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Certificate of Veterinary Inspection · issued ?

35-265115

RIDGLAN FARMS, INC. → COLORADO STATE UNIVERSITY · 9 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

Colorado State University

3107 Rampart Road FT. COLLINS, CO 80523

State
CO
Shipped
2024-03-11
Inspected
2024-03-11
Issued
—
Purpose
—
Species
Dog (Beagle)

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 03/06/2024, expires 03/06/2025, Nobivac 3-Rabies, Serial 688214
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
RabiesNobivac / Nobivac 3-Rabies6882142024-03-062025-03-06all
Canine 1-DAPPvNobivac / Canine 1-DAPPv2024-02-22all

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 (9)

IDBreedSexAge / DOBColorMicrochip / tattooOther
HLS-3BeagleF5 Mos5 Mos
JSS-3BeagleF5 Mos5 Mos
KCS-3BeagleF5 Mos5 Mos
KFS-3BeagleF5 Mos5 Mos
LYS-3BeagleF5 Mos5 Mos
QBS-3BeagleF5 Mos5 Mos
PDT-3BeagleM5 Mos5 Mos
PYT-3BeagleM5 Mos5 Mos
QST-3BeagleM5 Mos5 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 35-265115 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 4957 · out 2713 · cost $0.0556
Overall confidence0.88 · cross-tier agreement 1.00
Model notesTwo-page CVI. Page 1 lists animals 1-7 (HLS-3 through PDT-3); page 2 is a continuation listing animals 7-8 (PYT-3, QST-3) — note animal 7 on page 2 (PYT-3) appears to be animal 8 in overall count, with PDT-3 on page 1 being animal 7. Total shipment is 9 animals per the form header. Ditto/vertical-line rule applied: on page 1, HLS-3 (row 1) is the only explicitly filled row with Sex=F, Age=5 Mos; rows 2-6 (JSS-3 through QBS-3) have vertical ditto lines indicating same sex (F) and age. Row 7 (PDT-3) shows an explicit 'M' for sex with ditto lines on remaining columns. On page 2, PYT-3 has explicit values (M, 5 Mos); QST-3 has ditto lines carrying those forward. Both rabies (Nobivac 3-Rabies, administered 03/06/24, expires 03/06/25, serial 688214) and Canine 1-DAPPv (Nobivac, administered 02/22/24) vaccinations apply to all animals as indicated by ditto marks through all rows. Owner/Agent signature reads 'Pamela J. Burke'. The mailing address for owner is P.O. Box 318 Mt. Horeb, WI 53572 which is also the vet's address — this is consistent with Ridglan Farms using the same PO Box.

shrine_id PARTNER-35-265115 · doc_class PaperCvi