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Certificate of Veterinary Inspection · issued 2024-04-22

35-265129

RIDGLAN FARMS, INC.MERCK ANIMAL HEALTH · 10 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

MERCK ANIMAL HEALTH

21401 WEST CENTER RD. ELKHORN, NE 68022

State
NE
Shipped
2024-04-22
Inspected
2024-04-22
Issued
2024-04-22
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
N/A — animals too young for rabies vaccination
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 (1)

NameManufacturer / ProductLotAdministeredExpiresApplies to
CANINE 1-PvMERCK / CANINE 1-Pv2024-04-01all

Remarks / additional certifications

Owner/Agent: PAMELA J. BURKE. Form type: Wisconsin Interstate Small Animal Certificate of Veterinary Inspection. Not returning to WI. Number of Animals in Shipment: 10. Shipping date: 4/22/2024.

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 (10)

IDBreedSexAge / DOBColorMicrochip / tattooOther
PPA-4BeagleF2 Mos2 Mos
PRA-4BeagleF2 Mos2 Mos
PSA-4BeagleF2 Mos2 Mos
PTA-4BeagleF2 Mos2 Mos
PLB-4BeagleM2 Mos2 Mos
POB-4BeagleM2 Mos2 Mos
QFB-4BeagleM2 Mos2 Mos
RFB-4BeagleM2 Mos2 Mos
RIB-4BeagleM2 Mos2 Mos
SQB-4BeagleM2 Mos2 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 35-265129
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 4957 · out 2792 · cost $0.0568
Overall confidence0.88 · cross-tier agreement 1.00
Model notesPage 1 lists animals 1–7 (PPA-4 through QFB-4); page 2 lists animals 7–9 (RFB-4, RIB-4, SQB-4) as a continuation. Total = 10 animals per shipment count. Ditto/vertical-line rule applied: on page 1, animal 1 (PPA-4) explicitly shows F sex and 2 Mos age; animals 2–4 (PRA-4, PSA-4, PTA-4) carry vertical ditto lines for sex and age (inherited F, 2 Mos). Animal 5 (PLB-4) shows explicit M sex; animals 6–7 (POB-4, QFB-4) carry ditto lines (inherited M, 2 Mos). On page 2, animal 7 (RFB-4) shows explicit M, 2 Mos; animals 8–9 (RIB-4, SQB-4) carry ditto lines (inherited M, 2 Mos). The CANINE 1-Pv vaccination with date 04/01/24 and producer MERCK is shown on animal 1 row and inherited by all via ditto lines. Rabies vaccination product/serial fields read 'ANIMALS TO YOUNG' (too young), rabies tag N/A — this applies to all 10 animals. Owner mailing address on page 1: P.O. BOX 318 MT. HOREB, WI 53572 (differs from origin street address, but both belong to Ridglan Farms). Page 2 continuation rows 10–21 are all blank (no additional animals).

shrine_id 890479 · doc_class PaperCvi