Certificate of Veterinary Inspection · issued ?
35-265075
RIDGLAN FARMS, INC. → EAST TENNESSEE CLINICAL RESEARCH, INC. · 12 dogs
Consignor (shipper)
RIDGLAN FARMS, INC.
10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517
Consignee (buyer)
EAST TENNESSEE CLINICAL RESEARCH, INC.
80 COPPER RIDGE ROAD ROCKWOOD, TN 37854
Carrier
Not stated on the certificate.
Issuing Veterinarian
Richard J. Van Domelen, D.V.M.
P.O. BOX 318 MT. HOREB, WI 53572
Health declarations
Vaccinations (1)
| Name | Manufacturer / Product | Lot | Administered | Expires | Applies to |
|---|---|---|---|---|---|
| Parvo Virus | NeoPar | 2023-11-07 | all |
Remarks / additional certifications
Not returning to WI. Number of animals in shipment: 12. Shipping date: 11/13/2023. Owner mailing address: P.O. Box 318 Mt. Horeb, WI 53572.
Veterinarian certifies animals have been inspected and are not showing signs of infectious, contagious and/or communicable disease. Animals are for research. Serial number field reads 'ANIMALS FOR RESEARCH'.
Emails on form: ridglan@mhtc.net
Animals listed on this shipment (12)
| ID | Breed | Sex | Age / DOB | Color | Microchip / tattoo | Other |
|---|---|---|---|---|---|---|
| CAS-3 | Beagle | F | 2 Mos | 2 Mos | ||
| CBS-3 | Beagle | F | 2 Mos | 2 Mos | ||
| DZS-3 | Beagle | F | 2 Mos | 2 Mos | ||
| EBS-3 | Beagle | F | 2 Mos | 2 Mos | ||
| ECS-3 | Beagle | F | 2 Mos | 2 Mos | ||
| FHS-3 | Beagle | F | 2 Mos | 2 Mos | ||
| BLT-3 | Beagle | M | 2 Mos | 2 Mos | ||
| BST-3 | Beagle | M | 2 Mos | 2 Mos | ||
| DQT-3 | Beagle | M | 2 Mos | 2 Mos | ||
| ERT-3 | Beagle | M | 2 Mos | 2 Mos | ||
| FDT-3 | Beagle | M | 2 Mos | 2 Mos | ||
| FET-3 | Beagle | M | 2 Mos | 2 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.
Extraction provenance
shrine_id PARTNER-35-265075 · doc_class PaperCvi