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Certificate of Veterinary Inspection · issued 2023-05-24

35-257434

Dawn KundertJordyn Allen · 1 dogs

Open source PDF ↗
Flagged for manual review. Cross-model agreement was 52% — the consignor name was extracted slightly differently across Haiku, Sonnet, and Opus. Please verify against the source PDF.

Consignor (shipper)

Dawn Kundert

16141 Sharp Rd Mt Horch WI 53572

Phone
(608) 201-6408

Consignee (buyer)

Jordyn Allen

12713 Saddle Brook Place Silver Spring MD 20906

State
MD
Phone
(240) 479-6332
Shipped
2023-05-27
Inspected
2023-05-12
Issued
2023-05-24
Purpose
vacation
Species
Dog

Carrier

Not stated on the certificate.

Issuing Veterinarian

Jeffrey R. Kandert

Mt. Horch Animal Hospital

1300 Springdale St, Mt. Horch, WI

Phone
(608) 437-8127
State license
104578
USDA accreditation
03090

Health declarations

Rabies
Vaccinated - expires in 2 years (Too Years)
Other declarations
Animal is traveling with owner on vacation. Not returning to WI.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
Rabiesspecific
Dist/Parvo (DA2PPv equivalent)Nobivac Puppy DPV / Nobivac Puppy DPV2023-05-23specific

Remarks / additional certifications

Animals are traveling with owner on vacation. Not returning to WI. Received by WI Fri, 02 Jun 2023 11:59am CDT.

Animal is traveling with owner on vacation. Not returning to WI.

Emails on form: jkurdorte@mthorchanihospital.com

Animals listed on this shipment (1)

IDBreedSexAge / DOBColorMicrochip / tattooOther
Bels TervurenBelgian TervurenM8 yrsBrown & Black/Merle9560000167492928 yrs

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 35-257434
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 1369 · cost $0.0307
Overall confidence0.72 · cross-tier agreement 0.52
Model notesSingle page, single animal. Handwriting is somewhat difficult to read. Dog's name parsed as 'Bels Tervuren' from the name/ID and breed columns — 'Bels' appears to be the dog's name and 'Tervuren' the breed (Belgian Tervuren). Age written as '8 yrs' (8 with a subscript or 'yrs' notation). Rabies vaccination expiration noted as 'Too Years' interpreted as '2 years'. Date administered for Dist/Parvo read as 5/23/23. Vet email address partially legible — 'jkurdorte' domain approximated as 'mthorchanihospital.com' but may be incorrect. Clinic address 1300 Springdale St Mt Horch WI. Origin city read as 'Mt Horch' (may be 'Mt. Horeb'). Inspection date read as 5/12/23. Issue/CVI date read as 5/24/23. Shipping date 5/27/23. No ditto rule needed — only one animal row.

shrine_id 638105 · doc_class PaperCvi