Certificate of Veterinary Inspection · issued 2023-04-28
35-252030
Stacey Feiner → Tina Yang · 1 dogs
Consignor (shipper)
Stacey Feiner
32727 Byrds Creek Valley Drive Blue River, WI 53518
Consignee (buyer)
56-27 Second St, 1503 Long Island City, NY 11101
Carrier
Not stated on the certificate.
Issuing Veterinarian
Mary Johanning, DVM
Riverdale Vet Clinic
127 Hwy 133 #80
Health declarations
Vaccinations (1)
| Name | Manufacturer / Product | Lot | Administered | Expires | Applies to |
|---|---|---|---|---|---|
| Rabies | specific |
Remarks / additional certifications
Veterinarian certifies animal has been inspected and is not showing signs of infectious, contagious and/or communicable disease.
Emails on form: riverdalevet@gmail.com
Animals listed on this shipment (1)
| ID | Breed | Sex | Age / DOB | Color | Microchip / tattoo | Other |
|---|---|---|---|---|---|---|
| Dionysus | Australian Shepherd | M | 2023-02-07 | Red Tricolor | Born 2-7-23 |
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 618552 · doc_class PaperCvi