Certificate of Veterinary Inspection · issued 2023-07-10
35-245585
RIDGLAN FARMS, INC. → AMPLIFY BIO · 44 dogs
Consignor (shipper)
RIDGLAN FARMS, INC.
10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517
Consignee (buyer)
1425 Plain-City Georgesville Rd, Building JM10 West Jefferson, OH 43162
Carrier
Not stated on the certificate.
Issuing Veterinarian
Jeffrey T. Ballmer, 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 | 588352 | 2023-06-20 | 2024-06-20 | all |
| Canine 1-DAPPv | Nobivac / Canine 1-DAPPv (Nobivac) | 2023-06-07 | all |
Remarks / additional certifications
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. Animals meet state of destination and Federal interstate requirements.
Emails on form: ridglan@mhtc.net
Animals listed on this shipment (44)
| ID | Breed | Sex | Age / DOB | Color | Microchip / tattoo | Other |
|---|---|---|---|---|---|---|
| GJC-3 | Beagle | F | 4-5 Mos | 4-5 Mos | ||
| HEC-3 | Beagle | F | 4-5 Mos | 4-5 Mos | ||
| HTC-3 | Beagle | F | 4-5 Mos | 4-5 Mos | ||
| ILC-3 | Beagle | F | 4-5 Mos | 4-5 Mos | ||
| IRC-3 | Beagle | F | 4-5 Mos | 4-5 Mos | ||
| JAC-3 | Beagle | F | 4-5 Mos | 4-5 Mos | ||
| JLC-3 | Beagle | F | 4-5 Mos | 4-5 Mos | ||
| JQC-3 | Beagle | F | 4-5 Mos | 4-5 Mos | ||
| KCC-3 | Beagle | F | 4-5 Mos | 4-5 Mos | ||
| KVC-3 | Beagle | F | 4-5 Mos | 4-5 Mos | ||
| LLC-3 | Beagle | F | 4-5 Mos | 4-5 Mos | ||
| OEC-3 | Beagle | F | 4-5 Mos | 4-5 Mos | ||
| OIC-3 | Beagle | F | 4-5 Mos | 4-5 Mos | ||
| OUC-3 | Beagle | F | 4-5 Mos | 4-5 Mos | ||
| PDC-3 | Beagle | F | 4-5 Mos | 4-5 Mos | ||
| PLC-3 | Beagle | F | 4-5 Mos | 4-5 Mos | ||
| PVC-3 | Beagle | F | 4-5 Mos | 4-5 Mos | ||
| SAC-3 | Beagle | F | 4-5 Mos | 4-5 Mos | ||
| SSC-3 | Beagle | F | 4-5 Mos | 4-5 Mos | ||
| STC-3 | Beagle | F | 4-5 Mos | 4-5 Mos | ||
| TDC-3 | Beagle | F | 4-5 Mos | 4-5 Mos | ||
| TSC-3 | Beagle | F | 4-5 Mos | 4-5 Mos | ||
| DID-3 | Beagle | M | 4-5 Mos | 4-5 Mos | ||
| GGD-3 | Beagle | M | 4-5 Mos | 4-5 Mos | ||
| GID-3 | Beagle | M | 4-5 Mos | 4-5 Mos | ||
| HED-3 | Beagle | M | 4-5 Mos | 4-5 Mos | ||
| HOD-3 | Beagle | M | 4-5 Mos | 4-5 Mos | ||
| IAD-3 | Beagle | M | 4-5 Mos | 4-5 Mos | ||
| JHD-3 | Beagle | M | 4-5 Mos | 4-5 Mos | ||
| JTD-3 | Beagle | M | 4-5 Mos | 4-5 Mos | ||
| KGD-3 | Beagle | M | 4-5 Mos | 4-5 Mos | ||
| KRD-3 | Beagle | M | 4-5 Mos | 4-5 Mos | ||
| KSD-3 | Beagle | M | 4-5 Mos | 4-5 Mos | ||
| KWD-3 | Beagle | M | 4-5 Mos | 4-5 Mos | ||
| LYD-3 | Beagle | M | 4-5 Mos | 4-5 Mos | ||
| OFD-3 | Beagle | M | 4-5 Mos | 4-5 Mos | ||
| OOD-3 | Beagle | M | 4-5 Mos | 4-5 Mos | ||
| OWD-3 | Beagle | M | 4-5 Mos | 4-5 Mos | ||
| PJD-3 | Beagle | M | 4-5 Mos | 4-5 Mos | ||
| PKD-3 | Beagle | M | 4-5 Mos | 4-5 Mos | ||
| PSD-3 | Beagle | M | 4-5 Mos | 4-5 Mos | ||
| RID-3 | Beagle | M | 4-5 Mos | 4-5 Mos | ||
| ROD-3 | Beagle | M | 4-5 Mos | 4-5 Mos | ||
| RVD-3 | Beagle | M | 4-5 Mos | 4-5 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 671526 · doc_class PaperCvi