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Certificate of Veterinary Inspection · issued ?

35-264475

RIDGLAN FARMS, INC. → UNIVERSITY OF GEORGIA · 20 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

UNIVERSITY OF GEORGIA

4435 ATLANTA HWY ATHENS, GA 30606

State
GA
Shipped
2023-09-20
Inspected
2023-09-20
Issued
—
Purpose
—
Species
Dog (Beagle)

Carrier

Not stated on the certificate.

Issuing Veterinarian

Richard J. Van Domelen, D.V.M.

P.O. BOX 318 MT. HOREB, WI 53572

Phone
608-437-8670
State license
4502
USDA accreditation
033491

Health declarations

Rabies
Vaccinated 09/12/2023, expires 09/12/2024, Nobivac 1-Rabies, serial 656402
Other declarations
Veterinarian certifies animals have been inspected and are not showing any signs of infectious, contagious and/or communicable disease (except where noted).

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 1-Rabies6564022023-09-122024-09-12all
Canine 1-DAPPvNobivac / Nobivac2023-06-27all

Remarks / additional certifications

Veterinarian certifies animals have been inspected and are not showing any signs of infectious, contagious and/or communicable disease (except where noted).

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (20)

IDBreedSexAge / DOBColorMicrochip / tattooOther
GSC-3BeagleF6-7 Mos6-7 Mos
HDC-3BeagleF6-7 Mos6-7 Mos
JGC-3BeagleF6-7 Mos6-7 Mos
QCC-3BeagleF6-7 Mos6-7 Mos
QQC-3BeagleF6-7 Mos6-7 Mos
QVC-3BeagleF6-7 Mos6-7 Mos
SQC-3BeagleF6-7 Mos6-7 Mos
VAC-3BeagleF6-7 Mos6-7 Mos
VCC-3BeagleF6-7 Mos6-7 Mos
VIC-3BeagleF6-7 Mos6-7 Mos
DDD-3BeagleM6-7 Mos6-7 Mos
LED-3BeagleM6-7 Mos6-7 Mos
QED-3BeagleM6-7 Mos6-7 Mos
QLD-3BeagleM6-7 Mos6-7 Mos
RAD-3BeagleM6-7 Mos6-7 Mos
RPD-3BeagleM6-7 Mos6-7 Mos
SFD-3BeagleM6-7 Mos6-7 Mos
THD-3BeagleM6-7 Mos6-7 Mos
TID-3BeagleM6-7 Mos6-7 Mos
XWD-3BeagleM6-7 Mos6-7 Mos

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 35-264475 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 4957 · out 4373 · cost $0.0805
Overall confidence0.82 · cross-tier agreement 1.00
Model notesTwo-page CVI. Page 1 lists animals 1-7 (GSC-3 through SQC-3), page 2 lists animals 7-21 (VAC-3 through XWD-3 explicitly; rows 20-21 are blank and not included as they have no IDs). Total stated as 20 animals; 20 animal rows with IDs are present across both pages. Sex and age ditto lines: On page 1, animal GSC-3 is explicitly F, 6-7 Mos; a vertical ditto line runs through rows 2-7 (HDC-3 through SQC-3), so all inherit F, 6-7 Mos. On page 2, VAC-3 is explicitly F, 6-7 Mos; VCC-3 and VIC-3 inherit via ditto line (F). DDD-3 is explicitly M; LED-3 through XWD-3 inherit M via ditto line. Age 6-7 Mos is carried across all animals from the initial entry. Rows 20 and 21 on page 2 are blank with no IDs and are omitted. Owner/agent signature is 'Pamela G. Burke'. Mailing address for consignor is P.O. Box 318 Mt. Horeb, WI 53572 (different from street address). The CVI was received by WI on 01 Apr 2024 but issued 9/20/2023.

shrine_id PARTNER-35-264475 · doc_class PaperCvi