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Certificate of Veterinary Inspection · issued ?

35-265099

RIDGLAN FARMS, INC. → UNIVERSITY OF ILLINOIS, ERML · 2 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 ILLINOIS, ERML

1201 W. GREGORY URBANA, IL 61801

State
IL
Shipped
2024-01-16
Inspected
2024-01-16
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 01/03/2024, expires 01/03/2025, 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 / Nobivac 1-Rabies2024-01-032025-01-03all
Canine 1-DAPPvNobivac / Nobivac2024-01-03all

Remarks / additional certifications

Owner/Agent mailing address: P.O. Box 318 Mt. Horeb, WI 53572. Permit Number: IPOOY8VT. Not returning to WI. Form received by WI Wed, 10 Apr 2024 7:31am CDT. Received JAN 22 2024.

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 (2)

IDBreedSexAge / DOBColorMicrochip / tattooOther
GLF-2BeagleMAdult656402Adult
TYP-1BeagleMAdultAdult

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 35-265099 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 1521 · cost $0.0330
Overall confidence0.88 · cross-tier agreement 1.00
Model notesRow 2 (TYP-1) inherits Breed (Beagle/BE), Sex (M), Age (Adult), and all vaccination fields from Row 1 (GLF-2) via vertical ditto lines. The serial number for TYP-1 also appears to be ditched but was not clearly legible; set to null. Rabies Tag Number is N/A for GLF-2; assumed same for TYP-1 via ditto. 'BE' expanded to 'Beagle'. The permit number 'IPOOY8VT' may contain zeros vs. O's — transcribed as visible. Owner/Agent mailing address differs from origin street address but belongs to same entity (Ridglan Farms). Email 'ridglan@mhtc.net' found in vet section but appears to belong to the owner/farm.

shrine_id PARTNER-35-265099 · doc_class PaperCvi