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Certificate of Veterinary Inspection · issued 2024-04-15

35-265123

RIDGLAN FARMS, INC. → MIDWEST VETERINARY SERVICES (MVS), INC. · 5 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

Midwest Veterinary Services (MVS), Inc.

9027 GREEN VALLEY DR. MANHATTAN, KS 66502

State
KS
Shipped
2024-04-15
Inspected
2024-04-15
Issued
2024-04-15
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 04/11/2024, expires 04/11/2025 (Nobivac 3-Rabies, Serial 688214) — applies to IGY-3 explicitly; remaining animals rows show ditto marks for vaccination columns in row 5 (QYI-3)
Other declarations
Veterinarian certifies animals have been inspected and show no signs of infectious, contagious and/or communicable disease. Vaccinations and test results are as indicated on this certificate.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac 3-Rabies6882142024-04-112025-04-11specific
Canine 1-DAPPvNobivac2024-04-11specific

Remarks / additional certifications

Veterinarian certifies animals have been inspected and show no signs of infectious, contagious and/or communicable disease. Vaccinations and test results are as indicated on this certificate.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (5)

IDBreedSexAge / DOBColorMicrochip / tattooOther
IGY-3BeagleFADULTADULT
JDS-4BeagleFADULTADULT
OCY-4BeagleFADULTADULT
OYI-3BeagleFADULTADULT
QYI-3BeagleFADULTADULT

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 35-265123 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 1981 · cost $0.0399
Overall confidence0.82 · cross-tier agreement 1.00
Model notesPage 1 of 1. Animals rows 2-5 (JDS-4, OCY-4, OYI-3, QYI-3) inherit Breed=BE (Beagle), Sex=F, Age=Adult from row 1 (IGY-3) via vertical ditto lines. Row 5 (QYI-3) shows checkmark terminations across all columns confirming end of ditto group. Vaccination data explicitly filled only for IGY-3 in row 1; rows 2-4 appear blank in vaccination columns (no ditto marks visible for vaccinations for those rows), row 5 has ditto/checkmarks in vaccination columns suggesting QYI-3 may also share the same vaccination data, but this is ambiguous — vaccination records structured conservatively to only explicitly attribute to IGY-3. Owner mailing address: P.O. Box 318 Mt. Horeb, WI 53572. Certificate received by WI on 22 Apr 2024 11:48am CDT. The 'ADULT' age notation in row 1 includes what appears to be a superscript 'T' which may indicate a typo or annotation; recorded as 'ADULT'.

shrine_id 886142 · doc_class PaperCvi