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Certificate of Veterinary Inspection · issued 2024-06-18

35-265141

RIDGLAN FARMS, INC. → IIT RESEARCH INSTITUTE · 40 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

IIT RESEARCH INSTITUTE

STATE STREET DOCK 10 WEST 35TH STREET CHICAGO, IL 60616

State
IL
Shipped
2024-06-18
Inspected
2024-06-18
Issued
2024-06-18
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, Rabies Tag N/A
Other declarations
Veterinarian certifies animals have been inspected and are not showing signs of infectious, contagious and/or communicable disease (except where noted). Vaccinations and results of tests are as indicated on this certificate.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 3-Rabies6882142024-06-112025-06-11all
Canine 1-DAPPvNobivac / Canine 1-DAPPv2024-04-18all

Remarks / additional certifications

Permit Number: IPOI7ROI. Not returning to WI. 40 animals in shipment. Shipping date 6/18/2024. Owner/Agent: Pamela G. Bucke.

Veterinarian certifies animals have been inspected and are not showing 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 (40)

IDBreedSexAge / DOBColorMicrochip / tattooOther
AEY-3BeagleF6-7 Mos6-7 Mos
ASY-3BeagleF6-7 Mos6-7 Mos
AYY-3BeagleF6-7 Mos6-7 Mos
BUY-3BeagleF6-7 Mos6-7 Mos
BVY-3BeagleF6-7 Mos6-7 Mos
DYY-3BeagleF6-7 Mos6-7 Mos
FRY-3BeagleF6-7 Mos6-7 Mos
FVY-3BeagleF6-7 Mos6-7 Mos
FWY-3BeagleF6-7 Mos6-7 Mos
GQY-3BeagleF6-7 Mos6-7 Mos
GRY-3BeagleF6-7 Mos6-7 Mos
UWW-3BeagleF6-7 Mos6-7 Mos
WTW-3BeagleF6-7 Mos6-7 Mos
YDW-3BeagleF6-7 Mos6-7 Mos
YEW-3BeagleF6-7 Mos6-7 Mos
YGW-3BeagleF6-7 Mos6-7 Mos
ZIW-3BeagleF6-7 Mos6-7 Mos
ZKW-3BeagleF6-7 Mos6-7 Mos
ZOY-3BeagleF6-7 Mos6-7 Mos
ZWW-3BeagleF6-7 Mos6-7 Mos
ABZ-3BeagleM6-7 Mos6-7 Mos
AOZ-3BeagleM6-7 Mos6-7 Mos
APZ-3BeagleM6-7 Mos6-7 Mos
AWZ-3BeagleM6-7 Mos6-7 Mos
BAZ-3BeagleM6-7 Mos6-7 Mos
CUZ-3BeagleM6-7 Mos6-7 Mos
DCZ-3BeagleM6-7 Mos6-7 Mos
DQZ-3BeagleM6-7 Mos6-7 Mos
EGZ-3BeagleM6-7 Mos6-7 Mos
EJZ-3BeagleM6-7 Mos6-7 Mos
EXZ-3BeagleM6-7 Mos6-7 Mos
FJZ-3BeagleM6-7 Mos6-7 Mos
FTZ-3BeagleM6-7 Mos6-7 Mos
GLZ-3BeagleM6-7 Mos6-7 Mos
GOZ-3BeagleM6-7 Mos6-7 Mos
UKX-3BeagleM6-7 Mos6-7 Mos
ZBZ-3BeagleM6-7 Mos6-7 Mos
ZCZ-3BeagleM6-7 Mos6-7 Mos
ZVX-3BeagleM6-7 Mos6-7 Mos
ZYZ-3BeagleM6-7 Mos6-7 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 35-265141 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 8081 · out 7620 · cost $0.1385
Overall confidence0.88 · cross-tier agreement 1.00
Model notesThe form spans 4 pages with 40 beagles total. Page 1 lists animals 1-7 (AEY-3 through FRY-3) with explicit entries for row 1 (AEY-3, F, 6-7 Mos) and ditto lines carrying forward through row 7. Pages 2-4 are continuation sheets. The first animal on page 2 (FVY-3, row 7) has explicit data (F, 6-7 Mos). Animals 8-19 on page 2 (FWY-3 through ZOY-3) inherit via ditto; ZWW-3 (row 19) shows a checkmark suggesting inherited female sex. ABZ-3 (row 20) is explicitly M; AOZ-3 (row 21) inherits M via ditto. Page 3 opens with APZ-3 (row 7) explicitly M, 6-7 Mos, and remaining animals through ZBZ-3 inherit via ditto. Page 4 opens with ZCZ-3 (row 7) explicitly M, 6-7 Mos; ZVX-3 (row 8) inherits; ZYZ-3 (row 9) has explicit ditto marks. Rows 10-21 on page 4 are blank, consistent with only 40 total animals. The permit number appears to read 'IPOI7ROI' (handwritten, potentially ambiguous). Age and sex values for all animals after row 1 are carried forward via the ditto convention. Two vaccinations identified: Nobivac 3-Rabies (administered 06/11/2024) and Canine 1-DAPPv (administered 04/18/2024), both applying to all animals.

shrine_id 936063 · doc_class PaperCvi