Certificate of Veterinary Inspection · issued 2022-06-13
35-245662
RIDGLAN FARMS, INC. → SOUTHERN RESEARCH INSTITUTE · 18 dogs
Consignor (shipper)
RIDGLAN FARMS, INC.
10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517
Carrier
Not stated on the certificate.
Issuing Veterinarian
Richard J. Van Domelen, D.V.M.
P.O. BOX 318 MT. HOREB, WI 53572
Remarks / additional certifications
Not returning to WI. Mailing address: P.O. Box 318 Mt. Horeb, WI 53572. Email: ridglan@mhtc.net
Animals listed on this shipment (18)
| ID | Breed | Sex | Age / DOB | Color | Microchip / tattoo | Other |
|---|---|---|---|---|---|---|
| HJX-1 | Beagle | M | 6-7 Mos; Rabies Vac: 06/02/22; Rabies Exp: 06/02/23; Rabvac 1; Serial: D353143A; Canine 1-DAPPv 04/14/22 Nobivac | |||
| IPX-1 | Beagle | |||||
| JGX-1 | Beagle | |||||
| JOX-1 | Beagle | |||||
| JPX-1 | Beagle | |||||
| JYX-1 | Beagle | |||||
| KCX-1 | Beagle | |||||
| KWX-1 | Beagle | M | 6-7 Mos; Rabies Vac: 06/02/22; Rabies Exp: 06/02/23; Rabvac 1; Serial: D353143A; Canine 1-DAPPv 04/14/22 Nobivac | |||
| LCX-1 | Beagle | |||||
| LKX-1 | Beagle | |||||
| LUX-1 | Beagle | |||||
| LYX-1 | Beagle | |||||
| LZX-1 | Beagle | |||||
| OFX-1 | Beagle | |||||
| OLX-1 | Beagle | |||||
| QSX-1 | Beagle | |||||
| SKX-1 | Beagle | |||||
| SLX-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
shrine_id BUNDLE-d44adf87-1 · doc_class PaperCvi