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Certificate of Veterinary Inspection · issued ?

35-265076

RIDGLAN FARMS, INC.ELANCO - FD · 40 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

Elanco Animal Health

800 5TH ST NW FORT DODGE, IA 50501

State
IA
Shipped
2023-11-13
Inspected
2023-11-13
Issued
Purpose
ANIMALS FOR RESEARCH
Species
Beagle dogs

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
No rabies vaccination date listed; Rabies Tag No: N/A — animals are for research
Other declarations
Veterinarian certifies animals have been inspected and are not showing signs of infectious, contagious and/or communicable disease. Vaccinations and test results are as indicated on this certificate.

Vaccinations (1)

NameManufacturer / ProductLotAdministeredExpiresApplies to
Canine 1-DAPPvNobivac2023-11-07all

Remarks / additional certifications

Animals are FOR RESEARCH. Not returning to WI. Owner/Agent: Amela G. Burke. 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. Vaccinations and test results are as indicated on this certificate.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (40)

IDBreedSexAge / DOBColorMicrochip / tattooOther
ALO-3BeagleF3 Mos3 Mos
AZO-3BeagleF3 Mos3 Mos
BRO-3BeagleF3 Mos3 Mos
BZO-3BeagleF3 Mos3 Mos
CHO-3BeagleF3 Mos3 Mos
CKO-3BeagleF3 Mos3 Mos
CRP-3BeagleF3 Mos3 Mos
CUO-3BeagleF3 Mos3 Mos
CYO-3BeagleF3 Mos3 Mos
DEO-3BeagleF3 Mos3 Mos
DRO-3BeagleF3 Mos3 Mos
DTO-3BeagleF3 Mos3 Mos
EAO-3BeagleF3 Mos3 Mos
WXO-3BeagleF3 Mos3 Mos
XAO-3BeagleF3 Mos3 Mos
XUO-3BeagleF3 Mos3 Mos
XXO-3BeagleF3 Mos3 Mos
YDO-3BeagleF3 Mos3 Mos
YEO-3BeagleF3 Mos3 Mos
YQO-3BeagleF3 Mos3 Mos
YYO-3BeagleF3 Mos3 Mos
ZLO-3BeagleF3 Mos3 Mos
ZQO-3BeagleF3 Mos3 Mos
ZZO-3BeagleF3 Mos3 Mos
AXP-3BeagleM3 Mos3 Mos
BAP-3BeagleM3 Mos3 Mos
BWP-3BeagleM3 Mos3 Mos
CCP-3BeagleM3 Mos3 Mos
CSP-3BeagleM3 Mos3 Mos
CWP-3BeagleM3 Mos3 Mos
DPP-3BeagleM3 Mos3 Mos
DQP-3BeagleM3 Mos3 Mos
URP-3BeagleM3 Mos3 Mos
UTP-3BeagleM3 Mos3 Mos
WZP-3BeagleM3 Mos3 Mos
XBP-3BeagleM3 Mos3 Mos
YGP-3BeagleM3 Mos3 Mos
YKP-3BeagleM3 Mos3 Mos
ZJP-3BeagleM3 Mos3 Mos
ZKP-3BeagleM3 Mos3 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 35-265076
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 8081 · out 7216 · cost $0.1325
Overall confidence0.88 · cross-tier agreement 1.00
Model notes4-page CVI. Page 1 lists animals 1-7 (ALO-3 through CRP-3) as Beagles (abbreviated 'BE'), all female, 3 months, in one ditto group. Page 2 lists animals 7-21 (CUO-3 through ZLO-3), continuing the female group. Page 3 lists animals 7-21 (ZQO-3 through YGP-3); ZQO-3 is female 3 Mos, ZZO-3 is female (ditto with checkmark on sex), AXP-3 is explicitly Male, then BAP-3 through YGP-3 inherit Male via ditto line. Page 4 lists animals 7-9 (YKP-3, ZJP-3, ZKP-3), all Male 3 Mos. Total animals = 40 per form header. The 'Serial Number' column reads 'RESEARCH' for the first animal group and is inherited by all. Rabies tag listed as N/A throughout. The vaccine 'Canine 1-DAPPv' / product 'Nobivac' dated 11/07/23 applies to all animals via ditto lines across all pages. The owner mailing address on page 1 differs from origin street address (P.O. Box 318 vs. 10489 W. Blue Mounds Rd.) but both belong to Ridglan Farms. Page 3 row 7 restarts numbering at 7 (continuation page convention) — actual animal sequence continues from page 2.

shrine_id PARTNER-35-265076 · doc_class PaperCvi