Certificate of Veterinary Inspection · issued 2023-01-23
35-245753
RIDGLAN FARMS, INC. → MAYO CLINIC · 1 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
Owner Mailing Address: P.O. Box 318 Mt. Horeb, WI 53572; Not returning to WI; Email: ridglan@mhtc.net
Animals listed on this shipment (1)
| ID | Breed | Sex | Age / DOB | Color | Microchip / tattoo | Other |
|---|---|---|---|---|---|---|
| VWY-1 | Beagle | F | 13 months; Rabies Vaccination Date: 07/12/22; Rabies Vaccination Exp. Date: 07/12/23; Rabies Vaccine Producer: Rabvac 1; Rabies Tag Number: N/A; Other Vaccinations: Canine1-DAPPv; Date Vaccinated: 04/14/22; Other Vaccine Producer: Nobivac | E008808A |
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-40834086-1 · doc_class PaperCvi