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Certificate of Veterinary Inspection · issued 2024-03-30

35-257437

Sandy Ellarson → Sandy Ellarson · 2 dogs

Open source PDF ↗

Consignor (shipper)

Sandy Ellarson

401 Riphahn Ct Mt Horeb, WI 53572

Phone
608-937-1125

Consignee (buyer)

Sandy Ellarson

1473 Keys Gate Dr Melbourne, FL 32940

State
FL
Phone
608-770-1650
Shipped
2024-04-30
Inspected
2024-03-30
Issued
2024-03-30
Purpose
—
Species
Dog

Carrier

Not stated on the certificate.

Issuing Veterinarian

Kimberly Vogel

Mt Horeb Animal Hospital

1300 Springdale St, Mt Horeb, WI 53572

Phone
608-437-8128
State license
5353
USDA accreditation
029886

Health declarations

Rabies
Bailey vaccinated 2023-09-12 (expires 2026-09-11, tag 7831); Ginger vaccinated 2023-09-13 (expires 2024-09-13, tag 4877)
Other declarations
Veterinarian certifies animals show no signs of infectious, contagious and/or communicable disease. Not returning to WI.

Vaccinations (6)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesZoetis / Nobivac 3-Rabies4626102023-09-122026-09-11specific
DAPPElanco / TruCanine2021-11-01specific
BordetellaElanco / TruCanine2023-09-12specific
Rabiesunknownunknown2023-09-132024-09-13specific
DAPPElanco / TruCanine2023-09-13specific
BordetellaElanco / TruCanine2023-09-13specific

Remarks / additional certifications

Veterinarian certifies animals show no signs of infectious, contagious and/or communicable disease. Not returning to WI.

Emails on form: info@mthorebanimalhospital.com

Animals listed on this shipment (2)

IDBreedSexAge / DOBColorMicrochip / tattooOther
BaileyLiewellin SetterF7y 9mTri-color9851120079003907y 9m
GingerGolden DoodleF3y 9mosRed9856000130217413y 9mos

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 35-257437 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3419 · out 2071 · cost $0.0413
Overall confidence0.78 · cross-tier agreement 1.00
Model notesHandwriting is moderately difficult to read throughout. Key uncertainties: (1) Consignor/consignee name read as 'Ellarson' — could be 'Ellarson' or similar. (2) Origin address '401 Riphahn Ct' — 'Riphahn' is best reading. (3) Destination address '1473 Keys Gate Dr' — reasonably clear. (4) Bailey's age written as '7y 9m' (7 years 9 months); Ginger's age as '3y 9mos'. (5) Microchip numbers transcribed carefully but some digits uncertain due to handwriting. (6) Rabies vaccination date for Bailey: '9/12/23' administered, exp '9/11/26'. (7) Ginger's rabies vaccine product/lot listed as 'unknown'. (8) DAPP date for Bailey listed as '11-1-21' (November 1, 2021). (9) Vet license number read as '5353' and NAN as '029886'. (10) Email address partially legible — rendered as best reading 'info@mthorebanimalhospital.com'. (11) The 'TruCanine' product by Elanco appears for both DAPP and Bordetella for both animals. (12) No ditto/vertical-line inheritance was needed as each animal row appears explicitly filled.

shrine_id 870215 · doc_class PaperCvi