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Certificate of Veterinary Inspection · issued 2024-04-18

35-265126

RIDGLAN FARMS, INC. → NORTHWESTERN UNIVERSITY CENTER FOR COMPARATIVE MEDICINE · 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)

Northwestern University Center for Comparative Medicine

302 EAST HURON CHICAGO, IL 60611

State
IL
Shipped
2024-04-18
Inspected
2024-04-18
Issued
2024-04-18
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
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 test results are as indicated on this certificate.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 3-Rabies2024-04-112025-04-11all
Canine 1-DAPPNobivac / Canine 1-DAPPv2024-04-11all

Remarks / additional certifications

Permit Number: IP013RPJ. Not returning to WI. Owner/Agent: Pamela J. Burke. Owner mailing address: P.O. Box 318 Mt. Horeb, WI 53572.

Veterinarian certifies animals have been inspected and 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
WJH-3BeagleM1 Yr.1 Yr.
ZDH-3BeagleM1 Yr.1 Yr.

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 35-265126 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 1511 · cost $0.0328
Overall confidence0.91 · cross-tier agreement 1.00
Model notesRow 2 (ZDH-3) has ditto/vertical lines through Sex, Age, Rables Vaccination Date, Rabies Vaccination Exp. Date, Product & Vaccine Producer, Serial Number, Rabies Tag Number, Other Vaccinations, Date Vaccinated, and Product & Vaccine Producer columns — all values inherited from row 1 (WJH-3). Serial number for ZDH-3 is inherited as well (688214 area shows ditto mark). The consignee name appears cut off on the form ('NORTHWESTERN UNIVERSITY CENTER FOR COMPARATIVE I') but is almost certainly 'NORTHWESTERN UNIVERSITY CENTER FOR COMPARATIVE MEDICINE' — captured as best read. Permit number reads 'IP013RPJ' (could be 'TP013RPJ' — ambiguous first character, captured as written). Rabies Tag Number for WJH-3 is explicitly 'N/A'. Page 1 of 1.

shrine_id 890480 · doc_class PaperCvi