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Certificate of Veterinary Inspection · issued 2024-07-15

35-265149

RIDGLAN FARMS, INC. → EAST TENNESSEE CLINICAL RESEARCH, INC. · 12 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

EAST TENNESSEE CLINICAL RESEARCH, INC.

80 COPPER RIDGE ROAD ROCKWOOD, TN 37854

State
TN
Shipped
2024-07-15
Inspected
2024-07-15
Issued
2024-07-15
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
404991
USDA accreditation
033491

Health declarations

Rabies
Vaccinated 07/10/2024, expires 07/10/2025, Nobivac 3-Rabies
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 (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 3-Rabies6882142024-07-102025-07-10all
Canine 1-DAPPvNobivac / Nobivac2024-03-13all

Remarks / additional certifications

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.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (12)

IDBreedSexAge / DOBColorMicrochip / tattooOther
BCU-3BeagleFAdultAdult
CYU-3BeagleFAdultAdult
DLU-3BeagleFAdultAdult
KJU-3BeagleFAdultAdult
UFU-3BeagleFAdultAdult
WGU-3BeagleFAdultAdult
CRV-3BeagleMAdultAdult
DQV-3BeagleMAdultAdult
EJX-3BeagleMAdultAdult
GGV-3BeagleMAdultAdult
TGV-3BeagleMAdultAdult
YPV-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 35-265149 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 4957 · out 3140 · cost $0.0620
Overall confidence0.91 · cross-tier agreement 1.00
Model notesTwo-page CVI. Page 1 lists animals 1–7 (BE abbreviation = Beagle), page 2 lists animals 7–12 (spelled out as BEAGLE). Animal #7 (CRV-3) on page 1 has an explicit 'M' for sex, and DQV-3 on page 2 row 7 also has 'M' explicitly; the remaining page-2 animals (EJX-3 through YPV-3) are carried forward via ditto lines. On page 1 rows 1–6, BCU-3 is explicitly Female/Adult; rows 2–6 (CYU-3 through WGU-3) inherit F/Adult via ditto vertical line ending with a checkmark at WGU-3. Row 7 (CRV-3) starts a new group with explicit M. All 12 animals share the same two vaccination records (Nobivac 3-Rabies and Canine 1-DAPPv) as indicated by ditto lines spanning all rows for those columns. The continuation page lists the vet license number as 4502 while page 1 shows 404991 — 404991 appears to be the Wisconsin state veterinary license and 4502 may be a different/alternate number; 033491 is the NAT. ACCRED. NO. (NAN). Page 2 also shows license number 4502 under 'Veterinarian's License Number' which may be a different field; state_license set to 404991 (from page 1 VET LIC. NO.) and national_accreditation set to 033491.

shrine_id 956878 · doc_class PaperCvi