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Certificate of Veterinary Inspection · issued 2024-07-23

35-265152

RIDGLAN FARMS, INC. → NORTHWESTERN UNIVERSITY CENTER FOR COM. MED. · 2 dogs

Open source PDF ↗

Consignor (shipper)

RIDGLAN FARMS, INC.

10489 W. BLUE MOUNDS ROAD BLUE MOUNDS, WI 53517

Phone
608-437-8670

Consignee (buyer)

Northwestern University Center for Comparative Medicine

302 EAST HURON CHICAGO, IL 60611

State
IL
Shipped
2024-07-23
Inspected
2024-07-23
Issued
2024-07-23
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 07/16/2024, expires 07/16/2025, Nobivac 3-Rabies
Other declarations
Veterinarian certifies animals are not showing any signs of infectious, contagious and/or communicable disease (except where noted). The vaccinations and results of tests are as indicated on this certificate.

Vaccinations (2)

NameManufacturer / ProductLotAdministeredExpiresApplies to
RabiesNobivac / Nobivac 3-Rabies2024-07-162025-07-16all
Canine 1-DAPPNobivac / Canine 1-DAPPv2024-07-16all

Remarks / additional certifications

Permit Number: IPOIASOA. Owner/Agent: Pamela J. Burke. Not returning to WI.

Veterinarian certifies animals are not showing any signs of infectious, contagious and/or communicable disease (except where noted). The vaccinations and results of tests are as indicated on this certificate.

Emails on form: ridglan@mhtc.net

Animals listed on this shipment (2)

IDBreedSexAge / DOBColorMicrochip / tattooOther
BKE-3BeagleFAdultAdult
BYG-3BeagleFAdultAdult

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 35-265152 ↗
Extraction provenance
Source modeltier2b · claude-sonnet-4-6 · prompt tier2b.dittoaware
Extracted2026-05-27 00:37:50
Tokensin 3395 · out 1485 · cost $0.0325
Overall confidence0.82 · cross-tier agreement 1.00
Model notesRow 2 (BYG-3) inherits Sex (F), Age (Adult), Rabies Vaccination Date, Rabies Exp. Date, Product & Vaccine Producer, and Other Vaccinations from row 1 (BKE-3) via vertical ditto lines. The serial number for BYG-3 is not clearly legible and appears to also be under a ditto line but the exact value is unclear — left null. Breed 'BE' expanded to 'Beagle'. Permit number partially handwritten and read as 'IPOIASOA' (may be 'IP0IA8CA' or similar — verbatim captured). Canine 1-DAPP product name partially obscured; read as 'Canine 1-DAPPv'. Owner/agent mailing address is P.O. Box 318 Mt. Horeb, WI 53572.

shrine_id 962348 · doc_class ElectronicCvi