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Certificate of Veterinary Inspection · issued ?

35-265093

RIDGLAN FARMS, INC.UNIVERSITY OF GEORGIA ANIMAL RESOURCES · 20 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 ANIMAL RESOURCES

2515 RIVERBEND RD. ATHENS, GA 30602

State
GA
Shipped
2024-01-10
Inspected
2024-01-10
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 01/03/2024, expires 01/03/2025; Nobivac 3-Rabies; Serial 688214
Other declarations
Veterinarian certifies animals have been inspected and are not showing signs of infectious, contagious and/or communicable disease (except where noted). Vaccinations and test results are as indicated on this certificate. Animals meet state of destination and Federal interstate requirements.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 3-Rabies6882142024-01-032025-01-03all
Canine 1-DAPPvNobivac / Canine 1-DAPPv2023-10-16all

Remarks / additional certifications

Veterinarian certifies animals have been inspected and are not showing signs of infectious, contagious and/or communicable disease (except where noted). Vaccinations and test results are as indicated on this certificate. Animals meet state of destination and Federal interstate requirements.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (20)

IDBreedSexAge / DOBColorMicrochip / tattooOther
AEI-3BeagleF7 Mos7 Mos
AII-3BeagleF7 Mos7 Mos
AVI-3BeagleF7 Mos7 Mos
BXK-3BeagleF7 Mos7 Mos
DPK-3BeagleF7 Mos7 Mos
EVK-3BeagleF7 Mos7 Mos
XOI-3BeagleF7 Mos7 Mos
YKI-3BeagleF7 Mos7 Mos
ZAI-3BeagleF7 Mos7 Mos
ZBI-3BeagleF7 Mos7 Mos
CDL-3BeagleF7 Mos7 Mos
DCL-3BeagleF7 Mos7 Mos
DGL-3BeagleF7 Mos7 Mos
DLL-3BeagleF7 Mos7 Mos
EJL-3BeagleF7 Mos7 Mos
WIJ-3BeagleF7 Mos7 Mos
XGJ-3BeagleF7 Mos7 Mos
ZDJ-3BeagleF7 Mos7 Mos
ZJL-3BeagleF7 Mos7 Mos
ZXJ-3BeagleF7 Mos7 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 35-265093
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 4957 · out 4377 · cost $0.0805
Overall confidence0.88 · cross-tier agreement 1.00
Model notesTwo-page CVI. Page 1 lists animals 1-7 (IDs AEI-3 through XOI-3) as breed 'BE' (Beagle). Page 2 lists animals 7-21 as 'BEAGLE', with animal 7 (YKI-3) providing explicit values for Sex=F, Age=7 Mos, Rabies vaccination date 01/03/24, expiry 01/03/25, Nobivac 3-Rabies, Serial 688214, Other vaccination Canine 1-DAPPv dated 10/16/23. The ditto/vertical-line rule is applied across all 20 animals for Sex (F), Age (7 Mos), and vaccination details. Rows 20 and 21 on page 2 appear blank with no ID written — these are not counted as animals since no individual identification is present. Total animals per the form header is 20. The mailing address for the consignor is listed as 'P.O. BOX 316 MT. HOREB, WI 53572' but the physical/origin address is Blue Mounds, WI 53517. Veterinarian address listed as P.O. BOX 318 MT. HOREB, WI 53572. NAT. ACCRED. NO. is 033491. Owner/Agent signature appears to be 'Pamela J. Burke' or similar. Animals 9 (ZBI-3) and 10 (CDL-3) on page 2 show small checkmark/tick marks in the Sex column indicating ditto inheritance from row 7 (YKI-3).

shrine_id PARTNER-35-265093 · doc_class PaperCvi