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Certificate of Veterinary Inspection · issued 2022-09-08

35-245708

RIDGLAN FARMS, INC.IIT RESEARCH INSTITUTE · 16 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

IIT RESEARCH INSTITUTE

STATE STREET DOCK 10 WEST 35TH STREET CHICAGO, IL 60616

State
IL
Shipped
2022-09-08
Inspected
2022-09-08
Issued
2022-09-08
Purpose
Species
Dog - 16 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

Remarks / additional certifications

Not returning to WI; Permit Number: IP003017; Owner mailing address: P.O. Box 318 Mt. Horeb, WI 53572; Email: ridglan@mhtc.net

Animals listed on this shipment (16)

IDBreedSexAge / DOBColorMicrochip / tattooOther
GYW-1BeagleF7-10 Mos; Rabies Vaccination Date: 08/30/22; Rabies Exp. Date: 08/30/23; Product: Nobivac 1-Rabies; Serial: 538378; Rabies Tag: N/A; Other Vaccinations: Canine 1-DAPPv; Date Vaccinated: 07/13/22; Vaccine Producer: Nobivac
HKW-1Beagle
KSW-1Beagle
QWW-1Beagle
QZW-1Beagle
RCW-1Beagle
SOW-1BeagleRow 7 has checkmarks across all columns indicating data continuation from row 1Row 7 has checkmarks across all columns indicating data continuation from row 1
WGC-2BeagleF7-10 Mos; Rabies Vaccination Date: 08/30/22; Rabies Exp. Date: 08/30/23; Product: Nobivac 1-Rabies; Serial: 538378; Rabies Tag: N/A; Other Vaccinations: Canine 1-DAPPv; Date Vaccinated: 07/13/22; Vaccine Producer: Nobivac
DJX-1BeagleM
GUX-1Beagle
HSX-1Beagle
JBX-1Beagle
JRX-1Beagle
KXX-1Beagle
LRX-1Beagle
RIX-1BeagleRow 15 has checkmarks across all columns indicating data continuationRow 15 has checkmarks across all columns indicating data continuation

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 35-245708
Extraction provenance
Source modeltier2 · claude-sonnet-4-6 · prompt tier2.v1
Extracted2026-05-22 14:13:21
Tokensin 4182 · out 2346 · cost $0.0477
Overall confidence0.93 · cross-tier agreement
Model notesTwo-page CVI (Page 1 of 2 and Page 2 of 2) with certificate number 35-245708. Total of 16 animals listed across both pages (rows 1-7 on page 1, rows 7-15 on page 2 continuation). Row 7 (SOW-1) and Row 15 (RIX-1) contain checkmark symbols likely indicating same vaccination data as rows 1 and 7 respectively. Sex and age fields mostly blank for animals 2-6 and 8-15. DOBs not explicitly listed; age given as '7-10 Mos' for animals 1 and 7.

shrine_id BUNDLE-15896138-1 · doc_class PaperCvi