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Certificate of Veterinary Inspection · issued 2024-04-15

35-265125

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

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.

RIDGLAN FARMS, INC.

P.O. BOX 318, MT. HOREB, WI 53572

Phone
608-437-8670
State license
4502
USDA accreditation
033491

Health declarations

Rabies
Vaccinated — QLW-3 vaccinated 04/12/2024, expires 04/12/2025, Nobivac 3-Rabies, serial 688214
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 (4)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 3-Rabies6882142024-04-122025-04-12specific
Canine 1-DAPPvNobivac / Nobivac2024-03-14specific
Rabiesspecific
Canine 1-DAPPvspecific

Remarks / additional certifications

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
QLW-3BeagleF5 Mos5 Mos
SSW-3BeagleF5 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 35-265125 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 1755 · cost $0.0365
Overall confidence0.88 · cross-tier agreement 1.00
Model notesRow 2 (SSW-3) has vertical ditto lines through Sex, Age, Rabies Vaccination Date, Rabies Vaccination Exp. Date, Product & Vaccine Producer, Serial Number, Rabies Tag Number, Other Vaccinations, Date Vaccinated, and Product & Vaccine Producer columns — all inherited from Row 1 (QLW-3). The exact inherited values for SSW-3's vaccinations (lot number, serial, exact product) are assumed the same as QLW-3 per the ditto convention, but because the checkmarks may indicate identical entries rather than confirmed explicit values, confidence for SSW-3 vaccination details is slightly lower. Age for both is '5 Mos' (5 months). The mailing address for consignor is P.O. Box 318 Mt. Horeb, WI 53572 (different from origin street address). Vet address shown on form is P.O. BOX 318, MT. HOREB, WI 53572. Certificate received by WI on 22 Apr 2024.

shrine_id 886145 · doc_class PaperCvi