Certificate of Veterinary Inspection · issued 2023-01-18
35-245750
RIDGLAN FARMS, INC. → IIT RESEARCH INSTITUTE · 1 dogs
Consignor (shipper)
RIDGLAN FARMS, INC.
10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517
Consignee (buyer)
STATE STREET DOCK 10 WEST 35TH STREET CHICAGO, IL 60616
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
Permit number: IPDOANG8
Animals listed on this shipment (1)
| ID | Breed | Sex | Age / DOB | Color | Microchip / tattoo | Other |
|---|---|---|---|---|---|---|
| CJC-2 | Beagle | F | Adult; Rabies Vacc: 01/11/23 exp 01/11/24, Nobivac 1-Rabies serial 570380; Other Vacc: Canine 1-DAPPv 07/13/22 Nobivac |
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-0b8c8741-4 · doc_class PaperCvi