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Certificate of Veterinary Inspection · issued 2024-05-14

35-265134

RIDGLAN FARMS, INC. → T.R.S. LAB · 3 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

T.R.S. LAB

215 PARADISE BLVD ATHENS, GA 30607

State
GA
Shipped
2024-05-14
Inspected
2024-05-14
Issued
2024-05-14
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 05/14/2024, expires 05/14/2025, Nobivac 3-Rabies, Serial 688214
Other declarations
Veterinarian certifies animals have been inspected and are not showing signs of infectious, contagious and/or communicable disease.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 3-Rabies6882142024-05-142025-05-14all
Canine 1-DAPPvNobivac / Nobivac2024-02-22all

Remarks / additional certifications

Owner/Agent Signature: Pamela J. Burlee. Mailing address: P.O. Box 318 Mt. Horeb, WI 53572. Not returning to WI. Number of Animals in Shipment: 3.

Veterinarian certifies animals have been inspected and are not showing signs of infectious, contagious and/or communicable disease.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (3)

IDBreedSexAge / DOBColorMicrochip / tattooOther
HPS-3BeagleF7-8 Mos7-8 Mos
JRS-3BeagleF7-8 Mos7-8 Mos
QXV-3BeagleM7-8 Mos7-8 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 35-265134 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 1726 · cost $0.0361
Overall confidence0.88 · cross-tier agreement 1.00
Model notesThree Beagle dogs on this single-page CVI. Row 1 (HPS-3) has explicit Sex=F, Age=7-8 Mos. Row 2 (JRS-3) shows a vertical ditto line descending from row 1 for Sex and Age — inherited as F, 7-8 Mos. Row 3 (QXV-3) shows an explicit 'M' for Sex (breaking the ditto for sex), but Age continues via ditto line — inherited as 7-8 Mos. Vaccination info (Nobivac 3-Rabies and Canine 1-DAPPv) is listed explicitly in row 1 with ditto marks extending through rows 2 and 3, so vaccinations apply to all three animals. Rabies serial number 688214 is from row 1; ditto marks indicate it applies to all. Breed abbreviation 'BE' expanded to 'Beagle'. Age value set to 7.5 as midpoint of 7-8 months range. Owner mailing address differs slightly from origin address (P.O. Box 318 vs street address) — both belong to Ridglan Farms.

shrine_id 909772 · doc_class PaperCvi