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Certificate of Veterinary Inspection · issued ?

35-265077

RIDGLAN FARMS, INC. → KENNELWOOD · 5 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

KENNELWOOD

1913 N. STALEY RD CHAMPAIGN, IL 61822

State
IL
Shipped
2023-11-14
Inspected
2023-11-14
Issued
—
Purpose
—
Species
Dog

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 11/08/2023, expires 11/08/2024, Nobivac 1-Rabies
Other declarations
Veterinarian certifies animals have been inspected and are not showing signs of infectious, contagious and/or communicable disease.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac 1-Rabies2023-11-082024-11-08all
Canine 1-DAPPvNobivac2023-11-08all

Remarks / additional certifications

Permit Number: IPOOVDFS. Owner/Agent: Tamela J. Bute. Not returning to WI.

Veterinarian certifies animals have been inspected and are not showing signs of infectious, contagious and/or communicable disease.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (5)

IDBreedSexAge / DOBColorMicrochip / tattooOther
CJW-1BeagleFAdult656402Adult
CKW-1BeagleFAdultAdult
DLW-1BeagleFAdultAdult
OBW-1BeagleFAdultAdult
OCW-1BeagleFAdultAdult

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 35-265077 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 1917 · cost $0.0389
Overall confidence0.88 · cross-tier agreement 1.00
Model notesRows 2-5 (CKW-1, DLW-1, OBW-1, OCW-1) inherit Sex (F), Age (Adult), Breed (Beagle), and vaccination data from row 1 (CJW-1) via vertical ditto lines terminating with a checkmark at row 5. The Serial Number 656402 and Rabies Tag N/A appear explicitly only for row 1; the ditto lines suggest they apply to all animals, but the serial number field for rows 2-5 was left blank — only the vaccination columns clearly show the ditto line. Microchip for rows 2-5 set to null as no explicit values or clear ditto lines present in that column. The Canine 1-DAPPv (Other Vaccinations) column also shows a ditto line through all 5 rows. Owner mailing address listed as P.O. Box 318 Mt. Horeb, WI 53572. Permit number read as IPOOVDFS (handwritten, may be slightly different). Page 1 of 1.

shrine_id PARTNER-35-265077 · doc_class PaperCvi