Certificate of Veterinary Inspection · issued 2022-07-06
35-245672
RIDGLAN FARMS, INC. → T.R.S. LAB · 5 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
Rabies: Rabvac 1, Serial D353143A, vaccinated 06/07/22, exp 06/07/23; Other: Canine 1-DAPPv, Nobivac, vaccinated 01/21/22
Animals listed on this shipment (5)
| ID | Breed | Sex | Age / DOB | Color | Microchip / tattoo | Other |
|---|---|---|---|---|---|---|
| AJT-1 | Beagle | M | Adult | |||
| CWT-1 | Beagle | |||||
| FPT-1 | Beagle | |||||
| GHT-1 | Beagle | |||||
| YET-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-c7c99552-2 · doc_class PaperCvi