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Certificate of Veterinary Inspection · issued 2023-04-27

35-245564

RIDGLAN FARMS, INC. → KENNELWOOD · 14 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

KENNELWOOD

1913 N. STALEY RD CHAMPAIGN, IL 61822

State
IL
Shipped
2023-04-27
Inspected
2023-04-27
Issued
2023-04-27
Purpose
—
Species
Dogs (Beagles)

Carrier

Not stated on the certificate.

Issuing Veterinarian

Richard J. Van Domelen, D.V.M.

P.O. BOX 318 MT. HOREB, WI 53572

Phone
608-437-8670
State license
4502
USDA accreditation
033491

Health declarations

Rabies
Vaccinated 04/24/2023, expires 04/24/2024, Nobivac 1-Rabies, Serial No. 588352
Other declarations
Veterinarian certifies animals have been inspected and are not showing any signs of infectious, contagious and/or communicable disease (except where noted). Vaccinations and results of tests are as indicated on this certificate. To the best of my knowledge, the animal(s) listed on this certificate meet the state of destination and Federal interstate requirements. No warranty is made or implied.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 1-Rabies5883522023-04-242024-04-24all
Canine 1-DAPPvNobivac / Nobivac (Canine 1-DAPPv)2023-04-24all

Remarks / additional certifications

Owner/Agent: PAMELA J. BURKE. Owner Mailing Address: P.O. Box 318 Mt. Horeb, WI 53572. Permit Number: IPCOGRNZ. Not returning to WI. Animals shipped 4/27/2023. Received by WI Wed, 27 Mar 2024 4:22pm CDT.

Veterinarian certifies animals have been inspected and are not showing any signs of infectious, contagious and/or communicable disease (except where noted). Vaccinations and results of tests are as indicated on this certificate. To the best of my knowledge, the animal(s) listed on this certificate meet the state of destination and Federal interstate requirements. No warranty is made or implied.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (14)

IDBreedSexAge / DOBColorMicrochip / tattooOther
DRI-0BeagleFAdultAdult
DTI-0BeagleFAdultAdult
DWI-0BeagleFAdultAdult
DXI-0BeagleFAdultAdult
EGI-0BeagleFAdultAdult
EQI-0BeagleFAdultAdult
ERI-0BeagleFAdultAdult
FBE-0BeagleFAdultAdult
JBY-0BeagleFAdultAdult
PDI-0BeagleFAdultAdult
PEI-0BeagleFAdultAdult
XFY-0BeagleFAdultAdult
YAE-0BeagleFAdultAdult
ZAI-0BeagleFAdultAdult

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.

Open CVI 35-245564 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 4957 · out 3478 · cost $0.0670
Overall confidence0.88 · cross-tier agreement 1.00
Model notesTwo-page CVI. Page 1 lists animals 1-7 (rows 1-7, breeds abbreviated 'BE' = Beagle), page 2 lists animals 7-13 (rows 7-13, breed explicitly 'BEAGLE'). Animal #7 appears on both pages as the bridge row (FBE-0 on page 2 is animal 7). Total animals per shipment field = 14, but only 13 named animals are listed across both pages (rows 1-13 filled, row 14 blank on page 2). The ditto/vertical-line rule was applied extensively: on page 1, Sex (F) and Age (Adult) are written only in row 1 (DRI-0) with a vertical line running through rows 2-7; all six subsequent animals inherit F/Adult. On page 2, FBE-0 (row 7) explicitly shows F/Adult with same vaccination data, and rows 8-13 inherit via ditto line terminating with checkmark at ZAI-0. Vaccination data (Rabies serial 588352, Nobivac 1-Rabies, Canine 1-DAPPv, date 04/24/23, expiry 04/24/24) applies to all animals per ditto lines on both pages. The permit number is read as IPCOGRNZ (handwritten, some letters ambiguous). Owner mailing address differs from origin street address but both belong to Ridglan Farms context. Email ridglan@mhtc.net is on the form.

shrine_id 867576 · doc_class PaperCvi