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Certificate of Veterinary Inspection · issued 2024-01-03

35-265090

RIDGLAN FARMS, INC.AUBURN UNIVERSITY · 4 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

AUBURN UNIVERSITY

311 GREEN HALL ANNEX AUBURN, AL 36830

State
AL
Shipped
2024-01-03
Inspected
2024-01-03
Issued
2024-01-03
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 12/13/2023, expires 12/13/2024 (Nobivac 1-Rabies, Serial 656402) for FCE-3; ditto marks suggest same for QIE-3
Other declarations
Veterinarian certifies animals have been inspected and are not showing any signs of infectious, contagious and/or communicable disease (except where noted). Vaccinations and results of tests are as indicated on this certificate.

Vaccinations (3)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 1-Rabies6564022023-12-132024-12-13specific
Canine 1-DAPPNobivac / Nobivac2023-12-13specific
Rabiesspecific

Remarks / additional certifications

Veterinarian certifies animals have been inspected and are not showing any signs of infectious, contagious and/or communicable disease (except where noted). Vaccinations and results of tests are as indicated on this certificate.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (4)

IDBreedSexAge / DOBColorMicrochip / tattooOther
FCE-3BeagleFAdultAdult
JVE-3BeagleFAdultAdult
OGE-3BeagleFAdultAdult
QIE-3BeagleFAdultAdult

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 35-265090
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3419 · out 2022 · cost $0.0406
Overall confidence0.78 · cross-tier agreement 1.00
Model notesThis is a 1-page CVI. Four Beagle females are listed. Row 1 (FCE-3) has explicit values: Sex=F, Age=Adult, Rabies vaccination 12/13/23 expiring 12/13/24 with Nobivac 1-Rabies serial 656402, and Canine 1-DAPP (Nobivac) on 12/13/23. Rows 2 (JVE-3) and 3 (OGE-3) appear blank in all vaccination columns — no ditto lines are clearly visible for those rows, though Breed=BE is carried for all. Row 4 (QIE-3) has clear ditto checkmarks (downward vertical lines ending in ticks) across all columns including Sex, Age, Rabies vacc date, Rabies exp date, Product/Vaccine Producer, Serial Number, Rabies Tag Number, Other Vaccinations, Date Vaccinated, and Product/Vaccine Producer — indicating QIE-3 inherits all values from FCE-3. Owner mailing address is P.O. Box 318 Mt. Horeb, WI 53572 (different from origin address). The owner/agent signature appears to be 'Pamela J. Burke' or similar. Rows 2 and 3 vaccination columns appear genuinely blank (no ditto lines visible), so vaccination data is only explicitly confirmed for FCE-3 and inherited for QIE-3.

shrine_id 808026 · doc_class PaperCvi