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Certificate of Veterinary Inspection · issued ?

35-265116

RIDGLAN FARMS, INC. → COLORADO STATE UNIVERSITY · 12 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 02/15/2024, expires 02/15/2025 (Nobivac 3-Rabies, Serial No. 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
Nobivac 3-RabiesNobivac / Nobivac 3-Rabies6882142024-02-152025-02-15all
Canine 1-DAPPvNobivac / Canine 1-DAPPv2024-01-11all

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 (12)

IDBreedSexAge / DOBColorMicrochip / tattooOther
LVQ-3BeagleF6 Mos6 Mos
LWQ-3BeagleF6 Mos6 Mos
PDQ-3BeagleF6 Mos6 Mos
PIQ-3BeagleF6 Mos6 Mos
SFQ-3BeagleF6 Mos6 Mos
SGQ-3BeagleF6 Mos6 Mos
SJQ-3BeagleF6 Mos6 Mos
TCQ-3BeagleF6 Mos6 Mos
UDQ-3BeagleF6 Mos6 Mos
UIR-3BeagleF6 Mos6 Mos
XKQ-3BeagleF6 Mos6 Mos
XVQ-3BeagleF6 Mos6 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 35-265116 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 4957 · out 3218 · cost $0.0631
Overall confidence0.88 · cross-tier agreement 1.00
Model notesTwo-page CVI. Page 1 lists animals 1-7 (IDs LVQ-3 through SJQ-3), page 2 lists animals 7-12 (IDs TCQ-3 through XVQ-3; animal 7 on page 2 is TCQ-3, not a repeat of SJQ-3 — the numbering restarts at 7 on page 2 as a continuation). Total animals in shipment stated as 12. Ditto/vertical-line rule applied extensively: Sex (F), Age (6 Mos) from animal LVQ-3 carried forward via vertical lines through all subsequent animals on page 1. On page 2, TCQ-3 has explicit F/6 Mos entries, and these carry forward via ditto lines through XVQ-3. The Canine 1-DAPPv date on page 1 reads '01/11/24' and on page 2 reads '01/11/24' — consistent. Rabies vaccination serial number 688214 is explicitly listed for the lead animal and carries to all via ditto. Owner/Agent signature shows 'Pamela J. Bl...ke'. Mailing address for consignor is P.O. Box 318 Mt. Horeb, WI 53572. Animals 12 on page 2 has no individual ID listed in its row — only 11 animals have explicit IDs across both pages (LVQ-3, LWQ-3, PDQ-3, PIQ-3, SFQ-3, SGQ-3, SJQ-3, TCQ-3, UDQ-3, UIR-3, XKQ-3, XVQ-3 = 12 total). All 12 accounted for.

shrine_id PARTNER-35-265116 · doc_class PaperCvi