Certificate of Veterinary Inspection · issued 2023-04-26
35-245562
RIDGLAN FARMS, INC. → T.R.S. LAB · 36 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 | 2023-04-10 | all |
Remarks / additional certifications
THIS FORM IS NOT FOR INTERNATIONAL MOVEMENT. Not returning to WI. 36 animals in shipment. Shipping date 4/26/2023. Product and Vaccine Producer column reads 'ANIMALS FOR RESEARCH' spanning across multiple columns on page 1.
Veterinarian certifies animals are not showing signs of infectious, contagious and/or communicable disease. Purpose: Animals for Research.
Emails on form: ridglan@mhtc.net
Animals listed on this shipment (36)
| ID | Breed | Sex | Age / DOB | Color | Microchip / tattoo | Other |
|---|---|---|---|---|---|---|
| CGC-3 | Beagle | F | 2 Mos | 2 Mos | ||
| CHC-3 | Beagle | F | 2 Mos | 2 Mos | ||
| CZC-3 | Beagle | F | 2 Mos | 2 Mos | ||
| EBC-3 | Beagle | F | 2 Mos | 2 Mos | ||
| EFC-3 | Beagle | F | 2 Mos | 2 Mos | ||
| EGC-3 | Beagle | F | 2 Mos | 2 Mos | ||
| EHC-3 | Beagle | F | 2 Mos | 2 Mos | ||
| EIC-3 | Beagle | F | 2 Mos | 2 Mos | ||
| EKC-3 | Beagle | F | 2 Mos | 2 Mos | ||
| ELC-3 | Beagle | F | 2 Mos | 2 Mos | ||
| ERC-3 | Beagle | F | 2 Mos | 2 Mos | ||
| ETC-3 | Beagle | F | 2 Mos | 2 Mos | ||
| EWC-3 | Beagle | F | 2 Mos | 2 Mos | ||
| FCC-3 | Beagle | F | 2 Mos | 2 Mos | ||
| FIC-3 | Beagle | F | 2 Mos | 2 Mos | ||
| FRC-3 | Beagle | F | 2 Mos | 2 Mos | ||
| FZC-3 | Beagle | F | 2 Mos | 2 Mos | ||
| GAC-3 | Beagle | F | 2 Mos | 2 Mos | ||
| ACD-3 | Beagle | M | 2 Mos | 2 Mos | ||
| ADD-3 | Beagle | M | 2 Mos | 2 Mos | ||
| CCD-3 | Beagle | M | 2 Mos | 2 Mos | ||
| CDD-3 | Beagle | M | 2 Mos | 2 Mos | ||
| DBD-3 | Beagle | M | 2 Mos | 2 Mos | ||
| DED-3 | Beagle | M | 2 Mos | 2 Mos | ||
| DSD-3 | Beagle | M | 2 Mos | 2 Mos | ||
| DTD-3 | Beagle | M | 2 Mos | 2 Mos | ||
| DWD-3 | Beagle | M | 2 Mos | 2 Mos | ||
| DXD-3 | Beagle | M | 2 Mos | 2 Mos | ||
| FAD-3 | Beagle | M | 2 Mos | 2 Mos | ||
| FBD-3 | Beagle | M | 2 Mos | 2 Mos | ||
| FLD-3 | Beagle | M | 2 Mos | 2 Mos | ||
| FOD-3 | Beagle | M | 2 Mos | 2 Mos | ||
| FPD-3 | Beagle | M | 2 Mos | 2 Mos | ||
| IDD-3 | Beagle | M | 2 Mos | 2 Mos | ||
| IED-3 | Beagle | M | 2 Mos | 2 Mos | ||
| IFD-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 867573 · doc_class PaperCvi