Certificate of Veterinary Inspection · issued 2022-03-07
35-245631
RIDGLAN FARMS, INC. → Summit Ridge Farms · 24 dogs
Consignor (shipper)
RIDGLAN FARMS, INC.
10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517
Phone
608-437-8670
Shipped
2022-03-07
Inspected
2022-03-07
Issued
2022-03-07
Purpose
—
Species
Dog - 24 animals
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
Animals listed on this shipment (24)
| ID | Breed | Sex | Age / DOB | Color | Microchip / tattoo | Other |
|---|---|---|---|---|---|---|
| HGW-1 | Beagle | F | 3 Mos | |||
| HLW-1 | Beagle | |||||
| ITW-1 | Beagle | |||||
| IVW-1 | Beagle | |||||
| JQW-1 | Beagle | |||||
| JTW-1 | Beagle | |||||
| KBW-1 | Beagle | |||||
| KZW-1 | Beagle | F | 3 Mos | |||
| LFW-1 | Beagle | |||||
| LQW-1 | Beagle | |||||
| LWW-1 | Beagle | |||||
| OVW-1 | Beagle | |||||
| QXW-1 | Beagle | |||||
| RBW-1 | Beagle | |||||
| GJX-1 | Beagle | M | ||||
| GZX-1 | Beagle | |||||
| HXX-1 | Beagle | |||||
| IJX-1 | Beagle | |||||
| JCX-1 | Beagle | |||||
| JFX-1 | Beagle | |||||
| KJX-1 | Beagle | |||||
| LHX-1 | Beagle | |||||
| OKX-1 | Beagle | M | 3 Mos | |||
| OPX-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
Source modeltier2 · claude-sonnet-4-6 · prompt tier2.v1
Extracted2026-05-22 14:13:21
Tokensin 5734 · out 2768 · cost $0.0587
Overall confidence0.95 · cross-tier agreement —
Model notesSingle CVI spanning 3 pages (35-245631). Page 1 is the main form; pages 2 and 3 are continuation pages. Total of 24 Beagles listed across all three pages. Rabies vaccine: Nobivac 1-Rabies, Serial No. 523628, vaccinated 02/28/22, exp. 02/28/23. Other vaccination: Canine 1-DAPPv (Nobivac), date 02/24/22. Some animal rows on page 1 entries 2-7 and continuation pages use ditto/checkmark notation referencing row 1 or row 7 vaccination data.
shrine_id BUNDLE-e30a63cf-1 · doc_class PaperCvi