Certificate of Veterinary Inspection · issued 2024-07-10
35-265148
RIDGLAN FARMS, INC. → NAMSA · 21 dogs
Consignor (shipper)
RIDGLAN FARMS, INC.
10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517
Carrier
Not stated on the certificate.
Issuing Veterinarian
JEFFREY BALLMER, D.V.M.
P.O. BOX 318 MT. HOREB, WI 53572
Health declarations
Vaccinations (2)
| Name | Manufacturer / Product | Lot | Administered | Expires | Applies to |
|---|---|---|---|---|---|
| Rabies | Nobivac / Nobivac 3-Rabies | 688214 | 2024-07-08 | 2025-07-08 | all |
| Canine 1-DAPPv | Nobivac / Nobivac Canine 1-DAPPv | 2024-06-12 | all |
Remarks / additional certifications
Owner/Agent: Melia F. Bucke. Mailing Address: P.O. Box 318 Mt. Horeb, WI 53572. Form is NOT for international movement. Not returning to WI. Page 1 of 2 and Page 2 of 2 (continuation sheet).
Veterinarian certifies animals inspected and showing no signs of infectious, contagious and/or communicable disease. Vaccinations and test results as indicated on certificate. Animals meet state of destination and Federal interstate requirements.
Emails on form: ridglan@mhtc.net
Animals listed on this shipment (21)
| ID | Breed | Sex | Age / DOB | Color | Microchip / tattoo | Other |
|---|---|---|---|---|---|---|
| SZA-4 | Beagle | F | 5 mos | 5 mos | ||
| UJA-4 | Beagle | F | 5 mos | 5 mos | ||
| VKC-4 | Beagle | F | 5 mos | 5 mos | ||
| VZA-4 | Beagle | F | 5 mos | 5 mos | ||
| YOC-4 | Beagle | F | 5 mos | 5 mos | ||
| ZUC-4 | Beagle | F | 5 mos | 5 mos | ||
| ZXC-4 | Beagle | F | 5 mos | 5 mos | ||
| ZZC-4 | Beagle | F | 5 mos | 5 mos | ||
| QIB-4 | Beagle | M | 5 mos | 5 mos | ||
| RJB-4 | Beagle | M | 5 mos | 5 mos | ||
| STB-4 | Beagle | M | 5 mos | 5 mos | ||
| UCB-4 | Beagle | M | 5 mos | 5 mos | ||
| USB-4 | Beagle | M | 5 mos | 5 mos | ||
| VSD-4 | Beagle | M | 5 mos | 5 mos | ||
| WFD-4 | Beagle | M | 5 mos | 5 mos | ||
| XAD-4 | Beagle | M | 5 mos | 5 mos | ||
| XDD-4 | Beagle | M | 5 mos | 5 mos | ||
| YQD-4 | Beagle | M | 5 mos | 5 mos | ||
| YRD-4 | Beagle | M | 5 mos | 5 mos | ||
| ZLD-4 | Beagle | M | 5 mos | 5 mos | ||
| ZPD-4 | Beagle | M | 5 mos | 5 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.
Extraction provenance
shrine_id 951574 · doc_class PaperCvi