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Certificate of Veterinary Inspection · issued 2024-06-19

35-265139

RIDGLAN FARMS, INC.COLORADO STATE UNIVERSITY · 9 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

Colorado State University

3107 Rampart Road FT. COLLINS, CO 80523

State
CO
Shipped
2024-06-19
Inspected
2024-06-19
Issued
2024-06-19
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
Vaccinated 06/11/2024, expires 06/11/2025, Nobivac 3-Rabies, Serial 688214
Other declarations
Veterinarian certifies animals show no signs of infectious, contagious and/or communicable disease. Vaccinations and test results are as indicated on certificate.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 3-Rabies6882142024-06-112025-06-11all
Canine 1-DAPPvNobivac / Canine 1-DAPPv2024-06-11all

Remarks / additional certifications

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

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (9)

IDBreedSexAge / DOBColorMicrochip / tattooOther
KJA-4BeagleF5 Mos5 Mos
KRA-4BeagleF5 Mos5 Mos
OXA-4BeagleF5 Mos5 Mos
GAB-4BeagleM5 Mos5 Mos
GEB-4BeagleM5 Mos5 Mos
HFB-4BeagleM5 Mos5 Mos
JJB-4BeagleM5 Mos5 Mos
KIB-4BeagleM5 Mos5 Mos
OWB-4BeagleM5 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 35-265139
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 4957 · out 2693 · cost $0.0553
Overall confidence0.82 · cross-tier agreement 1.00
Model notesTwo-page CVI. Page 1 lists animals 1-7 (KJA-4 through JJB-4); Page 2 (continuation) lists animals 7-8 (KIB-4, OWB-4) — note animal 7 on page 2 is KIB-4, not a repeat of JJB-4, so total is 9 unique animals. Ditto/vertical-line rule applied extensively: Sex column on page 1 shows 'F' for KJA-4 with a ditto line through KRA-4 and OXA-4; 'M' appears for GAB-4 with ditto line continuing through GEB-4, HFB-4, JJB-4. Age '5 Mos' is explicitly stated for KJA-4 (page 1) and KIB-4 (page 2); ditto lines carry this forward to all subsequent animals on both pages. Vaccination details (Nobivac 3-Rabies, Canine 1-DAPPv, date 06/11/24) are explicitly given for KJA-4 and KIB-4, with ditto lines indicating all animals share these vaccinations. Owner mailing address differs from origin address: P.O. Box 318, Mt. Horeb, WI 53572. Owner/Agent signature appears to be 'Pamela J. Ducke' or similar. NAT. ACCRED. NO. listed as 033491.

shrine_id 936073 · doc_class PaperCvi