Certificate of Veterinary Inspection · issued 2022-01-13
35-245566
RIDGLAN FARMS, INC. → CLINVET · 22 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
Remarks / additional certifications
Not returning to WI; Owner mailing address: P.O. Box 318 Mt. Horeb, WI 53572; Email: ridglan@mhtc.net; Animals aged Adults; Rabies vaccination date 12/01/21, expiration 12/01/22, Nobivac-1 Rabies; Other vaccination Canine 1-DAPPv dated 08/19/21, Nobivac
Animals listed on this shipment (22)
| ID | Breed | Sex | Age / DOB | Color | Microchip / tattoo | Other |
|---|---|---|---|---|---|---|
| ACH-1 | Beagle | M | Rabies Serial: 523628; Rabies Tag: N/A | Rabies Serial: 523628; Rabies Tag: N/A | ||
| BFH-1 | Beagle | |||||
| BGH-1 | Beagle | |||||
| BIH-1 | Beagle | |||||
| DFH-1 | Beagle | |||||
| DGH-1 | Beagle | |||||
| DHH-1 | Beagle | |||||
| SGH-1 | Beagle | M | Rabies Serial: 523628; Rabies Tag: N/A | Rabies Serial: 523628; Rabies Tag: N/A | ||
| TZH-1 | Beagle | |||||
| UDH-1 | Beagle | |||||
| UFH-1 | Beagle | |||||
| ULH-1 | Beagle | |||||
| VFH-1 | Beagle | |||||
| VSH-1 | Beagle | |||||
| WGH-1 | Beagle | |||||
| WJH-1 | Beagle | |||||
| WKH-1 | Beagle | |||||
| XJH-1 | Beagle | |||||
| XOH-1 | Beagle | |||||
| YEH-1 | Beagle | |||||
| YOH-1 | Beagle | |||||
| YPH-1 | Beagle |
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 BUNDLE-b4837b37-1 · doc_class PaperCvi