Certificate of Veterinary Inspection · issued 2024-01-17
35-265100
RIDGLAN FARMS, INC. → MIDWEST VETERINARY SERVICES (MVS), INC. · 5 dogs
Consignor (shipper)
RIDGLAN FARMS, INC.
10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517
Consignee (buyer)
Midwest Veterinary Services (MVS), Inc.
9027 GREEN VALLEY DR. MANHATTAN, KS 66502
Carrier
Not stated on the certificate.
Issuing Veterinarian
Richard J. Van Domelen, D.V.M.
P.O. BOX 318 MT. HOREB, WI 53572
Remarks / additional certifications
Rabies Vaccination fields for rows 2-5 appear to use checkmarks/ditto marks referencing row 1 data; rows 2-5 sex/age fields are blank or unclear. Owner/Agent: Pamela J. Burke. Owner mailing address: P.O. Box 318 Mt. Horeb, WI 53572. Email: ridglan@mhtc.net
Animals listed on this shipment (5)
| ID | Breed | Sex | Age / DOB | Color | Microchip / tattoo | Other |
|---|---|---|---|---|---|---|
| ADV-3 | Beagle | M | 2 Mos; Rabies Tag: YOUNG; Other Vaccinations: CANINE PARVO; Date Vaccinated: 01/09/24; Product & Vaccine Producer: NOBIVAC | |||
| BVV-3 | Beagle | |||||
| DEV-3 | Beagle | |||||
| GOV-3 | Beagle | |||||
| ZXV-3 | Beagle |
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 BUNDLE-502e937f-1 · doc_class PaperCvi