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Certificate of Veterinary Inspection · issued ?

35-245596

RIDGLAN FARMS, INC.IIT RESEARCH INSTITUTE · 6 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

IIT RESEARCH INSTITUTE

STATE STREET DOCK 10 WEST 35TH STREET CHICAGO, IL 60616

State
IL
Shipped
2023-07-19
Inspected
2023-07-19
Issued
Purpose
Species
Dog (Beagle)

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 07/13/2023 (Nobivac 1-Rabies), expires 07/13/2024
Other declarations
Veterinarian certifies animals have been inspected and are not showing signs of infectious, contagious and/or communicable disease.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac 1-Rabies5883522023-07-132024-07-13specific
Canine 1-DAPPvNobivac2023-07-13specific

Remarks / additional certifications

Permit Number: IPOONABI. Owner/Agent: PAMELA J. BURKE. Owner mailing address: P.O. Box 318 Mt. HOREB, WI 53572.

Veterinarian certifies animals have been inspected and are not showing signs of infectious, contagious and/or communicable disease.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (6)

IDBreedSexAge / DOBColorMicrochip / tattooOther
BWQ-2BeagleF11 Mos11 Mos
WCQ-2BeagleF11 Mos11 Mos
WWQ-2BeagleF11 Mos11 Mos
WBR-2BeagleM11 Mos11 Mos
WUR-2BeagleM11 Mos11 Mos
YSR-2BeagleM11 Mos11 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.

Open CVI 35-245596
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 2178 · cost $0.0429
Overall confidence0.82 · cross-tier agreement 1.00
Model notesThe ditto/vertical-line rule was applied extensively. Row 1 (BWQ-2) has explicit Sex=F, Age=11 Mos. Rows 2-3 (WCQ-2, WWQ-2) appear to inherit F and 11 Mos via vertical ditto lines. Row 4 (WBR-2) has an explicit M in the Sex column, breaking the female ditto group. Rows 5-6 (WUR-2, YSR-2) inherit M and 11 Mos via ditto lines. Vaccinations for rows 2-6 appear to use ditto checkmarks in row 6 (YSR-2) but the form only clearly lists Rabies and DAPPv vaccination details for row 1; the ditto marks in row 6 suggest all animals received the same vaccinations, but since only row 1 has explicit lot/serial details and row 6 has only tick/checkmarks, vaccinations are recorded as applying to BWQ-2 explicitly. The serial number 588352 is listed in the Serial Number column for row 1. Age of 11 Mos is explicitly written in row 1 and carried forward by ditto lines. The permit number IPOONABI is as written on the form. The received stamp shows JUL 21 2023 but the CVI issued/inspected date is 07/19/2023.

shrine_id PARTNER-35-245596 · doc_class PaperCvi