Certificate of Veterinary Inspection · issued 2023-12-06
35-265087
RIDGLAN FARMS, INC. → CHERI-HILL KENNEL & SUPPLY INC. · 20 dogs
Consignor (shipper)
RIDGLAN FARMS, INC.
10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517
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 (2)
| Name | Manufacturer / Product | Lot | Administered | Expires | Applies to |
|---|---|---|---|---|---|
| Rabies | all | ||||
| Canine Parvo | Merck / Canine Parvo | 2023-12-04 | all |
Remarks / additional certifications
Animals for Research. Owner mailing address: P.O. Box 316 Mt. Horeb, WI 53572. Not returning to WI. Number of animals in shipment: 20.
Veterinarian certifies animals show no signs of infectious, contagious and/or communicable disease. Animals meet state of destination and Federal interstate requirements.
Emails on form: ridglan@mhtc.net
Animals listed on this shipment (20)
| ID | Breed | Sex | Age / DOB | Color | Microchip / tattoo | Other |
|---|---|---|---|---|---|---|
| SVU-3 | Beagle | F | 2 MOS. | 2 MOS. | ||
| SYU-3 | Beagle | F | 2 MOS. | 2 MOS. | ||
| ULU-3 | Beagle | F | 2 MOS. | 2 MOS. | ||
| USU-3 | Beagle | F | 2 MOS. | 2 MOS. | ||
| UXU-3 | Beagle | F | 2 MOS. | 2 MOS. | ||
| UYU-3 | Beagle | F | 2 MOS. | 2 MOS. | ||
| VFU-3 | Beagle | F | 2 MOS. | 2 MOS. | ||
| VRU-3 | Beagle | F | 2 MOS. | 2 MOS. | ||
| VTU-3 | Beagle | F | 2 MOS. | 2 MOS. | ||
| VZU-3 | Beagle | F | 2 MOS. | 2 MOS. | ||
| SSV-3 | Beagle | M | 2 MOS. | 2 MOS. | ||
| STV-3 | Beagle | M | 2 MOS. | 2 MOS. | ||
| SXV-3 | Beagle | M | 2 MOS. | 2 MOS. | ||
| SZV-3 | Beagle | M | 2 MOS. | 2 MOS. | ||
| UHV-3 | Beagle | M | 2 MOS. | 2 MOS. | ||
| UPV-3 | Beagle | M | 2 MOS. | 2 MOS. | ||
| UQV-3 | Beagle | M | 2 MOS. | 2 MOS. | ||
| UVV-3 | Beagle | M | 2 MOS. | 2 MOS. | ||
| VDV-3 | Beagle | M | 2 MOS. | 2 MOS. | ||
| VEV-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 790541 · doc_class PaperCvi