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Certificate of Veterinary Inspection · issued ?

35-265107

RIDGLAN FARMS, INC.NORTHWESTERN UNIVERSITY CENTER FOR COMPARATIVE MED · 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)

NORTHWESTERN UNIVERSITY CENTER FOR COMPARATIVE MED

302 EAST HURON CHICAGO, IL 60611

State
IL
Shipped
2024-02-22
Inspected
2024-02-22
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 02/15/2024, expires 02/15/2025, Nobivac 3-Rabies
Other declarations
Veterinarian certifies animals are not showing any signs of infectious, contagious and/or communicable disease (except where noted). Vaccinations and test results are as indicated on this certificate.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 3-Rabies2024-02-152025-02-15all
Canine 1-DAPPvNobivac / Nobivac2024-02-15all

Remarks / additional certifications

Permit Number: IPO10605. Not returning to WI. Owner/Agent: Hanela J. Dulce. Owner mailing address: P.O. Box 318 Mt. Horeb, WI 53572.

Veterinarian certifies animals are not showing any signs of infectious, contagious and/or communicable disease (except where noted). Vaccinations and test results are as indicated on this certificate.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (2)

IDBreedSexAge / DOBColorMicrochip / tattooOther
DSG-2BeagleFAdult688214Adult
PEJ-2BeagleMAdultAdult

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 35-265107
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 1574 · cost $0.0338
Overall confidence0.88 · cross-tier agreement 1.00
Model notesTwo animals on this single-page CVI. Row 2 (PEJ-2) inherits Breed (Beagle/BE), Age (Adult), and all vaccination data from Row 1 (DSG-2) via the ditto/vertical-line convention. Serial number for DSG-2 recorded as '688214' from the Serial Number column; PEJ-2's serial number cell appears to have a ditto mark, but no explicit number is legible — left null. Rabies tag number 'N/A' explicitly shown for DSG-2; ditto mark present for PEJ-2 suggesting same. Permit number read as 'IPO10605' (handwritten, may be 'IPO10605' or 'IPC10605'). Owner/Agent signature reads 'Hanela J. Dulce' (approximate). The 'Other Vaccinations' column shows 'Canine 1-DAPPv' with date 02/15/24 and producer 'Nobivac' — treated as a separate vaccination entry. National accreditation number read as '033491' (NAN field).

shrine_id PARTNER-35-265107 · doc_class PaperCvi