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Certificate of Veterinary Inspection · issued ?

35-245599

RIDGLAN FARMS, INC. → UNIVERSITY OF WISCONSIN -MADISON · 3 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

UNIVERSITY OF WISCONSIN -MADISON

5801 MINERAL POINT RD. MADISON, WI 53505

State
WI
Shipped
2023-07-26
Inspected
2023-07-26
Issued
—
Purpose
—
Species
Dog

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 06/28/2023; Nobivac 1-Rabies; expires 06/28/2024
Other declarations
Veterinarian certifies animals are not showing signs of infectious, contagious and/or communicable disease. Animals are not returning to WI.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 1-Rabies2023-06-282024-06-28all
Canine 1-DAPPvNobivac / Nobivac2023-04-05all

Remarks / additional certifications

Owner/Agent: Pamela J. Burke. Owner mailing address: P.O. Box 318 Mt. Horeb, WI 53572. Not returning to WI. Number of animals in shipment: 3. Shipping date: 7/26/2023.

Veterinarian certifies animals are not showing signs of infectious, contagious and/or communicable disease. Animals are not returning to WI.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (3)

IDBreedSexAge / DOBColorMicrochip / tattooOther
DXZ-2BeagleM7 Mos7 Mos
FCZ-2BeagleM7 Mos7 Mos
GPZ-2BeagleM7 Mos7 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 35-245599 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 1792 · cost $0.0371
Overall confidence0.88 · cross-tier agreement 1.00
Model notesPage 1 of 1. Three Beagle dogs listed (BE = Beagle). Row 1 (DXZ-2) has explicit values for Sex (M), Age (7 Mos), Rabies vaccination date (06/28/23), expiry (06/28/24), product (Nobivac 1-Rabies), serial number (588352), Rabies Tag (N/A), Other Vaccination (Canine 1-DAPPv), Date Vaccinated (04/05/23), and Other Vaccine Producer (Nobivac). Rows 2 (FCZ-2) and 3 (GPZ-2) have vertical ditto lines through all columns, indicating all values are inherited from row 1. The Rabies Tag N/A and Serial Number 588352 appear specific to DXZ-2 in row 1; rows 2 and 3 had ditto lines through those columns suggesting same or blank — carried forward as inherited. The owner/agent signature reads as 'Pamela J. Burke' (approximate). Mailing address for consignor owner is P.O. Box 318 Mt. Horeb, WI 53572 (same as vet address — Ridglan Farms uses this mailing address).

shrine_id PARTNER-35-245599 · doc_class PaperCvi