Certificate of Veterinary Inspection · issued 2023-01-30
35-245754
RIDGLAN FARMS, INC. → Boehringer Ingelheim-Merial · 20 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. Animals listed as rows 20 and 21 on continuation page appear blank/unfilled.
Animals listed on this shipment (20)
| ID | Breed | Sex | Age / DOB | Color | Microchip / tattoo | Other |
|---|---|---|---|---|---|---|
| OSO-2 | Beagle | F | 6 Mos; Rabies Vaccination Date: 01/11/23; Rabies Exp Date: 01/11/24; Nobivac 1-Rabies; Serial No: 570380; Rabies Tag: N/A; Other Vaccinations: Canine 1-DAPPv; Date Vaccinated: 12/07/22; Nobivac | |||
| PLO-2 | Beagle | |||||
| QJO-2 | Beagle | |||||
| RTO-2 | Beagle | |||||
| SCO-2 | Beagle | |||||
| SIO-2 | Beagle | |||||
| TDO-2 | Beagle | |||||
| TKO-2 | Beagle | F | 6 Mos; Rabies Vaccination Date: 01/11/23; Rabies Exp Date: 01/01/24; Nobivac 1-Rabies; Serial No: 570380; Rabies Tag: N/A; Other Vaccinations: Canine 1-DAPPv; Date Vaccinated: 12/07/22; Nobivac | |||
| XGO-2 | Beagle | |||||
| XQO-2 | Beagle | |||||
| JQP-2 | Beagle | M | ||||
| RZP-2 | Beagle | |||||
| SGP-2 | Beagle | |||||
| SPP-2 | Beagle | |||||
| THP-2 | Beagle | |||||
| TQP-2 | Beagle | |||||
| UAP-2 | Beagle | |||||
| URP-2 | Beagle | |||||
| XCP-2 | Beagle | |||||
| XOP-2 | Beagle | Checkmarks present across all fields on page 2 (row 19); details match pattern of other animals | Checkmarks present across all fields on page 2 (row 19); details match pattern of other animals |
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-bfeaf024-1 · doc_class PaperCvi