Certificate of Veterinary Inspection · issued ?
35-265112
RIDGLAN FARMS, INC. → EAST TENNESSEE CLINICAL RESEARCH, INC. · 26 dogs
Consignor (shipper)
RIDGLAN FARMS, INC.
10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517
Consignee (buyer)
EAST TENNESSEE CLINICAL RESEARCH, INC.
80 COPPER RIDGE ROAD ROCKWOOD, TN 37854
Carrier
Not stated on the certificate.
Issuing Veterinarian
Richard J. Van Domelen, D.V.M.
P.O. BOX 318 MT. HOREB, WI 53572
Health declarations
Vaccinations (1)
| Name | Manufacturer / Product | Lot | Administered | Expires | Applies to |
|---|---|---|---|---|---|
| Parvo Virus | NeoPar | 2024-03-04 | all |
Remarks / additional certifications
THIS FORM IS NOT FOR INTERNATIONAL MOVEMENT. Animals not returning to WI. Number of animals in shipment: 26. Shipping date: 3/13/2024. Serial No. column entry reads 'ANIMALS TO YOUNG' (sic) — interpreted as note that animals are too young for rabies vaccination.
Emails on form: ridglan@mhtc.net
Animals listed on this shipment (26)
| ID | Breed | Sex | Age / DOB | Color | Microchip / tattoo | Other |
|---|---|---|---|---|---|---|
| KKA-4 | Beagle | F | 2 Mos | 2 Mos | ||
| LQA-4 | Beagle | F | 2 Mos | 2 Mos | ||
| LUA-4 | Beagle | F | 2 Mos | 2 Mos | ||
| LVA-4 | Beagle | F | 2 Mos | 2 Mos | ||
| LWA-4 | Beagle | F | 2 Mos | 2 Mos | ||
| LXA-4 | Beagle | F | 2 Mos | 2 Mos | ||
| OFA-4 | Beagle | F | 2 Mos | 2 Mos | ||
| OTA-4 | Beagle | F | 2 Mos | 2 Mos | ||
| OUA-4 | Beagle | F | 2 Mos | 2 Mos | ||
| OYA-4 | Beagle | F | 2 Mos | 2 Mos | ||
| OZA-4 | Beagle | F | 2 Mos | 2 Mos | ||
| PAA-4 | Beagle | F | 2 Mos | 2 Mos | ||
| KFB-4 | Beagle | M | 2 Mos | 2 Mos | ||
| KHB-4 | Beagle | M | 2 Mos | 2 Mos | ||
| KLB-4 | Beagle | M | 2 Mos | 2 Mos | ||
| KOB-4 | Beagle | M | 2 Mos | 2 Mos | ||
| KPB-4 | Beagle | M | 2 Mos | 2 Mos | ||
| LJB-4 | Beagle | M | 2 Mos | 2 Mos | ||
| LKB-4 | Beagle | M | 2 Mos | 2 Mos | ||
| LLB-4 | Beagle | M | 2 Mos | 2 Mos | ||
| LPB-4 | Beagle | M | 2 Mos | 2 Mos | ||
| LRB-4 | Beagle | M | 2 Mos | 2 Mos | ||
| LTB-4 | Beagle | M | 2 Mos | 2 Mos | ||
| ODB-4 | Beagle | M | 2 Mos | 2 Mos | ||
| OEB-4 | Beagle | M | 2 Mos | 2 Mos | ||
| OQB-4 | Beagle | M | 2 Mos | 2 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.
Extraction provenance
shrine_id PARTNER-35-265112 · doc_class PaperCvi