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Certificate of Veterinary Inspection · issued ?

35-265103

RIDGLAN FARMS, INC. → UNIVERSITY OF ILLINOIS · 1 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

2001 S. LINCOLN URBANA, IL 61802

State
IL
Shipped
2024-01-23
Inspected
2024-01-23
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 01/18/2024, expires 01/18/2025
Other declarations
Veterinarian certifies animals are not showing any signs of infectious, contagious and/or communicable disease (except where noted).

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 3-Rabies2024-01-182025-01-18specific
Canine 1-DAPPvNobivac / Nobivac2024-01-18specific

Remarks / additional certifications

Permit Number: IPDOYM0X. Owner mailing address: P.O. Box 318 Mt. Horeb, WI 53572. Not returning to WI. Rabies Tag Number: N/A.

Veterinarian certifies animals are not showing any signs of infectious, contagious and/or communicable disease (except where noted).

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (1)

IDBreedSexAge / DOBColorMicrochip / tattooOther
DSO-1BeagleFAdult688214Adult

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 35-265103 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 1284 · cost $0.0294
Overall confidence0.93 · cross-tier agreement 1.00
Model notesSingle page CVI. Only one animal listed (row 1). Breed 'BE' interpreted as Beagle. Microchip field shows '688214' (may be partial/abbreviated — only 6 digits visible; captured verbatim). Serial Number column contains '688214' which appears to be the microchip/serial number. Rabies tag number listed as N/A. Two vaccinations recorded: Rabies (Nobivac 3-Rabies) and Canine 1-DAPPv (Nobivac), both administered 01/18/2024. No ditto/inheritance rule needed as only one animal row is populated. Permit number 'IPDOYM0X' captured from form (handwritten, may be partially misread). Owner/agent signature appears to be 'Pamela G. Burke'.

shrine_id PARTNER-35-265103 · doc_class PaperCvi