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Certificate of Veterinary Inspection · issued ?

35-265100

RIDGLAN FARMS, INC.MIDWEST VETERINARY SERVICES (MVS), INC. · 5 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

Midwest Veterinary Services (MVS), Inc.

9027 GREEN VALLEY DR. MANHATTAN, KS 66502

State
KS
Shipped
2024-01-17
Inspected
2024-01-17
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
Animals too young for rabies vaccination; Rabies Tag: N/A
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 (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesANIMALS TO YOUNGall
CANINE PARVONOBIVAC / NOBIVAC2024-01-09all

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 (5)

IDBreedSexAge / DOBColorMicrochip / tattooOther
ADV-3BeagleM2 Mos2 Mos
BVV-3BeagleM2 Mos2 Mos
DEV-3BeagleM2 Mos2 Mos
GOV-3BeagleM2 Mos2 Mos
ZXV-3BeagleM2 Mos2 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 35-265100
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 1974 · cost $0.0398
Overall confidence0.88 · cross-tier agreement 1.00
Model notesSingle page CVI. 5 Beagle dogs shipped. Rows 2-5 (BVV-3, DEV-3, GOV-3, ZXV-3) inherit Sex (M), Age (2 Mos), and Breed (BE=Beagle) from row 1 (ADV-3) via the vertical ditto line visible in the scan. The rabies vaccination fields indicate 'ANIMALS TO YOUNG' (too young) with Serial Number 'YOUNG' and Rabies Tag 'N/A', meaning no rabies vaccine was administered due to age. The other vaccination is Canine Parvo with product NOBIVAC, dated 01/09/24. Owner/Agent listed as Pamela J. Burke. Veterinarian license number 4502, NAT. ACCRED. NO. 033491. Consignor mailing address differs slightly from origin (P.O. Box 318 Mt. Horeb, WI 53572 vs. 10489 W. Blue Mounds Road, Blue Mounds, WI 53517) but both appear to belong to Ridglan Farms, Inc.

shrine_id PARTNER-35-265100 · doc_class PaperCvi