOS | 6 MOS | ||
| OEV-2 | Beagle | M | 6 MOS | 6 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 867580 · doc_class PaperCvi