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Certificate of Veterinary Inspection · issued 2024-07-08

35-265146

RIDGLAN FARMS, INC. → WASHINGTON UNIVERSITY IN ST. LOUIS · 4 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

WASHINGTON UNIVERSITY IN ST. LOUIS

4940 PARKVIEW PLACE ST. LOUIS, MO 63110

State
MO
Shipped
2024-07-08
Inspected
2024-07-08
Issued
2024-07-08
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
404991
USDA accreditation
033491

Health declarations

Rabies
Vaccinated 07/03/2024, expires 07/03/2025; Nobivac 3-Rabies; Serial No. 688214
Other declarations
Veterinarian certifies animals have been inspected and are not showing signs of infectious, contagious and/or communicable disease. Not returning to WI.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 3-Rabies2024-07-032025-07-03all
Canine 1-DAPPvNobivac / Nobivac2024-03-14all

Remarks / additional certifications

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

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (4)

IDBreedSexAge / DOBColorMicrochip / tattooOther
HRX-3BeagleMAdultAdult
HWR-3BeagleMAdultAdult
IGV-3BeagleMAdultAdult
WYR-3BeagleMAdultAdult

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 35-265146 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 1799 · cost $0.0372
Overall confidence0.88 · cross-tier agreement 1.00
Model notesPage 1 of 1. Four animals listed (rows 1-4). Row 1 (HRX-3) has explicit values for Sex=M, Age=Adult, Breed=BE (Beagle), Rabies vaccination 07/03/24 exp 07/03/25 (Nobivac 3-Rabies, serial 688214), and Other vaccination Canine 1-DAPPv 03/14/24 (Nobivac). Rows 2-4 (HWR-3, IGV-3, WYR-3) show vertical ditto lines through all columns, inheriting M/Adult/Beagle and all vaccination info from row 1. The vaccination expiration date column shows '07/03/25' which is interpreted as 07/03/2025. The mailing address for consignor is P.O. Box 318 Mt. Horeb, WI 53572 (different from street address, but same entity). Owner/Agent signature appears to be 'Pamela J. Burke' (or similar). The form was received by WI on 15 Jul 2024.

shrine_id 951592 · doc_class PaperCvi