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Certificate of Veterinary Inspection · issued 2023-04-03

35-245615

RIDGLAN FARMS, INC. → EAST TENNESSEE CLINICAL RESEARCH, INC. · 24 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 WEST BLUE MOUNDS RD. BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

EAST TENNESSEE CLINICAL RESEARCH, INC.

80 COPPER RIDGE ROAD ROCKWOOD, TN 37854

State
TN
Shipped
2023-04-03
Inspected
2023-04-03
Issued
2023-04-03
Purpose
RESEARCH
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
N/A - Rabies vaccination not applicable; serial number listed as RESEARCH
Other declarations
Animals are not returning to WI. Serial Number column reads 'ANIMALS FOR RESEARCH'. Veterinarian certified animals show no signs of infectious, contagious and/or communicable disease.

Vaccinations (1)

NameManufacturer / ProductLotAdministeredExpiresApplies to
Parvovirus VaccineCanine 1-Pv2023-03-27all

Remarks / additional certifications

Animals are not returning to WI. Serial Number column reads 'ANIMALS FOR RESEARCH'. Veterinarian certified animals show no signs of infectious, contagious and/or communicable disease.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (24)

IDBreedSexAge / DOBColorMicrochip / tattooOther
BOA-3BeagleF2 Mos2 Mos
CAA-3BeagleF2 Mos2 Mos
CBA-3BeagleF2 Mos2 Mos
CIA-3BeagleF2 Mos2 Mos
ZEA-3BeagleF2 Mos2 Mos
ZFA-3BeagleF2 Mos2 Mos
ZRA-3BeagleF2 Mos2 Mos
BGB-3BeagleM2 Mos2 Mos
BIB-3BeagleM2 Mos2 Mos
BJB-3BeagleM2 Mos2 Mos
BLB-3BeagleM2 Mos2 Mos
BQB-3BeagleM2 Mos2 Mos
BRB-3BeagleM2 Mos2 Mos
BZB-3BeagleM2 Mos2 Mos
WVB-3BeagleM2 Mos2 Mos
WWB-3BeagleM2 Mos2 Mos
WXB-3BeagleM2 Mos2 Mos
XIB-3BeagleM2 Mos2 Mos
YFB-3BeagleM2 Mos2 Mos
ZBB-3BeagleM2 Mos2 Mos
ZGB-3BeagleM2 Mos2 Mos
ZHB-3BeagleM2 Mos2 Mos
ZPB-3BeagleM2 Mos2 Mos
ZQB-3BeagleM2 Mos2 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 35-245615 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 6519 · out 4808 · cost $0.0917
Overall confidence0.88 · cross-tier agreement 1.00
Model notesThree-page CVI (35-245615). Page 1 is the main Wisconsin Interstate Small Animal CVI listing animals 1-7 (BOA-3 through ZRA-3, females). Pages 2-3 are continuation pages listing animals 7-21 (BGB-3 through ZHB-3, males on page 2) and animals 7-8 (ZPB-3, ZQB-3, males on page 3). Total per the form header is 24 animals. The ditto/vertical-line rule was applied extensively: all animals share sex, age (2 Mos), breed (Beagle), serial number (RESEARCH), rabies tag (N/A), other vaccinations (Parvovirus Vaccine / Canine 1-Pv), date vaccinated (03/27/23), and product (ANIMALS FOR RESEARCH). The female group (animals 1-7 on page 1) starts with an explicit 'F' for BOA-3 with a vertical line running through rows 2-7. The male group starts on page 2 with BGB-3 explicitly marked 'M' with a vertical line continuing through all subsequent male animals on pages 2 and 3. Owner/Agent signature reads 'Pamela J. Burke'. Consignee name on continuation pages is abbreviated as 'EAST TENNESSEE CLINICAL' but the main page 1 reads 'EAST TENNESSEE CLINICAL RESEARCH, INC.' — full name used. The mailing address for consignor is P.O. Box 318 Mt. Horeb, WI 53572 (from page 1 form). National accreditation number 033491 is listed on page 1.

shrine_id 867552 · doc_class PaperCvi