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Certificate of Veterinary Inspection · issued 2024-06-03

35-265140

RIDGLAN FARMS, INC. → ELANCO - FD · 36 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone

608-437-8670

Consignee (buyer)

Elanco Animal Health

800 5TH ST NW FORT DODGE, IA 50501

State

Shipped

2024-06-03

Inspected

2024-06-03

Issued

2024-06-03

Purpose

ANIMALS FOR RESEARCH

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

No rabies vaccination — animals are for research (N/A per form)

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)

Name	Manufacturer / Product	Lot	Administered	Expires	Applies to
Canine 1-DAPPv	Nobivac		2024-05-30		all

Remarks / additional certifications

ANIMALS FOR RESEARCH. Not returning to WI. Number of animals in shipment: 36. Shipping date: 6/3/2024. This form is NOT FOR INTERNATIONAL MOVEMENT.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (36)

ID	Breed	Sex	Age / DOB	Other
AFC-4	Beagle	F	3 MOS	3 MOS
AGC-4	Beagle	F	3 MOS	3 MOS
ALC-4	Beagle	F	3 MOS	3 MOS
AOC-4	Beagle	F	3 MOS	3 MOS
BCC-4	Beagle	F	3 MOS	3 MOS
BEC-4	Beagle	F	3 MOS	3 MOS
BVC-4	Beagle	F	3 MOS	3 MOS
BZC-4	Beagle	F	3 MOS	3 MOS
CAC-4	Beagle	F	3 MOS	3 MOS
CBC-4	Beagle	F	3 MOS	3 MOS
CJC-4	Beagle	F	3 MOS	3 MOS
CVC-4	Beagle	F	3 MOS	3 MOS
CYC-4	Beagle	F	3 MOS	3 MOS
CZC-4	Beagle	F	3 MOS	3 MOS
DFC-4	Beagle	F	3 MOS	3 MOS
DHC-4	Beagle	F	3 MOS	3 MOS
DJC-4	Beagle	F	3 MOS	3 MOS
DOC-4	Beagle	F	3 MOS	3 MOS
DUC-4	Beagle	F	3 MOS	3 MOS
ERC-4	Beagle	F	3 MOS	3 MOS
AJD-4	Beagle	M	3 MOS	3 MOS
ARD-4	Beagle	M	3 MOS	3 MOS
ATD-4	Beagle	M	3 MOS	3 MOS
AVD-4	Beagle	M	3 MOS	3 MOS
AZD-4	Beagle	M	3 MOS	3 MOS
BAD-4	Beagle	M	3 MOS	3 MOS
BKD-4	Beagle	M	3 MOS	3 MOS
BRD-4	Beagle	M	3 MOS	3 MOS
CED-4	Beagle	M	3 MOS	3 MOS
CHD-4	Beagle	M	3 MOS	3 MOS
CLD-4	Beagle	M	3 MOS	3 MOS
CPD-4	Beagle	M	3 MOS	3 MOS
DED-4	Beagle	M	3 MOS	3 MOS
DKD-4	Beagle	M	3 MOS	3 MOS
DLD-4	Beagle	M	3 MOS	3 MOS
FVD-4	Beagle	M	3 MOS	3 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 35-265140 ↗

Extraction provenance

Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware

Extracted2026-05-27 00:37:50

Tokensin 6519 · out 6569 · cost $0.1181

Overall confidence0.88 · cross-tier agreement 1.00

Model notes3-page CVI. Page 1 lists animals 1-7 (AFC-4 through BVC-4), page 2 lists animals 7-21 (BZC-4 through ARD-4), page 3 lists animals 7-20 (ATD-4 through FVD-4). Page numbering restarts at '7' on each continuation page, which is a standard continuation-page convention. Total unique animals counted is 36 matching the header. Ditto/vertical-line rule applied extensively: AFC-4 on page 1 is explicitly F, 3 MOS; the vertical line runs through rows 2-7 on page 1. BZC-4 on page 2 is explicitly F, 3 MOS; vertical line runs through rows 8-19; ERC-4 has a checkmark indicating end of that female group. AJD-4 is explicitly M; ARD-4 inherits via ditto. ATD-4 on page 3 is explicitly M, 3 MOS; vertical line runs through all subsequent rows through FVD-4 (row 20, which has a terminating checkmark). Row 21 on page 3 is blank (no animal listed). Vaccination Canine 1-DAPPv / Nobivac dated 05/30/24 applies to all animals; rabies fields contain 'ANIMALS FOR RESEARCH' / N/A indicating no rabies vaccine given consistent with research puppy shipment at 3 months of age. Owner/agent signature is 'Pamela G Burke'. Certificate received by WI on 10 Jun 2024.

shrine_id 925649 · doc_class PaperCvi