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Certificate of Veterinary Inspection · issued ?

35-265082

RIDGLAN FARMS, INC.UNIVERSITY OF GEORGIA · 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)

UNIVERSITY OF GEORGIA

4435 ATLANTA HWY ATHENS, GA 30606

State
GA
Shipped
2023-11-27
Inspected
2023-11-27
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 11/22/2023; expires 11/22/2024; Nobivac Rabies; Serial 656402
Other declarations
Veterinarian certifies animals show no signs of infectious, contagious and/or communicable disease (except where noted). Animals are not returning to WI.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac Rabies2023-11-222024-11-22all
Canine 1-DAPPvNobivac2023-11-22all

Remarks / additional certifications

Veterinarian certifies animals show no signs of infectious, contagious and/or communicable disease (except where noted). Animals are not returning to WI.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (5)

IDBreedSexAge / DOBColorMicrochip / tattooOther
UAO-3BeagleF4 Mos4 Mos
UDO-3BeagleF4 Mos4 Mos
VQO-3BeagleF4 Mos4 Mos
VVO-3BeagleF4 Mos4 Mos
WOO-3BeagleF4 Mos4 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 35-265082
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 1936 · cost $0.0392
Overall confidence0.92 · cross-tier agreement 1.00
Model notesRow 1 (UAO-3) has explicit Sex=F, Age=4 Mos, with vaccination details. Rows 2-5 (UDO-3, VQO-3, VVO-3, WOO-3) have vertical ditto lines through Sex and Age columns, and checkmarks at row 5 terminating the lines — all inherit F and 4 Mos from row 1. The Rabies vaccination details (date, expiry, product, serial number) are only explicitly filled in row 1 but the ditto lines indicate they apply to all 5 animals. Canine 1-DAPPv (written as 'Canine 1-DAPPv') is listed in the 'Other Vaccinations' column with date 11/22/23 and product Nobivac, also inherited across all animals via ditto lines. The mailing address for consignor is P.O. Box 318 Mt. Horeb, WI 53572 (different from street address). Owner/Agent signature appears to be 'Pamela J. Burke' or similar. Serial number 656402 applies to the Rabies vaccine for the group.

shrine_id PARTNER-35-265082 · doc_class PaperCvi